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- Jul 21, 2012
Last thing I want to talk about outside of work is work
THIS THIS THIS.
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Last thing I want to talk about outside of work is work
when you guys bring your spouses to these social "doctor gatherings" can you PLEASE talk about something other than medical stuff?? I swear most of the time i just sit there and blindly shake my head like i actually understand stuff but in reality im super lost. talk about sports/weather/cars/ANYTHING...please.
Slim K , the fact that the man making these dope *** slim k slowdowns is a doctor is so to me
I can't wait to join the doctors of NT mane
Why is that? IMO, it's because primary care physicians are vastly overpaid and are conferred way too much importance in the medical chain. Especially taking into account the web/mobile apps and their widespread use among the general populace.Very well put unfortunately the route I see primary care headed is that most of the care will be administered by midlevels in so called doc in the boxes at your local Walmart Walgreens etcYou make some excellent points in your post, but I have to disagree with this idea of health coaches and relying on mid level providers such as PA's and Nurse Practitioners. In my 4 years out of residency as a physician I have seen countless mismanagement of patients by mid level providers who I feel don't have the training or knowledge base to properly diagnose or manage common complaints and diseases. Just last week I was sent a patient for evaluation by a nurse practitioner from a primary care office for chief complaint of pruritis. The patient was in her 50s without visible rash, but severe pruritis causing her to visibly excoriate her legs in front of me as I obtained the history from her. The patient had not seen a physician in over 30 years and saw the nurse practitioner last month for work up. An allergy panel was ordered along with referral to our office. The allergy panel was unremarkable except for allergy to grasses. The patient had icteric sclera with slightly jaundiced skin. I immediately ordered a comprehensive metabolic panel and a hepatitis panel and it showed hepatitis C infection with high elevations in Bilirubin, Alk Phos, and AST/ALT. The nurse practitioner completely missed the eye and skin exam and jumped to an allergy panel that was essentially useless. I immediately referred her to GI/Hepatology for treatment of Hepatitis C in the setting of acute elevations in liver enzymes.
Primary Care Physicians are the point guards of the medical team and the complexity of our patient population continues to rise as patients are living longer and are becoming so dependent on medications and technology to stay alive. It is imperative that our brightest medical minds be in primary care as this is where disease and morbidity can be most effectively managed. Leaving the complexity of diagnosis and management to mid level providers without the knowledge and training to treat our evolving population will only lead to more health care waste. There is a reason we work 80 hours a week as interns and residents during our training. It is a rite of passage that our mentors and attendings went through and without it we wouldn't have the knowledge or skill to treat the most difficult cases that present to us.
Why is that? IMO, it's because primary care physicians are vastly overpaid and are conferred way too much importance in the medical chain. Especially taking into account the web/mobile apps and their widespread use among the general populace.
We might as well call primary care doctors what they are in our society; glorified prescription writers. Do I really need someone making 6 figures to tell me I need cold medicine because I have a cold? Or, do I really need someone making 6 figures to tell me I need to see a gastro if I'm complaining of acute stomach pain? One can point out that one time a primary care physician made an incredible diagnosis which saved someone's life but let's think in 99% of cases here.
Primary care doctors used to earn middle class salaries. Then came along price controls and employer health insurance plans and we have what we have today. Everything reverts to the mean on a long enough timeline.
A question for all the NT docs in here: I'm just finished undergrad and am about to apply to medical school. As some of you stated, if you would start over again, you wouldn't have chosen the doctor route. What profession would you have chosen? Would it still have been in healthcare?
I only ask because I'm very torn on whether I should continue my path as you guys have. I did 4 years of pre-med along with a full Mathematics major. Is there anything you guys would suggest for me given my background?
Family Medicine here...im prob the only primary care person on this board.....and i agree with majority of the posters....if you are doing this for the money...its NOT for you....and its also stressful...but like majority of the others that are MDs we cant really express much frustration of loans etc because the general population assumes you are rolling in dough, when in reality, you are Aunt Sallies *****. Going this path has closed some previous relationships. While opening others....
To all the MDs out here...the real money isnt from your Dr income...the real money is how you invest it and your side hustles..
If i could do it all over again...i def would go a dif route...but still stay in healthcare
Anybody in the hospital can pull a nurse except housekeeping lol...single nurses be loose
Asian ones be aiming for docs tho
White/Blk/Latina anything goes
just wait one COT DAMN MINUTEFamily Medicine here...im prob the only primary care person on this board.....and i agree with majority of the posters....if you are doing this for the money...its NOT for you....and its also stressful...but like majority of the others that are MDs we cant really express much frustration of loans etc because the general population assumes you are rolling in dough, when in reality, you are Aunt Sallies *****. Going this path has closed some previous relationships. While opening others....
To all the MDs out here...the real money isnt from your Dr income...the real money is how you invest it and your side hustles..
If i could do it all over again...i def would go a dif route...but still stay in healthcare
I agree with you. Most people wouldn't put in the time to properly self diagnose, even if they all the info at their disposal. However, they wouldn't need to.Why is that? IMO, it's because primary care physicians are vastly overpaid and are conferred way too much importance in the medical chain. Especially taking into account the web/mobile apps and their widespread use among the general populace.
We might as well call primary care doctors what they are in our society; glorified prescription writers. Do I really need someone making 6 figures to tell me I need cold medicine because I have a cold? Or, do I really need someone making 6 figures to tell me I need to see a gastro if I'm complaining of acute stomach pain? One can point out that one time a primary care physician made an incredible diagnosis which saved someone's life but let's think in 99% of cases here.
Primary care doctors used to earn middle class salaries. Then came along price controls and employer health insurance plans and we have what we have today. Everything reverts to the mean on a long enough timeline.
wait so you think the general population could go to webmd and search their symptoms and then be able to know whats going on and how to treat it? Thats hilarious if that is what your point was. Many conditions present with similar symptoms and pts come in all the time thinking they have one condition because they googled it and couldn't be farther from what their actual diagnosis is. They also usually wind up thinking the worst. Also for procedures they read on it the night before and come in terrified and more stressed out than is necessary because they dont understand the anatomy physiological or the tech
A question for all the NT docs in here: I'm just finished undergrad and am about to apply to medical school. As some of you stated, if you would start over again, you wouldn't have chosen the doctor route. What profession would you have chosen? Would it still have been in healthcare?
I only ask because I'm very torn on whether I should continue my path as you guys have. I did 4 years of pre-med along with a full Mathematics major. Is there anything you guys would suggest for me given my background?
Just wanted to add that if doctors think the profession is miserable now just wait until modern tech gets a hold.
Stock brokers used to be very important as well and made tons of money. Then came electronic trading and the once famed stock broker is akin to a dinosaur.
Same thing will happen with medicine (especially as it concerns non surgical specialties), it's just a matter of time. Stock brokers didn't have such a powerful lobby behind them so they were hit pretty fast.