Quote:
Originally Posted by Unregistered
Medicine has changed. Patients are not the same as in the old days
Much work is spent trying to explain why google dr might not be quite correct pr applicable. The whole managing expectations work is much harder.
Is it really "a calling" when you spend most of the day being told what the conditipn is and what treatment you should be giving?
Things have changed. It isn't just the money. The nature of the work has changed also.
Hasnt anyone encountered the patient that complains aboit their problem but swears they dont want any pharma based treatments or western medicine treatments. When you ask them what do you want then? They go you tell me you are the dr. But you had already told them. Truth is hey want drs to start suggesting those non EBM solutions and validate what they found researching the internet. All good. Until some specialist complains to SMC. Ask Dr Erwin Kay. |
aiyah. u talk about devilish patient, us doctors are not saints also.
I work in public with some ahem *locum-ing* and i've seen my fair share of GP who anyhow...
- pat complain of fatigue -> empirically start on levothyroxine. No blood test, no further hx no examination, nothing. I nearly fell off my chair when i saw the note. Consulting doc wrote literally 2 lines.
- there's the private GP pat with like 3 anti-hypertensives, dapa , fenofibrates and crestor who come into polyclinic wanting to buy the medicine cheaply. He was like paying 400 dollar per mth for medicine. After Im done with the pat 6 months later, he is on amlodipine, metformin and simvastatin paying $3.3 per week. Dude was a cleaner making 1.5K a month. Come on la, u want chop carrot chop some sultan i no problem, u go chop this poor uncle...
by and large most patient ok esp the heartlander population i serve. Most of them pretty appreciative.
quoting that Erwin Kay isn't a good example. Surely he didn't go buy the machine because that patient requested right? He bought the machine wanting to make money off it and started using it to cure everything from headaches to piles. He is like the doctor who empirically start levothyroxine, or another guy who started methotrexate , s://sg.news.yahoo.com/doctor-charged-for-causing-patients-death-through-prescribing-drugs-without-tests-042203520.html