What Happened to Medicine?

Posted by frances007 @frances007, Feb 18, 2023

I am dismayed at the medical treatment, or lack thereof, that I have received to date. I sent an online message to my PCP a few weeks ago that I was feeling hopeless and depressed as a result of my illness and asked if he thought increasing my antidepressant would be of help. He did not respond. I have to see him next week and will ask what the purpose of the online message system is if a patient cannot get a response from their doctor.
I understand that my condition(s) are complicated, after all it has taken 3 years to finally get an appointment with a liver specialist, even though I had been told one would never see me. I apologize if I sound like I am whining, perhaps I am simply frustrated at just how difficult it is to receive the appropriate medical treatment these days. I try to remain positive, active, engaged in creative activities and things of that nature. I am not curled up in a ball in some kind of catatonic state. All I want is help from my medical team, and it has become such a struggle to get the treatment I think I need. Yes, I have a friend who is a doctor and who has been very helpful by telling me what tests my PCP needs to order, and when I ask him to order such tests he does. but really, how crazy is that? This forum and my disease have enabled me to become more empowered, however I had no idea that getting the right treatment, if any, would be such a struggle. I have good coping skills, but in all honesty there are days when I really do feel like curling up in a ball, but I don't because I am afraid I would remain in that state. So instead I take walks, work on my artwork, bake bread for my neighbors, care for my 84 year old friend etc. I am constantly on the move. Right now, I just want to step off and rest.
Also, the last time I saw my PCP he asked me if I wanted a new doctor. No doctor has ever asked this question of me. I am now planning to choose a new PCP after my upcoming appointment with a hepatologist. I am seeing my PCP this week so he can go over with me the information he received from the hematologist regarding my immunoglobulin disorder.
Interestingly enough, I met with a neurologist this week for the second time. I could not have asked for a nicer physician! Perhaps there are still medical providers out there who still care about and want to help their patients.

Interested in more discussions like this? Go to the Just Want to Talk Support Group.

@nonobaddog

No! Socialized medicine would never work in this country. Look at the care in Canada, they have to wait for so long to even be seen that they are almost dead and then healthcare will offer to finish you.
USA is way too corrupt for socialized medicine or socialized anything to work well.

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I was born in Canada and most of my family still lives there. They will rebut your statement. I have an appointment with a dermatologist. From the time I called until I will see her is three months. So what's the difference?

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@thisismarilynb

I was born in Canada and most of my family still lives there. They will rebut your statement. I have an appointment with a dermatologist. From the time I called until I will see her is three months. So what's the difference?

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I am not here to argue and I am happy you are pleased with the health care in Canada. However the long wait times are not a secret. For instance the Fraser Institute in Canada has published some of their findings at https://www.fraserinstitute.org/sites/default/files/how-canadian-health-care-differs-prerelease.pdf

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@sandif

I am so sorry to hear how the health system is failing you. You should not have had to wait 3 years for a hepatology appointment. I can only imagine how you feel. It sounds like you manage and cope in a very healthy ways. I was inspired. Baking bread for a neighbor or even a few muffins is something I could do.
I am not sure how large your community is...but if you are in a larger metropolitan area, there are many options. Messages via MyChart should be more streamlined for your providers and not be ignored. I would love to talk if you have need support. I am in a similar situation with my health and ongoing appointments with multiple specialists. I will be 54 in April. Before my diagnosis, I was so busy with my career, colleagues, clients...it is very difficult now and lonely. I have been struggling with that. I think we should look at your options for a new PCP.

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Thank you. I am gearing up for my appointment tomorrow with my PCP. I have decided not to be confrontive with him at all because I know it will not make any difference. The last time I saw him, I told him that I wanted to feel as if I mattered. Mattered to him, to Sutter etc. That's when he asked if I wanted a new doctor. Well, I will find one soon. Tomorrow I will just sit there like he does and let him talk for a change. I am curious what the hematologist had to say about the blood disorder.
On another note, I can feel that I am approaching some kind of new depressive state, probably because my dog died one year ago on March 2. But, I just heard from the shelter that they need me to foster a dog, so that would be really great for me, as I miss having the "company."
There are some days, more recently, when I feel like giving up, or not continuing with my art or weight lifting, but I force myself because I will be left without any fortitude.
This forum gives me so much hope, I cannot even explain it clearly enough, Before I discovered this patient portal I felt so alone, now I do not.

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@nonobaddog

I am not here to argue and I am happy you are pleased with the health care in Canada. However the long wait times are not a secret. For instance the Fraser Institute in Canada has published some of their findings at https://www.fraserinstitute.org/sites/default/files/how-canadian-health-care-differs-prerelease.pdf

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I am Canadian as both my parents were born in BC and the majority of my extending family still reside there. I have never heard any of my cousins complain about the medical care they receive in Canada, and in fact, they seem very happy with "socialized medicine."
Regarding wait times, shortages of doctors, etc we have the same issues in the U.S. Just yesterday I read an article in the Washington Post about the shortage of doctors and especially nurses, many who quit following COVID. We have a huge shortage of medical care providers in the U.S, not only because many in the medical field are leaving their jobs, but also because there are not enough professors to teach medicine, including nursing. Nurses have an extraordinarily demanding job of which many do not appreciate. I say this from experience as I lived with one for 10 years.
In any event, in my opinion, I think/believe that the more complex one's problem is, the longer the wait time may be.

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@frances007

I am Canadian as both my parents were born in BC and the majority of my extending family still reside there. I have never heard any of my cousins complain about the medical care they receive in Canada, and in fact, they seem very happy with "socialized medicine."
Regarding wait times, shortages of doctors, etc we have the same issues in the U.S. Just yesterday I read an article in the Washington Post about the shortage of doctors and especially nurses, many who quit following COVID. We have a huge shortage of medical care providers in the U.S, not only because many in the medical field are leaving their jobs, but also because there are not enough professors to teach medicine, including nursing. Nurses have an extraordinarily demanding job of which many do not appreciate. I say this from experience as I lived with one for 10 years.
In any event, in my opinion, I think/believe that the more complex one's problem is, the longer the wait time may be.

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I'm sure you know the experience or opinion of small groups of relatives or individuals are anecdotal and have very little to do with the real picture.

Many Canadians actually leave Canada when they need health care because the wait is too long.
Here is a report from the Toronto Sun
https://torontosun.com/news/national/canadians-continue-to-leave-the-country-for-health-care-says-new-report

and a Research Bulletin
https://www.fraserinstitute.org/sites/default/files/leaving-canada-for-medical-care-2015.pdf

Many are coming to the US.
https://www.usnews.com/news/best-countries/articles/2016-08-03/canadians-increasingly-come-to-us-for-health-care

This has been going on a long time - Why don't you know about this?

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@nonobaddog

I'm sure you know the experience or opinion of small groups of relatives or individuals are anecdotal and have very little to do with the real picture.

Many Canadians actually leave Canada when they need health care because the wait is too long.
Here is a report from the Toronto Sun
https://torontosun.com/news/national/canadians-continue-to-leave-the-country-for-health-care-says-new-report

and a Research Bulletin
https://www.fraserinstitute.org/sites/default/files/leaving-canada-for-medical-care-2015.pdf

Many are coming to the US.
https://www.usnews.com/news/best-countries/articles/2016-08-03/canadians-increasingly-come-to-us-for-health-care

This has been going on a long time - Why don't you know about this?

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There are many shortages of health care technology in Canada as well.

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@frances007

Thank you. I am gearing up for my appointment tomorrow with my PCP. I have decided not to be confrontive with him at all because I know it will not make any difference. The last time I saw him, I told him that I wanted to feel as if I mattered. Mattered to him, to Sutter etc. That's when he asked if I wanted a new doctor. Well, I will find one soon. Tomorrow I will just sit there like he does and let him talk for a change. I am curious what the hematologist had to say about the blood disorder.
On another note, I can feel that I am approaching some kind of new depressive state, probably because my dog died one year ago on March 2. But, I just heard from the shelter that they need me to foster a dog, so that would be really great for me, as I miss having the "company."
There are some days, more recently, when I feel like giving up, or not continuing with my art or weight lifting, but I force myself because I will be left without any fortitude.
This forum gives me so much hope, I cannot even explain it clearly enough, Before I discovered this patient portal I felt so alone, now I do not.

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@frances007 Like you, I was really really feeling down and out a few weeks ago. I just wanted my autoimmune disease to go away and let me be me. I finally took someone’s advice and started working with a therapist. She can’t make my disease go away, but she has helped me with my attitude towards it. My disease course has been long, slow, and difficult, but I know I can work with it and be successful.
Have you thought of getting a therapist>. Many doctors’ offices have licensed clinical social workers-LCSW- and they can be great to work with.
Will you let me know what you think if this idea?

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@kamama94

@cookierockwell, I do wish filing a grievance could alleviate the problem. Unfortunately, filing a grievance with Medicare is next to impossible these days of robot voice mail and press this number and press that number and no one is available to take your call. Heaven forbid a real person would be available to take your call. And leaving messages for return calls which never happen is a waste of time. Recently I spent nearly three days trying to get through to care providers on the phone to see what to do and because I am disabled with extremely limited access to public transportation I wound up going to the ER in an ambulance! It would have been much less expensive in the long run to fix a broken communication system and actually allow patients to contact care providers but then those monetary profits via insurance might be reduced - oh, no!

If it were just one doc or clinic or hospital to file a grievance against, it might be simpler to "move on" but the cover-your-rear-and-grab-those-insurance-dollars are more desirable goals in today's medical world than treating illness.

It's a systemic problem and I feel it cannot be resolved unless we reduce the profit motive to a more humane and appropriate level.

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It's systemic! Yes! I have great health insurance through my husband's work and I have, for real, gained PTSD diagnosis due to medical trauma - one neurologist tod me I was a liar and a Googler - only half right and a good thing too, since she misprescribed me a drug that would have caused a horrible replay of coming off a dopamine agonist.

Another neurologist told me to just go to an entire other hospital system to have him read the MRI he ordered.

When I complained, the Providence "fact finder" was, I learned later, the department's head nurse.

Being a patient is basically the pits. Too many patients, too few doctors. And the more specialized drs get the more derisive many become toward clients if the dr isnt one of the good ones left.

And the US let it happen. It will never end because our government is weak and self-centered. People just don't matter any more.

It's a silent wave of suffering across this nation, and we can blame generations of politicians, corporations, and their lobbists.

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@thisismarilynb

You are all correct. "Doctoring" has really changed. Does anyone remember when you went to see the doctor, you had to get undressed and put on a gown. When the doctor came in he actually examined you. By touching and feeling areas, he could figure out what was going on with you. Now they barely listen to your heartbeat. They just look at the blood panel numbers. Then they try to guess what the problem is. You may as well go to a fortune teller. We have a horrible medical system in this country. People have fits if you mention socialized medicine, but what they don't realize is that it works. We have friends in Denmark and they get wonderful care. Yes, they pay high taxes, but they get a lot of services for their money. Here we pay taxes and get the bum's rush.

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Agreed

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@nonobaddog

I'm sure you know the experience or opinion of small groups of relatives or individuals are anecdotal and have very little to do with the real picture.

Many Canadians actually leave Canada when they need health care because the wait is too long.
Here is a report from the Toronto Sun
https://torontosun.com/news/national/canadians-continue-to-leave-the-country-for-health-care-says-new-report

and a Research Bulletin
https://www.fraserinstitute.org/sites/default/files/leaving-canada-for-medical-care-2015.pdf

Many are coming to the US.
https://www.usnews.com/news/best-countries/articles/2016-08-03/canadians-increasingly-come-to-us-for-health-care

This has been going on a long time - Why don't you know about this?

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If you are on boards with a more international audience, it is shocking how bad they feel for Americans.

FYI, my mom restricted her insulin due to $. She's dead.

My littlest brother died a year ago because his heart pump power cord was ignored too long. The cut the power to his heart and sent him to my house to die. They said 3 days; it took 7 weeks for him to die.

11 months after Mom.

That's US medicine.

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