My Doctor Quit

Posted by iroseland 11 years, 3 months ago to Culture
63 comments | Share | Best of... | Flag

I am a type1 Diabetic.. So, it is pretty important for me to have a reasonably good relationship with my Endo. For the last 18 months I have been pretty much running on auto pilot while taking part in a fairly big drug study for Lilly. I figured there would be no problem as my endo was one of the doctors on the study, the facility is even an extension of the clinic I go to.. Its even just downstairs. But, last fall I had sort of noticed that my usual endo was not really around and I was only ever seeing the other guy. Again, I was running on autopilot so I didn't really think too much about it. Now, as part of the study, I was not on the test insulin this time ( I was a control ) but, Lilly provided 100% of everything. Every 3 months I would haul home a crate of insulin pens, tips, test strips, glucose tabs, sharps containers.. Pretty much any supply I could imagine needing, and some that I didnt.. Yesterday, the study ended so I knew I would be needing to update my actual scripts and stop at the pharmacy. This is when I discovered a few things. First, apparently last fall my regular Endo suddenly retired. Apparently, it was a very sudden retirement.. Odd since he is probably in his mid 50's and _very_ damm good at his job.. While I had been thinking that the health care act was causing retirements, I had never actually thought that it would hit me so fast. As it turns out this is a huge problem now since< apparently it is against the law out here to write an insulin script if the doctor has not actually seen me in the last 12 months. So, now I need a new endo and to top it off the clock is ticking as my emergency supply drains away.. The good news for me is that I have pretty stellar, and mostly unused insurance.. So, I will do my part to help make things more of a mess by using an urgent care to get new scripts. Yes, this might mean that someone with a more immediate issue gets to wait a bit longer.. But at the same time I will only last about 40 hours after the last of the emergency supply runs out. So, I would describe this as a fairly urgent problem.. Of course this whole mess got me thinking back to the days when Insulin was technically an OTC med. In fact for most of my life a bottle on insulin was about 25 bucks and I did not need a script to buy it. The pharmacy folks would occasionally give me crap for not seeing an Endo.. But back in my 20's I did not have insurance as it was way outside of my price range, and I was already pretty good at being a type 1. That all changed with the latest generation in insulins. The FDA has classified them as being too dangerous to be OTC and as it turns out there is a reason. Apparently its the Doctors that don't want us to be able to just go out and buy insulin. They prefer to force us into making an office visit every 6 months so we can see them for about 90 seconds and then get our script updates phoned in by the assistant.

So, my to big lessons on this are that Dr's are in fact going galt.. Also, they were busy cutting their own throats..



All Comments


Previous comments...   You are currently on page 2.
  • Posted by matchpoint2009 11 years, 3 months ago
    I can't help but point out that doctors have absolutely NO CONTROL over what medications are over-the-counter, and which are not. Also, we docs are busily "cutting our own throats", while watching our colleagues fleeing the ever-deteriorating medical system in droves, and wondering how much longer we'll last. So if you're upset about how things are going, why not look to big pharma and big government, if you'd like a scapegoat for your problems.

    But otherwise, we're happy to take responsibility for all the other problems in the world.
    Reply | Permalink  
  • Comment hidden due to member score or comment score too low. View Comment
  • Posted by Robbie53024 11 years, 3 months ago in reply to this comment.
    That was a bit of a temper tantrum that doesn't really advance the discussion, don't you think?
    Reply | Permalink  
  • Comment hidden due to member score or comment score too low. View Comment
  • Posted by Robbie53024 11 years, 3 months ago in reply to this comment.
    Individual doctors do not, but the AMA has a big influence (yes, I know that they represent a small minority of the population of doctors, yet they exert tremendous influence).
    Reply | Permalink  
  • Comment hidden due to member score or comment score too low. View Comment
  • Posted by Robbie53024 11 years, 3 months ago in reply to this comment.
    Unfortunately, I suspect that your last sentence will soon be changed to "The US WAS the best place to be."
    Reply | Permalink  
  • Comment hidden due to member score or comment score too low. View Comment
  • Posted by Robbie53024 11 years, 3 months ago in reply to this comment.
    Absolutely. And why is it so expensive? The "easy money" of government backed loans. Any system where there is a ready supply of money is going to see costs increase. This is just another instance where economically incompetent people (both R's and D's) have caused imbalance in a system to the detriment of those for whom they espouse to be trying to help.
    And I'm so frustrated with my neighbors who continue to push for more government money - Pell Grants, scholarships, low interest loans, etc. in order to pay for college. If these fools would just open their eyes they'd see that these are the things that are causing the costs to rise in the first place. That, and the blatant redistribution of wealth system that is called "scholarships."
    Reply | Permalink  
  • Posted by barwick11 11 years, 3 months ago
    The fact that you now need to see a doctor to get access to something you SHOULD reasonably be able to get access to... THAT is a major reason health care costs what it does, and why medicine and other things cost what they do. All because Government "says so"
    Reply | Permalink  
  • Comment hidden due to member score or comment score too low. View Comment
  • Posted by Robbie53024 11 years, 3 months ago in reply to this comment.
    Your doctor that joined a military outpatient clinic seems to be a dedicated doctor and his patients should feel privileged to have him. I've seen too many others - mostly when they start in such an environment - who basically look at it as if they were a union represented government worker. Do as little as possible to fill out the time. Find ways to force overtime so that you can take home more money. Perform shoddy service since the "customer" has no real recourse anyway. This is how the entire medical system is going to evolve should single payer ever be fully enacted.
    Reply | Permalink  
  • Posted by Rozar 11 years, 3 months ago in reply to this comment.
    That's a good point. I place the blame on government mandating the requirements to be a doctor.
    Reply | Permalink  
  • -1
    Posted by matchpoint2009 11 years, 3 months ago
    You people are ALL CLUELESS about how the system works. But everyone is entitle to an opinion, even if they don't have any idea what they are talking about. And NONE of you do. Welcome to Obamacare, and the new medicine. But PLEASE please please blame the doctors for all of this, because it only makes sense, right? And you guys are on this website? Clueless.
    Reply | Permalink  
  • Posted by Rozar 11 years, 3 months ago in reply to this comment.
    The doctors working with the government is the reason health care is so expensive. If there were fewer regulations it would be cheaper, and the doctors are the ones who lobbied for regulations on what is required to be a doctor.

    I'd go more in depth but I haven't seen you post anything else here and as far as I know you just walked in the room called everyone crazy and walked out.
    Reply | Permalink  
  • Posted by matchpoint2009 11 years, 3 months ago in reply to this comment.
    It is not a lack of professionalism, it is the government/insurance controlled system. But feel free to blame the doctor. Everyone does.
    Reply | Permalink  
  • Posted by matchpoint2009 11 years, 3 months ago in reply to this comment.
    Doctors have to see seven patients an hour. They have to complete electronic medical records which take at least seven minutes each. They can see one patient for one problem, and they still don't get home in time to see their families before they go to bed. If you want more than one thing taken care of, under the new medical INSURANCE model, then make another appointment. Sorry, that's how it is.
    Reply | Permalink  
  • Posted by matchpoint2009 11 years, 3 months ago in reply to this comment.
    Yes, if you didn't come out of medical school and residency, $400k in debt at the age of 32, you wouldn't need to charge so much for an operation. How many people want to be in this position? You are so far in the hole, you can't even see daylight when you start practice. And you are villainized for trying to get out of debt, for what it cost you to be able to save people's lives. Open it up!!
    Reply | Permalink  
  • Posted by RonC 11 years, 3 months ago in reply to this comment.
    The real problems with our health care system is that over the years it has become removed from the normal customer/vendor relationship. Human beings respond to incentives. When an insurance company creates an arrangement where a human being can get $150,000 worth of open heart surgery and pay only a $2500 out of pocket, they have set the stage for a lot of open heart surgeries. Then, when a micro managing government steps in and says, "we're spending too much on open heart surgery" and decides the best way to curb that spending is to limit compensation to Doctors; then we have an over bought situation that suddenly was made worse. Cutting the Doctors pay doesn't reduce the volume of surgery patients, it just ticks of the Doctors. Eventually that creates scarcity and the price of open heart surgeries goes up. The government really focuses on the problem now, and adds a "death panel" to decide which patients will have a long and productive enough life to make sense of the decision to operate. Now, we have ticked off, under paid Doctors, working on only the most productive heart patients, while the rest are sent home, with medication to ease their pain. This is a dead end street, pardon the pun.

    If our benevolent government wanted to impact health care costs and at the same time cure a lot of people, it seems to me they would fund medical schools all over the country and open the flood gates to create many, many more Doctors. You see, in Columbus Ohio there are barber shops all over the place. and you can get a hair cut at Saturday's for $9.95. Grooming a toy poodle is different, Groomers are hard to find, good groomers even more so..grooming a toy poodle is at least a $50 deal. The analogy is this. If doctors, hospitals and clinics were like barbers and barbershops, the cost of medical care would go way down. IMHO we have a market distortion caused by insurance companies and made worse by government intervention. We should someday have an interest in insuring catastophes, and getting the government and insurance companies out of the Doctor's office.
    Reply | Permalink  
  • Comment hidden due to member score or comment score too low. View Comment
  • Posted by Robbie53024 11 years, 3 months ago in reply to this comment.
    If you find out that they are offering stock or other means of participating in an ownership position, then please pass it along. I'm guessing that is going to be a booming business in the next decade should we not be able to abolish O'care.
    Reply | Permalink  
  • Posted by DrZarkov99 11 years, 3 months ago in reply to this comment.
    There is a financial group out of Singapore that is looking into establishing a fleet of medical "cruise ships" that would visit in nearby international waters to offer operations and procedures without the bureaucratic encumbrance and expense of socialized medicine. So far, the profitability of such a venture is looking good.
    Reply | Permalink  
  • Posted by airfredd22 11 years, 3 months ago in reply to this comment.
    Re: minniepuck,
    I too have run into situations similar to your experience. I accompany my sister (75) and a family friend (86) to their doctor and was exposed to their lack of professionalism. I advised them to retain a new doctor that didn't have that sort of attitude. My advice to anyone experiencing these types of situations is to immediately leave that practice and expose those doctors for the negligent and unprofessional conduct.

    Sadly, doctors are no different than many other people in having lost all understanding of work ethics and an understanding of their professional responsibilities.

    Fred Speckmann
    commonsenseforamericans@yahoo.com
    Reply | Permalink  
  • Posted by Jack_in_TN 11 years, 3 months ago
    My MD quit this year. Changed from MD to Anglican Priest. At an age where he just didn't want to put up with the nanny state even though he did enjoy being an MD and the feeling of helping others. -- having to break a new Dr in.
    Reply | Permalink  

  • Comment hidden. Undo