Re: 3 weeks post pvp frequency/urgency problems



Rich256 wrote:
Pete wrote:
Rich256 wrote:
Pete wrote:
steve wrote:
Thanks. Temujin. Sounds a lot like where I am now. I would have just
appreciated a little more explanation and context from my uro.
Steve
Steve...that is just one more reason why I don't like doctors. Hope
you improve soon.

Pete


The good ones are too busy. If they take time it comes out of their
paycheck and they will have to drop some patients. My wife just heard
about a really good doctor. Called and was informed that she is not
taking any new patients.

Most will spend some time but they rarely will take the time to go
into great detail. If you want more you would have to offer to pay
him his going rate for extra time to explain.

That would be absurd Rich, I hope you are not serious [remember we are usually on the same page :-)]. Any friggen doctor who doesn't explain things properly shouldn't be practicing medicine. I told you I hate the bastards and their prima donna attitudes. I would bet my house that doctor Sancha isn't like that. Remember I have been to 75 doctors in my life, and the vast majority of them are assholes, and not one could hold a candle to Dr. Sancha.

Anyway I have a pretty good memory, and I believe it was you who told the story (many months ago) about the young lady doctor who cried because she couldn't spend more time with her patients (and I talked about the TV show Marcus Welby), and you also talked about some old home town doctor (who you could talk to like a real friend when you visited him years later). I think it was you for at least one of those items, if not both.

Anyway, sure things have changed in this dog eat dog, capitalistic world, but please don't imply that Steve's doctor did not have to explain things in more detail, unless Steve paid him an extra fee (so to speak). That is unadulterated bull*** IMO :-) ...Pete


Your insurance won't
cover that.


Not in line here. I have only met one doctor I didn't like and didn't trust. Now days they are not like the old country doctor and have time to sit down and chat but I never found one that didn't explain the problem and what they were going to do about it. But what I am saying is that they are not going to spend the time to sit down and talk for an hour and give me a long medical explanation about the details. Not when their schedule usually requires seeing a patient every ten minutes. That is up to you to research if you are that interested. Much like everyone here is doing. They got a lot of expensive equipment (PVP for example) to pay for. Not like 50 years ago when they bought an examination table and a stethoscope and went into business.

Now the UROs have to come up with a million or so more to pay for the new PVP machine. They gotta see a lot of 10 minute appointments (that's all your insurance company will pay for) to pay for that as well as their rent and malpractice insurance.

You can see why they don't really want us Medicare patients either. I see the bills come in where the Dr. says that will be $50. Medicare says here is $20, take it or leave it.


I need to add that I have met doctors that I thought were not totally competent but I think they were doing as good as can be expected. It's like picking a mechanic to work on your car. Remember the old question? What do you call the guy who graduates at the bottom of the class in Medical School? Ans: Doctor.

However, even if he is at the bottom of the class he might be a very good doctor with a lot of insight to what is happening instead of memory of what he read. I have seen that with engineers. We hired a guy who was absolutely brilliant. Top of the class and all. Problem was he couldn't build anything. Everything was by the book.
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