Re: 3 weeks post pvp frequency/urgency problems



Ed wrote:
On Wed, 21 Jun 2006 21:32:06 -0400, "Pete" <pete@xxxxxxxxxx> 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

Hi, Pete.

I can't help wondering what those 75 doctors thought about you!

I too have had a few docs and I have great respect for most of them.
Most seemed genuinely concerned about me, their patient. They took
some time to describe what was up. But it is a fine balance for them.
I can sense some impatience (maybe on my part just as much as on
theirs) when we get into the details of an annyoing ache in my knee
when there are life and death issues in the waiting room.

And it's a business for the docs. They have bills to pay,
responsibilities to their staff, etc., and I'm sure they look at the
costs/benefits of business decisions, as they should.

My first uro was a dud. He was fresh out of school and trying to build
a practice. He was pushing me towards surgery. That would have been a
nice piece of business for him. Just like the local garage talking you
into new CV joints that you don't need. The new uro is great (and has
a busy practice). My GP is wonderful and I trust him.

Many docs are reluctant to give the patient detailed info about the
condition in question. Maybe they feel the patient doesn't need to
know. Or maybe the doc doesn't really know. Or maybe they are
protective of what they took 10 years to learn, or maybe it's that
they like the air of mystery and power. It could also be (in some
cases) that they might say something that isn't correct any more and
the patient will start to argue with them. And that is a problematic
situation, because the doc is the expert, not the patient, otherwise
why is the patient seeing the doc?

So I think some diplomacy is needed. Let the doc tell you what he
wants to tell you, then ask questions carefully and don't take too
much time (remembering the waiting room). After the visit, do your own
research; become an expert on your own if you want. Then on the next
visit, you can ask more good questions.

Ed

Thanks Ed...I hear and acknowledge what you are saying, but I could write
you horror stories about my bad experiences with doctors (including
incompetence). I know I have touched on it in here before (and in other
ng's), and you guys probably didn't pay any attention, and said "its just
Pete bitching about the doctors again".

But I don't like them, and consider most of them to be arrogant prima donnas
who disrespect your right to study and research your disease or condition.
I have stated this several times in the past. Obviously many of them don't
like me any more than I like them, and I have talked about that before also
(and who fires who).

Unfortunately, I knew I shouldn't have made the simple comment on Steve's
thread here, and Rich jumped in with his statement about paying them extra
(which I totally disagreed with).

But when I see someone else (like Steve) make a negative comment about
doctors, I can't help but make a comment sometimes.

Pete


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