tag:blogger.com,1999:blog-32053362.post4416377844200522574..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: I trust my doctorPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-32053362.post-29815209528935895942015-04-30T11:44:10.540-04:002015-04-30T11:44:10.540-04:00I agree with Mr. Levy and disagree that this is a ...I agree with Mr. Levy and disagree that this is a useless ritual. My perspective as a doctor is perhaps biased by my patients (babies, kids and teens), but I find I miss the ritual for myself. <br />I am a patient with chronic issues too, and I find a visit where my PCP does not lay hands on me to be somewhat unsatisfying, as though she is not really trying to assess my health. Interestingly, she works for Kaiser, where some of these reports originate. I have wondered if some of this is a sort of "professional courtesy," as I find a lot of docs I see ask me what I think and want without going through an actual exam. It is more likely a symptom of an increasingly depersonalized system swathed in the cloak of personalized care.<br /><br />To me, as patient and provider, the laying on of hands and quite listening are, together, the healing art of medicine.<br />Avoiding a regular visit makes me think of "Don't Ask, Don't Tell." That is not what I want out of healthcare from either side of the stethoscope.Anonymoushttps://www.blogger.com/profile/09146952433044750952noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-13828165196688470292015-04-13T11:05:03.807-04:002015-04-13T11:05:03.807-04:00This evidence-based argument fails because the ben...This evidence-based argument fails because the benefit gained from the yearly physical exam is essentially too difficult to measure. The goals are so diffuse that they could never be completely specified. "Evidence based" has limits which the scientific types with, as we used to say, pencil thin stools, have difficulty fathoming.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-37860651551058746902015-04-12T21:05:33.913-04:002015-04-12T21:05:33.913-04:00I suggest that some of your trust in your doctor m...I suggest that some of your trust in your doctor may emanate from your insurance company's coverage of this visit. After paying $250 for a recommended 'yearly checkup" (to be fair, including 3 vaccinations) for my healthy 16 month old dog last week, which included a cursory physical examination and a 45 minute wait, I choose otherwise, until the vaccinations are due again......beverlyhttps://www.blogger.com/profile/13640602293864876951noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-86760071357481409772015-04-12T12:32:17.480-04:002015-04-12T12:32:17.480-04:00There is confusion regarding the language here. Is...There is confusion regarding the language here. Is it valuable to have an ongoing relationship with a physician (or other health care professionaL)? Likely yes is the answer. How one accomplishes maintaining that relationship now is to have an annual visit. <br /><br />How that is monetized for the doctor is to incorporate a physical exam into that encounter. As it turns out that exam (test) appears to yield almost no useful information, but a physician's ability to collect a fee to support their practice is completely linked to undertaking what may be a useless ritual. <br /><br />One can collect important information regarding health care using a host of other tools and approaches and maintain a functional relationship between patient and doctor. However, none of these can be monetized readily. The Medical Contrarianhttps://www.blogger.com/profile/09240492315542223258noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-73293220487818896932015-04-12T11:50:38.070-04:002015-04-12T11:50:38.070-04:00Ah.Ah.Paul Levyhttps://www.blogger.com/profile/17065446378970179507noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-36945258603755569782015-04-12T11:48:54.241-04:002015-04-12T11:48:54.241-04:00Paul
If you are 50+, the likelihood of having a me...Paul<br />If you are 50+, the likelihood of having a medical condition requiring some kind of follow up, likely yearly, is at least moderate. That probability will increase as one approaches 60, etc. Add prevention--counseling on BMI at a minimum--and most folks could justify a PCP trip every year. The visit is going to get booked--its just a matter of how you want to label it.<br /><br />The question focuses on the young. Or young-ish. I would refocus the question.<br />Brad<br /><br />Brad Fhttps://www.blogger.com/profile/10366408815395434941noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-90709597886158017142015-04-12T10:05:34.606-04:002015-04-12T10:05:34.606-04:00From Facebook:
With the use of Telehealth and mob...From Facebook:<br /><br />With the use of Telehealth and mobile health devices, the physical may become obsolete.Vanessanoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-172409303316366872015-04-12T10:04:59.398-04:002015-04-12T10:04:59.398-04:00From Facebook:
Had to think about this one. For m...From Facebook:<br /><br />Had to think about this one. For me the annual physical makes me think about my health, review the good and the bad things I do, and forces me to address any thing that might be causing me any concern. It is also a check on my blood pressure and diabetes risk.Dwightnoreply@blogger.com