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    Top 11 gripes physicians have with patients



    It is a known fact that physicians are burnt out. They have to deal with the uncertainty that is healthcare policy in 2017, as well as payment and electronic health record frustrations, to name a few. So, it is no surprise that these complications and stresses have bled over into interactions with patients.

    We asked primary care physicians from around the country what their top gripes with patients have been, and their answers may surprise you—or relate to you wholeheartedly. Read on to find out what they had to say.


    Rose Schneider Krivich
    Rose is the content specialist for Medical Economics.


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    • Anonymous
      First, I'm a patient. These are good points. And I *never knew* that "come in 15 minutes early" was ALSO intended to include the nurse triage! I thought the appointment started the time the nurse opened the door and called your name. This article suggests the appointment starts after b/p, typing in symptoms, etc have happened. If this is true, an assumption from the practice isn't being conveyed to patients. The self-diagnosing patients I get. I was assumed to be one but I'm just a brainstormer and problem-solver, tossing out hypotheses (not theories) for conversation when the doc can't nail it in 15 minutes. Visit after visit of 'find a therapist', then after I bought diabetic blood sugar testing kits, blood pressure measure, O2 finger thingey, and a microscope, and researching the NIH family of sites, I became one of those that doctors roll their eyes at. AND doctors had failed me for years. "Only patients with AIDS or chemo have issues with Candida. Stay off the internet." So I ordered an online blood test (paid, then went to LabCorp for the draw/test) and sure enough, high IgMs for candida - active immune response, not early, mucous membrane, or memory. A handful more doctors later, it turned out to be a chronic neuro-immune condition only few immune specialists know of. My immune doc is well known in the metro area, still publishing research, attending/presenting at allergy/immune gatherings, and is networked so has access to tests most don't. There is no treatment, and I will be participating in medical research soon. This is where many "hypochondriac patients" are coming up with guesses - dead end after dead end after dead end, and zero control. Instead they're prescribed SSRIs or anti-psychotics - which should be PURELY in the realm of psychiatry! Why? It just happened that my psychiatrist was the only one who believed me. Every time I brought up yet another depression diagnosis, he was adamant I was not. He's seen enough real depression to know what it looks like. And he was right. However years of never being 'heard' much less believed can certainly *cause* depression! (joke) Inflammation. Not CRP or Sedimentation (I have hundreds of lab test results in a binder), but a basic immunoglobin test showed inflammation. Go on NIH and inflammation triggers yeast to flip and become invasive. My IgMs are through the roof and I have to take anti-fungals or the encephalitis and skin and gut issues would probably have me one of the post-mortem studies by now. We don't expect answers. Referrals would be wonderful though. Fresh eyes - a dream come true. And to say "I don't know but let's keep digging" - that would be pure music to my ears!
    • UBM User
      Patients who call and say you HAVE to call something in for them without them being evaluated in the office. For example: prednisone for poison ivy; antibiotics for URIs; antibiotics for UTIs; diflucan for a yeast infection; sleeping pills for travel; motion sickness patches for travel. Also patients who drop off a form to be completed. And they do not expect to pay for your time to complete the form. And they get angry when you tell them they either need to pay a form fee OR that they need an appointment. Patients that come in for an acute problem like shoulder pain and want you to code it as a wellness visit so it is free. Or expect you to address several things beyond a wellness visit but do not want to pay for the extra time and effort. They want it all for free and rolled into their annual wellness visit.

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