Got an X-ray, then doc came, saw it, moved my leg around, said he saw nothing. Next step either getting an MRI or doing physical therapy and asked me what I preferred. I asked him what he thought (what with that being his job and everything) and basically sat on a fence and left in less than ten minutes. MRI sounds expensive so chose physical therapy. Went today. $100 per session![]()
Glad to see the system of 'what do you, the layman, think?' is the same across the pond.
Involving the patient in the decision making is good communication and good medical practice.
Patients often absolutely do have ideas about what they think is going on or what they're hoping to get out of an interaction and knowing those things are really useful.
If the patient goes in worried about a specific diagnosis, it's important to know what that is so you can address it. If you're terrified the lump on your knee is cancer but that concern is never brought up, even if you're given another explanation, you're very unlikely to be entirely reassured. Whereas if the doctor knows you have that worry they can give you a good explanation as to why that's very unlikely to be what's going on; much more likely to be reassuring.
If you go in wanting an MRI and then are sent away with a physio referral without an MRI ever being mentioned you might feel pissed off your expectations weren't addressed or met. Knowing you want an MRI means you can either explain why it's not going to be helpful or why it's not this step but the next step or why actually that's not an unreasonable thing to want and we can put a referral in.
They're not literally asking you to do their job, come up with all the answers and make all the decisions. They're finding out your worries, your expectations, your thoughts so they can be addressed and you can come to an outcome which is both medically reasonable but you're also satisfied with.
In some cases there is just no right answer and it's good practice to give the patient the pros and cons and let them make a decision; particularly where they're paying out of pocket and have to factor in the financial aspect (fortunately something I don't have to deal with).
Last edited by randomlegend; 02-04-2025 at 07:39 PM.
What if they are Nurse Practitioners or whatever they are called? I mean if you go in and clearly describe your symptoms and are then asked what you think the problem is I think it's fair to be a bit miffed, if I knew that I'd have told you. If I google it before the result will be I'm dying, that is always the answer.
I owe $523.26 for my five minute doctor appointment.
I had not being to a fucking doctor in 15 years, I am not going to one in the next 15.
Last edited by Pepe; 18-04-2025 at 02:19 AM.
Presumably you've been well looked after by the altruism of your insurance company.
If doctors earn $7,000 an hour you should be on the next plane to Des Moines.
They covered $900 out of the very fair $1100 for an x-ray.
Thing is, I know what my insurance covers (basically fuck all below $5000) so no surprise there, while these healthcare cunts can charge whatever they want and everyone is supposed to just bend over and be grateful for their service to humanity.
Anyway, my leg still hurts but I decided to beat the pain via sheer willpower.
Quite strange to be on first name teams with the doctor, you must go a lot.
That's Bam's best post by a country mile.
Even then he spelt it wrong.