Thursday, June 26, 2008

What doctors have to say for themselves

from this article

my comments are in blue

• I was told in school to put a patient in a gown when he isn't listening or cooperating. It casts him in a position of subservience.
--Chiropractor, Atlanta

(is this why pregnant moms are put into gowns?)

• The most unsettling thing for a physician is when the patient doesn't trust you or believe you.
--Obstetrician-gynecologist, New York City

(and yet... you continue to lie to your patients...)

• Taking psychiatric drugs affects your insurability. If you take Prozac, it may be harder and more expensive for you to get life insurance, health insurance, or long-term-care insurance.
--Daniel Amen, MD, psychiatrist, Newport Beach, California

(but doctors are VERY anxious to prescribe them, especially postpartum mothers)

• Avoid Friday afternoon surgery. The day after surgery is when most problems happen. If the next day is Saturday, you're flying by yourself without a safety net, because the units are understaffed and ERs are overwhelmed because doctors' offices are closed.
--Heart surgeon, New York City

(so better think twice when you're scheduling your c-section. All the more reason to take a closer look at the catastrophically high section rate in this country!)


• Not a day goes by when I don't think about the potential for being sued. It makes me give patients a lot of unnecessary tests that are potentially harmful, just so I don't miss an injury or problem that comes back to haunt me in the form of a lawsuit.
--ER physician, Colorado Springs, Colorado

(and THIS, ladies, is why you get so many tests when you're pregnant. NOT because they're necessary and save so many lives.)

• It's pretty common for doctors to talk about their patients and make judgments, particularly about their appearance.
--Family physician, Washington, D.C.

(WOW! Really makes ya wanna plop your wide butt onto that table and open your legs now, doesn't it?)

• In most branches of medicine, we deal more commonly with old people. So we become much more enthusiastic when a young person comes along. We have more in common with and are more attracted to him or her. Doctors have a limited amount of time, so the younger and more attractive you are, the more likely you are to get more of our time.
--Family physician, Washington, D.C.

(just in case you wanted another reason to hate growing older!)

• At least a third of what doctors decide is fairly arbitrary.
--Heart surgeon, New York City

("your pelvis is too small, your baby is too big, your baby is too little, you're overdue, you've gained too much weight, you need to be induced, you need a c-section, it's dangerous not to have an iv...)

60% of doctors don't follow hand-washing guidelines.
Source: CDC Morbidity and Mortality Weekly Report

96% of doctors agree they should report impaired or incompetent colleagues or those who make serious mistakes, but ...

46% of them admit to having turned a blind eye at least once.
Source: Annals of Internal Medicine

94% of doctors have accepted some kind of freebie from a drug company.
Source: New England Journal of Medicine

4 comments:

Jill said...

I also once heard a doc say (on a message board) that birth plans are a great way to give a patient the "illusion" of having control. Which is true, but it still sickened me to hear it from him.

Anonymous said...

Sad. How did our health care system get so effed up? It is all about law suits now, not health and wellness. Ugh.

tie-dyed doula said...

These are really sad quotes. Maddening @ most.
I am going to link to your post, that okay-let me know @ ssealing@cfaith.com
Oh, what is going on with the campaign and poem and such?
Hope you are well!
Shine On!!

prachi said...

My birth story echoes your thoughts http://coumadinbirth.blogspot.com/