I know you're an Internist so I'll do it Flea-Style...
The Drackman Criteria of Primary Care:
1: A stack of your Z-Pack prescriptions would reach to the moon. 2: You can tell in 3 seconds if someone's really sick. 3: The folks at your neighborhood Scans R' Us leave you gifts in plain brown envelopes 4: You've done a Pap Smear in the last 12 Months 5: You've prescribed highly addictive Amphetamines to some one under the age of 10 6: You make less than a CRNA 7: You haven't bought Pens, Notepads, or Coffee Mugs since you were in College 8: Nobody sends YOU referrals 9: If you're still reading this far, you seriously need a life... 10: Still Reading??, Jeez, you might be depressed... let me see what I've got in the Sample Closet....
11. You have dark circles under your eyes to your ankles thanks to decades without adequate sleep. 12. You can feel your pager vibrate even when you aren't wearing your pager. 13. You're incredulous when a patient only has one, simple, straightforward complaint. Really? Really? You just have eczema? Really? No chest pain? How about GERD? Melena? Fever? Have you coughed up blood? REALLY? WHAT IS WRONG WITH YOU? 14. When you listen to a normal set of healthy lungs you are stumped for a moment about what could be wrong because you never hear normal, healthy lungs.
Primary care is the first line of consultation for every patient, a health care provider who usually keeps track of patients every other day, and involves the widest scope of practice, ever known on health care.
Is that the "care" I receive from 11:00AM to 11:03AM on a good day for a 10:15AM appointment, and for which I am charged 10% cash (+ monthly premiums) of a seemingly inflated bill?
I hardly ever go, I was not blessed with that much patience to handle frustration :-) Motivation enough to eat healthy and work out!
physicians trained across most fields in medicine who are comfortable treating patients with conditions that span across most fields in medicine, consulting narrowly trained specialists only on the atypical or difficult cases.
Or..
Specialists in successfully sorting out the majority of undifferentiated complaints brought forward by patients.
I know you're an Internist so I'll do it Flea-Style...
ReplyDeleteThe Drackman Criteria of Primary Care:
1: A stack of your Z-Pack prescriptions would reach to the moon.
2: You can tell in 3 seconds if someone's really sick.
3: The folks at your neighborhood Scans R' Us leave you gifts in plain brown envelopes
4: You've done a Pap Smear in the last 12 Months
5: You've prescribed highly addictive Amphetamines to some one under the age of 10
6: You make less than a CRNA
7: You haven't bought Pens, Notepads, or Coffee Mugs since you were in College
8: Nobody sends YOU referrals
9: If you're still reading this far, you seriously need a life...
10: Still Reading??, Jeez, you might be depressed... let me see what I've got in the Sample Closet....
Frank, M.D.
Frank, I think you nailed it. But you missed:
ReplyDelete11. You have dark circles under your eyes to your ankles thanks to decades without adequate sleep.
12. You can feel your pager vibrate even when you aren't wearing your pager.
13. You're incredulous when a patient only has one, simple, straightforward complaint. Really? Really? You just have eczema? Really? No chest pain? How about GERD? Melena? Fever? Have you coughed up blood? REALLY? WHAT IS WRONG WITH YOU?
14. When you listen to a normal set of healthy lungs you are stumped for a moment about what could be wrong because you never hear normal, healthy lungs.
Primary care is the first line of consultation for every patient, a health care provider who usually keeps track of patients every other day, and involves the widest scope of practice, ever known on health care.
ReplyDeletethats me, a Primary Care Physician.
View from the other side of the reception desk:
ReplyDeleteIs that the "care" I receive from 11:00AM to 11:03AM on a good day for a 10:15AM appointment, and for which I am charged 10% cash (+ monthly premiums) of a seemingly inflated bill?
I hardly ever go, I was not blessed with that much patience to handle frustration :-)
Motivation enough to eat healthy and work out!
physicians trained across most fields in medicine who are comfortable treating patients with conditions that span across most fields in medicine, consulting narrowly trained specialists only on the atypical or difficult cases.
ReplyDeleteOr..
Specialists in successfully sorting out the majority of undifferentiated complaints brought forward by patients.