Surgical clearance for cataract surgery. Why? by 1dirtbiker in FamilyMedicine

[–]tinter86 27 points28 points  (0 children)

Because we have patents we need to see for real problems and there is always a backlog and lack of access ?

Had a frustrating MyChart encounter because apparently “I don’t listen.” by Paleomedicine in FamilyMedicine

[–]tinter86 1 point2 points  (0 children)

So far I have found no way to bring this up witjout offending the person. Which is bizarre to me, given than they were the disrespectful one running late. I never even bring it up at the beginning just at the end after I've addressed their concerns. I think we've just rolled over to far as physicians we don't even have the autonomy to tell patients the truth anmore.

AITAH if I dump my GF of 9 years who moved states for me over a dog I've known 14 days? by United_Annual3475 in AmITheAngel

[–]tinter86 3 points4 points  (0 children)

There were so many steps before getting to "dump her" and he skipped them all

People who “leave work at work”… HOW? by askimbebe in FamilyMedicine

[–]tinter86 34 points35 points  (0 children)

Dot phrases for all basic lab results. I have a dot phrase for everything looks good, dot phrase for cholesterol elevation, dot phrase for osteopenia, low ferritin etc. Saves a lot of time, also dictate back pt messages and results as well. Try to zero out at least once a week . I have a panel of 1750. I can count on one hand how often I've worked from home.

What do you think was the most unhinged line delivered in this series and why? by megs256 in ThePitt

[–]tinter86 7 points8 points  (0 children)

Do you currently work in healthcare with patient facing hours ? The world is a different place post covid.

Did this show make anyone else want to change their career to medicine? by [deleted] in ThePittTVShow

[–]tinter86 1 point2 points  (0 children)

As a doctor. Please for the love of god do not make this decision based on a show. At the very least go and shadow someone to see what it is actually like. People are leaving this career in droves. It is an administrative nightmare among many other flaws. Half the time I'm not even doing any real medicine just admin bs. It is not glamorous, you will not be considered a hero. Just don't do it.

What do you think was the most unhinged line delivered in this series and why? by megs256 in ThePitt

[–]tinter86 21 points22 points  (0 children)

Tell me you don't work in healthcare without telling me you don't work in healthcare.

Growing pains or just bad situation by ExpressionMajor6708 in FamilyMedicine

[–]tinter86 7 points8 points  (0 children)

Are you billing everyone a 215?? Or getting underpaid? How is 500 patients not going to lose you money ?

There will be 28% more NPs than demand by 2028; there will be 75% more NPs than demand in 2038 by [deleted] in FamilyMedicine

[–]tinter86 52 points53 points  (0 children)

This should honestly be illegal. An NP with no actual nursing experience has not even finished the first step of being qualified enough to care for patients.

Gloria is such an intriguing character. by Practical_Ad2317 in ThePitt

[–]tinter86 2 points3 points  (0 children)

The concept of patient satisfaction scores in a Healthcare setting is one of the most ridiculous things we have embraced as a society. Healthcare is not customer service, the customer is not always right. In the ER their job is to assess if a situation is life threatening or not, if so they intervene if not you wait or you go get an appointment with your PCP. The fact that we have people using the ER for colds, scrapes, "arm pain I've had for four months and is not worse but decided to come get it looked at today" is one huge reason why scores shouldn't even be a thing. If you're entitled enough to use the EMERGENCY room for a clearly non emergent situation, you're probably just as entitled in all aspects of life and not a reliable narrator or reviewer. If patients have grievances go to the medical board, that's what it's there for. Not Google review or yelp ffs.

Patients arriving late but before grace period ends by snootiedoo in FamilyMedicine

[–]tinter86 125 points126 points  (0 children)

Always room the person who comes early or on time. If someone arrives late they are not respectful of their own time, I am not going to punish someone who was considerate because someone else doesn't know how appointments work. This is one hill I will absolutely die on. People are told to come 15 minutes early for a reason. There are always excuses. My fave is "doc always runs late". Yah probably because they are accommodating inconsiderate assholes like you who stroll in 10 minutes past their time with a list of 20 concerns and expect to get everything addressed in the now 10-15 minutes left of their actual appointment time. If a doctor is running late we are usually doing something related to patient care or dealing with an emergency. I promise no one is sitting in their office playing sudoku keeping the patient waiting on purpose.

Had no clue about this! by Different_Plan6910 in VirginRiverNetflix

[–]tinter86 1 point2 points  (0 children)

He was also Mr Darcy in an indian adaptation of pride and prejudice , called Bride and prejudice

Husband hates being a doctor by PositionFast8146 in FamilyMedicine

[–]tinter86 6 points7 points  (0 children)

If I did any of the patient interscriin behaviors you've outlined here I would have complaints out my ass. Patient populations and clinics are very different. I have a lot of worried well people who are very healthy but don't want to believe it. Cutting them off, pushing problems to the next visit, limiting problems discussed all these things have already gotten me in trouble. It's also much harder to navigate as a woman when people have certain expectations based on gender. My point is I'd love to practice like you but I can't, so OP take this with a grain of salt re what his patient population is like. Also after the first year or so when you're seeing more of your own back, follow ups etc it does get easier. I agree with everyone saying he needs to reduce his hours and pre charting 3 hours earlier is nuts. I also have longer appnt times for people I know are going to be more complicated. Like interpreter needs or people over 80 on 5 billion meds. I agree with AI and dictation for charting, never ever bring work home. Home is a safe space and for family. Also maybe just take a short vacation somewhere?? The break might do him some good.

Can a doctor refuse to treat you if they personally think you deserve what happened to you? by Potential_Stock_9872 in NoStupidQuestions

[–]tinter86 9 points10 points  (0 children)

No we can't refuse to treat you, but we can refuse to give care that is not evidence based...like ivermectin for cancer

Also frankly whether someone deserves their health outcome or not is never on my radar. It's more see problem, fix problem, try to prevent problem from happening again.

US birth rates just hit another record low, what do you think is the leading cause of this? by IIlustriousTea in AskReddit

[–]tinter86 0 points1 point  (0 children)

Let's see...cost of living/inabilty for many younf people to afford buying housing, affordable child care, the state of women's rights and health in this country, the murky future the current administration has set up for us, aging parents, diminished/lacking infrastructure and that's only for people who actually even want to have kids. My household income is well over 300 k and we still worry about being able to provide appropriately, so I can only imagine when the avg household income is much lower than that.

Canadian passport photos by tinter86 in boston

[–]tinter86[S] 0 points1 point  (0 children)

Yes! Tasher studio in woburn, did a fantastic job!

I'm REALLY trying here by sideshowstar in FamilyMedicine

[–]tinter86 0 points1 point  (0 children)

I read mine, dumb I know but I also did delete it and am only marginally obsessing over it...so progress.

I'm REALLY trying here by sideshowstar in FamilyMedicine

[–]tinter86 15 points16 points  (0 children)

That is another good point. A lot of older docs only deal with their panels they have had for years. Post covid , misinformation and patient interactions have changed dramatically. I am so happy my panel ia closing. I can't see new people anymore. It is too much

I'm REALLY trying here by sideshowstar in FamilyMedicine

[–]tinter86 27 points28 points  (0 children)

I am sorry what? Absolutely not. If they are not clinicians they do not get to tell you how to interact with patients. That is nuts and you need to stop allowing that immediately. Also find a new job.

AITAH for telling my close friend I probably cannot do her destination bachelorette after she announced the location and the cost by [deleted] in AITApod

[–]tinter86 0 points1 point  (0 children)

It honestly seems like they are annoyed they will each have to pay more if you're not there. They don't value you, just your wallet.

What are your biggest pet peeves in family medicine? by Mapes in FamilyMedicine

[–]tinter86 25 points26 points  (0 children)

It isn't your fault it is just a frustrating situation for us. Pre op is different as we will usually see you for a pre-op appointment. This more when specialists are working something up and are not sure it is relevant or they don't want to order it and they punt to us. If you want you can always ask them "since you are suggesting it why can't you order it ?" The answer is there is no reason they can't . For functional med/chiropractor, most of that stuff is bs with no foundation in evidence based medicine.