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TOPIC TITLE: Why Honesty Hurts
Created On 1/15/14 8:51 PM
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Cutiestarr
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1/15/14 8:51 PM
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Hello,

I've had the unfortunate experience of having consequences of being honest.

If I admit to taking too many pills, the Mobile Crisis Unit will be called. I therefore now keep my overdoses in private.

I told my doctor last visit I was not taking all my pills due to insurance issues. (For thyroid- not psychiatric medication) He put down in my electronic medical record that I am non-compliant. When my potential new doctor asked to see my medical records she saw this and said she did not want to treat a non-compliant patient.

Due to these consequences, a logical option would be to just go to the doctor and say everything is fine.

Thoughts?
 
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Dr. Price MD
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1/15/14 9:34 PM
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Need to find a doctor who can "handle the truth." Honesty is the cornerstone of any relationship.

Rabbi Price, M.D.
www.RabbiMD.com
 
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Cutiestarr
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1/15/14 9:55 PM
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I agree with you that honesty is important. However in my experience many doctors will label my behavior as non-compliant or otherwise troublesome.

Exhibit A: I told the gastroenterologist I needed my procedure done inside the hospital, not an ambulatory care center. She discharged me under the concern she wouldn't be paid for her office visit (we didn't yet get to the procedure part), wrote in my medical records I have inadequate health insurance (she was reimbursed) and referred me to a free clinic. I went to another doctor (not a free clinic) who performed my procedure inside the hospital as I requested.

Exhibit B: I tell my internist I am not taking the placebo portion of my birth control pills because of an exacerbation of the symptoms for which the birth control treats. Instead of suggesting ways of reducing my symptoms, she "counsels me on non-compliance" or writes I have "insurance issues" which would raise a red flag with any doctor who sees my medical records, should I want to go see a new one. These "insurance issues" and "non-compliance" are generally temporary, by the way.

Thoughts on all this? What did you mean by handling the truth? I think doctors need to see I have legitimate reasoning behind what I do. It seems black and white in my medical records; I've never seen an explanation, just "non-compliant".


Edited: 1/15/14 at 10:01 PM by Cutiestarr
 
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Dr. Price MD
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Posts: 1946
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1/15/14 10:21 PM
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You are correct. I cannot make apologies for other doctors. I hope you find one who understands you.

Rabbi Price, M.D.
www.RabbiMD.com
 
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Cutiestarr
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1/15/14 10:36 PM
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Sorry it seems you may have missed my question.

What do you mean by "handling the truth"?

Thanks!
 
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Dr. Price MD
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Posts: 1946
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1/15/14 11:43 PM
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Handling the truth means understanding and accepting your situation as a means to helping you heal.

Rabbi Price, M.D.
www.RabbiMD.com
 
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Cutiestarr
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1/16/14 7:53 AM
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I apologize for my cynicism but if doctors wanted me to heal why would they meet me for a 5 minute visit and then move on to the next patient? It seems like this is less for healing, more for budget concerns. I have yet to meet a doctor where this isn't the case, frankly.

Looking forward to hearing your thoughts.
 
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Dr. Price MD
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Posts: 1946
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1/16/14 10:05 AM
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I am sorry for the current state of healthcare. There was a time and still is a time for some doctors to spend more time with people to help them.

Rabbi Price, M.D.
www.RabbiMD.com
 
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Cutiestarr
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1/19/14 1:10 PM
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Hi Dr. Price,

So funny we were just talking about this - there is an article in the New York Times about doctors "using patients as ATM machines"

Under Health section: "patients costs skyrocket; specialists' incomes soar". Sorry I don't have the link but please tell me your thoughts
 
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Dr. Price MD
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1/19/14 10:59 PM
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Just read the article. Pretty disgusting. Perhaps what is going on is that these doctors are feeling resentful about their work as regulations have gone up, malpractice insurance has gone up, overhead for running a practice has gone up, medical training costs have gone up, reimbursements from insurance have gone down, jealousy of their colleagues who have less education but make far more money in business? Hence, some doctors are hungry to make up what they feel is owed to them by passing whatever they can on to the patient who signs a cryptic legal form when they are desperate for care that the patient will assume responsibility for all costs not covered by insurance. These doctors should get out of Medicine and join their colleagues in the business world where their predatory tactics are welcome. It is getting harder and harder to trust.
 
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Cutiestarr
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1/20/14 2:10 PM
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Thanks, your response was very honest.

I worked in a university for a bit. I noticed the personalities of the "pre-meds" were not what I would call "compassionate". They were very driven but a lot of times in an aggressive sense, which I assume did not change once they got through medical school and began treating patients. The attitude just doesn't fit with a philosophy of healing.
 
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