Posted 10/14/2009 7:55 PM (GMT 0)
Jim,
Is there a good hand specialist around? I know the doc who did both my carpal tunnel surgeries I've also gone to any time there was something wrong with my hands, wrists, etc. And he knows his stuff.
Sadly, I do think medicine has changed so much in the past 20-30 years, and IMHO it all started with the advent of HMO's, and the insurance companies regulating everything a doctor does. Now that's not saying all doctors are good and all insurance companies are bad (don't want to get political), but my professional experience as a health care provider has given me an inside view on what happens, and what scares me is that all the medical professionals are now trained within this new system, which really includes managing the business/payment aspects so much so that I think patient care has been too often forgotten. And doctors that do take Medicare or Medicaid get reimbursed so little (and even from some private insurance companies reimbursement rates are low) they have to see so many patients just to pay office expenses. I'm not justifying extravagant salaries for doctors, just saying there's now a layer of paperpushes in both the insurance companies and the doctor's offices that adds to expenses, and interferes (IMHO) with the focus being on treating the patient.
I'm scared because as I am nearing 60, I will need a lot of these younger docs and others and they don't know the difference from what it was before. All they know is a system regulated by authorization codes and whether or not the insurance company is going to pay for something.
Ok, I'll get off my soap box!
Pixie - I didn't know you were in Florida. No wonder you're having trouble. I happened to catch part of Dr. Phil yesterday (which I rarely watch) but listened to part of it because he was talking about addiction and chronic pain. And they were showing how easy it was to buy oxycontin from doctor's offices and guess which state they used? Florida! I saw these people getting hundreds of oxycontin tabs easily from doctors and scratched my head because I know how most of us in the rest of the country are begging for one pill! (and I don't want to get off on illegal stuff, which is against the forum rules, so if a moderator wants to delete this that's fine with me!) Anyway, I feel for you pixie being in Florida!
Enough of my rant!
PaLady