this post was submitted on 24 Jan 2025
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[–] unphazed@lemmy.world 12 points 6 days ago (1 children)

Fun anecdote:

My friend had to take his kid to the local ER the same time as we took our kid to the childrens hospital 3 hours away. They got to the ER in 15 min. We had already been given the "don't know what's wrong" from that ER the previous week.

We arrive, get taken immediately back, get a presumed diagnosis by the nurse 10 minutes later, and a referral in 3 days to an orthopedic surgeon. We leave, call our friend to check on his kid (broken arm). Still in the waiting room. 3 hours later, still waiting.

We call again just as we are pulling in home. His kid is now getting a cast.

Unless my kid is near death, we travel 3 hours for ER trips because the local hospital is unorganized as hell (and also assumes every patient, child or not, must have a drug screen)

[–] InternetCitizen2@lemmy.world 1 points 5 days ago

I think broken bones sometimes need to wait until some swelling is done. Not a doctor, but maybe the ER is also disorganized.

[–] notsoshaihulud@lemmy.world 14 points 6 days ago* (last edited 6 days ago) (2 children)

I know this is a popular notion, but have you guys thought about:

  1. If the doctor sees someone who is 30 minutes late, their entire schedule slips. So y'all complain if they don't see you if you are 15 minutes late (usually that's the policy), but also complain if you have to wait.
  2. Have you guys thought about that primary care appts are in 15-20min increments (30min tends to be generous), which means, they either don't address your issues if they are complicated. Or they'll tend to run late?

Many people have no transportation, and it's even harder to make it on time if one's sick, so it's just the right thing to try to squeeze in those who are late, but y'all can't have it both ways.

source: am MD. And yeah I rather run late but see everybody and address everything I can, than finish on time and help nobody/few.

[–] FartsWithAnAccent@fedia.io 4 points 5 days ago (1 children)

Hey MD: The fact that appointments we pay a bunch of money for are only 15 minutes is pretty fucked up in a lot of cases. I can't tell you how many times I've been pushed out the door with out having my concerns addressed by shitty practices that are in a hurry to cram in as many "patients" (read: customers) as possible while employing as few doctors as possible to maximize profits, often not fixing the actual problem. Instead, we have to book additional appointments with the hope that, eventually after lots of time and money, there will be an accurate diagnosis.

Things weren't always like this either, shit is getting increasingly dystopian and people are getting fed up with it.

Oh, and the fact that you all can cancel on us at the last minute with no problem, but if we cancel we get charged is absolute bullshit.

[–] notsoshaihulud@lemmy.world 2 points 5 days ago

Hey MD: The fact that appointments we pay a bunch of money for are only 15 minutes is pretty fucked up in a lot of cases.

It is messed up, I agree. You can't address much in 15 min. What you don't necessarily see is the BS administrative burden that also comes with visits that may or may not be factored in to the face-to-face encounter duration.

Oh, and the fact that you all can cancel on us at the last minute with no problem, but if we cancel we get charged is absolute bullshit.

Not every practice does charge for cancellation. But if someone reviews your chart before the visit and you cancel the same day or night before, you might actually end up wasting provider time. Just an FYI.

[–] Drusas@fedia.io 4 points 6 days ago (1 children)

primary care appts are in 15-20min

That is absolutely not universal.

[–] notsoshaihulud@lemmy.world 8 points 6 days ago (1 children)

Not universal, but absolutely common, unfortunately. The standard is 30 minutes for returns and 60 for news, but in private practice they tend to cut it much shorter.

[–] Drusas@fedia.io 5 points 6 days ago (2 children)

I think I would follow my PCP to the ends of the earth if she ever moved. Standard is 30 minutes.

[–] notsoshaihulud@lemmy.world 4 points 6 days ago

yup. a good PCP is hard to find, and even harder to keep in America.

[–] HeyThisIsntTheYMCA@lemmy.world 3 points 6 days ago (1 children)

I have a pcp I'm trying to do the same: my first appointment(s) took a little over two hours. (after the first 45 minutes he told me I needed to come back Saturday and we'd take as much time as we needed to get through my history and current needs). He moved and none of the insurances we can get through work cover him, even though he's still in driving distance.

[–] Drusas@fedia.io 2 points 5 days ago

That is so frustrating.

[–] Prime_Minister_Keyes@lemm.ee 8 points 6 days ago* (last edited 6 days ago)

The waiting room. I hate when they make you wait in the room. 'Cause it says "Waiting Room." There's no chance of not waiting. 'Cause they call it the waiting room, they're gonna use it. They've got it. It's all set up for you to wait.

  • Famous quote from the Fediverse's favorite frenemy entertainer, I guess.
[–] ILikeBoobies@lemmy.ca 3 points 5 days ago

It was great during covid because they could do online/phone appointments for lesser needs

Then the provincial government said they wouldn’t be paid for them

[–] Etterra@discuss.online 47 points 1 week ago (3 children)

But if you're just 5 minutes late to your appointment, you'll have to reschedule and the next available date is in 3 months.

[–] crony@lemmy.cronyakatsuki.xyz 4 points 6 days ago

Only 3 months? Here it's anywhere from 6 monthd ( mayne if lucky in 15% of cases ) up to 2 years.

[–] kn33@lemmy.world 1 points 6 days ago

I almost got stung by that when I was held up for them to check my temperature and hand me a mask during the height of COVID. Like, not opposed to the precautions, but don't say I'm late when I wasn't. Luckily the person who did all that hollered to the check-in person letting them know as such.

[–] MissJinx@lemmy.world 17 points 1 week ago

My doctor have a note on the wall saying that if you miss an appointment he will refuse to reschedule. I had to postpone one appointment the other day so his secretary started saying that if I did that he wouldn't see me again until november. I said ok and scheduled another doctor. Now they are calling me with an "earlier tine". GFY don't treat me like a child

[–] cogman@lemmy.world 36 points 1 week ago (1 children)

This is generally going to be less a doctor problem and more a hospital admin problem.

Hospitals try and employ the fewest doctors possible to save money, they schedule doctors so they have 5 minutes per patient, and they pack the schedules as dense as possible to maximize the number of cases a doctor is handling.

Any disruption here causes a delay. A patient showing up late, having questions, or the doctor needing to shit. It all adds up to the fail system.

There are simple fixes here like extending the doctors appointments beyond the average required time and hiring now doctors, but that costs money and doesn't optimize profit for the shareholders.

[–] Mickey7@lemmy.world 12 points 1 week ago (1 children)

Agree with your comment. Most medical practices are OWNED by a hospital system. The doctor is just an employee being directed to follow a patient schedule that they did not set up

[–] Crashumbc@lemmy.world 6 points 6 days ago* (last edited 6 days ago)

Yeah the EMR and data driven quality requirements of Obamacare made it almost impossible for a single doctor practice. The costs are just too high.

Add in hospitals wanting a feeder network of patients that can be directed to "their" hospital.

And you have hospitals gobbling up every practice they could in the 2010s.

[–] octopus_ink@lemmy.ml 31 points 1 week ago (11 children)

Sorry no, my doctor is almost always on time. Have been amazingly lucky with that.

[–] dingus@lemmy.world 11 points 1 week ago

If you tend to schedule as one of the earliest appointments in the day, you'll often be seen on time ime. It's the later appointments that get shafted.

Due to my work schedule, I always have to pick the earliest available appointments in the mornings, and I've not generally had a problem with it at various places I've been.

[–] bjoern_tantau@swg-empire.de 9 points 1 week ago* (last edited 1 week ago) (1 children)

Had a doctor like that as well. He was always on time because he had not patients. Had to drop him when I got seriously ill.

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[–] lengau@midwest.social 20 points 1 week ago* (last edited 1 week ago)

The other day my doctor apologised for being late because his last patient ran over by 3 minutes.

[–] IDKWhatUsernametoPutHereLolol@lemmy.dbzer0.com 9 points 1 week ago (1 children)

Air travel industry has joined the chat

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[–] TrickDacy@lemmy.world 8 points 1 week ago (9 children)

I've been burned by the US healthcare system countless times. It's really far beyond unacceptable. Recently I have had to deal with a chronically late dentist. I feel like 1 in 25 doctors gives a single shit about patients.

And yet my only experience with healthcare in a "shit hole" country was infinitely better and cheaper even despite a language barrier. Literally one minute wait time.

[–] Mickey7@lemmy.world 6 points 1 week ago (1 children)

I think what's most infuriating is that they don't even apologize for being late.

[–] TrickDacy@lemmy.world 7 points 1 week ago (1 children)

Right -- or even acknowledge it. But if you are running late and even call to let them know you're almost there, they'll want to reschedule if it's more than like 10 min late. I've always found that super annoying. I mean, I get it sort of. But motherfucker, you were almost certainly going to be later than I was anyhow!

[–] FartsWithAnAccent@fedia.io 5 points 1 week ago

Reschedule??? Wow, they usually charge extra and cancel the appointment. Consider yourself "lucky".

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[–] Mac@mander.xyz 8 points 1 week ago* (last edited 1 week ago) (3 children)

And it would be an even longer wait when the doctor is waiting on patients.

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[–] crony@lemmy.cronyakatsuki.xyz 5 points 1 week ago* (last edited 1 week ago)

When I have to go my doctor when sick, I have to come at 11am to be among the first 5 people, for the doctor that comes and start's working at 1pm.

Edit: last time I wen't at the start of the year, I came at 11:30am, was 6th. By the time the doc came around 12:30am there were over 30 people waiting.

[–] lath@lemmy.world 4 points 1 week ago

Depends on the doctor and type of problem. If there are complications, the period of time spent can increase variably or it can decrease if the problem is more easily resolved.

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