4 ms·

Couldnt agree more. Also, try telling your doc ypu cut open the pill and took less. Id say 3 out of 10 docs in the US will immediately terminate their primary

Couldnt agree more. Also, try telling your doc ypu cut open the pill and took less. Id say 3 out of 10 docs in the US will immediately terminate their primary care relationship with you and refuse you any further prescriptions. Might even put you on a "list" for being a drug seeker. At the very least they will be pissed. (Most docs are megalomaniacs that cannot fathom a patient being as intellectually capable or informed as them, or having agency over their own bodies, but im off on a tangent now) Other regulations that hurt legit patients more than "drug seekers" : you cannot transfer a script between pharmacies, so if the pharmacy is out, you have to have your doc cancel the script and send to a diff pharmacy, a process which can take several days at worst. Some pharmacys say they are not legally allowed to disclose their stock over the phone, so you may need to repeat this process many times. If you are in a different state, pharmacys will not fill your script from your home state, so good luck traveling anywhere if your script ends during your travels. And some docs/pharmacies will let you fill early to avoid this problem, but they may label you a drug seeker and put you on a list.

daniel-cussen 4y ago
[dead]
skissane 4y ago
> Most docs are megalomaniacs that cannot fathom a patient being as intellectually capable or informed as them, or having agency over their own bodies, but im off on a tangent now I don’t know what most American doctors are like. But my mother, brother, late grandfather, uncle, aunt, and two of my cousins are all doctors. (My uncle used to work in the US, but an Australian doctor working in the US probably isn’t very representative of the average American doctor.) I often mention this (without as much detail), in part because I suspect it makes them treat me better. Plus I’m unafraid of medical jargon, which probably helps too A lot of my personal complaints are about the system and its rules, not the people who work in it, the vast majority of whom have absolutely zero input into what the rules are
- DontchaKnowit 4y ago
  Ive just had very poor experiences with doctors. They always seem to think they know more than me, but never really even listen to what I have to say. For example I went to a derm once because I had a spot which looked like cancer for nearly a year. I went in, explained and asked for a biospy. He refused to even look at it, gave me a script for doxycycline to treat me acne (which I did not even mention) and sent me home telling me to come back if the spot was atill there in 8 months. When I came back and he looked at the spot he admonished me for not coming in sooner to have it biopsied. This is just one example in a long line of medicial professionals refusing to listen carefully to what I have to say. They always think they know better
- DontchaKnowit 4y ago
  Oh for an even better example - My mom gets pneumonia fairly frequently and gets very severe cases of it. She is an absolute tank who could be on deaths door and would look normal. She currently is extremely ill with pneumonia. She went to her doctor last week and told them she was coming down with it, and explained to them that everytime she gets pneumonia she has to have X Y and Z medications in order to treat it. The doctor refused to prescribe them, gave her a much much weaker antibiotic and no steroids, and sent her home instead. She came back two days later after not feeling better and they sent her home again. She finally came back a 3rd time and waz given meds X and Y but not Z. Still not better, she went a 4th time and was given X and Y again without Z. She has fought tooth and nail to be properly treated and has STILL not been given the meds that she knows will help her. She is currently on hour 35 of sleep in 48 hours and is still sick as a dog. This is just routine for american docs in my experience. Perhaps I live in a medical care desert, but this is just not even remotely unusual. Doctors ignore your cincerns, fail to address them, and then when you play thr squeeky wheel in order to get some grease, act like you are a burden on their ability to care for other patients.
not_a_shill 4y ago
Do you come across as not very respectable looking or sounding? Or do you come across as aggressive? My experiences really don't match yours at all. From working as a tech a couple years back I know 1000% that every pharmacist I worked with made judgment calls on whether or not to help people out. If you had a sketchy vibe, you weren't helped out. If you were a regular and amicable enough to be liked we'd figure out something we could do for you if it was legally possible. You can see how this falls apart when you're traveling or going to a non-usual pharmacy because of how subjective it all is. (Ex: for Texas if it was actually illegal to say CII stock over the phone it wouldn't be "some pharmacies", it would be "all". I don't know of anyone that would fill a CII early, too much professional risk. I've also only met a single pharmacist that would do 90 day CIIs despite that being legal if written exactly for that. Pharmacists are generally very risk adverse.) My experiences as a patient don't match yours either, at worst I went to a clinic that had on-site drug tests very infrequently. Never had any issues with doctors or PAs telling them how I actually took the meds, but I also wasn't dumb in the way I went about telling them. I also never ran through primary care physicians for any of this. The fact that you said 3/10 of them would terminate the relationship just makes me wonder how much personal experience you have with that exact situation. It just feels extremely sketchy.
- DontchaKnowit 4y ago
  Ive never had a doc terminate the relationship but I did have one threaten to do so after I told him that I tried my cousins adderall in an attempt to self diagnose my adhd. 100% my fault there, ill admit, that is not appropriate. That some doc later prescribed me 2mg ativan and told me to "keep taking it till you feel it" which is how I ended up passing out in missouri and waking up in florida 48 hours later. That same doctor gave me mometesone and after nearly 2 years of using it told me "oh by the way forgot to tell you : dont use that for more than 2 weeks consecutively because it can be life threatening" My experience with healthcare professionals is consistantly that they do an awful job of listening and seem to think they can tell you more about how you feel than you can. I am unusually educated about pharmacology and I think some doctors are suspicious of that. Fair enough I guess.
- DontchaKnowit 4y ago

daniel-cussen 4y ago

[dead]

skissane 4y ago

> Most docs are megalomaniacs that cannot fathom a patient being as intellectually capable or informed as them, or having agency over their own bodies, but im off on a tangent now I don’t know what most American doctors are like. But my mother, brother, late grandfather, uncle, aunt, and two of my cousins are all doctors. (My uncle used to work in the US, but an Australian doctor working in the US probably isn’t very representative of the average American doctor.) I often mention this (without as much detail), in part because I suspect it makes them treat me better. Plus I’m unafraid of medical jargon, which probably helps too A lot of my personal complaints are about the system and its rules, not the people who work in it, the vast majority of whom have absolutely zero input into what the rules are

DontchaKnowit 4y ago
Ive just had very poor experiences with doctors. They always seem to think they know more than me, but never really even listen to what I have to say. For example I went to a derm once because I had a spot which looked like cancer for nearly a year. I went in, explained and asked for a biospy. He refused to even look at it, gave me a script for doxycycline to treat me acne (which I did not even mention) and sent me home telling me to come back if the spot was atill there in 8 months. When I came back and he looked at the spot he admonished me for not coming in sooner to have it biopsied. This is just one example in a long line of medicial professionals refusing to listen carefully to what I have to say. They always think they know better
DontchaKnowit 4y ago
Oh for an even better example - My mom gets pneumonia fairly frequently and gets very severe cases of it. She is an absolute tank who could be on deaths door and would look normal. She currently is extremely ill with pneumonia. She went to her doctor last week and told them she was coming down with it, and explained to them that everytime she gets pneumonia she has to have X Y and Z medications in order to treat it. The doctor refused to prescribe them, gave her a much much weaker antibiotic and no steroids, and sent her home instead. She came back two days later after not feeling better and they sent her home again. She finally came back a 3rd time and waz given meds X and Y but not Z. Still not better, she went a 4th time and was given X and Y again without Z. She has fought tooth and nail to be properly treated and has STILL not been given the meds that she knows will help her. She is currently on hour 35 of sleep in 48 hours and is still sick as a dog. This is just routine for american docs in my experience. Perhaps I live in a medical care desert, but this is just not even remotely unusual. Doctors ignore your cincerns, fail to address them, and then when you play thr squeeky wheel in order to get some grease, act like you are a burden on their ability to care for other patients.

not_a_shill 4y ago

Do you come across as not very respectable looking or sounding? Or do you come across as aggressive? My experiences really don't match yours at all. From working as a tech a couple years back I know 1000% that every pharmacist I worked with made judgment calls on whether or not to help people out. If you had a sketchy vibe, you weren't helped out. If you were a regular and amicable enough to be liked we'd figure out something we could do for you if it was legally possible. You can see how this falls apart when you're traveling or going to a non-usual pharmacy because of how subjective it all is. (Ex: for Texas if it was actually illegal to say CII stock over the phone it wouldn't be "some pharmacies", it would be "all". I don't know of anyone that would fill a CII early, too much professional risk. I've also only met a single pharmacist that would do 90 day CIIs despite that being legal if written exactly for that. Pharmacists are generally very risk adverse.) My experiences as a patient don't match yours either, at worst I went to a clinic that had on-site drug tests very infrequently. Never had any issues with doctors or PAs telling them how I actually took the meds, but I also wasn't dumb in the way I went about telling them. I also never ran through primary care physicians for any of this. The fact that you said 3/10 of them would terminate the relationship just makes me wonder how much personal experience you have with that exact situation. It just feels extremely sketchy.

DontchaKnowit 4y ago
Ive never had a doc terminate the relationship but I did have one threaten to do so after I told him that I tried my cousins adderall in an attempt to self diagnose my adhd. 100% my fault there, ill admit, that is not appropriate. That some doc later prescribed me 2mg ativan and told me to "keep taking it till you feel it" which is how I ended up passing out in missouri and waking up in florida 48 hours later. That same doctor gave me mometesone and after nearly 2 years of using it told me "oh by the way forgot to tell you : dont use that for more than 2 weeks consecutively because it can be life threatening" My experience with healthcare professionals is consistantly that they do an awful job of listening and seem to think they can tell you more about how you feel than you can. I am unusually educated about pharmacology and I think some doctors are suspicious of that. Fair enough I guess.
DontchaKnowit 4y ago