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How To Find A Good Doctor?  
User currently offlineusflyer msp From United States of America, joined May 2000, 2124 posts, RR: 0
Posted (1 year 1 week 1 day 2 hours ago) and read 2381 times:

I have decided to dump my primary Doctor of seven years after a exceptionally crappy annual physical yesterday. This Dr. has always seemed pressed for time but yesterday took the cake. He examined me without actually taking my clothes off and then looked at my chart and didn't notice that I lost 80 lbs. I could have had some horrible stomach parasite and he could have cared less!

Does anyone have any suggestions on how to find a good, competent Doctor? Referrals from family/friends have not worked out well (that is how I ended up with this clown)...

23 replies: All unread, jump to last
 
User currently offlinekiwirob From New Zealand, joined Jun 2005, 7410 posts, RR: 5
Reply 1, posted (1 year 1 week 23 hours ago) and read 2347 times:

I'd like to know as well, I've got chicken pox from my kids and had to inform my Dr that there was medication for adults to lesson the symptoms. Chicken pox is not fun at 40.

User currently offlineJetsgo From United States of America, joined Jul 2003, 3084 posts, RR: 5
Reply 2, posted (1 year 1 week 21 hours ago) and read 2316 times:

Quoting kiwirob (Reply 1):
Chicken pox is not fun at 40.

I've heard that generally it's worse the older you get. Sorry to hear that.  
Quoting usflyer msp (Thread starter):
Does anyone have any suggestions on how to find a good, competent Doctor?

I know it sounds crazy, but we found ours on Yelp and she has been nothing but great.



Marine Corps Aviation, The Last To Let You Down!
User currently offlineDocLightning From United States of America, joined Nov 2005, 19725 posts, RR: 58
Reply 3, posted (1 year 1 week 6 hours ago) and read 2230 times:

Quoting kiwirob (Reply 1):
Chicken pox is not fun at 40.

I should say not! 30% mortality rate if you catch pneumonia from it! Something happens at puberty. Kids are a bit miserable for a week and then shrug it off; adults nearly die.

Quoting Jetsgo (Reply 2):
I know it sounds crazy, but we found ours on Yelp and she has been nothing but great.

Would you believe I've never checked my Yelp reviews? I figure anyone can write anything. But I'm told they're good.

HealthGrades is a decent rating site. Just remember about online reviews; if my ex wife hates me, she can get her friends to all give me horrible reviews on my Yelp, even though they've never seen me. And, likewise, I can stuff my Yelp with good reviews.

Unfortunately, trial-and-error is the only sure-fire way.


User currently offlinekiwirob From New Zealand, joined Jun 2005, 7410 posts, RR: 5
Reply 4, posted (1 year 1 week 6 hours ago) and read 2224 times:

Quoting DocLightning (Reply 3):
adults nearly die.

I'm not dead yet, I'm taking zovirax which has stopped the worst of it, feeling much better by the day, although Friday night wasn't much fun, my wife was pretty worried.


User currently offlineplaneguy727 From United States of America, joined Mar 2007, 1247 posts, RR: 1
Reply 5, posted (1 year 1 week 4 hours ago) and read 2201 times:

Call your insurance provider and ask for their help. Most have information about the PCPs in their database that include many different factors. Examples: some note dual certifications (my primary also does travel medicine), some note focus for specific populations (women, LGBT, etc), some note philosophy (non-western approaches included). There are times that a database not have all of the information you seek, but it can help give you some ideas.

I have always made a well visit appointment when seeking a new PCP. This allows me to talk with the provider with no health complaint and ask questions about approach, availability, etc. I find it is a better way to start the relationship with the PCP than seeing someone new when you are ill.



I want to live in an old and converted 727...
User currently offlinemdsh00 From United States of America, joined May 2004, 4125 posts, RR: 8
Reply 6, posted (1 year 6 days 23 hours ago) and read 2165 times:

Although I can't speak on behalf of your doctor, as a primary care physician I too have had times when I am not hard pressed for time where I don't do certain parts of a physical because either the patient is young and very healthy or it won't make much of a difference. For example, if I have a female patient in her 50s regularly going for her mammograms, I won't usually do a breast exam unless she asks or has a concern. It also takes the pressure off of an already uncomfortable visit for some people who just hate going to the doctor. The same goes for prostate exams and depending on whether or not my patient wants to do the PSA. A lot of studies have shown that the routine physical exam doesn't change outcomes (but that subject is under a lot of debate in general).

I prefer to rather focus my time with the patient on addressing big things and preventative measures (like talking about diet and exercise/smoking) depending on what is relevant. However your PCP missing the fact that you lost 80lbs unintentionally is not good considering he's known you for 7 years. I'm still a "noob" so I haven't had much time to establish long term relationships with my patients.

To answer your question, yelp is ok but like with anything else I would take everything with a grain of salt that you read on yelp. In general people tend to review things when they are upset about something. Another good resource which is kind of slow to catch on is ZocDoc. It screens its reviewers so it's more reliable. Ultimately though, I would just ask your friends and family since they are probably your most trusted sources.



"Look Lois, the two symbols of the Republican Party: an elephant, and a big fat white guy who is threatened by change."
User currently offlineFr8mech From United States of America, joined Sep 2005, 5452 posts, RR: 14
Reply 7, posted (1 year 6 days 22 hours ago) and read 2152 times:

Are you insured? Your insurance company may have its own internal rating site or link to a ratings site in the doctor information area.

Ask your friends who they use.

Just for kicks, I just put my PCP's name into Google and it came back with these ratings sites:

http://www.healthgrades.com/

http://www.vitals.com/

http://www.ucomparehealthcare.com/

I have not vetted these sites nor the reviews.

Quoting DocLightning (Reply 3):
Unfortunately, trial-and-error is the only sure-fire way

I have to agree with Doc. Except for the local pediatricians, I've yet to come across a doctor or doctors' group that holds an open house or some similar thing where patients can ask questions, visit the office and get a basic feel for the doctor(s).

That brings up a question in my mind:

Here, in Louisville, some of the pediatrics groups hold open houses and meet and greets for soon-to-be parents. You meet the doctors, talk about their office and such things. We went to 3 of those before we choose a pediatrician for our daughter. Is it the handled the same way in other localities?



When seconds count...the police are minutes away.
User currently offlineDocLightning From United States of America, joined Nov 2005, 19725 posts, RR: 58
Reply 8, posted (1 year 6 days 17 hours ago) and read 2093 times:

Quoting Fr8mech (Reply 7):
Here, in Louisville, some of the pediatrics groups hold open houses and meet and greets for soon-to-be parents. You meet the doctors, talk about their office and such things. We went to 3 of those before we choose a pediatrician for our daughter. Is it the handled the same way in other localities?

I do meet-and-greets on request. We don't do them in an organized fashion, but maybe we should.


User currently offlineFr8mech From United States of America, joined Sep 2005, 5452 posts, RR: 14
Reply 9, posted (1 year 6 days 16 hours ago) and read 2091 times:

Quoting DocLightning (Reply 8):
I do meet-and-greets on request. We don't do them in an organized fashion, but maybe we should.

It really helped out. Folks had questions that we didn't think of; I'm sure we had a couple of questions others wanted answers to.

All-in-all, it was a positive experience.

I'd love to see other doctors' groups do the same thing and try to win my business.



When seconds count...the police are minutes away.
User currently offlineflyingclrs727 From United States of America, joined Apr 2007, 733 posts, RR: 0
Reply 10, posted (1 year 5 days 7 hours ago) and read 2046 times:

Quoting DocLightning (Reply 3):
I should say not! 30% mortality rate if you catch pneumonia from it! Something happens at puberty. Kids are a bit miserable for a week and then shrug it off; adults nearly die.

I apparently got it twice. Once when I was an infant, and the other when I was 12. I was exposed to chickenpox at the church nursery but Mom says I only got what looked like one pock. Later, about 3 months before my 13th birthday my brother, who is 2 years younger, came down a really serious case of chicken pox. I came down with a much lighter case about a week later. My father who was then in his early 40's had a very serious bout of shingles.


User currently offlinePellegrine From France, joined Mar 2007, 2449 posts, RR: 8
Reply 11, posted (1 year 5 days 7 hours ago) and read 2043 times:

Trial and error from experience.

Some doctors have ZERO customer service skills.



oh boy!!!
User currently offlineNWOrientDC10 From United States of America, joined Mar 2005, 1404 posts, RR: 4
Reply 12, posted (1 year 5 days 4 hours ago) and read 2014 times:
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I'm in a similar situation. My questions, however, are these. How does one explain to the new doctor (in my case, a dentist) that the last one was "unpleasant"? In this case where I was going was a practice with several doctors and the one to whom I was assigned was a real prima donna right out of dental school. She's too good for her job, made insulting comments, etc... Secondly how would I go back and get my chart? Can I just ask for it?

I'm glad some else started this topic because I'm not going back there to that practice (I've been a patient there since 2005) and be belittled by that young prima donna. I know this seems petty but it's how it is.

Rant over   

Any advice would be appreciated  

Thanks so much and good day  

Russell



Things aren't always as they seem
User currently offlineNWOrientDC10 From United States of America, joined Mar 2005, 1404 posts, RR: 4
Reply 13, posted (1 year 5 days 3 hours ago) and read 2001 times:
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I'm back. I wish I could retract the negative comments I made earlier but can't. The comments I made were done so in haste and I'm not much of a morning person, lol. Anyhow, how do you tell the next health care provider that the last one was unpleasant without looking coming off as being a chronic complainer and being unpleasant yourself?

Thanks and good day.  

Russell



Things aren't always as they seem
User currently onlinedesertjets From United States of America, joined Feb 2000, 7780 posts, RR: 16
Reply 14, posted (1 year 5 days 1 hour ago) and read 1993 times:

I really do need to find a PCP myself. I've never really like going to the doctors, even going to get a tetanus booster shot a few years back proved to be an ordeal. Though the nurse was seriously awesome in getting me through it. Even the thought of having to get get blood work done gets the anxiety level up.



In regards to Russell -- I don't think you have to specifically address your issues with your prior dentist with your new one TBH. I'd just work on communicating your general concerns with the new one. Case in point I had avoided the dentist for too long and needed work done ASAP. Picked someone out of my dental plans directory that was in a multi-specialty office that was literally 5 minutes away from home. Went in for my visit and needed a root canal/crown to repair my broken tooth and I am sure I looked totally freaked out over the entire situation (didn't help that I was watching dental work videos on YouTube the night before). There was something about his chair side manner that really calmed me down and once I was numbed up and relaxed a bit I had no problem getting through the procedure.



Stop drop and roll will not save you in hell. --- seen on a church marque in rural Virginia
User currently offlinemdsh00 From United States of America, joined May 2004, 4125 posts, RR: 8
Reply 15, posted (1 year 5 days ago) and read 1976 times:

Quoting NWOrientDC10 (Reply 13):

From the point of view of a doctor, you can just say it didn't work out between you and the other doctor. Usually we can figure out a "complainer" relatively quickly so if you just be yourself I think it's fine.



"Look Lois, the two symbols of the Republican Party: an elephant, and a big fat white guy who is threatened by change."
User currently offlineNWOrientDC10 From United States of America, joined Mar 2005, 1404 posts, RR: 4
Reply 16, posted (1 year 4 days 14 hours ago) and read 1929 times:
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Quoting desertjets (Reply 14):
In regards to Russell -- I don't think you have to specifically address your issues with your prior dentist with your new one TBH. I'd just work on communicating your general concerns with the new one.
Quoting mdsh00 (Reply 15):
From the point of view of a doctor, you can just say it didn't work out between you and the other doctor. Usually we can figure out a "complainer" relatively quickly so if you just be yourself I think it's fine.

Thx for the advice.   I will do this sometime in a week or two.

Quoting desertjets (Reply 14):
Went in for my visit and needed a root canal/crown to repair my broken tooth[/quote

[quote=desertjets,reply=14]There was something about his chair side manner that really calmed me down and once I was numbed up and relaxed a bit I had no problem getting through the procedure.

Been there, done that. However, the dentist who did mine a few years ago is now retired.   Such is life, I suppose.

Thx again and good day.  

Russell



Things aren't always as they seem
User currently offlinePPVRA From Brazil, joined Nov 2004, 8964 posts, RR: 39
Reply 17, posted (1 year 2 days 18 hours ago) and read 1841 times:

If you have a dentist or chiropractor or someone in the field you trust, ask him/her for referrals. That's what I do.

My current dentist is one that was referred by a friend of mine. That friend is not in healthcare, but I trust his judgement and it worked out.

[Edited 2013-09-19 15:57:52]


"If goods do not cross borders, soldiers will" - Frederic Bastiat
User currently offlinetype-rated From United States of America, joined Sep 1999, 5036 posts, RR: 19
Reply 18, posted (12 months 2 days 21 hours ago) and read 1641 times:

Quoting Fr8mech (Reply 7):

Ask your friends who they use.

I've done that bit several times, but all I hear is "We're sorry, the doctor is not taking new patients right now" or the same with "and we don't take waitlist patients either."

It helps by getting a doctor's name that would be common in India, Lebanon, or Vietnam.



Fly North Central Airlines..The route of the Northliners!
User currently offlinelewis From Greece, joined Jul 1999, 3636 posts, RR: 5
Reply 19, posted (12 months 2 days 19 hours ago) and read 1621 times:

Trial and error usually. As I have moved twice within the last three years, I could never keep the same doctor. Zocdoc was useful when looking for a specialist. I tend not to trust yelp that much.

Quoting Pellegrine (Reply 11):
Some doctors have ZERO customer service skills.

I have found that looking for a doctor is a very long and tiring process, the past couple of months I had a few health problems that needed immediate attention. Most of the "good doctors" per the reviews would not accept new patients or would give me an appointment weeks or even months later - at which point I would have either gotten better or died. The "I have to see a doctor ASAP" did not mean much to them. So far I haven't had a very good experience with doctors in the US, far from the "best and fastest" that is being advertised. The last doctor I visited insisted that he would have to charge me a full deductible instead of my usual copay if he prescribed the antibiotics I needed, even though it would be part of a normal GP/family doctor visit. He was sloppy and he and his secretary didn't even know how to read basic insurance rules. I am not looking forward to starting the doctor finding exercise again.


User currently offlineklm672 From United States of America, joined Oct 1999, 2455 posts, RR: 3
Reply 20, posted (12 months 2 days 18 hours ago) and read 1608 times:

I am in the same boat. I moved across the country and searched for a new Dr online. I searched by my local area and insurance company. I read good reviews for the Dr I picked out. I have a physical coming up in two weeks, so I hope the reviews are accurate!

User currently offlinetype-rated From United States of America, joined Sep 1999, 5036 posts, RR: 19
Reply 21, posted (11 months 4 weeks 20 hours ago) and read 1444 times:

I gave up on referrals from other doctors. Those referrals were some of the worst doctors I have ever encountered. And I mean that from a beside manner position. In Houston there are many doctors, but only some of them are good doctors. I find that the best referrals come from people who use them. But I also found that those are the ones who most likely will not be taking new patients.

I heard someone say the other day that a lot of doctors are quitting with the upcoming Obamacare and are going to work for insurance companies as health investigators or medical advisers. Any truth to that?



Fly North Central Airlines..The route of the Northliners!
User currently offlinemdsh00 From United States of America, joined May 2004, 4125 posts, RR: 8
Reply 22, posted (11 months 4 weeks 13 hours ago) and read 1420 times:

Quoting type-rated (Reply 21):
I heard someone say the other day that a lot of doctors are quitting with the upcoming Obamacare and are going to work for insurance companies as health investigators or medical advisers. Any truth to that?

I think it's wildly overblown. The doctors making the most stink are those who do a lot of procedures (previously getting very generous compensation that are getting a good deal of a pay cut due to medicare reimbursement.

I am a primary/hospital doctor and where I work is part of a medical group and I am salaried (more or less) and my salary is not going to go down but unfortunately my workload will go up. However I guess it's better to be in business than not in business.



"Look Lois, the two symbols of the Republican Party: an elephant, and a big fat white guy who is threatened by change."
User currently offlinetype-rated From United States of America, joined Sep 1999, 5036 posts, RR: 19
Reply 23, posted (11 months 4 weeks 11 hours ago) and read 1414 times:

Thanks for the clarification.


Fly North Central Airlines..The route of the Northliners!
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