13_0_0_0_0 t1_j8ewovb wrote
Reply to comment by [deleted] in Adderall shortage by [deleted]
Normie here. What causes the over-prescription? Pick one from the following choices: physicians.
park28 t1_j8ey8dp wrote
1000% agree. Unfortunately some patients have the knowledge to know what to say to get the prescription or, because medicine has turned completely into patient satisfaction, physicians are afraid if they don’t satisfy the patient they will get poor reviews. Proper protocols are in place in each state and this medication is highly regulated. I have never rx”d it nor will I as I am not a mental health professional.
6th__extinction t1_j8i1fwh wrote
Read up on Better Help or check out the Ezra Klein podcast on it, that answers your question
13_0_0_0_0 t1_j8f0h0f wrote
> physicians are afraid if they don’t satisfy the patient they will get poor reviews.
The Hippocratic Oath means nothing to some.
snorkelbagel t1_j8iy0oh wrote
This actually more has to due with malpractice insurance.
Basically what it boils down to is a physician that is well liked by their clients, despite having poorer outcomes is less likely to get sued than physicians less well liked but yields better (relative) outcomes.
Therefore in our heavily litigious society, it behooves the practitioner to remain well liked.
Hell, with the current round of sensitivity training going around, you can’t even call someone clinically obese, you can only refer to them possessing excessive adipose. Because it hurts their feelings, nevermind the laundry list of health problems obesity causes.
When you work in healthcare you come to realize basically every person you see is 5 seconds and a no from turning into a screeching Karen.
oliviahope1992 t1_j8hmwmn wrote
Isn't it your job as the doctor to go through regimes with your patients to ensure that they're on the correct medicine? Or do you just give your patients 10 minutes of your time then send them on their way because you need to fit in as many people as possible $$$$
park28 t1_j8ht2v5 wrote
First, it depends what field of medicine you practice. An OBGYN is not going to review psych meds; nor is an orthopedic surgeon going to review your ADHD meds. Unfortunately medicine has always been a business where quantity is valued over quality. It’s a shame. We spent half a million dollars becoming physicians only to have big pharma and other institutions that have no clinical experience dictate who we see in what amount of time we see them. This results in poor outcomes, quickly satisfying patients needs and moving on. It’s a shame. That’s why I resigned last month. I can’t compromise my integrity as a physician because we are being pushed to see patients every 7 min.
oliviahope1992 t1_j8hwtwp wrote
That's not what I ask. I didn't say it was an obgyn. And we don't routinely go and see orthos easier. I was talking about physicians. Like you. The primary care doctor who SHOULD have a relationship with their patients What exactly is the point your making? Because it's clearly nothing to do with what I posted
[deleted] OP t1_j8hz4kj wrote
[deleted]
NYHC4EVER t1_j8iwt9y wrote
Sadly there are a good amount of these types it seems in my experience from going to different doctors, clinics, etc. They rush you in and out the door, depending on the mood they're in, if they're busy and pressed for time, etc. It seems like most don't listen and discuss as much as they should many times and that's really unfortunate for the patient. There is nothing worse than having to explain yourself/your feelings, issues, etc over and over again to many different doctors and nurses, while lots of them aren't even really listening like they should be IMO. Seems like more than anything a lot of us/ a lot of times we're nothing more than a 'lab rat'/ 'test subject' to see how a particular medication will effect you/ how it will work for you. I can't stand that type of BS TBH. Plus, many of these meds take a longer period of time for your body to adapt to/ to see it's effectiveness for you. Blah.😔👎
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