We have failed you. The medical system that you deserve no longer exists. The time of personal relationships, long conversations with your doctor where they learn about your family and you know about theirs, those times don’t exist. Current visits are timed to the second. If you or your doctor are 5-10 minutes late the whole schedule is thrown off. If your doctor has to deal with an unexpected emergency, you will likely be waiting for quite a while and your doctor will have no control. If you book a visit for a cold there is no other topic that can be mentioned, not even if you have an acute concern. For that you must schedule another visit because of the delicate and overbooked schedule. Nothing could be squeezed in.
No, I cannot look into your other child’s ear, my schedule is booked and I can’t squeeze him in, I’m sorry.
But just a quick peak, you plead. And here’s what runs through your doctors head: what if the child has a another illness and I don’t fully evaluate them and miss something serious; what if I miss something and get sued, I’m not documenting this visit; what if they have an ear infection and I need to write for antibiotics…how will I find the time without delaying every other patient today?
This is the reality of medicine today. I would love to spend 30 minutes with each patient and let them chat and answer every possible question they may have. To reassure them about every vaccine, to tell them all the wonderful things they have to look forward to, and to assure them the guilt and doubt they feel is normal and they are actually doing a great job.
But the insurance companies only allow for 10 minutes at best, maybe 15 for a well child visit, and many visits are double booked. The result is doctors that are overworked and having a harder time caring. Because if we cared the way we did when we started, if we cared the way we wanted to, if we cared too deeply, we would break so much faster than we already are. We would not be able to withstand the onslaught from administrators, insurance companies, and patients while maintaining an income to pay the overheard and our bills along with our student loans.
I too have experienced this as a patient. I experienced it when my daughter’s pediatrician asked us to book a longer visit next time if I needed to discuss another issue with her. I experienced it when my own doctor refused to see me when I was 10 minutes late because I drove to her prior office by mistake. Even though she had canceled on me at the last minute the week before. I was upset but I completely understood the delicate nature of the schedule.
Dear patients, we have failed you and the medical system has failed us. We want to be there for you in every way but it has become physically and emotionally impossible.
The physician should not treat the disease but the patient who is suffering from it.-Maimonides