• EatATaco@lemm.ee
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    3 months ago

    I know I’ll be hated for this, but my wife works for an insurance company, as a doctor, doing chart review. She was always very responsible as a doctor, but the shit she talks about that doctors prescribe is ridiculous.

    One case that sticks with me (not even the most egregious, but because of the berating she got from the doctor and the patient), the patient needed a special car seat, which they approved. The doctor also prescribed a 200 dollar car seat cover. Now the seat already comes with a removable and washable cover, this additional one would just make it easier to remove and wash. It was denied as not medically necessary, which it clearly is not. The doctor demanded a consult and then yelled at her the whole time. The patient also called her and yelled at her.

    Im a firm supporter of universal healthcare, but the idea that doctors never do ridiculously unnecessary shit, regardless of the reason, requires one to be completely ignorant of how any of this actually works. And so, even with universal health care, some bureaucrat stepping in to determine if a doctor made the right decision would absolutely still be necessary.

      • ivanafterall ☑️@lemmy.world
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        3 months ago

        Better yet, let the doctor tell me, rather than someone one step removed from insurance company payroll. Which brings us full circle.

      • EatATaco@lemm.ee
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        3 months ago

        Doctors can, and often do, request consults where they make their case. My wife will occasionally change her mind after hearing from the doctor on why they think it is necessary. She will often even reach out to the doctor if she is unsure about the outcome.

        In this case the doctor just yelled at her and didn’t make a case at all.

    • aidan@lemmy.world
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      3 months ago

      I had an ear infection, the doctor thought I was lying for pain killers(she said people my age shouldn’t get ear infections, and I could’ve just used a hairdryer), I told her no the pain is fine I just want antibiotics so it doesn’t get worse. She then decided to prescribe codeine and oral antiobiotics but not ear drops.

      When I went to the pharmacist they filled the codeine prescription even though I didn’t want it.

      • uis@lemm.ee
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        3 months ago

        the doctor thought I was lying for pain killers

        What the fuck? I see it often in english-speaking places, but I want to know why doctors say “oh, you just want pain killers”. Them being concerned about painkillers more than about biological nukes infections can become resistant to greatly concerns me.

            • aidan@lemmy.world
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              3 months ago

              Well it is true, many drug addicts are dependent on prescription pain killers. Which other people will intentionally get prescribed so they can sell. Y’know, the whole opioid crisis thing.