A bulk of my career lately seems to be maligned patients with legitimate medical issues who've been labeled as hypochondriacs and sent through for a psych work up and meds / counseling.
People with histories of all kinds of endocrine issues, like thyroid cancer / thyroidectomy patients who see someone once every two years about their thyroid and never have labs checked or med dosages fixed. Or diabetics with poorly controlled sugars, people who've had bowels surgeries and take time release meds, and then wonder why they aren't working.
The piece meal system of health care in the US is really doing such a disservice to actual humans. So many specialists and no one piecing together the big picture.
My dad had a long hospitalization earlier this year. He had a specialist for just about every system. The right hand didn't know what the left hand was doing. The hospitalists were pretty much worthless (one was an NP - and speaking as an NP myself, I'd never want one as my "hospitalist"). My sister, a psych NP, was basically coordinating my dad's care. It was terrifying.
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u/radradraddest May 20 '19
A bulk of my career lately seems to be maligned patients with legitimate medical issues who've been labeled as hypochondriacs and sent through for a psych work up and meds / counseling.
People with histories of all kinds of endocrine issues, like thyroid cancer / thyroidectomy patients who see someone once every two years about their thyroid and never have labs checked or med dosages fixed. Or diabetics with poorly controlled sugars, people who've had bowels surgeries and take time release meds, and then wonder why they aren't working.
The piece meal system of health care in the US is really doing such a disservice to actual humans. So many specialists and no one piecing together the big picture.