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How to Discourage a Doctor

Discussion in 'Emergency Medicine' started by EctopicFetus, Sep 24, 2014.

  1. EctopicFetus

    EctopicFetus Keeping it funky enough 10+ Year Member

    May 3, 2004
    Is this our future? I fear it may be closer than we think..

    The comments are worth a read too.
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  3. Birdstrike

    Birdstrike 7+ Year Member

    Dec 19, 2010
    If that document he describes is a real one, the concerted effort to destroy physicians and the profession of Medicine is even more diabolical and conspiratorial than I had thought. And that's saying a lot. If the author made it up, to mirror what he's seeing in his daily practice, it is an absolutely brilliant, BRILLIANT, analysis of what hospital-based medicine, particularly that which is enforceable by the strong-arm of an EMTALA-controlled environment, has become.

    As I read that, it jolted me over and over again with truth. Reading this article reminds me joyously of the fact, and reminds me of why I praise God frequently, that although I still practice Medicine, I haven't set foot in a hospital in over 2 years. Praise God, and Hallelujah. Medical students, pre-meds and residents: Read the article in the original post now. Now! And remember what I've been preaching, for years now.

    If you're going to become, or remain a doctor, please, please do yourself a favor and make sure you have a skill that allows you if needed to earn a living, providing non-hospital based, and non-EMTALA governed, outpatient care. Either that, or make the decision that at some point you'll have to either revolt, or resign to being soul-crushed. I'm going to quote it again below, for truth. Everyone that hasn't lived this already, needs to print it out, study it, and contemplate what this will mean for your life. More importantly even, read the comments as EctopicFetus suggests. For those that have lived it, realize you still have a choice. You still have the choice to stand up, say no, and remain an independent physician. Break the chains, my friends. Break the chains.
  4. Mad Jack

    Mad Jack Critically Caring Gold Donor Classifieds Approved 2+ Year Member

    Jul 27, 2013
    4th Dimension
    It's not real. Dat allegory is strong tho.
  5. GeneralVeers

    GeneralVeers Globus Hystericus Physician 10+ Year Member

    Mar 19, 2005
    Las Vegas
    Clearly not a real document but an accurate description. So many of the decisions that directly affect my practice, and patient care are being made by mid-level bureaucrats with no scientific or medical knowledge.
    GoBuckeyes913 likes this.
  6. Spinach Dip

    Spinach Dip Delicious with nachos 5+ Year Member

    Feb 9, 2012
  7. DeadCactus

    DeadCactus SDN Lifetime Donor Lifetime Donor Classifieds Approved 10+ Year Member

    Oct 28, 2006
    The line at the end about not finding the document is meant as a signal that it exists as a fabrication/dream in the narrator's mind... Still well written...
  8. styphon

    styphon Senior Member Physician 10+ Year Member

    Jun 25, 2001
    New york
    "Don't worry, its only getting better!"

    Says one hospital administrator to another.

    Surveys and satisfaction scores are the "in" thing, instead of going away - they are now in outpatient clinics, urgent cares, specialists, Federal Health Centers, Indian Health Services....

    Sad thing is, most people consider me one of the more positive people regarding the future of medicine.
  9. EctopicFetus

    EctopicFetus Keeping it funky enough 10+ Year Member

    May 3, 2004
    In my heart im positive about the future of medicine. What I mean by that is the fall wont be major. I think we may even see minor increases in ED pay but I think this will be tempered by the hospital demanding more of us. While it is easy and naive to think the CMG thing isnt a huge deal their play is simple (as seen with tenet in california). Use the ED to subsidize hospitalists and others who can not generate a profit/break even.

    So even if ED payer reimbursement goes up it is unlikely to trickle down to the pit doc. Instead it will be sent to bureaucrats who help manage these "complex" systems and our IM/FP colleagues who have such low reimbursements that they need our money.
  10. Gunninforpeds


    Sep 9, 2013
    Reminds me of the screwtape letters.

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