Saturday, March 12, 2011
Why I Feel Shame
1)Because every damn health care article I read somehow finds a way to quote "To ERR Is Human"
2)Because every discussion about torte reform ends up being a soliloquy about those "Bad Doctors".
3)Because every year a new governmental regulation adds a new piece of paper I have to fill out or a new computer screen I have to click through to do my job. Now to discharge a patient I have to fill out three separate forms. Last year it was two. The year before I could give a verbal order (the quality of care has not changed).
4)Because the government gives lip service to improving primary care but just doesn't get it. Now to get home health for my patients I have to fill out even more paperwork....this is not stopping people from using home health inappropriately.....it is just taking up more of my time.
5)Because when I send my patient to have a swallow eval, the speech therapist sends them to a pulmonologist for their cough, and then the pulmonologist sends them to a neurologist for their dizziness. And after thousands of dollars of workup the specialists come to conclusions that I had already told the patient and documented in the chart but no one took the time to ask me because what does a primary care doc know anyway?
6)Because for some reason when patients get sick and die the first question society asks is....Who messed up?
7)Because sometimes I get so involved in using my emr, figuring out eprescribe, or making sure that I have documented correctly for billing purposes that I don't "hear" what my patient is so desperately trying to tell me.
8)Because sometimes, god forbid, I am having a bad day and may not perform to my peak level....somehow that doesn't feel OK anymore.
9)Because I am deathly afraid of my government...breaking down my doors, looking at my records, and asking for money back. Even though certified coders themselves rarely agree with each others findings.
10)Because I used to practice under the assumption that I was being look at under a microscope...now I feel like I am practicing under the gun.
11)Because I secretly worry....that with all the doctor bashing and painting us as knaves in the media...one day a disgruntled patient will walk into my office with a gun and start shooting.
12)Because I went into this profession with such pure and innocent motives...
I wonder how it all became so convoluted!
Posted by Jordan Grumet at 6:09 AM