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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 4 to 28 of 28. Go back in thread:
Posted by weatherfreak on August 27, 2010, at 3:21:41
In reply to Today's doctor visit..., posted by rjlockhart04-08 on August 26, 2010, at 19:29:40
I'm not in the US but that is totally illegal here!
Doctor patient confidentiality has been seriously breached.
Did you sign something to allow this to happen? It might have been ages ago.
I'm so stunned I don't know what else to say except call the American Medical Board and report it.
Posted by sewerrat on August 27, 2010, at 3:48:26
In reply to Re: Today's doctor visit... » rjlockhart04-08, posted by Maxime on August 26, 2010, at 19:56:26
Not in england, you often have a student or even two sit in on your NHS session with the Psychiatrist.
Posted by linkadge on August 27, 2010, at 15:03:06
In reply to Re: Today's doctor visit..., posted by sewerrat on August 27, 2010, at 3:48:26
>Not in england, you often have a student or even >two sit in on your NHS session with the >Psychiatrist.
I don't know England, but I'm sure if you wanted a confidential appoinment, you'd still be allowed it.
RJ, you've got to stand up for yourself. Call or write your psychiatrist and tell him / her that you don't want your mother attending the appointments, and if this happens again, legal action will be persued!
Linkadge
Posted by Maxime on August 27, 2010, at 18:42:08
In reply to Today's doctor visit..., posted by rjlockhart04-08 on August 26, 2010, at 19:29:40
It's almost worth going to the hospital and waiting 5 hours to see Pdoc if it means that you will have your privacy. And why do you let your mum know when you have appt. Can't you just go without her knowing?
Posted by Zyprexa on August 27, 2010, at 19:27:38
In reply to Today's doctor visit..., posted by rjlockhart04-08 on August 26, 2010, at 19:29:40
If you are in the US, the docotor needs your permision. My parents went to my appt. for a while, but the doctor always asked for permision first. Unless you are younger than 18.
Posted by rjlockhart04-08 on August 27, 2010, at 21:42:36
In reply to Re: Today's doctor visit..., posted by Zyprexa on August 27, 2010, at 19:27:38
She just has alot of control over...alot of things. The doctor was stupid, and said "come on in and we will talk to you" i should of asked her .... why are you taking her in session?
You know there is only so much someone can do, I can't get out of the house and see a doctor because my mother controls everything. Its really hard. I have to sneak around and worrying about getting caught.
That's it folks
Posted by Maxime on August 27, 2010, at 22:08:33
In reply to Re: Today's doctor visit..., posted by rjlockhart04-08 on August 27, 2010, at 21:42:36
Sounds like your mom has her own issues ... control issues being one of them.
Posted by sewerrat on August 28, 2010, at 4:23:37
In reply to Re: Today's doctor visit... » sewerrat, posted by linkadge on August 27, 2010, at 15:03:06
If you wanted a cofidential appointment in England, you would be put on up to a 3 year waiting list unless you went private.
Posted by ed_uk2010 on August 28, 2010, at 14:10:45
In reply to Re: Today's doctor visit... » sewerrat, posted by linkadge on August 27, 2010, at 15:03:06
>I don't know England, but I'm sure if you wanted a confidential appoinment, you'd still be allowed it.
That's right. If you do not want a student to sit in, you can ask to be seen by the doctor alone. Most doctors have a sign up that says something like 'Dr. X has a student in with him today. If you do not wish the student to observe your consultation, please inform the receptionist'.
Posted by ed_uk2010 on August 28, 2010, at 14:14:25
In reply to Re: Today's doctor visit..., posted by sewerrat on August 28, 2010, at 4:23:37
> If you wanted a cofidential appointment in England, you would be put on up to a 3 year waiting list unless you went private.
That is not true! You do not need to tell them in advance, just let the receptionist, psychiatrist or secretary know when you get to your appointment. You do have a right to a confidential appoinment on the NHS.
Posted by Maxime on August 28, 2010, at 16:55:55
In reply to Re: Today's doctor visit... » linkadge, posted by ed_uk2010 on August 28, 2010, at 14:10:45
> >I don't know England, but I'm sure if you wanted a confidential appoinment, you'd still be allowed it.
>
> That's right. If you do not want a student to sit in, you can ask to be seen by the doctor alone. Most doctors have a sign up that says something like 'Dr. X has a student in with him today. If you do not wish the student to observe your consultation, please inform the receptionist'.Very true. And when I have been in the hospital and they want a student to sit on the meetings I always say yes. They have to practice and they are going to be the pdocs of the future.
Posted by Phillipa on August 28, 2010, at 19:23:43
In reply to Re: Today's doctor visit... » ed_uk2010, posted by Maxime on August 28, 2010, at 16:55:55
Seems teaching hospitals always have groups of up and coming docs with them. Phillipa
Posted by Maxime on August 28, 2010, at 20:31:19
In reply to Re: Today's doctor visit... » ed_uk2010, posted by Maxime on August 28, 2010, at 16:55:55
Posted by sewerrat on August 29, 2010, at 4:27:47
In reply to Oops. Above post was for RJ and not Ed (nm), posted by Maxime on August 28, 2010, at 20:31:19
What you ask an what you get are two different thing,s.There is no sign to say there is a student in the room, an no one ask,s if you mind.In a full on mental hospital in England you get the luxory of 20 mins with the doc, argue obout student presence will cut you time, plus put you on a wrong footing with the doc.There are people double booked to squeeze them in.I have seen when in hospital ,more students than docs accessing patients. Running it by the consultant an he authorises the student,s med advice without seeing you.
Posted by ed_uk2010 on August 29, 2010, at 12:13:03
In reply to ed, posted by sewerrat on August 29, 2010, at 4:27:47
>What you ask an what you get are two different thing,s.There is no sign to say there is a student in the room, an no one ask,s if you mind.In a full on mental hospital in England you get the luxory of 20 mins with the doc, argue obout student presence will cut you time, plus put you on a wrong footing with the doc.There are people double booked to squeeze them in.I have seen when in hospital ,more students than docs accessing patients. Running it by the consultant an he authorises the student,s med advice without seeing you.
Hi there,
You can ask the student to leave if you are unhappy with them being there. On the other hand, I've sometimes been seen by students (on their own) and they have normally been OK. In particular, they often have more time to spend with you - and may lack the arrogance of some consultants.
Posted by sewerrat on August 29, 2010, at 12:32:36
In reply to Re: ed » sewerrat, posted by ed_uk2010 on August 29, 2010, at 12:13:03
I agree with you on that one.Some of the older doc,s just seem to want a yes or no to there question,s.The student,s an trainee doc,s listen as its fresh to them .But you have to admit you have to be in a seriously bad way to get an appointment with a p.doc if a new patient in England on the NHS.First you have to get past a interview with a phychiatric nurse, Thats if your gp deem,s you worthy of one.A lot of pressure is put on the gp , he is not a phychiatrist but they expect him or she to be able to be the first to access troubled patient,s
Posted by Maxime on August 29, 2010, at 15:03:13
In reply to Re: Today's doctor visit..., posted by sewerrat on August 28, 2010, at 4:23:37
I guess I am lucky. My pdoc is from England and is 89 years old. He was a fighter pilot during the war. I like him because we do a lot of talking (about my moods)and we try to find solotions that are not med related. He gives me homework to do which helps me.
As far as meds go, he has let me try some pretty weird combos that most pdocs would never try. On a negative side, he is not always up to date on the lastest meds. I usually email him when I find something new. It's because he doesn't work at a hospital anymore, but from his house.
Posted by Phillipa on August 29, 2010, at 19:18:03
In reply to Re: Today's doctor visit..., posted by Maxime on August 29, 2010, at 15:03:13
When I was working in the hospital in psych it always was the psych nurse that went to the ER or other floors of the hospital to assess the patient to see if indeed they needed to either be admitted to our unit or seen by a psychiatrist on the other floor. We also took all the crisis calls at night and referred and advised. Phillipa
Posted by Maxime on August 29, 2010, at 20:41:46
In reply to Re: Today's doctor visit..., posted by Phillipa on August 29, 2010, at 19:18:03
> When I was working in the hospital in psych it always was the psych nurse that went to the ER or other floors of the hospital to assess the patient to see if indeed they needed to either be admitted to our unit or seen by a psychiatrist on the other floor. We also took all the crisis calls at night and referred and advised. Phillipa
Really? Was that a long time ago? I was admitted to a psych ward twice in the US and I was seen by the on call doctor (not psych) and a social worker.
Posted by Phillipa on August 29, 2010, at 21:04:01
In reply to Re: Today's doctor visit..., posted by Maxime on August 29, 2010, at 20:41:46
To save money the Nurses take over after 5. It's worse now. Sometimes patients held in ER's till the next morning or shipped to state hospitals. Criteria schizophrenia uncontrolled, bipolar manic uncontrolled, suicide attempt, and then transfers from other floors into psych. Phillipa
Posted by Maxime on August 29, 2010, at 21:44:38
In reply to Re: Today's doctor visit... » Maxime, posted by Phillipa on August 29, 2010, at 21:04:01
> To save money the Nurses take over after 5. It's worse now. Sometimes patients held in ER's till the next morning or shipped to state hospitals. Criteria schizophrenia uncontrolled, bipolar manic uncontrolled, suicide attempt, and then transfers from other floors into psych. Phillipa
Waiting 12 hours is nothing. I once waited 4 days in ER until a bed became available in psych. It was awful. My bed was in the corridor and I couldn't sleep. I was having a breakdown in the ER!
Posted by Phillipa on August 30, 2010, at 19:23:43
In reply to Re: Today's doctor visit... » Phillipa, posted by Maxime on August 29, 2010, at 21:44:38
That's horrible!!!! Phillipa
Posted by MaybeSo on August 31, 2010, at 19:12:21
In reply to Re: Today's doctor visit... » Maxime, posted by Phillipa on August 30, 2010, at 19:23:43
Every psych nurse I've ever had has been much better than the pdocs I've seen.
Maybe because they actually see patients' behaviors minute by minute, hour after hour, instead of just popping in once a day and looking at their formulary cheat sheet.
Posted by Phillipa on August 31, 2010, at 22:02:50
In reply to Nurses are usually better, posted by MaybeSo on August 31, 2010, at 19:12:21
Since I was an RN in psych true as the pdocs ask the Nurses about the patients and asked us what we thought the problem was and even what med we would recommend. 24 hour care from the nurses is what docs base a lot of their assessments on. Just in my experience of course. Phillipa
Posted by sewerrat on September 1, 2010, at 4:14:16
In reply to Re: Nurses are usually better » MaybeSo, posted by Phillipa on August 31, 2010, at 22:02:50
This is how it works in england.If you have overdosed after months of wrong meds ,canceled appointment for no reason ,sometimes a couple of hours before your appointment, different psychiatrist,s every time you have been to be accessed , notes read for the first time each time you see a new doc.You have a %90 chance of being discharged from A an E an sent home in the same frame of mind you came to hospital with the blue lights flashing. Now they let you out front door to take a bus home, or to the river. whatever you feel like. I was kept in after a fight by my family as the could not cope anymore an new i would die without help.So up on the ward you go into you little room, left to your own device like a scarred rabbit.Strange sounds an people. A nurse looks into see you havent jumped through the window once every few hours. No meds to carm you down till you see the ward doctor who could turn up at anytime as he has 6 wards to see.He see you an writes down what meds you may need an moves on . The nurses are given your script an can only give what the doc has written an a set times of the day, that could be half an hour each way.Thats it you then veture in to corridor of madness at told to have a look around.As if your in a hotel an on holiday an feeling on top off the world.At night your left with a nurse an a security guy, who keeps watch while the nurse has a sleep in a side room.I never slept so i saw what i saw, at the end of each week you see your consutant for the first time. In the meeting room,he scan,s the note,s from the nurse,s an the ward doc,an then says you can leave or you stay. there is no real help only a wake up call to say your on your own, an you get out as soon as you can bluff it. to be brutally honest it can ruin your life .I was actually worse when i came out. an found help with a good gp
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