It's utterly incomprehensible that people who are making life & death decisions are being forced into a model that makes them so sleep deprived that they can't tell left from right.

I have a friend who actually gave birth on ther lawn outside the ER doors. Afterwards, she was admitted and the baby was taken to the nursery. When the bill came, it included charges for the labor and delivery rooms. Her husband took it to billing to protest, demanding, "What is this, greens fees?" Those charges were dropped.

I was telling a friend about all the doctors I've seen over the last 3 years and how they've done absolutely nothing, there's no accountability whatsoever. She put it best, it's criminal!

As someone with multiple chronic illnesses, saying "i don't know" actually increases my faith in their competence, because I and many others have had so much harm done through doctors (even fake) overconfidence. If I know you're humble enough to admit you don't know, i can tell you're more likely to actually read up on the symptoms,, diagnostic criteria, treatments etc and are more likely to actually listen to me.

The cruelest lie is chemotherapy where, except for a small number of specialized cancers, there is virtually no increase in life expectancy with these horrible treatments worse than torture.

I'm a Ped RN and afraid of the adult healthcare system. I'm at the age of needing care, and am shocked at how differently adult drs treat their patients including writing you off at a certain age. It's called age appropriate care, which means at a certain age, I guess they don't really care.

Our medical system is so disturbing. There is no oversight for corruption or inadequate physicians. Patients are left to investigate their doctor’s backgrounds and hope he can be trusted. They are not Gods! Patients need to be diligent and get involved in their care.

Every time I read my notes in my chart from my doctor or hospital visit, they are lying about something. It’s crazy!

Back in the old days you got a physical every time you went to the doctor. Doctors have found ear infections, tonsillitis, bronchitis and twice pneumonia that i didn't even know I had. I just felt bad for way too long and reached out for help. A relative of mine went in for an annual check up and ended up being rushed to the hospital. Turned out he was having a heart attack at that moment. His doc had heard his heart dozens of times and this was not right. But now it's rare to get even a basic physical. You usually go in and talk. Doctors, I promise you, you're missing important things by skipping this vital step. You've been well trained to catch things that average people don't even recognize as symptoms. Behave like it.

I’ve been an RN for over 40 years and can attest to this stuff. Unfortunately the profit drive in US healthcare is making it all worse.

A few years back when I actually went into the patient portal for my GP for the first time, I was shocked. The notes from each visit were super long and all lies. None of what was said was done was actually done.

My surgeon lied on my chart. I logged into the patient website after surgery and he dictated that he went over my surgery and listed the risks he supposedly told me about in detail. He told me NOTHING. I didn’t even know I was going to be under general anesthesia. I knew nothing about my surgery and he didn’t volunteer any information.

And when they don't know what's wrong with you, some of them recur to that old nugget: "It's all in your head". That is one of the worst forms of gaslighting there is.

I had a Resident tell me that her medical training taught her to be able to function as a sociopath.

I had a dentist who told me he only did very basic routine procedures. He drew the line at like root canals. He basically was trying to avoid anything that would cause the patients too much pain. He knew that the suicide rate for dentists was abnormally high and he wanted to avoid the misery typically associated with the occupation. He was still pretty young-under 40-and was in great shape, went skydiving, skiing, and took at least 1 or 2 vacations each quarter. He had a girlfriend but wasn’t married, no kids. His golden years would probably look very different from his peers but that might be a good thing. He was always very happy and very low stress. I’d like to see more professionals living like this in our society.

When I had my c-section, nurses would walk into my room, set something down and charge my insurance without ever asking me if I needed that item. Don't let hospitals take advantage of you and be your own advocate.

My late husband and I had a GP who never hesitated to say,"I don't know". His next words were usually, "But I'm referring you to someone who does". He also never minded if we did our own research. Once my husband was worried about an upcoming surgery, and begged me to look into alternatives. I discovered some very interesting information that actually pointed to a less invasive treatment that had a better success rate. My brother-in-law had the surgery and got worse. My husband, with his GP's agreement, had the alternative treatment, weathered recurrences of the condition, and cost Medicare a heck of a lot less.

Number 3 is soooo spot on though. I work for the billing dept for several hospitals. It’s crazy how easy I personally can mess up costs. But it’s sad because 90% of doctors make up the codes and add extra things and we wonder why money is such a big deterrent from getting medical help

I love a honest answer from a doctor, we had a bit of a medical mystery with my oldest son. The doctor was open about not being able to give us answers. He sent us to a few specialists while still looking for answers on his own. Hin and the specialists worked together to find us answers. We finally got a Diagnosis. I have alot of respect for that doctor and now drive a hour and half to see him because I refuse to lose such a great doctor if we don't Absolutely have to

This is why I will never set foot in The United States as a doctor. Extreme taxes, soul-draining work hours, forbidden from asking for help, the constant fear of being sued for absurd stuff... Nah, American healthcare is too messed up.

I have refractory epilepsy, and so many doctors have just brushed me off. I am guessing they were too busy to investigate further. I've had it since I was a child, and up until 4 years ago I'd have seizures daily, sometimes several times a day. About 9 years ago I got a neurologist who took the time to investigate, trying different things. Finally, she pushed a VNS through the Medicaid system. It took months to have the surgery approved but it's amazing how well it has worked. I've been seizure free for 4 awesome years. I have a life now, living alone, cooking, shopping, doing normal stuff without fear. Sadly, she retired in December. I've been waiting for months to see the new guy, I hope he's almost as good as she was.

I had a primary doctor at one point who took it upon herself to "summarize" my medical records before forwarding a copy to another doctor. She had me living in states I've never seen, filling prescriptions that never existed, and all kinds of opinionated ideas about my medical history. My new doctor threw it in the trash right in front of me. It's a shame that I might have needed those records to be accurate for a variety of reasons and nothing would ever happen to her even if I could convince the state of her fraudulent activity. I have a wonderful PCP now and couldn't be happier. Great video!

My GP and good friend told me Drs make most of their money on pharmaceutical kick backs prescribing meds. She didn’t like to prescribe unnecessary meds. Explains why she was driving a 10 year old car. She was more into telling people to change their lifestyle versus taking a pill for it.

Exactly why I rarely go to the doctor. Recently went for a physical and had labs drawn. My cholesterol was a little high but nothing to be concerned about. Doc immediately pushed statins along with 6 immunizations. I told him no on the statins and no on all shots except tetanus because of my work. He basically turned into a jerk. Not once did he ask about my diet and nutrition. I told him I'm going to change the way I eat and I'll be back in 3 months for new labs.

I agree 100% can't yell u how many times our doctors rush through your 4 min appt yet they dictate a full head to toe exam. When they never went pass the entrance of the door! Love u doctor!!

My father in law went in for a small belly button hernia; a simple procedure to fix it. While in the hospital he got a serious infection. An attorney saw the medical records and could see things that had whiteout and written over; he was also given the wrong medication which caused an allergic reaction, and the record of that was also altered later to show that he originally given the “correct” medication

SO true about faking confidence. One day they are Medical Students and the next day they are Doctors and 1’st year Residents making life and death decisions on very little sleep. I worked as an RN for many years in a Level 1 ED/Trauma center. Patients really don’t want to know that they don’t have the experienced Doctor so residents fake their confidence. As experienced Nurses we would really have to watch order closely to ensure no one died 🤷‍♀️

I had a surgeon perform a surgery I did not need. Falsely diagnosed me with an issue. I was severely injured as a result. Harsh punishment needed for this crime

I'd rather see a Dr ON the needed mental health meds than see a Dr who needs meds but isn't getting them.

Lying -- blatant lying -- has become the hallmark of being American. Very sad.

There was a teacher in my grad program. I was her favorite. She later became my mentor. She did something unethical that bothered me and I looked the other way. Actually I kinda found a work around and rolled with it, but I didn't do anything about it. A couple years later she did something unethical again. I reported her to the program and to the university. There was a panel put together to hear the case. All female, all faculty, all internal. No males, no students, no one outside the program. Basically her lunch buddies. They banned her from ever being a mentor, which she never was again. A slap on the wrist. A few years later she was promoted to department head. Instead of terminating her, they terminated the administrator who sided with me. A different department head. I did myself out of hookups but I did what was right and that is a sacrifice and a price few are willing to pay for their own integrity.

After a surgery, I had a Dr walk into my room, look at my chart for 10 seconds and walked out and the next week I got a $500 bill from that Dr for “treatment”. 😠 I refused to pay it. I got injured at work and insurance companies will tell you that just going to a Dr is considered “treatment”. Ridiculous !

when i first started as a nurse student it blew my mind all the things you had to do, then I realized yea the nurses are fast, but they're also skipping a lot of things in a similar way described in the video with the physical exam.

I have been pressured by a surgeon to have a surgery. When it did not take place, it turned out not to be necessary. I'm sure there are just overcautious surgeons, but I am also sure she was just trying to get me into the OR to get another surgery for her benefit, not mine.

That's an interesting problem. You're being taught ethics are a big concern, but when you get into practice it's like "SCREW THAT".

As a patient, I was really glad one of my doctors was ADHD. I am bipolar, and I feel that his mental condition allowed him to understand what it's like to have a mental illness. We had good rapport and good understanding. I learned a lot from him. I have a mental condition. 1 out of every 4 people is affected by mental illness. I have a good idea how to live with a mental condition, and I can help others. I think doctors seeking mental help are able to help people because of their experience.

The problem I have with the fifteen minute appointment is that doctors want to do all the talking. I used to teach professionals a social activity -- dancing -- and teachers, doctors and lawyers were always the worst listeners.

Per a comment below I also noticed that #9 was not on the list which is patients are lied about by doctors... Why they lie in a patient's chart is beyond me but it's happened to me on numerous occasions and then causes me difficulty with other physicians and specialists. It blows my mind as to what they think they're gaining by doing such a thing. And there's rarely a recourse for the patient as it's our word against the physician.

i had to take my wife to Advocate Christ hospital near Chicago on Christmas eve a few years ago for really bad flu, I overheard a veteran doctor just outside her exam area telling a new doctor to just prescribe most patients a norco, say there's nothing we can do for you, and send them home without actually providing any kind of reasonable healthcare. absolutely disgusting.

I am a nurse of 38 years. My husband had caner and was treated. When it came back we went back to Stanford and I and my family were told there wasn't a problem that my husband would live 100 years. The pet scan wasn't visible but he claims he read it. Bottom line surgery had to be done. The cancer spread and when lymph nodes resected the one node that was positive busted open and the out of 76 resected only one positive. The one positive when Dr. Told us all was good. Got told when he died that they were sorry that he slipped thru the cracks.

Ive personally been treated like crap from doctors, and have given up getting medical help since ive been put in debt and had noting done for me. I have no confidence in the medical system at this point. I went from doctor to doctor for a while before I turned 21 while I had free insurance, and could only get one to reconize I had a broken rib. Ive also had dentist do stuff they decided to do mid way through working on my mouth, then walk out for a hohr after drilling the enamel off of my front teeth then walking back in later.

In the past, Duke residents were on call every other night and did not get the next day off. They were then told that the problem with every other night call was that the resident was missing half the cases! Even though there are rules in place, the mentality still prevails.

Once, I had a large cyst the size of an egg removed from near my spine in the hospital. The patient next to me had a mastectomy. Later, I learned our medical records were switched! She was on Medicaid, which pays less than Medicare/Medicaid, which was my insurance. It took 3 - 4 visits to billing at the hospital to get it straightened out, but practically forever at the surgeon's office! I kept at it until the surgeon's office straightened it out (with the help of the Medicare/Medicaid fraud department) because I did not want misinformation in my medical records and it wasn't fair to the taxpayer. Thank G_D I had that conversation with the patient next door!

I will never forget when I detected something off of a former doctor of mine, something was amiss. I almost asked him what was wrong in his life but figured it was none of my business. A couple of months later he retired, three months later he passed away as a result of pancreatic cancer. I wish I could have done something to help him, after all he had done much to help me.

Thank you, Dr. Cellini, for giving a forthright presentation of what goes on behind the scenes with physicians attempting to give the best care they can give, or NOT giving it by bowing to a system which rewards falsehood

As an engineer, I have enough science behind me to sense a doctor not being truthful. I am not the type to remain silent. I usually begin by using a steelman argument. I say this while looking the doctor squarely in the eyes, "As a doctor, you are a scientist. As such, I expect nothing but the highest scientific integrity from you. Can we begin again?"

Coding and billing is EVERYTHING!! Hire a specialist if you have to!! Will keep your pts happy and ensure optimal reimbursement as a practitioner!!

I appreciate your integrity in sharing this article and helping the public grasp the pressures put on doctors to almost be clairvoyant, given an absurd fifteen minute maximum to do an accurate diagnosis on a patient. Physicians are putting their medical license, health and personal lives on the line to work in 80hr.+ sweatshop conditions. Hospital CEOs make million dollar salaries by cracking more product and generate revenue from understaffed doctors. Doctors are brilliant people that are bullied into not showing weakness, tolerate the indignities of top-down directives from health executives who themselves are often non-physicians. We deceive ourselves into believing that doctors are all given the time and resources to provide the medical care they want to give their patients. I am grateful for humans that head their calling to take the Hippocratic Oath.

Love your comment on WNL !!! I am in health care for many years and never heard “we never looked “

Thank you! I got my ER reports from the past few years just recently. Front page was 10+ yrs ago. I'm still very sick, they see my front page, they judge me and make me worse. I have so many things wrong with me but choose to hate me when I become mentally unwell because of my inability to eat/digest/tolerate food to be comfortable and healthy. I HAVE NO INSURANCE. The Drs hate me because of this. I could go on......

As a pre med it's actually kind of encouraging me to hear about all these stories of the bad parts of medicine and residency. Hopefully this will mean that in the future when I have gone through the issues will have been addressed or at least started being addressed

Blunt, honest observations from a true healer who cares for patients and mistreated, overworked resident doctors pushed to mental illness by lack of sleep and stress in an exploitative healthcare system. While she calls out doctor greed in upcoding, please see Glaucomflecken's video, Happy Bonus Day, about United Healthcare CEO who made $140 million in 2021. The video highlights his $12 million bonus. US healthcare needs to change. US needs to switch to Japan's universal healthcare (since 1961), with all non-profit health insurance companies, non-profit doctors' offices and non-profit hospitals. No pre-authorizations by insurance companies, no claims denied. The price of every procedure, drug and hospital stay is negotiated every two years between five doctors from Japanese Medical Association and Japanese Health Ministry. That price is binding for the whole country. Rates are low, but doctors see many patients and make upper middle income. Thousands of non-profit health insurance companies, all billing and payment thru a centralized government agency. Emphasis on primary care. Best result in the world: oldest longevity, very low infant mortality rates. Patients pay 30% co-pay on doctors procedures up to a low maximum, so there are no medical bankruptcies. Children and poor elderly pay a lower co-pay. All fee-for-service for doctor visits, per day rates for hospital stay based on diagnosis. 2/3 of doctors graduate from public medical schools which is six years after high school at a cost of $35,000 total. Free our doctors from immoral medical school debt average of $200,000. US healthcare system needs massive overhaul. Emphasis on patients, then providers. Stop prioritizing for-profit health insurance companies, price-gouging pharmaceutical companies, and large hospital chains with their overpaid administrators.

I have seen my medical records and itemized billing and it’s really outrageous. One doctor I had as a family care doctor had a phobia about germs so he rarely touched his patient during an exam. Still, the bill would have codes for weight counseling, tobacco cessation intervention, skin cancer screening and so on. In practice, it was you should try to eat healthier and exercise more. If you smoke, stop. A quick look at the skin as an afterthought and suddenly multiple services were completed. I think that’s one reason many drs dislike telehealth.

The mental health conditions is very sad… police and firefighters face the same issue.

My psychiatrist took the same medication as he prescribed us and that made him the best psychiatrist ever. He also openly advertised his condition and all the help he receives for from his entire holistic team. He was walking the exact same path as his patients. His son also had the same condition. He understood all your issues before you could bring them up and focused heavily on educating us. He was the most human and realest doctor I've ever had, a true expert in every way at what he treats. Sadly he passed away. He left us with amazing tools to manage our own mental health and lives outside of him. We continued to see him even though he equipped us to be independent of him because he was always learning and educating us as walking our journey with us. A doctor's lived experience with a condition can be very valuable to patients and (within reason) they should not be penalized for being honest about it. With the hectic lives we all live, everyone's mental health takes a hit from time to time.

Doctors near retirment might also skip some details. In the last years of his work, i told my doctor i had severe pain when pooping. I told my doctor over 7 years. He said it was normal. Sweating while pooping and almost passing out was not normal. Turns out im severly lactose intolerant. Found out by myself. Got pregnant, told him what i found out and changed doctor.

I think she has covered the most glaring lies and these aren't even limited to physicians. Virtually anyone with a doctorate ends up having to lie as part of the cost of doing business. I think it can be a lot more serious, with physicians, since lives are on the line, but I've been told to lie, by employers, throughout my working life. It's either meet the quota or hit the road. It takes a tremendous toll on our physical and mental health.

That goes for nurses and CA's too I know a nurse who was struggling with depression and anxiety. She happened to mention it to her nurse manager and made a comment that some times she wished she just wouldn't wake up. Her nurse manager reported her and she was suspended from work until she got a therapist and saw a psychiatrist. The bad part was there was a 6 month waiting list to get in with a therapist and psychiatrist and she wasn't being paid for that time. She fought it and after a couple months they let her come back to work but, it stressed her out even more and she said she will never mention it again to anyone she works with.

Michael, Am excellent topic to cover. As a 40+ year R.N. I have seen this over and over, to many times to count. Thank you so much for presenting to people who have no idea that this is going on. Best regards from your SEC neighbor, Deleen Alley, Birmingham,Al. Oh congrats on your school 's National Championship last January In the Alabama vs. Georgia game! I am such a Bama fan and you are a great Bulldog fan! Go Dawgs!

One of the easiest ways to avoid upcoding is to refuse the temperature check or, when young, getting a blood pressure check. The coding protocol literally doesn't allow upcoding if either of these items were missed, which are usually obtained by a nursing assistant. You have a right to refuse the checks especially if they are not relevant to your care.

I had a doctor sanitize my medical record after he nearly crippled me. This happened during Covid. The practice had only one door open and closed circuit TV. I got the recordings showing me in a wheel chair. I walked in, and could not walk out. He wrote in the medical record that the procedure went without issue. That video recording was my proof that he “fixed” the record. His office did reach a settlement with me after I got a lawyer.

number 7 is true, depending on the patients intelligence, if a person who is actually healthy but goes for a check up, and the doctor thinks, hmm i can do a small surgery on him, getting a few bucks, he is healthy, the surgery cant go wrong on a healthy person, you are just gonna damage his health, even if you damage him a lot, you gonna say its because of the disease... this is disgusting, to ruin someones health, because of money, this is the worst a doctor can do, its written in the hyppocratic oath - first and foremost - do not harm

I started recording my doctor's visits, but found out they hate it. So far 3 primary cares and 1 specialist have fired me as a patient.

During covid no hospitals were open. No one was allowed to see a doctor if they had any sympthoms of a cold. Hospitals and md offices was empty. Norway

A year and a half ago I was told by 10 different doctors that I must have the equivalent of a transplant operation immediately. Strangely, not one of them asked me how I was feeling when they walked in the room. I had no pain whatsoever. I rarely even burp. And I still have no pain. I walk a mile a day, sleep and eat well. I can work 10 hours a day, and have made 12 quilts the past year. Still can't figure this out. ?????

Ask for your medical records or download them from your providers’ website. Especially before your follow up appointment. Once they realize that you’ve been doing so, they’ll either be truthful with you or come up with an excuse for doing so,(like checking your labs just before they come into your room and telling you that they and their cohorts feel like you have cancer). We understand they don’t want to jump the gun on something like this but come on and be truthful with us right out the gate what it is your looking for. Some of us are scared so we do our homework

One lie that really shocked me was that a doctor I knew lied about having the minimum experience for anaesthesiology, she needed I think 6 months and she actually had 2. I don't know if she got the job, but I was really concerned she could do such a thing.

I went to the doctor, they didn't do a full physical (I'm 30, I haven't had a physical in 10 years, kinda thought it was time for a full one) but I got billed for it. I had to go back for a blood draw which they said they couldn't do the first time because somebody left early. So I scheduled the second visit and went back 2 weeks later. Then I get a bill for $400 for a visit where they only drew my blood and still didn't do the full exam, but did provide me with the information they should have provided during the previous exam about a diagnosis they made during the previous exam. Insurance company didn't want to pay for two physicals. I know billing is BS, I'm also a healthcare provider. But seriously?

it gets pretty bad when doctors want help you. I have chronic pancreatitis even if I go to the hospital they want even admit me because I don't have insurance. I've been in the hospital 8 times last year.

imo, "up-coding" is nowhere near as bad as the medicalization of "pre-conditions" (e.g., pre-diabetes). If insurance companies don't cover specific procedures, then it makes sense to code specifically for that patient to get a fair reimbursement (easier than negotiating). To me, this video highlights the absurdities within the healthcare and educational systems that lead to situations where doctors are perceived to be "liars" (excepting the false confidence narrative, which to a certain extent is true for everyone that holds a doctorate).

My sister worked with MD's for over thirty years in many settings. She told me they are the most unethical immoral profession out there. I found this to be true in a most horrific manner. Criminals among that group are very hard to catch especially sexual preditors.

Sounds like integrity is the first thing to go for doctors and lawyers among others. The entire atmosphere is being ruined by an overly severe backlash, an unhealthy, and unrealistic standards vs requirements.

The lying on death certificates happened with my grandmother. The doctor gave my grandmother Amoxacillin+... (Augmentan combination drug basically), and told her to take some at home. She did. Her Tommy hurt(I think it may be due to intestinal obstruction??/sepsis caused by catherization). Since at the hospital when they my aunts took her back there, she was given a bunch of new antibiotics(a load ton), and so I think she got sepsis. It's sad. I think he placed the cause of death:heart attack or whatever. And the hospital was trying to cover it up by constantly performing Covid19 tests in order to blams her death on covid 19, but it kept turning negative(and they made us pay for the covid test when she clearly took 2 already, and they want to do a 3rd one within a day of the other 2). Hospitals be dumb. But, we didn't press charges since the doctor she got treated by is a far relative(and has been treating her for decades although he slipped up this time and killed her and lied about)

Very enlightening! As a person with mild mental health issues, I would prefer to have a doctor who has had mental health treatment. I know my psychotherapist had many years of psychotherapy before being licensed. I think we are getting better as a whole, but we need to keep fighting against the stereotype of mental illness!

This was an excellent video, and one that I feel was very accurate. Having worked in health care for some 30 years I could relate to many of the scenarios you mentioned. On a more personal note, some 20 or more years ago I sat on a jury for a medical malpractice case. I was honestly surprised they chose me in the first place, but they did. It was an urology case with a procedure that resulted in incontinence. The main issue of the case was whether the doctor informed the patient prior to surgery of this possibility or not. The doctor insisted he did inform the patient, and it was documented in the medical records. The patient insisted otherwise. We found in favor of the doctor. Many years later, I had what I believe was this very same procedure done. No incontinence in my case. However, I did get a copy of the urologists report to my doctor, in which he mentioned that he explained in detail the possible side effects of this procedure, one being incontinence. I can say without a doubt no such conversation took place. The doctor's report was obviously printed from a template, and some of the precise wording was found throughout the report. It was interesting to note also that in the jury trial, the doctor had two other lawsuits after this one, and he eventually forfeited his license. As I look back on this after many years, I feel that we as a jury made a wrong decision in this case, but it is one of those gray areas where it would be hard to prove either way. But one thing I know is the doctor in my case did not exactly tell the truth. And I suspect the court case may have been similar.

My psych doctor was a Vietnam vet and went ape sh@t when he got cancer from agent orange and had to be taken down by a swat team.. fortunately he got the help he needed

Note on work hours. Emergency med is the only specialty that has a 60hr work week limit. Due to the intensity of the work. I typically work 40hrs a week on average as an EM resident.

I remember sitting in class after super hard exam and everyone pretended that they did not study or studied little bit "on the lunch break at Chipotle". I felt guilty and super dumb that I had to study all days and nights. Now I understand that everyone does, but everyone try to pretend that their life is super easy and happy and they are super talented and born knowing everything about organic chrmistry

I am in Eugene where Pam Wible is living. She is amazing and has done so much to work with providers’ mental health. Nurses and doctors who start out in a line of work caring for people are so cruel to one another

I recently had reconstructive surgery and I absolutely despise the surgeon. Every time I told him something I was concerned about, he blew me off and he definitely told me things I know weren’t true.

Thank you for standing up and speaking the truth

All my doctor's ask me if I'm seeing a neurologist (and who) for my myasthenia gravis - don't talk to me about how it's doing or how it's impacting me - just am I being treated - and then code for MG. This is true for my other chronic health problems. It's always shocking to me to see that they addressed multiple problems when all they did was ask if I was still seeing my specialist. All my doctor's do it - and what happens - is everyone thinks someone else is handling things that never get handled.

It's true about the upcoding. I used to find myself charged for two visits when I was younger, (in my 50s) I spent a lot of time contesting those bills.

I'm almost 75. since 2001 I've seen 2 physicians. In 2005 I needed a clean bill of health for a new job. In 2016 I had some symptoms, that caused my friends to insist, I see a Dr. Various tests showed, my heart was fine, but the Dr. wanted to put me on Statin drugs and a Cpap machine. I refused all of it. Here I am in good health, not overweight and still getting my 12 to 25 miles walking in every week (depending on the elements) 😊😊😊

It appalls me when I hear things like this. As medical professionals, you surely know of the studies done on people who work extended hours without rest breaks, those who are sleep-deprived, etc. I would hate to be a patient whose medical care was compromised by a person assumed to be a medical professional, alert and capable, who in reality was a sleep-walking zombie whose compromised capabilities resulted in harm to me or my loved ones.

@6:19 I used to work for an eminent mental health NHS trust in London (as a pharmacy professional) and we had a consultant psychiatrist that purely dealt with Doctors mental health problems. SLAM was a great trust to work for and I felt very privileged to work for them.

The uncanny parallels this has to the military

I went to a dr on a referral, and the chart /referral info from the referring dr had incorrect info so I was correcting the dr about what kind of injury and surgery I had. And the dr I was sent to goes “excuse me ma’am, why would the referring dr lie?” I was like umm bc he’s human and humans make mistakes? And then he said he wouldn’t see me and I’d have to go somewhere else. It was so weird. I went to my car and cried bc I felt like I had done something wrong. But i was in my early 20s, and quite ignorant about the world and people in general.

I lied as a medical student. I was working the ER and there was a 14-year-old boy that for some reason, the attending didn't like. He told me to do a rectal exam on him so he wouldn't come back to the ER. I lied and told the attending that his rectal exam was nothing remarkable after not doing it.

Maybe I have a more unique view… I had health issues since I was a baby and I’m now 47. I became a licensed medical coder in 2000, prior to entering a 2 year surgical assistant program then going into 4 year degree with end goal being to become a PA via Emory University. Add to that my mom owned her own medical billing company after working for a military hospital and several hospitals in Atlanta. Now my oldest daughter has her Bachelors degree in business and now wants to go into a program to become a physical therapist. My youngest just finished a two year business degree and wants her end goal to be a radiologist. There’s a reason we’ve all gone through the business/admin side first before getting into various healthcare roles. The things mentioned in this list and the fact that it’s such a status quo in this country also explains why medical/pharmacological mistakes are more lethal than the diseases we expect to see on that list. Everyone knows this crap goes on but few have the spine to stand up and demand change. Demand to get proper education, proper training, follow guidelines. Because right now, it seems like a field where the two things constantly rising/improving involves money and lives damaged or lost entirely.

Yep. I had a small growth, benign growth in my colon. First surgeon wanted to remove half my colon. I looked up the nccn guidelines and it didn't qualify. I fired her. Second surgeon agreed but wanted to remove at least my cecum. I found a surgeon that could remove it like an advanced colonoscopy and he did. The second surgeon came back and said the growth could cause problems, but I had to remind her it was already remove. ( WTF? ) She said, "oh yea, you are right I guess." I am now fearful of the medical system.

You forgot one of the lies doctors tell their patients - when I was first diagnosed with diabetes, no matter what I ate or how much exercise I did, I could not bring my blood sugar down. It was in the mid 400’s - I was miserable with it being that high. I had just read an article in a magazine about how “chromium picolinate” can bring sugar levels down naturally. I asked my doctor about trying it. He looked me straight in the face and said that article was a bunch of 🐴 💩 - that there was NO way Chromium Picolinate would help bring blood sugar down. Since I was desperate to find help I didn’t completely take his word for it. I asked my pharmacist (that I had been going to for 10 years) about it ….he leaned in, looked to his left then to his right (to make sure no one heard him) and whispered “that’s what “they” want you to believe, but they’re lying ….it really DOES work!” I can NOT express how angry I was when I found out that a doctor that I had been going to for decades,and trusted, looked me in my eyes and LIED to me with NO problem ….KNOWING how sick I was! And yet, he didn’t care! Do doctors get kickbacks from big pharma for pushing their medicines?

I've had numerous docs over time because of moves and our chaotic Charlie Foxtrot insurance system. I'm probably one of the worst patients a doc can have - one who does their homework and knows when they are BSing me.. I started doing this in the 80s, when I had the privilege of working for a highly competent physician. (I often accompanied him to transcribe his observations and as 3rd party observer, protecting both him and the patients, mostly him, JIC). My last physician; who I lost because my husband died and I had to move, was interestingly objective, intelligent and refreshingly candid. Now I have overworked professionals at an old people clinic my Insurance steered me toward who make HIPAA errors and have little time. I feel cheated.

Very good information. As a nurse, I tend to agree with the author.

I have noticed all these things as a Pharmacist and as a human who was misdiagnosed for years. I suffered all my life and wasn't diagnosed correctly until I was 48. I have been told to fake it till you make it in the past. I would go to my family practice doctor and they would do a CBC which would come back normal and I would just figure I must be crazy and just suffer in silence. I would have pain and night sweats that would interrupt my sleep every night. It would cause me to have bouts of depression. I would research my symptoms and think it might be this or that but I never wanted to tell my doctors out of respect for their profession. I never wanted to tell them what to do or how to treat me until I could no longer take the pain and suffering . One night after a 13 hour shift where I only got to sit when I used the bathroom, I came home and started typing up every medical problem my relatives had and every medical problem I could remember myself having or had heard from my parents I had had. I made an appointment with the only rheumatologist I had ever visited and faxed him the medical history. I made an appointment with him and went in to see him and for the first time I said to a doctor " I think I have Ehlers Danlos syndrome" as I stretched the skin on my neck. He hits his forehead with the heel of his hand and confirmed what I said. I had never just asked for pain medication because I knew I would not be able to be on them and work. I had previously tried gabapentin, and pregabalin for migraines but they made me so stupid I could not function as a pharmacist. I went into a healthcare field because I wanted to help people not to put them at risk. A few years after this I had to cut back on hours at work because of pain, my back started to have debilitating lower back pain. My internist recommended a back doctor, after taking some X-rays he said I needed a fusion. I told him I have EDS and he said the back surgery should help. I arranged 3 months off for recovery. The day before the surgery, I was waiting for his office to call and tell me what time I should come to the hospital. They called and told me the surgery was called off because of my EDS. I was in so much pain and now what I hoped would fix things vanished. My internist didn't know what to do so he sent me to the pain specialist in his office. She just threw opiates and gabapentin at me. It ended my career. I would not work compromised. The pain was intolerable. The pharmacy manager told me to just work while on them and I would not do that for what I think were obvious reasons. My life became a nightmare. Being home I discovered my husband was cheating. He became cruel because I wasn't paying all the bills. He had a job. I used up my money in savings to pay bills and my husband became cruel and verbally abusive. I got divorced but that didn't help my worsening depression. Thankfully I never liked debt and had payed off my home and car. My fear of being seen as doctor shopping helped in ending my career. I saw the opiate crisis before, during and after.

I went to the ER with severe flank pain, burning etc. they did labs and a CT scan. At the end of the evolution I was told I had the worst UTI these two doctors had ever seen. They gave me antibiotics and sent me home. The next morning I got a “call back” asking me to return to the ER, I said sure when, they said now. When I got there the same two doctors asked how I was doing, and make sure I took the entire course of antibiotics. And make sure I spoke to their assistant before I left. The assistant informed me to make an appointment with general surgery within the next couple of days because the CT had shown a growth on my pancreas that had doubled in size since the last time it was seen. It turns out there had been a note in my record to monitor it for three years. And this was the first time anyone had told me about it. I just. thought funny it took three years to make it important enough to mention.

I worked 12 hours everyday from Monday to Friday in a laboratory and that wrecked me. I’ve worked 16-18 hours in one day before. For doctors to do 80 hours a week is just insane, I couldn’t add two numbers after 12 hours, these people are in charge of prescribing meds it’s dangerous!

Good topic/ viewpoint. Esp agree with your view and comments that much of the lying is a direct result of messed-up educational/ insurance practices. A lot of factors. Although any lying (upcoding, procedures) that serves only to enrich a physician totally not ok. As I think we agree.

Did my residency before the work hours rules so we all knew resistance was futile. Even residents with valid complaints were not infrequently asked if they wanted to graduate the program. Very likely nowadays anyone complaining about and.or reporting abuse of work hours would meet retaliation and or threats of being ejected from the program.

Yep…my doctor constantly says we’ve discussed things that we haven’t during our visits. I don’t like that at all.