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Expectations (Re: Psychiatrists (and others)

Posted by alohashirt on January 22, 2005, at 17:21:50

In reply to Re: Psychiatrists (and others) please read » alexandra_k, posted by Jakeman on January 22, 2005, at 17:02:54

My knee jerk reaction to your post was "What do you expect?"

In a 2 mile radius of where I live there are 40 bagel shops. Three of them are excellent, one of them is copnsitently appalling (staff & stale bagels) and the rest are in the middle.

I don't think psychiatrists are any different, although the stakes are higher and its not so easy to switch from one to another.

My experience suggests that pretty much everything has these tiers:
10% excellent
40% largely good
40% mediocre
10% apalling

I imagine that most pdocs would straddle three of these groups for different patients. My pdoc is very well informed, creative, analytical, forgets my history, accidently bills me for the wrong codes, is always in a hurry. Today I'd give him an "A" for excellent. The bill problems all get resolved eventually, I'm in a hurry too so I don'ty need the bedside manner and I don't take the forgetfulness personally. I'm sure he has patients who would rate him a C and in a different context I'd give him that too.

Now maybe your psychiatrist is a bad apple, maybe he's mediocre or just a bad fit for you.

It's a stressful, difficult job that exacts a heavy toll on people and not something I would be willing to do.

My advice is don't take any of it personally, recognize that you will always need to manage your doctor, and find a way to get superb care from someone who is "good enough."

Good Luck!


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