Mar 11, 2012
Why is there a paucity of thorough patient reviews of their doctors? Is it because doctors are hypersensitive to criticism?
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Why is there a paucity of thorough patient reviews of their doctors? Is it because doctors are hypersensitive to criticism?
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For $2 a Star, an Online Retailer Gets 5-Star Product Reviews
How long has the NYT been asleep? Of course, retailers post fake reviews. Check out Amazon Marketplace or Amazon.com for unknown authors for examples in the wild. A small "lit." review will show that even "professionals" like physicians do it -- or their minions. Yelp! does an impressive job of filtering out suspect reviews. Like these three 5-Star Reviews for a physician practice, that should, IMO, have had disclosures. One reviewer happens to have the same name and city as the manager's spouse. Another reviewer, has the same name as someone who works there and gave a favorable rating by name to several of the rank and file employees. And the last reviewer meets a random guy on the bus who tells him he should come to his workplace for medical care. Amazingly, he has a good friend with the same name as the reviewer. Then again, maybe it's all a coincidence. Or a theory, like the existence of Bigfoot.
Consequences of doctors pretending to be scientists
The New England Journal of Medicine is celebrating 200 years of its inflexible, expensive and elitist publication. The canon is few in number, thereby limiting the outflow of information. "It is an ideal system for sharing knowledge, said the quantum physicist Michael Nielsen, only 'if you’re stuck with 17th-century technology.'"
"Patients want to know they are getting treatment based on medical evidence, not a lunch or a financial relationship. They want to know if their doctor has a financial relationship with a pharmaceutical company, but they are often uncomfortable asking the doctor directly."
Allan J. Coukell, pharmacist and consumer advocate at the Pew Charitable Trusts
Most ... physicians privately admit that many of their decisions are based on intuition rather than on detailed cost-benefit analysis. In public, of course, it's different. To stand up in court and say you made a decision based on what your thumb or gut told you is to invite damages. [D]octors go to some lengths to suppress or disguise the role that intuition plays in their work.
All Hail the Hunch—and Damn the Details
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How to handle workplace bullies
An unfortunate story from the Chicago Tribune about an hospital employee being bullied by nurses:
A secretary at a large Chicago-area hospital, she'd endured years of harsh treatment at the hands of a clique of nurses that basically ran her floor. The nurses referred to another secretary, a very large woman, as "fatty" and "fat-[butt]." They yelled at the secretary herself and scolded her when she stood up to them: "Watch your tone with me."
Fortunately, she doesn't work in Morton Grove, where professional management is non-existent.
"Every time someone is called 'fatty' you happen to be in the vicinity. And that's empirical evidence, by the way."
Anyway, I hope this woman gets help soon, because healthcare providers aren't nearly as altruistic as they portray themselves.
One icy morning
Receptionist: Good morning! Welcome to the practice, how are you today?
Patient: I just fell in the parking lot. I think I broke my wrist.
Receptionist: Yes, it's slippery outside.