Seeing the same doctor can save your life – and... - Thyroid UK

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Seeing the same doctor can save your life – and AI can never replace that

helvella profile image
helvellaAdministratorThyroid UK
22 Replies

Guardian article - what is your opinion on seeing the same doctor all the time?

Seeing the same doctor can save your life – and AI can never replace that

Ann Robinson

AI is more embedded in our health service than ever, but it can’t replicate the trust built up with a doctor over many years

theguardian.com/commentisfr...

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helvella profile image
helvella
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22 Replies
greygoose profile image
greygoose

I take her point, but I don't really think it applies to thyroid patients. And, it does depend a lot on the doctor. l I've never seen a doctor I would want continual 'care' from.

Judithdalston profile image
Judithdalston

Nice idea , but if I want to see a particular doctor, who knows my medical history, at my Gp surgery have to wait 6-8 weeks!

Jazzw profile image
Jazzw

Fat chance of seeing the same doctor at my practice, unless I can predict 4 weeks in advance when I’m going to be ill...

Angel_of_the_North profile image
Angel_of_the_North in reply to Jazzw

My surgery doesn't allow booking appointments in advance - you have to keep phoning every morning on the off chance there'll be a free appointment., SO I don't bother going may more.

Treepie profile image
Treepie

The days of the family doctor are over with multi GP practices preferred and GPs retiring in their 50's plus part timers.

Ordering a repeat prescription online the other day I noticed patients are now encouraged to email the GP. They also do a call back to phone requests for appointments. Don't think they actually like seeing people face to face and avoid it all they can.

I'm afraid with the treatment I've received ( or rather not received) and the constant fobbing off my daughter is getting, leaving her in constant pain, my opinion of doctors is at an all time low.

The current NHS anniversary hyperbole on TV is just plain sentimentality, aimed at making us feel grateful and humble (and therefore not critical) !

T3sortedme profile image
T3sortedme

I’ve seen the same doctor for at least 15 years. He knows all of my health issues, treats me seriously as he knows me and it works very well. He will let me try things or vary doses etc. Problem with a different doctor is that they start from scratch each time so ‘wait and see how it goes and I’ll check you in a couple of weeks and we’ll do something then if it’s not sorted’. They want all their own tests.

I tecently took a guy I know who had just tried to commit suicide to see a doctor and they talked it through and gave him a mild antidepressant and said ‘come back in a week’. A week later it was a different doctor who rubbished the previous one, stopped the antidepressants and said ‘you’ll be fine. Come back if you have a problem’ That’s not helpful and it’s confusing. He needed consistent care and understanding of his situation. Only someone who knows him and his history can help him and different doctors can’t do that. It takes too long. The same doctor doesn’t need to. He already knows the story.

endomad profile image
endomad

That was exactly my thinking same Dr for 15 years, genuinely nice, caring man, unfortunately a hopeless Dr who ran a single own Dr practice. He kept me ill for years by utter negligence. He closed his practice 6 months after my getting 2nd opinion. He was being sued by a family where he had missed 2 obvious cancers in the parents who died within a year. I will not be dazzled by a lovely bedside manner again. Other than my thyroid/tt (2009) I had never seen a Dr since I was a child, it was a massive shock to me that many of them are lazy paper pushers with little professionalism or knowledge.

SilverAvocado profile image
SilverAvocado in reply to endomad

Very good points. Its easy to be hoodwinked by a doctor who seems caring and warm but doesn't have the critical skills.

I do think one great thing about this forum is we can get good information on what to expect from a doctor.

helvella profile image
helvellaAdministratorThyroid UK

Never believe a word I write.

I try but absolutely nothing should be taken as right or true without being checked out and verified.

Summer64 profile image
Summer64

I much prefer seeing the same doctor as they get to know you but that hasn't been the case at my surgery for some time and if you have a bad doctor I suppose it's not good to continually see the same one.

richard123 profile image
richard123

A fresh eye over health issues can be very helpful but I do take the point :)

AI is about the same as many GPs - just look it up on the computer. Look at the guidelines, don't listen to the patient or look at her, and prescribe the recommended pill (or an anti-depressant).

SilverAvocado profile image
SilverAvocado in reply to Angel_of_the_North

I very much agree. Its care by flow chart most of the time.

And at worst it's accompanied by a lot of hand waving and repeat appointments that waste even more time!

Angel_of_the_North profile image
Angel_of_the_North in reply to SilverAvocado

And referrals to specialists who do even more blood tests which come back "normal". Each appointment costs me a day's business income, so It's really not worth it.

Achilles_Pain profile image
Achilles_Pain

It depends on the doctor. I wouldn't trust my ex GP to put on a sticjing plaster. I spent seven years going back repeatedly with the same symptoms only to be told he didn't know what was wrong, come back if it gets worse. When I just happened to go in one day when he was on holiday because the pain was keeping me awake at night and "had to see his locum", as the receptionist put it, she correctly diagnosed me with hypothyroidism. When I had bad results with Wockhardt (always made me ill) he decided I was cured and took me off levothyroxibne and for the next few years refused to accept there was anything wrong with my thyroid and tested me for everything under the sun. If I was still seeing him I'd probably be dead by now - there was a fortnight in 2015 I felt so ill I honestly thought I might not wake up in the morning, which was pretty scary given I was only 48 at the time. I bet an Artificial Intelligence would have had a better chance of diagnosing me correctly.

crimple profile image
crimple

Helvella, you beat me to it, my internet was down.

I remember the good old days of a family doctor who knew you, your family and what was wrong with you. I don't think I have seen the same doctor twice in the last 3 years. Lots of locums, some good some bad.

It was different docs who kept messing with my levo, up, down, keep it within the TSH range, you know the stuff, that definitely made my thyroid health worse. I avoid them as much as possible but this particular practice seems strangely keen to test my TSH at least once per year and then rattle off the usual threats about heart attacks and osteoporosis.

A few months back we were told to check on Google before bothering a doctor. Wish they told the GPs about it first as they don't like Dr Google!

getting an appointment whether face to face or by phone seems to be a battle for most people, never mind seeing the same doc.

helvella profile image
helvellaAdministratorThyroid UK in reply to crimple

What they don't tell you is how to achieve the long-term relationship with your GP that they are are claiming to be so good.

It is all rather snakes-and-ladders. Move house, back to the bottom. Doctor moves or retires, back to the bottom. Doctor shown to be less than wonderful, back to the bottom.

Unlike real snakes-and-ladders, they didn't put any ladders in.

As someone has already said, being stuck with a bad doctor, especially if you have faith in them, can have dreadful consequences. At least if you see different ones, you stand a chance of one of them being somewhat better than the rest every so often.

crimple profile image
crimple

Very well said Helvella

TSH110 profile image
TSH110

If I have trust in the doctor and they are empathetic and competent I prefer to stick with that one. Otherwise I ditch an unsatisfactory one as fast as I can. I avoid seeing any GP if at all possible! I don’t think I’d mind AI, but it depends on if any rubbish has been programmed into it in the first place as to how good it might be I’d guess. I’d be quite happy to dismiss any clap trap from either GP or AI!

helvella profile image
helvellaAdministratorThyroid UK in reply to TSH110

One of my concerns about AI is how it is validated and maintained.

How does new research or new patient experience get into the system? Some of that might be done by its own collection of feedback but without knowing an awful lot more (far more than my brain can take in) there could be so many ways in which it fails to update, or updates wrongly.

Courtlea profile image
Courtlea

There is definitely room for AI in medicine

You would not believe the amount of medical errors that occur

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PRIMARY OR SECONDARY ADRENAL INSUFFICIENCY

might be treating you is important and could save your life.

Blimey! Thyroid disorders etc in a broadsheet

telegraph.co.uk/health/alternativemedicine/10985192/Could-a-renegade-doctor-save-your-life.html