Dr. Bornstein; personal physician to President Trump seems more interested in talking about the policies that are anti-people viz.  how insurance companies are too powerful, how walk-in clinics poorly serve patients, and how doctors aren’t held in the same esteem as they used to be. He speaks about the healthcare introduced by former President (Obamacare), which he sees as giving too much power to the insurance companies.  Leaving the celebrity doctor aside to advise on health policy in USA , you talk to any doctor in India, who will speak out his mind about problems he faces in ‘Managing  annoying patients’. A doctor cannot express in a harsh way nor can he ignore patients. But this tells upon his capacity to diagnose and treat his patients. The annoying patients and other patients, who follow him, get poor quality of care and attention from their doctors. While doctors are often blamed for their greed, it is the patient and his kin who force the doctor to prescribe avoidable medication and tests.

There are 3 types of such patients viz. “dependent clingers” – those patients who obsessively need constant reassurance from their doctor. Then there are  “entitled demanders” – patients who feel as though they deserve the best medical care, and their doctor better give it to them or else. Finally, there are the “self-destructive deniers” who seem to be on a mission to ruin their health until they kill themselves.

 What the annoying patients generally do?  

Some of the annoying habits of the patients are listed here a)Show up with an epic list of ailments/symptoms/ huge records b) Lie about  symptoms or indulge in nonstop narrations or bombard with questions or interrupt the doctor to get priority or indulge in gossip  c) Be rude or aggressive or violent d) Demand a sick note for a fake illness or authenticate a false bill e) Fail to bring old records or finish courses of medication, or completely ignore the instructions f) Steal things or fondle items from the doctor’s office  equipment g) Furiously demand antibiotics for a cold or other prescription h) Harass the doctor in a marriage party or when he sees him in Ellante i) Refuse to give  children or spouses, privacy j) Yelling at or threatening  the doctor or others or flaunting his political links k) complaining about the  previous doctor l) show off that patient knows more about medicine than doctor m) Don’t have a wash before coming to the doctor and are smelly. Dirty and unhygienic patient compel a doctor to get rid of them fast without giving the required time for their diagnosis. Sweating patient direct from work or someone with a problem of incontinence with the smell of urine visits the clinic without cleaning themselves.  n) coming late or miss an appointment o) patients hide from the doctor that they are not following the prescription, but they don’t hesitate to blame the treating doctor for no relief p) taking herbal supplements or other drugs or using alternative therapies q).bringing dozens of articles downloaded from the Internet. It’s often annoying and burden for the doctor to make a patient understand that an internet search unaided or unguided by clinical knowledge has no meaning at all. r).Your phone calling at odd hours to renew a prescription or advice without consultation. There is a reason that doctors ask patients to visit the clinic for follow-up. They have to look at patients, how they walk in, and the state they’re in and so on. Maybe a physical examination will give more information on his status. It is a lot more to an office interview than asking questions. Doctors assess how they are dressed, how they’re behaving. They do that instinctively. Unfortunately, patients are not able to understand that and blame the doctors for their greed s) speaking loudly in the mobile or chatting informally with fellow patients or their attendants.

The majority of the Doctors and paramedics, work hard under very odd and difficult circumstances even at times when they see hundreds of patients with meager facilities. Despite the untiring hard work round the clock, patients find faults and are not grateful.  Do patients expect too much from doctors?  Now the threat of medical audit is also looming large on the medical attendants from patient’s perspective, whether prescribed medication or intervention was really indicated. Was there any conflict of interest in such management?

In public hospitals there is fear of neglect or casual attitude despite dedication. Not many hospitals in private sector escape criticism of ordering unnecessary investigations, consultations, and even interventions. The physician is no more an angel, but is emerging as a necessary evil.

So what could be a dream hospital for you, me and any ordinary person who can’t afford five-star hospital but is sensitive to safety and quality of health care? Who can give assurance on these issues of affordability, accessibility, and accountability? Where can I or any dear or near ones walk in a clinic  of any hospital/private hospital/nursing home, without introducing myself on social status, or position and am assured that I get right treatment at right time by the right person by right methodology on the merit of my ailment not because of my position or status. Is there any hope for such a system in future? What do patients really want from health care? While such a system may see the light of the day, the patients and their attendants have to approach the doctors with their genuine complaints free of ego, without bias or haste, be examined and treated politely for a good outcome.

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