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When a person goes to a medical institution, they expect to be treated equally as others, they expect to be heard and provided a solution. Unfortunately, that’s not how it works all the time and patients get disappointed with their healthcare providers.

The reasons can vary: it could be that the healthcare worker has a personal problem with a patient, maybe they worked 24 hours in a row and just want to be finished with their shift, or they don’t devote themselves to their job as much anymore because they’re burnt out.

There are obviously a lot of issues in the medical field that both patients and healthcare professionals have to deal with. And Twitter user @DrBryanLeyva wanted to know what people feel is the problem that is the worst in their eyes. Bryan asked, “What should we denormalize in healthcare?” and people had so much to say.

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Image credits: DrBryanLeyva

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Image credits: Department of Foreign Affairs and Trade

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#1

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Jenn Ryan
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

It took me until my early 30's to find an OB/GYN who would sterilize me. I have known since I was a kid that I don't want children. I have horrible side affects from birth control, so that wasn't an option. It is absolutely ridiculous.

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Bryan Leyva is a Doctor of Medicine who went to Warren Alpert Medical School of Brown University and now he is a public health researcher at the University of Minnesota. Bryan focuses his research on “the behavioral and social determinants of health; b) racial and socioeconomic health disparities; c) models, measures, and strategies to improve quality and equity in health care.”

#3

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Nikki Sevven
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

"Psychosomatic" isn't an insult. It means "(of a physical illness or other condition) caused or aggravated by a mental factor such as internal conflict or stress." Anxiety and depression can cause physical symptoms to worsen, and it's necessary to point that out clinically in order to properly treat a patient.

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He wanted to hear the vox populi and asked “What should we denormalize in healthcare?” which essentially means, what are the biggest problems in the healthcare system that bother people the most.

Both people who were patients and medical professionals joined the conversation and a lot of issues surfaced. Some pointed out that racial and sexual discrimination or applying stereotypes still are existing problems that prevent doctors from giving quality service.

#4

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Robert T
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2 years ago (edited) DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

This is no joke. When I was on chemo, they used start it of an evening, and well 4 or 5 bags of fluid has to go somewhere, so I was up all night peeing. You can therefore imagine my delight when someone comes round offering you breakfast at 7.30 in the morning! I won't complain too much though, as I owe my life to them and the care they gave me.

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Vicky Z
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Exactly!!! When a 15 year old is telling you while crying that her quality of life is so bad that she prefers to get rid of everything inside her or to die you don't f*****g tell her that it's normal and you better get used to it cause it's going to be like that for the next 30-40 years!!! (Real dialogue with my first ob!)

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J Rob
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I was at university and broke my pinky finger during the night. I went to Student health first thing in the morning when they opened. They put me in an exam room to wait for next available. I sat in the room for four hours. I thought things were getting very quite. I walked down hallway and everyone had gone to lunch except one attendant at the front desk. He asked me what I was doing! Not a happy day.

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Vicky Z
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

What's interesting is that noone is asking a pregnant woman if she is sure she wants to keep it cause she might regret it later! It's very possible that there is regret in both situations!

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Others were pointing to the absurd amounts of money they have to pay in order to get the help they need. There were a quite significant number of people who thought that doctors will not believe how much pain patients, especially women, are in.

Miscommunication was also brought up as doctors will not try to explain conditions and illnesses to their patients in a language they would understand.

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Robert T
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2 years ago (edited) DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

This is sadly one of the drawbacks of the NHS. The healthcare might be free, but it often involves a fair bit of waiting around, meaning more time off work, and if you have driven the to the hospital it can also mean increased parking charges if they are running late. I think we need to start an awareness campaign with fake invoices "if this had been America, this is what you would'be been charged". People might appreciate them more.

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Shane S
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I worked for an eye doctor that insisted we schedule patients starting at 8. But she wouldn’t roll into work until 10-1030. Patients would yell at the staff but be perfectly nice and friendly to her. She was our boss. There was literally nothing we could do about it and it was 100% her fault.

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BluEyedSeoulite
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Makes so much sense. My mom would schedule me to be the first patient of the day for my ophthalmologist. It was basically so we'd only wait an hour instead of 3+. He was the absolute best in the area but now that I'm older, I assume this is why his office was always running behind 2 hours on average. I never saw anyone yell at the staff, luckily enough.

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Brian Bennett
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I sent my doctor a bill for my wait time - time waited after my assigned appointment time - minimum wage in our country - boy did I get s**t! Asked why she thought her time was more valuable than mine - got s**t again!

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Marnie
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

My Dad (in Minnesota, USA) used to call the doctor's office and ask how far behind they were. I wasn't being snarky or trying to make a point or anything. He just was trying to solve a problem. If doctor was running 15 minutes behind, he'd say, "Okay, I'll be there at 10:30" if his appt was originally for 10:15. Seemed legit to me.

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Christie Schmitz
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I have been working at a large primary care facility. I really like working with everyone and the doctor I work for. The only problem I have is that the hospital that our practice is associated with determines how long appointments should be. Now imagine a new patient over the age of 65 coming in with a lot of problems...the is more like a 40 minute visit. Needless to say we get behind and patients start getting agitated. Why are people who sot behind a desk making these decisions instead of the doctor?

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Riley Quinn
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

After 15-minutes I leave. Then I send the clinic an invoice. Not that they take it seriously, but it's my way of letting them know that I have self-respect.

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Mazer
Community Member
2 years ago (edited) DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

This comes from limiting appointments to 15 minutes. Which is insane

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Rissie
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

That has more to do with not structually not leaving enough time in a schedule for emergencies vs planned care. But sometimes the planning was fine and the emergency just came up. So just be happy you are not the emergency and just have to wait an hour in stead of being in need of that emergency care.

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Calypso poet
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I just said something similar. My Dr ran late because they had to transfer another patient by ambulance to a hospital. I was there for a routine visit and blood work so I was ok not being the emergency and if I (or my husband, mom or dad) am I hope others show compassion and patience. Not this "me first no matter what" attitude we are seeing lately. It's why nurses are quitting and no one wants to work at restaurants.

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Margareta Hagman
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

if a company acted they way hospitals do they be out of buisness pretty fast ! its awful making sick people wait for hours ! not ok !

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Slune
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

It became my ritual: after 15 minutes waiting, asking how much more time I would have to wait...... After 25 minutes go back, announcing I have to leave and need a new appointment. It works! After the same procedure for 2 times at the same doctor I never have to wait more than 10 minutes.

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Viv Foxbury
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Quit whining! You think your doctor is doing that just to upset you princess.... doing the best they can. You are a bunch of ungrateful brats....

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Jane Alexander
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

So so true, no use re-hashing the details but damn her, I just left without ever seeing her.

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TheWickedOne
Community Member
2 years ago (edited) DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

That is the doctor scheduling too many patients because they want to get out and golf that day

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PixxelDust
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

shouldn't emergency rooms be for EMERGENCIES and be treated as such? i had extreme abdominal pain to the point of curling up and being unable to move, so my mum took me to the emergency room and we had to wait from 2am til 5am to even get moved to a room, where we had to wait further for a doctor to tend to me. and all they have is little kids shows on the tv. 2 excruciating hours.

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KT
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

You are there because you need specialized care, of which is hard to get. If you want it you will wait, because they are in high demand and nothing ever goes to plan

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Mz Phit
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

My vet is awful at time management! Was waiting 1.5 hours yesterday with my pup, in the exam room. ( she's medically complex so I stayed because I really wanted to see the Dr... otherwise I would have left in protest

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Katherine Boag
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Eh I get it though, earlier appointments run late or take longer than planned

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Gini Sarver
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I waited for over an hour nce for my neurologist in waiting area, it was cortisone shot day for me I went up to the receptionist and asked what there no show fee is…. she explained ~ I explained to her what my fee is for having to wait over the 20 minute wait time OMG!!!! the expression on her face was freaking awesome!! needless to say didn’t make it back to my seat before the nurse was calling me to go into the back ~ I NEVER waited more than 5 minutes after that visit I did send them a bill in the mail, fees all explained, and the hospital actually sent payment 🤣🤣

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Calypso poet
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

"I NEVER waited more than 5 minutes after that visit I did send them a bill in the mail, fees all explained, and the hospital actually sent payment..." Sure Jan, I mean Gina.

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Medical professionals themselves were mentioning burnout and long shifts as well as disrespect among colleagues. So both sides see problems that need to be fixed and every issue that has been mentioned has to be dealt with individually as there is no one solution that would fit all challenges, so maybe that is why it is so difficult to change the situation. 

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#11

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Caro Caro
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

My mum was discharged from hospital with meds and wound care supplies. A specialist comes every other day to take care of her wound.

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#12

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Zozo🤟
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I got really tired of being called a healthy young woman until I realized that they were saying that I wasn’t fat or underweight.

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Vicky Z
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Or normal because you are a woman and you are supposed to feel like s**t all the time

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Medical professionals are a crucial part of our society as they contain the knowledge of how to heal and survive when you are literally in the process of stepping into a coffin. But if they can't provide the care people need, it is really concerning and admitting that there are problems is already progress towards finding a solution.

So what would you answer to Bryan’s question? Let us know in the comments and also show us what tweets you agree with the most by upvoting them!

#15

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Jo Johannsen
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

When you can hear the nursing staff making jokes about you from outside your room in the emergency department. Guys, I am fat, not stupid and deaf.

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#17

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Robert T
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Stop pussy footing around. Make healthcase a universal right which is free to everyone.

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Lauren Caswell
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Ding ding Ding! Anxiety disorder, female, told my crippling pain must be stomach bug, twice turned away from hospital. Third time I went back i was really bad, and it caused a huge amount of surgeries that may have been avoided. I mean jeez if I'm saying it's only one notch below childbirth, pls listen. Anxious doesn't always mean wrong.

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Marie
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

As a person with several conditions that CAUSE weight gain as a side effect, I'm still classified as obese even as I know that if I wasn't watching every carb (dibeties 2) every cup of water or how much iron I eat(PCOS)(anemia) , or keep up with daily walks (arthritis), I could easily be 300lbs. So being 40lb overweight is NOT the issue.

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Joanna
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

YES! I'm always wary of a workplace that encourages self-care - they're basically setting themselves up to blame you when they work you to death.

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Pille P
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Or especially due to corona not letting the parents accompany a baby to hospital. Or the opposite, not letting a breastfed baby accompany mom to hospital and telling moms to stop breastfeeding.

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Kookamunga
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Well, I believe it depends on what kind of doctor you are there to see and what your medical issue is. I was told at the Ophthalmologist to put my clothes back on. The mammogram lady said I could've kept my pants on. It's very confusing.

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#23

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BluEyedSeoulite
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Over specialization is an issue for us in Korea. It seems like each specialist only knows about their specialty and nothing about general health or anything related to their field. My husband has bad allergies and weird sinus structure. Not one sinus doctor has offered allergy meds, they just want to do surgery. Finally saw an allergist, still no meds but wants to do expensive immunotherapy to "cure" his moderate allergies for the low cost of $800/year AND getting rid of our pets. Seems like a daily pill would be a lot cheaper...

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Kookamunga
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Gina seems misinformed. Kidneys? Nephrology. Brain issues? Neurology. Cancer? Oncology, etc. There's not exactly a Geriatric One-Stop-Shopping Center for specialists. It would be great if there was, though.

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Robert T
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Clinical language is used because it is unambiguous, but it really doesn't help the patient. Good doctors will take the time to explain things to the patient (I appreciate that they may not always have time for this).

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Riley Quinn
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

This attitude probably has its roots in some toxic masculinity initiation thing. Rarely do I hear women bragging about their burnout schedule, but it's bragging rights for some men. Very dangerous bragging rights.

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White Paper Tsuru
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

My hospital calls it "failure to thrive". I like that better. Means, might be surviving, but quality of life could be improved if we can find the source of what's slowing you down/troubling you. And maybe we can help you be more you with some supports.

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Vicky Z
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2 years ago (edited) DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I don't get what he means.... the term is quite specific in med books and it's a phrase that is used a lot when you are studying the patient's everyday life! Does he mean they use it wrong?

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