Let's talk about why, although this may be frustrating, it is ableist, classist, elitist, and more.
It's also really bad doctoring.
#GiveUsThisDayOurDailyThread
It's also really bad doctoring.
#GiveUsThisDayOurDailyThread
https://twitter.com/DrRosemaryL/status/1495135286443094018
Just in case... 
1) Health isn't just about healthcare in a clinic space or exam room - it's about whole person health.
Acting like everyone has the social supports, ability, etc., to access transportation and other key items to attend appointments isn't thinking with someone's reality in mind.
Acting like everyone has the social supports, ability, etc., to access transportation and other key items to attend appointments isn't thinking with someone's reality in mind.
We know from research (and common sense) how negatively having shit access to care.
Here's a great example RE mental health.
theatlantic.com/ideas/archive/…
Here's a great example RE mental health.
theatlantic.com/ideas/archive/…
I literally wrote my master's capstone around how the ways we think about and measure patient engagement aren't rooted in reality.
I mean, they don't even acknowledge racism. Hello.
academia.edu/33840228/EFFEC…
I mean, they don't even acknowledge racism. Hello.
academia.edu/33840228/EFFEC…
When providers are upset about patient no-call-no-shows, they SHOULD be checking in with patients and seeing what happened.
Is there a barrier we haven't addressed yet? Is there a medical issue with memory?
Is there a barrier we haven't addressed yet? Is there a medical issue with memory?
Providers and other folks withing clinic spaces could actually make a HUGE impact in the lives of patients by, idk, checking on us when things didn't go 100%.
It's not rocket science.
It's not rocket science.
https://twitter.com/GraysonGoal/status/1495535325141250057?t=lzlEbm7SNpUYND2pKZfOOA&s=19
2) Another (related) point is the issue of providers treating patients like shit for being human.
I'm sorry, but yall ignore our symptoms, gaslight us, and act like we should be refused care if we NCNS. And we're the awful ones here?
I'm sorry, but yall ignore our symptoms, gaslight us, and act like we should be refused care if we NCNS. And we're the awful ones here?
Providers, if you've begged us to recall that you're human, too, ever?
I do not want to see you get upset like this on social media and throw all these patients in the trash, either.
Work on finding a therapist that treats those in healthcare esp if able. Don't yell on here.
I do not want to see you get upset like this on social media and throw all these patients in the trash, either.
Work on finding a therapist that treats those in healthcare esp if able. Don't yell on here.
If I followed a provider of mine on Twitter and they yelled about me missing an appointment, even in bulk like this?
I'd be searching for new stuff or avoid rescheduling as long as humanly possible, esp if you're looking at my bits. Ugh.
I'd be searching for new stuff or avoid rescheduling as long as humanly possible, esp if you're looking at my bits. Ugh.
3) There's been majorly shit weather in the UK?
Wisconsin providers would've called and rescheduled appointments at that point. Not yelled at people (even indirectly) about not coming in.
Wisconsin providers would've called and rescheduled appointments at that point. Not yelled at people (even indirectly) about not coming in.
See also, doc felt the need to justify her ranting after people reminded her about the weather.
Still is shit.
Still is shit.
Here's more RE the weather
https://twitter.com/besidethesea1/status/1495534852254441477?t=lzlEbm7SNpUYND2pKZfOOA&s=19
4. This is an important issue to consider - when doc says 'consequences' what does that mean?
How does she want to see patients ‐punished‐ during a pandemic for NCNS with a provider with this attitude?
How does she want to see patients ‐punished‐ during a pandemic for NCNS with a provider with this attitude?
https://twitter.com/FearoDepth/status/1495533696287399945?t=lzlEbm7SNpUYND2pKZfOOA&s=19
Private practices + types of US clinics (e.g. pain management) can set up rules about NCNS limits. Basically, if you miss 3 times, you're off their panel.
The NHS in the UK doesn't have that, but the growing private practice field there likely does.
Maybe she needs a change.
The NHS in the UK doesn't have that, but the growing private practice field there likely does.
Maybe she needs a change.
5. How is this ableist, elitist, etc?
Health conditions l and other life situations can bring on things like bring unable to manage time, having to rely on others for rides to appts or childcare, and more.
(No, walking distance doesn't automatically make it more accessible.)
Health conditions l and other life situations can bring on things like bring unable to manage time, having to rely on others for rides to appts or childcare, and more.
(No, walking distance doesn't automatically make it more accessible.)
Also, on the life front? There are also things you're not supposed to do within 24 hours of paps, like have sex.
Sometimes people get too into the moment or excited and forget that, until shortly before an appt.
Sometimes people get too into the moment or excited and forget that, until shortly before an appt.
Would it be frustrating for this to all happen on the same day? Could be, sure.
Instead, one could choose to see it as patients facing barriers that need to be corrected or making decisions that keep them safer today.
I'd much rather lead toward the latter.
Instead, one could choose to see it as patients facing barriers that need to be corrected or making decisions that keep them safer today.
I'd much rather lead toward the latter.
Also?
we
are
still
in
a
global
pandemic
we
are
still
in
a
global
pandemic
Maybe someone found out they might have been exposed to COVID + didn't want to share that info with someone being judgmental.
I often will say I forgot or spaced in those situations because no one actually wants to hear my answer. They want to point fingers.
I often will say I forgot or spaced in those situations because no one actually wants to hear my answer. They want to point fingers.
What do we do moving forward?
Well, providers need therapists - especially with the pandemic.
Clinics need to be working off PDCA cycles and evaluating new workflows with patient + family input.
Better appt reminders need to be set up, too.
Well, providers need therapists - especially with the pandemic.
Clinics need to be working off PDCA cycles and evaluating new workflows with patient + family input.
Better appt reminders need to be set up, too.
Coming on Twitter as a provider and complaining does nothing to address the situation.
In fact, it often widens the gap between providers and patients on social media due to shitty hot takes.
We don't need more walls and silos.
In fact, it often widens the gap between providers and patients on social media due to shitty hot takes.
We don't need more walls and silos.
Per usual, here's a note with my reflexivity statement and where I'm coming from
graysonschultz.com/reflexivity/
graysonschultz.com/reflexivity/
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