Both the wife and I have seen an internist that was part of a local medical 
practice we’ve gone to for over 25 years. Last year, one of the big local 
health care conglomerates (Advent Health) bought them out. Our internist left 
the practice to teach. So now we no longer have a primary care physician, we 
have an APRN (physician’s assistant) who sees us. We told the practice manager 
we wanted to be assigned to another doctor in the practice and they said they 
couldn’t, and that we would now be under this APRN. No choice - don’t like it, 
leave.

So we decide to change to another provider, a local clinic that’s part of 
another local medical conglomerate, Bay Care. We get to see a “real” doctor 
there, but first and foremost we have to have a “wellness visit” before we can 
be seen for anything else, like an annual physical.

I get a substantial discount on my employer’s health insurance for getting an 
annual physical and blood work. The new place can’t do a physical until I have 
my “wellness visit”, which can’t be scheduled until November - I tried 
scheduling this in July! After that’s done, I can get a physical, likely not 
until after the first of the year, which would not qualify for my discount (I 
have to have it done in the calendar year.)

So I’m going to the APRN for my blood work and physical because I can get in 
next month. After that, in November I have my wellness visit and I’m in good 
graces with the new place.

It’s just so stupid, and I have to believe it’s driven by nothing more than 
money.

On a related note, I nearly got kicked out the last time I went because the 
triage nurse goes through all of these questions about “feeling centered”, “Do 
you feel safe in your home?” and mental health stuff. I told her to stuff it, 
and that I wouldn’t answer any of it because it was none of their business. I 
felt it was really intrusive, and they play it up like it’s some sort of 
holistic “mind and body” garbage. She told me if I didn’t answer they couldn’t 
see me. I asked her what value it would have if I wasn’t telling the truth to 
begin with. Then I answered the questions.

Sorry for the language, but it’s bullshit. Total bullshit. I am so glad I am in 
good health and I rarely have to deal with these people. Mrs. Dan is just as 
infuriated, but she plays along to get the care she wants/needs.

-D

> On Aug 9, 2022, at 7:14 PM, Kaleb Striplin via Mercedes 
> <mercedes@okiebenz.com> wrote:
> 
> What do you think about doctors these days? Are they all idiots? The spouse 
> has been sick for a week, to the point she went to the ER Sunday. Has a virus 
> and very dehydrated. ER basically did nothing. Could not get an IV and just 
> gave up. Today she had a “wellness” visit with our primary care doctor. She 
> started to discuss the test results etc from the visit and the huge 
> dehydration problem but he cut her off and said this visit was only to review 
> certain things. Basically just going over the most basic items. So you are in 
> a doctors office and they ignore a glaring illness and say you would need to 
> make a sick visit rather than this wellness visit? It would seem to this 
> recent issue should be addressed on any visit including a wellness visit. I 
> use the same doctor and anytime I want to ask about my neck problems, or 
> anything related to my blood thinners he doesn’t want to discuss it, only 
> what is on his simpleton agenda for the day. 
> 
> Sent from my iPhone
> 
> _______________________________________
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