#41 ·
A Woman from Rijeka brought this up earlier and I feel like I should jump in... honestly, I think a massive chunk of our healthcare mess boils down to primary care and those family doctors at the local clinics.
I get the feeling a lot of them just don't have the right expertise, so they end up acting more like glorified switchboard operators just funneling people toward the big hospitals. If we actually had decent triage happening at the GP level, I bet those insane hospital waiting lists would shrink overnight, but that’s just not how things work here. And man, when those folks miss the mark, you get screwed hard, often missing the window for a real diagnosis until it's too late.
It basically goes one of two ways: they either reflexively send you off to a specialist—which helps the patient but absolutely wrecks an already overloaded system—or they spend weeks fumbling around with random treatments while the situation gets worse, eventually landing someone back in the ER or even a funeral home.
It’s probably not an exaggeration to say that once these GPs finish med school and their residency, they pretty much plateau. They don't seem to bother keeping up with the latest research or guidelines, which means they aren't doing proper triage, starting the right treatments, or correctly judging when someone actually needs a specialist and when they don't.
I've seen some scary stuff firsthand because of this—like kids being handed Reglan for simple nausea, little toddlers getting prescribed Tramadol for pain, or treating an acute cholecystitis with just a diet for days right before it perforates. I've even seen people told that colon bleeding was just "stress" without any testing, or someone having leg wounds wrapped for months without anyone ever thinking to check a glucose level that was sitting way over 300. There are endless examples like that.
Look, I know everyone makes mistakes, but these aren't just tiny slip-ups; unfortunately, they aren't rare either. But just like pretty much every other medical blunder in the history of this country, these errors happen without any real consequences or accountability for the person who messed up.
Like I mentioned before, people really don't realize how much luck they need just to survive the adventure of trying to get medical care in this country.
Sadly, that's just the reality we're stuck with.
I get the feeling a lot of them just don't have the right expertise, so they end up acting more like glorified switchboard operators just funneling people toward the big hospitals. If we actually had decent triage happening at the GP level, I bet those insane hospital waiting lists would shrink overnight, but that’s just not how things work here. And man, when those folks miss the mark, you get screwed hard, often missing the window for a real diagnosis until it's too late.
It basically goes one of two ways: they either reflexively send you off to a specialist—which helps the patient but absolutely wrecks an already overloaded system—or they spend weeks fumbling around with random treatments while the situation gets worse, eventually landing someone back in the ER or even a funeral home.
It’s probably not an exaggeration to say that once these GPs finish med school and their residency, they pretty much plateau. They don't seem to bother keeping up with the latest research or guidelines, which means they aren't doing proper triage, starting the right treatments, or correctly judging when someone actually needs a specialist and when they don't.
I've seen some scary stuff firsthand because of this—like kids being handed Reglan for simple nausea, little toddlers getting prescribed Tramadol for pain, or treating an acute cholecystitis with just a diet for days right before it perforates. I've even seen people told that colon bleeding was just "stress" without any testing, or someone having leg wounds wrapped for months without anyone ever thinking to check a glucose level that was sitting way over 300. There are endless examples like that.
Look, I know everyone makes mistakes, but these aren't just tiny slip-ups; unfortunately, they aren't rare either. But just like pretty much every other medical blunder in the history of this country, these errors happen without any real consequences or accountability for the person who messed up.
Like I mentioned before, people really don't realize how much luck they need just to survive the adventure of trying to get medical care in this country.
Sadly, that's just the reality we're stuck with.