Confession of a Moscow doctor

2024 Author: Seth Attwood | [email protected]. Last modified: 2023-12-16 15:55

In the branch where I work, everything is very strict with sales. Did not fulfill the plan the first time - fine and minimum salary. If he didn’t do it a second time, he was dismissed. Any paid medical institution has a plan, the average bill per patient.

If the doctor does not cope with this check and does not fulfill the monthly plan, then he is reprimanded, fined, or even fired altogether, if this is repeated several times.

"Because of people like you, mrazin, my daughter was diagnosed with demodicosis for 10 months, not forgetting to ask for money for tests, including for dysbiosis, DYSBACTERIOSIS! Visits to an immunologist, allergist, endocrinologist and other parasites. And the child already has scars. have appeared for centuries. Burn you in hell, creature."

This is one of the first comments I received on a previous post.

The comment is quite fair, I perfectly understand the feelings of this woman, and I sympathize with her. The situation she described occurs fairly regularly. For each patient, I receive a whole stack of tests and examination results.

As a rule, I send all these tests to be taken in two steps, so that the patient does not immediately jump away from the impressive cost and does not suspect the excess of the prescribed examinations.

Firstly, usually there is no need to take such a number of tests. But you already know perfectly well about the plan, rate and check for each patient.

Secondly, you, most likely, cannot even imagine how your analyzes are done and how your tests are faked in laboratories.

There are several options:

Clinics that save money on testing

You have been assigned a lot of analyzes, and you paid the corresponding amount for them, but the research, at best, is carried out only by the most basic ones, or not at all. Why is this happening? Most likely, the clinic you came to is doing poorly, so they save on tests.

Accordingly, an unreliable picture of your examination is obtained, and, as a result, inadequate treatment. As a result, health is not only not improving, but, most likely, will deteriorate, which will provoke the appearance of other sores. But this is not bad, because now you will be going to this clinic for a long time and regularly. But this is not done in all clinics, but only in those where sales are poor, and the clinic does not even pay off.

Clinics that do not miss the opportunity to make money even on a healthy patient

The tests are prescribed to you according to the standard scheme, but their results are faked. They “discover” what you don't really have. And this, by the way, is not the worst thing, because only a minor "disease" is found here, which can be "cured" by dripping a few droppers and drinking a course of medicines. The patient, most likely, will not feel the difference, but then he will pass tests again, which will show that he is “cured”.

Clinics that detect a serious or fatal illness in a patient

Most likely, these are clinics with lazy and dumb leadership with post-Soviet thinking, who only know firsthand about management, marketing and internal sales. They save on everything, doctors are paid a modest salary. They are greedy executives who only have one clinic because they will never expand to the network scale due to their greed and stupidity. Therefore, in order to somehow stay afloat, and at the same time earn bread and caviar, they are engaged in outright scam. The atmosphere in such clinics is depressing, the doctors are angry, and this can be seen with the naked eye.

And the last option

These are clinics that do not fake anything, but thanks to competent management and marketing, they manipulate the patient so that he passes a large number of tests, add. analyzes and examinations. The patient is diagnosed only after the plan has been completed, and then an adequate treatment regimen is prescribed.

It is in such a clinic that I work. And I will tell you that this option is not the worst. Moreover, today, even the best in Russia. Yes, the patient will spend 3-5-10 times more than necessary, but he will definitely know a reliable picture of his situation.

A few words about free medicine

In the comments, they wrote to me a lot that since they make money out of patients in paid clinics, therefore, it is better to go to a free district clinic. But tell me, what is better for you, to be cured, though for a lot of money, or not to be cured at all, because “for free” no one will give a damn about you? In the next world, money is no longer needed.

Time is running out now. I am writing the most memorable situations over the past week - later I will describe in more detail. We had an extraordinary meeting the other day.

The bosses were extremely dissatisfied with the falling income of our branch - everyone was reprimanded and threatened with layoffs. The main complaint: "You at work only do what you drink tea, and do not treat patients properly."

This is despite the fact that I alone bring from 3.5 million rubles to the cashier in twenty working days a month.

We set the task: "To bite into any patient and if the described symptomatology even remotely resembles complex diseases, then intimidate patients and prescribe local procedures and additional examinations."

Our ultrasound specialist, frightened that she would be fired, told a pregnant healthy girl that she had premature oligohydramnios, the placenta was covered in cysts, that everything was very bad, it was urgent to put IVs and conduct a full examination, otherwise she could lose the child.

A pharmaceutical company that promotes its "miracle drugs" through us has released a new remedy for gastrointestinal diseases. As a result, several patients have already complained of diarrhea and bleeding.

The urologist, when taking material for PCR, provoked bleeding from the urethra. The patient stained the doctor's white coat with blood and began to fuss with fright, splashing drops of blood on the floor of the office. When the doctor opened the door and went to call the cleaning lady, the patients who were waiting for their turn, when they found out what had happened, got up and left. Something tells me that our urologist will be fired.

For those who were interested in what salaries are in our clinic and how sales are stimulated, I’ll tell you. We have a minimum salary of 10-15 thousand rubles on average. Everything else is interest. From the patient's appointment, the doctor receives 20%, six months ago it was 15 … For referral to another specialist 5%, six months ago it was 3%. For referral for testing 8%, six months ago it was 5%.

If you are studying at medical schools and want a decent salary, I recommend studying to be a non-therapeutic doctor. You will receive even more money. Those who know how to count have already guessed why.

A funny moment that many of you probably noticed, but do not know the inside story. If you paid attention, in many medical centers in Moscow "honor boards" with photographs of the best doctors of the month hang at the reception in Moscow, and I guess what the patients think about this. But in fact, these are the doctors who brought the most money to the cashier this month. It's like employee of the month at a furniture store.

Many sores, due to which patients go to clinics, can be cured after one or two consultations, based on basic general tests. This is enough to determine the picture and prescribe an adequate treatment regimen. But it is completely unprofitable to treat this way, and if you try, you will get a hat from the management.

By the way, the patient does not even need to be intimidated when he comes with his problem. It is enough just to amplify his already existing fears with all sorts of hints and shaking his head. And the most stable patients are those who carefully study their symptoms on the Internet. Read all sorts of horrors and agree to all kinds of examinations.

It is unprofitable for the patient to treat, it is beneficial to relieve symptoms and delay to the last. And if the patient managed to earn dysbiosis from taking an infinite number of drugs, then this is not bad. The patient becomes completely sad and obediently goes to the appointment and is ready for all procedures and additional examinations.

Surely some of you have had cases when you were treated for a long time in some medical center, and there was no improvement at all, and then at some point you lost patience or financial problems started and you dropped out of this business.

Then - once, and health improved itself by itself. Many sores heal either on their own or with minimal intervention.

And it may also be a discovery for someone, but most of the drugs that we (doctors) prescribe, we do not take ourselves even with similar diseases.