Why do Doctors seem to rush into a diagnosis, prescribe something..then when that doesn't work .......?

Question

They prescribe something else...I thought Doctors were regulated.

Answer 1

Sadly you are correct but in some cases it can't be helped. . . and according to "longlegg. . ." it is because they are soooo busy. . . I disagree.
Many patients give poor medical history/symptoms etc and Dr's do not know how each and every patient will respond to medication.
Penicillin might work for the most of the patients and then there comes you and you end up being allergic to Penicillin.
Each and every patient responds to treatment differently.
Some patients take their medicines like they are suppose to and others quit taking it as soon as they start to feel better.
Sure,Dr's get busy but NEVER so busy they can't make qualified and sound decisions. . . .this is part of their training.
Dr's get their licenses and after that they have no regulation except for the laws of the State Medical Board and they are required to get a certain amount of additonal training every so often.
Each and every day new medicines come out and this is why Pharmacutical Reps visit the Dr's offices in the hopes the Dr will give their company's medicine a try. . . .maybe this medicine doesn't work as well as other medicines and Dr's have no way of knowing this until they prescribe the medicine.
This is a "Feel Good" society. EVERYONE wants to feel better this very minute.
I had a head/chest cold and all I did was buy some over the counter cold medicine and rode it out.
The Dr I worked for got the same thing and went IMMEDIATELY to her Dr to get a shot so to get over her illness. . . . she didn't get any better any faster than I did and it cost her more money.
Because people are so quick to run to the Dr at every little "don't feel good",germs/bacterias are becoming resistant to some medications and a Dr does not have anyway of knowing if your body has built up that resistance.

Answer 2

Medicine is not an absolute science. When doctors diagnose, they think of many possible diagnoses and not just one. They choose a working diagnosis based on their professional judgement. This is the diagnosis which they think is the most possible and likely diagnosis. They can order laboratories (blood examination, x-rays, etc) to confirm this working diagnosis. Sometimes, depending on the case, they prescribe the medication recommended for that disease even without laboratory procedures. If the medications do not work, it does not mean also that the diagnosis is wrong, sometimes you need another medication, the second line drug(alternative drug)

Yes, doctors are regulated however doctors have different clinical judgement and abilities. Some have good clinical eye and can get the diagnosis easily, correctly and faster than others.

On the other hand, doctors do make mistakes since they are people and are not perfect...

Answer 3

Pretty simple, although not as humanistic as we would ideally prefer... they have 15 patients to see in 3 1/2 hours, not including "add-ons or emergencies". They don't have time to pee or drink some water. They use an objective approach to find out what the most likely cause of your symptoms are and then treat the symptoms. If this doesn't work they will retry with something in a similar family (for medications). If this doesn't work, they will re-evaluate and try something else. Many reasons for this include cost-effectiveness, etc.
All-in-all, it is frustrating for us, when we are not seeing the illness resolve and minimal solutions to the symptoms. I believe that this also sets us up for habitual unnecessary med usage and dependency to addictive drugs. Sad
The only regulation is "First, do no harm". Other than that, you have to prove incompetency.

Answer 4

I am going to weigh into this.

Firstly some doctors are very good, some not so good.

It seems the really busy ones are the better doctors.

Doctors are human, and don't know it all, they learn all the time, or should be prepared to learn.

A doctor has to know his/her limitations.
If they don't what is wrong then say so, no second guessing. Saying that they should always refer on to other doctors, if they feel the patients needs are beyond them.
They also need to know how to talk to a patient, and how to ask the right questions.
They need to be approachable, understanding and empathetic to the their patients needs.
Possibly the most important thing is really listen to the patient.
Never belittle or dismissive a patients thoughts or feelings.


As for patients we need to be clear in what we are trying to relay to the doctor, about our health or health concerns.
Be honest in what is, or is not happening in our lives. This includes any previous medical conditions we have had, whether we smoke or take drugs or drink.
We listen to what the doctor is telling us even if we don't always agree with them. (they listen to us, we listen to them, its amazing how this changes a doctor patient relationship, to mutual respect)
We also need to remember that doctors have bad days too, and they too get sick.

Edit
Just Q if doctors are not busy, why is it that more and more patients have to wait for more than 3 days plus, to see their normal doctor?
Also some doctors are so busy that they will not take any more new patients, hence people having to ring around different doctors to get an appointment, some people usually having to go to the local hospital for treatment as they were unable to get into any doctor unless they wait for a week.

Answer 5

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Answer 6

Medicine is not an exact science. They are learning and discovering new and different things every day.

Answer 7

Regulated Yes, but, NOT God, they don't know everything. In all illness there are variables.