Comment by haldujai

10 hours ago

I wonder if in your case (which is very common) the issue is a mismatch between expectations and reality. The medical system as we know is not designed for someone to listen to you and do a back and forth for hours. If we did that we would only treat 2-4 patients a day. It’s also not particularly helpful.

Time spent in a medical encounter is tied to patient satisfaction but there is rapid drop off for clinical benefit especially in the current day where investigations are more important than a physical exam in most cases and more than history in a substantial portion.

15 minutes is what we book as follow-ups or minor assessments in US+Canada, usually sufficient for most things. New consults or complex patients are 30-60 minutes.

Infodumping is not particularly helpful. Doctors are trained to use a combination of open and closed questions to guide the encounter based on their thinking and understanding of medicine. It’s relevant past medical history as not every symptom or past disease is necessarily useful in assessing what’s wrong today.