Welcome back to my five module series on fixing healthcare specific to the doctor patient relationship. Now I put together these five videos as a compartmentalised group of videos because I really want to talk about the importance of the doctor patient relationship. This is really, really important because at the core, we need to be able to have that relationship, re-established. Now, as I mentioned in the previous video, believe it or not in America today, there are consultants roaming around the country, helping hospitals and clinics, increase patient flow. In fact, they call it ‘patient flow analysis’ or ‘patient throughput analysis and optimization’. Now, these are consulting terms that talks in very simple terms about how can we see a whole bunch of patients really quick today, how can we shove more patients through the assembly line? That’s what this is about. In fact, believe it or not, these systems are borrowing methods from McDonald’s and other fast serve restaurants to figure out how we reduce time movement. How do we get them in and get them out? It’s unbelievable.

If we want to fix healthcare, we don’t try to see more sick people every day. We try to give the doctor the time necessary to have a consultative human relationship with a patient. Now here’s what’s here’s, here’s why time is so important. The doctor needs to know the patient’s a little more about the patient as a human, not just as a diagnostic node. So you know, what’s your socio economic situation? How’s your family life? What’s your current state of stress? Tell me more about you. I want to know you as a person, not as a biological system that I intervene with drugs. I wanna know about you as a person. I want to know about how you live, because if I can understand that, I can do two incredible things.

One is I can help move you towards a healthier state by encouraging you to participate in preventive modalities of care, rather than disease management. Time is irreplaceable. It’s it’s not possible to be clinically efficacious when we are creating assembly lines and putting through as many patients as we possibly can. So if we’re going to fix healthcare, we’ve got to give them time. So we have to know them at a emotive level at a level of what we call ethnography, meaning understanding how they live in their communities, and what are the other cause factors that are impacting their current state of health. That’s important.

Now, the second reason why doctors need time is they need to be able to provide consultation, giving them advice about how to comply with some new tools. Now later, I’ll talk about some of the tools that are going to be necessary in order to fix healthcare. But we have to give time back now this isn’t talked about much. We all you know, but but most patients feel like you know, I would have liked to feel like I wasn’t, you know, the guy wasn’t looking at his watch the whole time. I would like to feel like this wasn’t some transaction. I want to feel like they did in the old days. In my book The Healthcare Mandate I talked about Dr. Mandy Michelson from Bellevue, Iowa, and and how he would really understand his patients and his house calls. And because of that, knowing he was able to really, really positively impact his patients lives.

We need to know the patient so that we can understand some of the causes of disease processes. We need to know them because we need to know how we can motivate them to comply to prevention and wellness, and in some cases, disease management. But again, the second reason is the doctor needs to consult with the patient. Hey, listen, here’s the thing. Right now you’re 35 pounds overweight, and I know it sounds hard to imagine that that weight can be lost. Now, don’t get me wrong, there’s pain associated with it. But I want to give you some resources I want I want you to download an app. And I’d like for you to follow the instructions and go along this journey with me. In the app, there are also resources to accountancy coaches. There are other tools, these, these apps use gamification and social engagement. And I want to give you rather than writing into a prescription for a Staton and for blood pressure medicine, what I want to do is really commit to this for the long run, losing weights hard, changing lifestyles hard. But now that I know you, these are the preventative systems that I would like to prescribe, so we can get you to a better state of health. Now you currently present with certain chronic conditions that need to be treated with medicine. We’re going to do that for a while until we get you to this healthier state. But let’s work together as your partner in your health. I your doctor want to work with you together.

Now this discussion requires time and it requires back and forth what we call, you know, bi-directional dialogue. It’s not the doctor scolding the patient and it’s not the patient just complaining about their symptoms. It’s about developing a relationship with real human dialogue. Now this sounds so obvious that it’s almost embarrassing for me to suggest that we need to fix healthcare by providing doctors and patients with more time. But the truth of the matter is, it’s simple. And despite the fact that doctors and patients need more time, we are actually scaling programs like patient throughput analysis, patient’s analytics, time movement studies, lean methodologies, we’re doing all of this stuff to try to cram more patients in a clinic. But what we really need to do is to fix the causality of their need to visit us in the first place, which is the presentation of chronic disease that is self inflicted.

So that’s the first of the four modules of what we’re going to do to fix healthcare as it relates to the doctor patient relationship. Number one is time. Now we’re also going to talk about data. We’re going to talk about resources, and we’re going to talk about incentives in the future videos. I hope that gives you something to think about. Many of you aren’t even aware of the fact that we’ve got people out there trying to make more patients shoved through a clinic. I think it’s important that we know this as we are all champions of the movement of fixing healthcare. Thanks so much.


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