Access, Advocacy, & Activism in Women's Healthcare | Over 50 & Flourishing
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- Опубликовано: 26 сен 2024
- Today we're talking about how YOU can take a proactive approach in your healthcare. My guest is Dr. Shieva Ghofrany, an OBGYN, devoted mother, and triumphant cancer survivor. Drawing from her personal journey, she enlightens us on the importance of self-awareness and advocacy in women's health.
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What a great episode. So much information. I’m a Nurse Practitioner. The Explanation of Benefits is unbelievable. The Doctors, Hospitals, Nurse Practitioners, etc. charge a lot because we’re going to get knocked down so much. I live in Central Illinois. My 15-20 minute visit charge is 240.00 for a Medicare patient. Reason being, under the Medicare Contract Medicare knocks my charge down to 80.00. Other Insurance Companies has their own rates but they all knock you down considerably. Just like Hospitals for example, my mom passed away 3 months ago. She had a CT scan. The Hospital charged 900.00 but Medicare knocked it down to 30.00. Thirty dollars!!! Everything she said was 100% correct! You definitely need to schedule 2 different appointments for different issues. One if you need a med check & one for your annual, for example. And writing down family history… YES!!!! Your medications, previous surgeries, etc. It’s not that we don’t want to spend time with you, it’s that we only have so much time. I miss being able to spend time with patients. I took the last 3 years off on a leave of absence to take care of my dear, sweet mom who had Alzheimer’s Disease. I’m an only child. We were so close. She passed away 3 months ago. I really don’t know if I want to go back. I love being able to spend time with patients. And we can’t do that anymore! Insurance prevents it. So I don’t know what I’m going to do. My husband is retired. I’m only 60. Only! 😊 This was Fantastic information and a great interview Dominique!!!🙌🙌🙌👏👏👏💜💜💜
Thank you for sharing all of that with us. I am so sorry you lost your mom. I lost My mom to dementia and maybe some alzheimers 7 yrs ago. A year later, my dad. They were married 61 yrs. I miss them both.
What an excellent & helpful topic. Thank you so much Dom & Doc.
I feel that sometimes the staff at the desk, who are the ones that get the ball rolling , in tests, or call backs with info, test results, etc. drop the ball. Some are not educated enough, not good at their job, or too overwhelmed..I have found that the delays in my health care at times, is all because of the desk staff. I found out that the test for my heart, showed a severe problem that indicated that I needed a triple bypass . I was given the information 4 weeks later. The staff was to handle the results and notify the Dr. I get more information with utube MDs when it comes to informing me with treatments, side effects, and all around information. .
Coming from someone who has worked in the medical field forever, if the doctor does not have a nurse or certified medical assistant to help him/her out with follow up then that office may be at risk for poor follow through - especially if it is a busy practice. Also, look at online reviews of the practice and physician to see if there are red flags. Having great doctors and management is key to retaining good staff; oftentimes having a lot of turnover equals staff not invested in doing a thorough job. And if your health is ever compromised due to staff or physician issues seek legal advice.
Sadly , Insurance companies, big pharmaceutical companies and other big corporations control our governments .🇨🇦:(
Great topic and guest. I feel fortunate in the DC Metro area that, when I experienced breast cancer last year, I had a team of three INOVA doctors (all women) who met weekly to review each patient’s status and agree on the best courses of treatment. My surgeon, medical oncologist and radiation oncologist were lovely, sympathetic and knowledgeable about my situation and treatment plan. I see them every six months and feel very well cared for. In addition, I continue to see my integrative doctor, and now an integrative oncologist who supports the conventional treatment I receive which she enhances with dietary modifications, supplements, and stress and sleep management. I pay more for the integrative practice care, which includes a membership fee but also accepts insurance. I find the doctors in this area are receptive to alternative approaches and treatments. I’m sure part of it is this area is highly educated and affluent and patients, therefore, tend to be more demanding.
Thank you for that information on the difference between annual well being and diagnostic medical appointments. I will keep that in mind and put into practice. It is very informative and eye opening. Thank you so much to both of you.
My doctor spends 20 minutes with me 2 times a year because that's what Medicare pays for. I can't afford functional doctors.
Is it time for universal health care? Just saying? Thanks for bringing these smart, truthful, discussions to us Dominique👏👏
One of my dear friends is an internal medicine doctor. She doesn’t want to be a doctor anymore. It’s due to insurance companies who dictate how doctors are able to treat patients and the continuity of health care is so disconnected.
There's also the matter of government "authorities" dictating treatments during "public health emergencies," which I imagine would be discouraging for doctors who like to work independently and use their own judgment. The system is beyond broken.
Hi Dominique. What a great topic. I've worked in the medical field for over 30 years & agree 100% with Dr. Ghofrany. I'm a big advocate for patients knowing their insurance plans & if they don't understand their coverage call your insurance plan & ask questions. As a Practice Administrator I'm big on staff being trained in all aspects of a medical practice. Healthcare providers practiced medicine they shouldn't be trying to train their staff. They should be willing though to spend some money on seminars, conferences & allow their staff to take continuing education courses which will benefit the whole practice. The biggest culprit in the healthcare field is the insurance companies who are allowed to do whatever they want without government involvement. As such if the government will not do anything for its citizens, it is up to the consumers to advocate for themselves & their families to get things changed for the better. We as American citizens deserve better healthcare & we need to demand some change. Thanks for allowing us to view our opinions helpfully without judgement.
Hi Domique thanks for the good videos you put om your channel. You look so pretty in pink. Luv your outfit today. Great Job Dominique...❤❤❤❤😊😊
I think Jenn pike would be a great guest for more insight into peri menopause 😊
Wow MUCHAS GRACIAS Dominique!!!! This was very informative and needed so we can understand how this “works” I had lots of questions and complaints in my mind with my doctor’s visits. Also this issue confirms how we personally have to take care of our health daily and just save money for when we really need sick care. This doctor is great!!! hopefully she can be the pioneer of the medicine integration for all.
I’m listening and loving this podcast, yay I get to see you on MSM, Monday, and Thursday, thank you Dominique ❤❤❤
Wow, I feel so blessed. First of all, I changed all my doctors to female doctors and roughly in the "middle aged" range. So my age or a bit younger or older. late 40 to early 60. All of mine spend as long as I need in a my appointments. I NEVER feel rushed and I felt heard. I don't want to stereotype, but maybe there is something to that equation.
Could you do some non-toxic organic makeup options? Your skin is the biggest organ for absorbing all the chemicals you put on it.
I now get my physical, if you can call it that, with my clothes on. It seems doctor's have to see so many "units" per day so, we are "units"...and we pay for this. Seems to me you're better served being your own health advocate.
Same here where I live. It's so weird. When I lived in a different state and I went in for my annual physical I always had to take my clothes off so they could check everything.
@@pisicacutecat4869 That used to be the way it was...not anymore. I started seeing a nutritionist almost 5 years ago now...one of the best things I've ever done.
@@christiesachde3156I'm thinking of doing the same thing. 😊
And zoom-call examinations? Hard to take such things seriously.
@@liana2136 Agreed...I would not be surprised if people just stopped going to doctor's altogether...I mean why bother?
This was really helpful… I love the idea of multiple appointments when needed! Thank you!
Thank you Dominique for sharing this video it's amazing
Fascinating guest. Request for midlife women and heart health, thank you, Dominique ❤
An excellent segment! The 15 min.visit seems to have come into play after covid. I don't remember it before that time. I always have my questions written down and in order of importance. Like the idea of the second visit. Thank you!
And I think it's about time for a frank talk about "covid."
Yes, I do agree! Still so many unknowns.
What’s a little crazy, is that everyday in America … a woman enters menopause. It is part of life for every woman, yet there are not many doctors who specialize in menopause treatment & care. Menopause is not a new topic.
First time, writing FIRST. Lovely challenging topic today.
Naild it 👍🏻👍🏻 great topic and lots of great info, what a great doctor very clear and sincere ❤❤
I loved today podcast.
I have cultivated my team on my own. It is up to the individual to learn and ask the necessary questions to advocate for themselves. My Western doctor and my naturopath don't always agree, and ultimately, it is up to me to decide for myself and endure their criticism.
What enlightenment…Thank you Dominique!!!!
This was wonderful, I very much enjoy this today. Lots of great information. Thank you so much for doing this for us.
Why don’t doctors have more time? I waited 50 minutes past my appointment time to see my primary care doctor. Don’t understand why ? Do I need to find a new doctor? I’m 68 years old and feel dismissed.
I'm surprised about the length of that wait. In my area Dr's seem to have all gone to the concept that pt's. who are late, 5 to maybe 7 or 8 min's., are considered to be late & have to reschedule.
Sister I'm with you. It pisses me off that we have to sit and wait forever to see the Dr. I wait at least an hour or two to see my specialist. I guess they don't think our time is important.
@@penelope5500Yes, but when they're late it's a different story 🤦🏼♀️
With the type of care you are talking about there would be less sickness. Therefore less money for big pharma and insurance companies! 🤷♀️
Great discussion, thank you ❤
You look beautiful Dominique ❤️
The best healthcare have ever received was in a college for traditional Chinese medicine. The diagnostic procedure by its very nature requires that the practitioner spend 30 min or more examining and talking to their patient. The colleges have excellent teachers who supervise all care. I have never felt so pampered in a medical setting. The colleges usually charge very little for their treatments. Going back to a conventional doctor after that experience is a huge downgrade! Of course, independent doctors of Traditional Chinese medicine are a great way to go, but will cost much more.
Excellent podcast. I just shared this to my daughter who is also a doctor in NY.
A good suggestion for us to make advanced appointments. Also, women could be more self disciplined and regularly do what the doctor recommends. ❤❤
I've learned so much today. Thank you
Great video ladies!!!❤️❤️
August will be 2 years for me on Medicare. It's a challenge for sure, the Dr's are limited, the dental and vision care is not good, even worse than the medical care. I'm not familiar with the prescription part because I'm not prescribed meds, thankfully. Very enlightening podcast. My mind is more open to the Dr's and the system. And not just focused on me, me, me. I'm a person of an open mind, so it was easy for me to be open to learn from your guest. I didn't meet my Daddy and many other family members until in my 30's, there are a lot of family history I just don't know. Not all nurses and or Dr's understand that.
May I ask what is the vaginal HA product? I need it. Thank you Dominique ❤
I am a previous telephone customer service agent with Rx and multiple health insurance. I am now venturing out launching a website to help caregivers and patients research their insurance questions. Coming from a Medical office management / insurance customer care I’m recognizing the average call time requirement for call centers is 6 minutes. Even more extreme than the 15 minute visit. I’d love to have a conversation to discuss further.
Hugs from me! I’ve been sending hugs from NC, in a different state now! 🌊🌺
Nothing more frustrating than trying to convince your Doctor you need hormones.
My last obgyn said she had no idea what things cost. She was so frustrated, she retired early. Sadly, my obgyn before her committed suicide in her 40’s.
Great video❤
Great affirming content!! So hard to go into depth with my Dr who has over 1600 paitients! Ha PS.......Lip color/ lip shimmer on top. Beautiful colors! Can you share these please?
You should have a topic about HS there's lots of young ladies suffering with this problem but very personal so it needs to be more clear what is HS
So.....how do we make the most of those 15 minutes?
Pls Dominique some advise on dental cosmetic
Have Dr.Mary Clare Haver on your program
I believe she has interviewed her.
Dr. When things changed in the medical field where the Insurance companies were put in charge, why didn't doctors stand up as a group and fight it? I listened to you very carefully but this wasn't touched upon. Thanks you
That’s a very good question. I also ask why we as patients also don’t band together and stand up.
That is such a great question that I have molded over frequently with my colleagues and my parents who are retired physicians… The only answer I can really give you is that it sounds simplistic, but the doctors are literally busy seeing the patients every day… So if we stepped away from seeing the patients in order to advocate and lobby for ourselves we wouldn’t be able to… It’s kind of different than any other field when you think about it because of your doing doesn’t really involve any background work or prep work or anything it literally involves sitting face-to-face with patients so anytime away from that is challenging for your practice… I know that doesn’t sound like a great excuse but historically not banded together well and that is certainly a problem!
@@shievaghofrany It does sound like a poor excuse. Patients have very little power because we need you, and insurance companies think that we don't exist. They've taken over your jobs in major ways, even not covering much-needed treatments. Perhaps if doctors could stop for a moment and see how we could band together. This must really piss you off that they tell you what you can and can not do.
I held a very close friend's hand as she died because she wasn't covered for bowel cancer by her insurance company. By the time she finally was operated on pro bono, it was too late. The cancer had spread to her lungs. I heard it the night she died. It was horrible and I lost a special friend. Insurance companies are allowing your patients to die. This pisses me off.
Unfortunately if you don't pay for there time you get nothing even if your ill there is no appointment here in England there's no one to help you these days
🙌
Dominique you are sponsored by Vegamor and you praise the product for being chemical and hormone free yet you are an advocate for hrt…🤔 hmmmm
I don’t think these are one and the same.
If, like me, have multiple doctors, the lack of communication between doctors is basically non-existent. I’d love to see more communication between the patient’s doctors in order to provide the best care.
Love you Dominique but cannot watch this guest. I will skip this one. Peace to you and see you in the next video.
Government ruins everything.
If your flourishing you don't need paint on your face..
…Right? …Right? …Right? Remove this speech pattern and this would be far more watchable. The “…Right?” is condescending and short circuits thoughtful analysis by the listener.
I kindly disagree with the guest's proposition the patient has to compartamentalize questions in separate appointments (as cited, I am not supposed to ask anything beyond answering her screening questions within the realm of preventitive care). It negates the guest's very premise of INTEGRATIVE medicine where the patient has to be seen as a unit, as a whole.
Great guest and topic! Yes healthcare is a challenge on all fronts . Despite difficulties I feel fortunate to live in Canada. That aside , I feel it is my responsibility to be proactive with my health, healthful eating and exercise . A priority I’ve held for a long time. Just turning 70 I am proud of the care I’ve taken.
Big pharma will never let the 2 work as a team.
DAAMMMNNNN! Prices of the jennikayne clothes!😮
I don’t have insurance and getting alone better without it. I feel I get better care. Health insurance is a scam.
I had my two births without health insurance. It was less then $1500 for my entire pregnancy all the way through birth.
What a awesome Dr. Thank you for the chat.
This is such a great episode. I’m in Australia and the model is the same. We need change and collaboration in order to make patients needs a priority.
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