Evan Levine, M.D.

Healthcare - A behind the scenes look

Dr. Evan Levine

Dr. Evan Levine
Birthday
March 17
Company
Westbrook Medical Associates
Bio
Author of What Your Doctor Won't (or Can't) Tell You - Penguin Publishing. Fellow of American College of Cardiology and practicing cardiologist in Bronx and Westchester New York. For appointments, Dr. Levine can be reached at 914-237-1332 or VANLEV@aol.com Today Show Interview: http://www.youtube.com/watch?v=63cWvtGPonU Most Articles are also featured in the Ridgefield Press and Westchester Guardian.

MAY 21, 2010 12:13PM

When it Comes to Finding a Doctor, Caveat Emptor

Rate: 11 Flag
Caveat Emptor
 
 
I first encountered the Latin phrase, Caveat Emptor, during a Brady Bunch episode in which Mike Brady advised Greg about the meaning of, Let the Buyer Beware, as Greg goes off to purchase his first car.
 
And as timeless as this advice is, it is something many of us need to be reminded of as we choose a doctor.
 
 
As I noted in my book, What Your Doctor Won’t (or Can’t) Tell You, people seem to spend more time researching the purchase of a new car or a television set than in choosing a doctor. And time and time again when I ask patients how they got to me, some say they picked me randomly from an insurance book.
 
Not very long ago a patient came to see me after having seen someone whose business card read “Expert in Diabetes and Endocrinology,”  and noted an affiliation with a
University Hospital.  
 
I had never heard of this doctor so I did two minutes of research on Google.  He indeed claimed that he was an expert in diabetes and endocrinology, but I learned that he was not board certified in the practice of endocrinology -- something that for most would be the minimum, for anyone to suggest that they were an expert in the field.  And I did find out that the doctor did have some affiliation with a top notch university hospital -- he had admitting privileges at a small community hospital that was , in fact, owned and operated by the esteemed university hospital; although I doubt that he had consultation privileges for endocrinology even in that hospital.
 
There is no reason, other than laziness and irresponsibility, for someone not to spend a few minutes in researching a doctor they plan to see, and to at least confirm that he or she is board certified in the field they practice in.  Fancy cards, fancy signage, and fancy talk are as suited to some meretricious doctors as they are to used car salesmen.
 
So remember, all you Greg Bradys out there; Caveat Emptor, Let the Buyer Beware!

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At one time, I was very astute about doing my research. I travelled far to get what should have been the best for a medical issue I needed to resolve. From, the doctor forgetting to schedule my surgery to the complications afterward, finding "one of the best" turned out to be one of the worst experiences of my life. Now, I am not as picky. I used to turn my nose up at certain medical degrees, but living in S Florida I have had to open my mind on that a bit :-)

I think it's as important to be an informed medical customer so that one can know whether or not the treatment is good or if it is wrong. As you often point out, there are a lot of bad doctors out there!
Well, phooey, Doc! Have been trying to post a comment here on your post for a while and it just won't take! I'll try again, as I wanted to respond to your post and all.
As a good old Catholic girl, this Latin phrase is well know to me from all the years of studying Latin.

But got to tell ya, in all affection and respect, that we spend a lot more time, daily, if fact, in our cars and watching tv.

If we're lucky, no need to see a doctor more than 1-2 times a year, on average, right?

So, time spent on car and tv decisions might outweigh the other, especially if you're older like me and have had the same docs for many years!

For that I am grateful and I love my docs so much! You are a very dedicated and tireless group of people and I thank you from the bottom of my happily ticking heart!
Good post, in our complex healthcare system, people need to remember to be their own or their family members advocates FIRST. Nobody else is probably going to do that as well as you can for yourself or a family member. RRRRR
Important advice, from you and Mike Brady. I think some of the problem is HMO/Preferred Provider Networks. Sometimes we're given a choice of one or two...and if one of those two can't see you for six months or isn't taking new patients, then...

I hope one day we'll have true medical choices, the ones that those afraid of universal healthcare are so afraid we're going to lose if the goverment gets involved in healthcare (when most of us have already lost choices -- even those of us who have "excellent" insurance that we're paying a premium for).
Thanks for this, Evan. I've been saying this to family, friends, neighbors, co-workers, etc, for many years. Being in the industry for so long I know most of the good physicians here--and I certainly know the bad ones! I always plead with people to check out the doctor they've been referred to, or that they've picked out of an insurance book--but many still don't. Then, of course, they come crying to me when they've been treated badly. Arg. Rated. D
Actually, you probably encountered the phrase caveat emptor long before that -- you just didn't know it at the time.
A very important lesson!! (I'd say the same about a lot of pop culture doctors and scientists, too...Dr. Oz is often inaccurate, for example, but as someone with a TV show, his words are taken to heart.)
So,so true. It's important to know the person fixing you actually is as experienced as they claim. The human body is more complex than a car, yet people are more picky about mechanics than they are their doctors. It makes not one bit of sense.
r
Your point is why I also tell potential clients to meet with other psychologists as well. The fit for them is as important as my knowledge and experience.
Good point. Selecting a physician is not like buying a car. What "selecting a physician" means is potentially establishing a long-term relationship, a relationship that may last for decades.
Evan, while I'm not sure about taking advice from the Brady Bunch :), this is definitely a wise thing to consider. At the least, people should check their state's medical board website, which can verify education, training, licensing, board certification status, and any disciplinary actions. After that first step, the interpersonal connection is something you need to judge in person, and ideally over time.
Unfortunately, it is the audacity of practitioners such as these that hurts us all. I recently ran across a guy who had his business card marked that he was certified by the American Board of Urgent Care. The certification is not accepted by the ACGME and made me wonder what he really did. As it turns out, the guy was selling a panorama of supplements and skin care items in his practice. There were information sheets about the products all over the waiting room.

I have nothing against supplements and skin care items since many of them work well, but there is a line that this physician crossed between being a professional and being a salesman.
I must also note that, im my experience, the doctors with the biggest newspaper or Yellow Pages ad is often the best busines person and not the best doctor. Please be careful and do your homework.

ESL
you are really the only one who cares the most about your health--or you should be
This is an important post and it says something about the faith people put in doctors. Anyone with the label "MD" is considered acceptable to go to and sometimes, depending on how people's insurance works, they have no choice about which doctor to see. But knowing your doctor and picking a doctor you like and trust (and who is qualified, as this post points out) are really important for getting good care.
Dr. Levine, what a great reminder! Most (I am guilty!) would trust a Dr.'s word regarding his or her credentials! (Of course I do my research if my instincts sense something is amiss.)

Thank you much; your articles are so enlightening!
Keep reminding us and teaching us Doctor. I have learned much from your posts.
Where can I check out if the doc is a decent human being? Seriously -- the power-tripping, prescription pushing, crude-handed docs are more common than the unqualified braggarts.
First, love your blog. I made this mistake finding a neurolgist--I picked one at the closest hospital to me--no referral. The guy was a pompous ass who treated me like a mental patient with hysterical symptoms. Was that because he was a pompous ass or because I stepped outside the "get a referral from your doctor" protocol?
Death by doctor is getting to be a pretty serious side effect of medical care. No longer is a second opinion enough. Best to get a third as well. My daughter recently had an incident with elective surgery and, despite the fact that we had done the research, she still had problems. There are no guarantees but the more information a patient has, the better chance of cure and survival. Your posts are always so informative and truthful. Thanks!