Organizations like Amwell or Teladoc or Doctor on
Demand pay doctors to answer phone calls. Sitting at home, we can earn $40 for
a conversation that lasts a few minutes. It’s easy money, and I’ve had many
satisfying experiences answering questions, helping with minor illnesses,
assuring callers that something that seems ominous is not ominous, or sending
them for medical care if they need it.
What spoils the experience is that nearly half of
these callers are suffering a respiratory infection: cough, sore throat,
congestion, “sinus,” “bronchitis.” Since their doctors routinely prescribe
antibiotics, these callers know what they need. Phoning saves a trip to the
office. What a convenience!
When, after discussing their symptoms, I give my
diagnosis and explain how to help, many are puzzled. When, in answer to their
hints, I assure them that antibiotics don’t help, most remember their manners,
but they don’t believe me. Some point out that their family doctor takes their
illness more seriously. A few question my competence or suspect they’ve fallen
for another internet scam (“Are you a real doctor?.... What am I paying this
money for?!!...).
When guests at my hotels phone, respiratory infections
are also the leading complaint. But phone calls to me are free, and I spend a
good deal of time answering questions and giving advice. By the time guests
agree to a housecall, they understand that I know my business. If they don’t
understand, I direct them to another source of care.
Telemedicine guidelines forbid doctors from
prescribing narcotics and tranquilizers but say nothing about antibiotics which
are far more toxic. If you sign up for one of these services and want an
antibiotic but have the bad luck to reach a doctor like me, simply thank him,
hang up, call again, and tell whomever answers that you want a different
doctor. That should work.
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