[giantg2]

I have noticed that communication has gone substantially downhill since the pandemic. Even communicating with people like some doctors, paralegals, and nurses has been tough.

There's some incorrect information in my kid's medical file. It's basically impossible to get it corrected. The courts will also take the word of some nurse who entered the note over the parent. Why? Simply because they're a nurse. Yet they're still human, and there's no audit or error correcting mechanism/process in their note taking.

I'm not sure what may be causing the communication issues. My personal theory is that people don't care. The narrative is out there that people don't want to work, etc. Even if it's not true, I think many people have taken that and the relatively safe job market to slack off on stuff they don't see as important. I see this somewhat in my own career, although there are a few other factors there.

[wswope]

> There's some incorrect information in my kid's medical file. It's basically impossible to get it corrected.

Not the case, chief - that's covered by HIPAA. If you submit a formal correction request, they're obligated to respond or land in very hot water with HHS. If they disagree with your correction request, you have the right to get a statement of disagreement added to your records.

https://www.hhs.gov/hipaa/for-individuals/medical-records/in...

[giantg2]

I believe that only applies to the general record, not the notes which are generally not included with the patient-available record, right?

[wswope]

If I’m reading you right, you’re talking about something like Epic’s “sticky note” system, where providers can leave general comments about a patient not associated with specific encounter? That’s a really good question - and one I’d have to leave up to an attorney. My naive guess would be that the patient’s right to access those may depend on whether or not a practice is using them to store health information, or just general non-medical tidbits (I believe some orgs tell staff not to keep any PHI in them as a matter of policy).

[afarrell]

> my personal theory is that people don’t care

Apathy and exhaustion are extremely difficult to tell apart. It is also possible that many people, especially in the medical sector are burnt out.

[giantg2]

I think apathy and physical exhaustion is fairly easy to tell apart. I do agree that burnout and apathy can be difficult to distinguish, mostly because they're the same just with different motives (apathy is generally voluntary but burnout is apathy that's involuntary because the person simply can't care anymore while staying sane). But it's definitely across industries and not just in healthcare.

[dieselgate]

I agree with both point you and Parent make (difficult/easy to tell apart). But seems to me in person vs remote communications are the crux of the distinction

[giantg2]

Oh, mine were all in-person examples. I feel that remote had a few issues prior to this, and that I have a similar number of issues currently.

[spookthesunset]

Nobody wants to fucking do any work anymore. I hate to blame it on all this remote work crap but I highly suspect it plays a lot into it. When everybody is a small rectangular box featuring a head and shoulders, the human connection is completely gone. It's all fake internet shit now so who cares? Plus all interaction has to be gated through meetings and shit. Things happen much, much slower.

I dunno man. It isn't the pandemic itself that did this. It's societies response to it that caused all this mess and it will take quite some time for things to revert back to the mean. It sucks. I hate it. But that is what it is gonna be.

The last 2.5 years has felt like some dystopian nightmare that refuses to go away. It completely sucks.

[canadaduane]

I wonder if we're going through a transformation period where we don't yet have a grasp on the cultural habits and institutions that make our hybrid online-offline worlds fulfill our human needs--like meaning, significance, belonging, achievement, etc.

I suspect there are some things we took for granted in a "fully offline" world that we haven't figured out yet. Things like how "being seen" while working helped establish self-confidence; or, "overhearing" a conversation in the office helped make work a social-first experience.

I'm trying to understand what some of these might be, because I want to help cultivate the solution at relm.us. My personal work is to better understand psychological human needs and translate the fulfillment of them into an enabling social (spatial) platform.

Maybe it's the answer, and maybe it isn't. But as you've outlined, the cost of not understanding the problem are very high.

[gnz11]

> Nobody wants to fucking do any work anymore.

Or maybe it’s years of corporations treating their employees like dogshit “resources” catching up to them? No career mobility, low pay, toxic middle managers, little vacation time, etc.

[jollyllama]

Yes, hiring is not the only area where OP's points hold true.

Almost everyone is either worn down by overwork or societal issues. Many fall into both categories. Apathy, as you note, is a common defense mechanism.

Can anyone think of any services that have gotten better and stayed that way since 2020?

[giantg2]

Depends on the definition of "better", but bill collectors, maybe.

[watwut]

> The narrative is out there that people don't want to work, etc

Employment is pretty high, that is all there is to people don't want to work. A lot of them have job options, so they are not desperate.