Flu Shots Shouldn’t Be This Hard | A Doctor’s Message To Health System Leaders


Hey guys, it’s Zubin Damania. Okay, this is a message for
you, hospital system CEO. Okay, the other day, me
and my family got flu shots and we went, okay, every
year I go to Target and this year I went to my local, big, huge California health system because that’s where pediatrician is. When we went there, we immediately
were treated like crap. We were treated like cattle, we were herded through a process, the person at the front was suspicious about,” Oh did you have
your address right?” “Are you trying to fool…” I’m like, ” What is this?” “Like I’m a patient here.” So, already I’m on edge,
my kids are nervous, I’m there with a friend
who’s scared of needles. We get processed through
and that’s the word “processed” and then cattle-car’d into an open space where grumpy nurses are
giving us these injections. Apparently, they’d
rather be somewhere else. So the whole experience was
terrible and it’s public so my friend who was afraid of needles, is getting an injection publicly and she’s scared, she’s gonna
cry or pass out or vasovagal. I mean, it was a horrible experience and I never even got what I really needed which was the proof of vaccination I needed for the hospital. This is a multi-billion dollar system that’s supposed to pride itself
on keeping people healthy and we wonder why we have a
50% rate of flu shot uptake. We make it as painful as possible. Now, here’s the thing. Last year and the years
before that, I went to Target. This is how that went down, you walk in, there’s
holiday music playing. It’s well-lit, you stand
in line for like a minute, there’s a pharmacist they say,” Hey, you wanna a flu shot,” “great fill out this, great.” Okay, we’ll bring you back
here in this private space, go through any questions you have, give you the injection in a
smooth painless professional way and off you go with your receipt saying, ”
Here’s what you got.” And we wonder why Target is gonna eat your lunch, Mr. Hospital CEO. If you’re not scared of the
Targets and the Walmarts who value cost,
convenience, and experience, okay, when we’re supposed
to be the big health system so the ones we’re supposed to do is like, In the old days it’s not like you went to Woolworths
to get your health care. You went to your family doctor, right? So, what happened? How is it that now our experience in these big health systems is miserable? And I’ll tell you, Target has figured out how to apply the lessons
of business processes actually effectively to the delivery of something like flu shots. Why can’t you? You have an MD and an MBA? What are you doing with it? Nothing, you can’t even
get a flu shot clinic right and I’m getting angry now because this is why people
don’t get their flu shots because they’re treated like crap by people that are supposed
to care about them. So, where should they go? I’m gonna tell them, “Go
to Target, go to Walmart” “get your flu shots there.” Because they do a great job and they’ll at least
seem to care about you. It was a very different experience so the call to action is this. Wake up, do your job,
you’re a leader, lead. We ought to own this. I do not wanna end up working for Target, doing liver transplants at
some point in the future because they’ve eaten
your lunch and they will. Get it together, we can do cost, quality and convenience better while taking care of the caregivers and that’s
where Target will never beat us because I don’t think those pharmacists could ever be as happy as a real team based
physician led organization like you’re running. So run it right. All right ZDogg out.

89 Comments

  1. I got mine at my PCP. My wife got hers at the grocery store. Both were good experiences. I got a huge hematoma though that took 10 weeks to clear.

  2. The CEOs don't care. You're a cost. You're just delaying their next Gulfstream payment.

    There is no market forces to change the system. It's an inflexible market. The only solution is regulation. But that won't work either as you and I can't afford a legislator like they can.

    Sociopaths will never self-regulate.

  3. I got mine at CVS. I also received the receipt for proof. Screw big box, money-driven healthcare centers.
    You got billed too for both pup's shots too! Sucks to be treated like regular patients. Thanks for being a strong advocate! 👍

  4. I got mine at Target and they even gave me a $5 gift card to use in store

  5. And you work there?

  6. I'm so glad we've got the NHS in the UK where we don't have to deal with this.

  7. Honestly, I disagree about your reason for people not getting their flu shots.

    Also, are you basing this off a one off bad experience?

  8. We always verify addresses. That shouldn't be a big deal

  9. Target does a complete shit job of delivering pharmacy services. Absolute trash just like any retail pharmacy business.

    We have everything you're complaining about where I'm working. It's a billion dollar "non-profit" company.

  10. I have an immense appreciation for the portion of healthcare managed by pharmacies and drug stores (apart from the evil of insurance and PBMs). Target fulfills their drugstore services via a partnership with CVS, and I have typically encountered hard working, compassionate and caring techs and pharmacists. My CVS pharmacist, several years ago was the first and only healthcare provider/professional to inform me and warn me when beginning an SSRI for the first time to treat dysthymia- that due to my age (under 25) I could experience temporary suicidal ideation or thoughts for the first few days – week of beginning the medication, due to brain development still happening and all that jazz. When I actually did experience this, I was reminded of the woman’s brief yet thorough remarks about the ‘new medication counsel’ when I picked up the medication, and went back at look at the attached paper on the paper pharmacy package explaining it in greater detail. Read that it would most likely subside within 24 hours, and took precaution by having a family member stay with me for that time to make sure if the contrition worsened, I had someone to take me to the hospital for a nice stay in the mental health ward. It didn’t, and my depression as quality of life improves over the next few weeks. I actually still experience this when changing SSRI medications.

    Do I resent or blame my Dr. who prescribed the medication for not informing me? No. I won’t fault my physician for being overworked and stretched thin with charting, regulations, insurance and running his practice to miss a small detail like that. It absolutely sucks that our system is set up this way and needs change desperately, but for the moment this is an example of how the whole-archy works together for the good of patients. As a team, with every nurse, PA, MA, physician, pharmacist and every tech under the umbrella being vital in our success and quality of care.

  11. You don't get yours at your Employee Health office??? No wait, nice staff that knows you and totally free.

  12. Well said. I'm a US Navy Submarine veteran, and even in the VA healthcare system, the same opportunities to do better exist. Thank you for advocating for us!

  13. A hospital, bloated administrative budgets with understaffing on the care side of things. If hospitals aren't careful, retail will eat their lunch!

  14. I had to go to Target at the end of October for my flu shot because my physician did not get any vaccine. The local big hospital in my town was scheduled to recieve their vaccine on Friday of that week. What's going on with the vaccine maker? Target had given 35 shots the day before mine and had given amost 30 when I was there.

  15. Also, Target gives you a $5 gift card for getting a flu shot with them. That’s hard to beat 🙃

  16. It was an absolute uphill battle to get my 8 year old his flu vaccination. His insurance won't cover it unless it's done at his PCP'S office, they lost their stock of vaccinations due to an extended power outage. Neither urgent care or the walk-in clinic had the vaccination and the county health office only does vaccinations once a month. Ended up going to Walgreens and paying $50 out of pocket, just to ensure he was protected. It was such a frustrating ordeal.

  17. Flu shots is a lucrative business. I'll never share a needle with a farm animal.I will not support the health industry in anyway, this includes big pharma and insurance. They feed off the sick. I am a DNR and will die at home.

  18. Pharmacies do a good job at flu shots and are quicker but we are short staffed and tempered too. I work for a retail pharmacy and my goal is to get you in and out as fast as possible which is..good to an extent but I've had days where I'll give 20+ shots in a row and I'm sweating my ass off trying to do that and fill prescriptions so my mood may not be the best. Nurses feel the same way..with the short staffing situation. I can understand the nurse mood but idk what they do for processing the shot.. it may be less efficient because it isn't such a huge money making thing like flu shots are to pharmacies. So pharmacy will make it quick and easy cause it puts an extra $25 in their pockets per shot

  19. Don’t forget Walgreens. They give out free flu shots for most health insurances and it was pleasant for me.

  20. Yea but once target has the monopoly they will also switch to the herding set up. Its good until it isn't. If you are getting paid the same per shot there is incentive to do 60 patients per hour over 4.

  21. I wanted to get mine at our local pharmacist a few years ago, but they only did it for ages 12+. Our pediatrician's office ONLY does them from noon-1pm, so I would have to take my kids out of school and I'd have to take half a day off from work. It was too big of a hassle to do that, so my kids have been unprotected most years.
    I just looked up Target, and they seem to do it for nearly every kid and adult with a few state specific restrictions. I think we'll be going to Target! It seems silly to be going to the grocery store for your healthcare, but they seem to have better customer service and convenience in mind.

  22. Haven't indulged in the systems injections for a decade or better and have no intention of starting.

  23. Gee, was it Kaiser Permanently sick?

  24. gren’s law: every time you get the flu, children (stupidly) unvaccinated are to blame… remember that the next time you’re coughing so hard you pull muscles in your legs.

  25. Thank you.

  26. Big Hospitals just do not want to do flu shots. They are obligated do it but they really hope you go somewhere else. They deliberately make the experience as painful as possible to drive you away.

  27. I was supposed to be able to keep my own doctor. Now i have to go to target for my medical care. wow.

  28. Preach ZDogg!

  29. Got mine at the neighborhood Rite Aid up the street. Wonderful experience. Put on a waiting list for the Shingles vaccine.

  30. RN here. Wow. Thank you…..just went to Safeway here in AZ….seamless experience WITH great patient education and kind & private injection process…..flu, shingles (saw to much during my RN career) and pneumonia vaccines. They ROCKED!!!! Thnx ZDogg….U do good sh*t!

  31. I go to CVS Minute Clinic. Small walk-in wait time & always friendly. My primary care PA was a 3 month wait for appointment & was on hold for 15 minutes trying to make the appt. with harrassed staff.

  32. Flu shots and the adjuvants suck. Won’t ever get another one. Bad reaction.

  33. Thankyou!

  34. Is Target to be lauded here, or CVS who purchased Target's pharmacy operations some years ago? Either way it's good business.

  35. ZDogg, not sure which health system you’re referring to, I assume it’s KP. Not sure if you heard but their CEO recently (last month) passed away in his sleep.

  36. A great message, however!

  37. Flu shots are mostly ineffective, so the potato quality starts at the pharmaceutical companies.

  38. I get the flu vaccine free from the hospital at one of our satellite Urgent Care centers.Short wait times, friendly staff, and privately done. My wife, however gets hers done at a Publix (regional grocery chain). Mimics Target experience of ZDogg plus a $10 USD off coupon. ZDogg, sounds like your healthcare system has gone the way of ATT., don't like it go pound sand 5 others will take your place.

  39. A liver transplant at Target doesn't sound so bad

  40. Ugh!

  41. Shoulda just went to Target. My prediction is Walmart will enter the primary care realm and start having internal medicine and family physicians working as a health department. I believe they are already experimenting with nurse practitioners. The potential is huge. Pharmacy makes even more money.
    Then eventually Walmart will take over.

    But real talk, CVS and Walgreens treat pharmacists like utter shit. Probably worse than any hospital imagines treating doctors.

  42. When I worked in EMS, our company gave them to us at one of our yearly mandatory ceu classes. When I worked at the hospital, they gave them to us for free. It was in the open but off to the side. Very quick and easy. Go up, they scan your badge, ask a few questions, stick you with a needle and then give you that years flu shot sticker for your badge. No flu shot, you wear a mask. When I worked for another company that had a partnership with the hospital running inpatient rehab, it was the same. Except that the company I was working for fired you if you didn't get your flu shot.

  43. That experience sounds like exactly what our school vaccine clinics were like. Mum took us to a nurses walk in clinic instead because she a) trusted them not to accidentally reuse needles and b) wanted it to be a positive or neutral experience. Watching the 50 kids in front of me go through, without the needle giving nurses saying a word to them, is what gave me fear. Then they'd round the vaso-vagal kids up and shove them in the middle of it.

  44. My local Smith's pharmacist give great vaccinations in a private room. Love them!

  45. Good to know. I'll be stopping by Target tomorrow for my shot. Thank you for the heads up.

  46. It's almost like the free market valuing the customer outperforms government- backed monopolies

  47. Government subsidy of healthcare happened. With no one to hold them accountable and guaranteed income, the hospitals no longer care.

  48. You have just described every medical experience I have ever had. Have not been to Dr in years.

  49. I gave out flu shots as a part of my nursing program. I go to a pretty big school with a huge hospital on campus. They really did herd people in like cattle. We gave shots to people out in public and it was super rushed. Most people didn’t get the paper they needed for nursing school or for the hospital if they worked there. Some of my class mates had to get there flu shots re done elsewhere because no documentation was given.

  50. Yup. But where’s the proof that healthcare workers should be required to get it? Effective? Likely not. PLOS2017.

  51. Try Safeway next time — great experience.

  52. its actually CVS in target <3 love working there

  53. I'll give you one better. My local RITE AID gave me a flu shot, in a private room, with an extremely kind staff, that took no longer than 10 min. You can't beat the free ice cream right afterwards too.

  54. You're one of my favorite Youtubers. This is WHY. Good job! 👍

  55. Do your job. Lead. If you're a leader, act like one, if you can't prove it, at least act like one!!!!

  56. Kaiser is pretty painless while doing their flu shot clinics. ID and MRN to two folks and you're done. I don't think they have any private areas though, since they have multiple stations going.

  57. Why are flu shots free? It’s for the good of everyone is the usual answer. Using that logic why isn’t anything else free?? One more question- why did they pass laws that if you’re adversely affected by vaccine shots you can’t sue or get any help for the damage it may cause in some people. Target won’t even give you an aspirin for free or the hospital. Hell at the hospital the aspirin shows up on your bill for about a hundred bucks.

  58. But um Wal mart is our future for meidcal care? Maybe we might want to look at that…just saying. I mean those guys just want to keep you alive as long as your still profitable. Once your an old horse I think thiey got no shots for you.

  59. Our doctor hosted a flu shot clinic, and it was a great experience. We went in, filled out the paperwork, and then they took us into an exam room. One nurse gave all 3 of my kids their flu shots, and she was really nice about it. She asked my kids if they were ready and waited until they gave her the okay. She soothed my youngest who was really afraid. Then, she gave them all stickers and congratulated them on being so brave. As much as I don't like the way other things are handled with our practice, the flu shot clinic was great. Granted, they are part of the hospital, and the hospital sucks for EVERYTHING here. I have had to call a patient advocate for how I have been treated the last 3 times I have gone to that hospital. Not even kidding.

  60. Knew a nurse that thought flu shots cause cancer.

  61. Let's get the cattle in line … for that shot

  62. Sutter or Kaiser. I had the same experience at Kaiser years ago. I had to basically cause a scene to get the nurse to change her gloves between patients.

  63. ‘Grumpy Nurses’😆😆🤣🤣🤣🤣 never seen one of those before 🤣🤣😆
    Oooooh the irony Target does it better than the whole crew of trained /hard working medical professionals

  64. I got mine at CVS. Best experience ever.

  65. Pointing out another way that we’ve lost touch again with this system of ours.

  66. 33% of the people who get the flu shot still get the flu! It's filled with all kinds of other crap god knows what! it's not worth the risk to trust the medical profession not to get you sick on purpose! The American Medical Association is more a bunch of criminals than anything else! Never get the flu shot! I never had it and I never get the flu! I am 60 and from my experience the medical profession will put you on pills for no reason and then put you on more pills for the side effects of the first pill! Before you know it you are giving all your money to them! Most people my age are already on several medications and wonder why they have no immune system left!!!!! ????? Remember almost none of their medicines cure anything! They just mask the systems of what ever is bothering you! They don't don't even try to cure you just cover up the symptoms by turning off your immune systems reaction to the problem!

  67. The hospital system I work for has mandatory flu shot for all (full, part, prn) employees, and it is a simple process and we can get copies for the proof we need for secondary employers. My primary, non-health related employer also offers free flu shots for employees and family members on the health plan. Perhaps that is the small town advantage.

  68. Tell it!

  69. Thumbs up if you’re a hospital CEO watching this in 2019

  70. Well said. Note to self: get flu shot at Target.

  71. I went to a Walgreens, it was quick, easy, and private. The Pharmacist took me into a small booth, closed the door,swabbed my shoulder and injected me.

  72. Do you want some cheese with your whine?

  73. I've gotten flu shots at Walgreens and Safeway, and the experience was great every time.

  74. As a pharmacist, I am happy to be able to provide such a critical service to my community. Just so long as those interested in our services realize that more than likely receiving your vaccination from the pharmacist who is also trying to be, uh, the pharmacist. I guarantee you that 99.9999% of the time, we have no additional staffing to compensate for the immunization demands on top of our normal tasks. It is a lovely break from standing in front of a computer in one spot all day, but it sure can be stressful as well.

  75. Don’t forget Walmart is now rolling out Care Clinics (https://www.walmart.com/cp/care-clinics/1224932). I think the hope is to get one stop shopping for most primary care issues in more rural/underserved areas right now. But who knows where it might go if it is successful.

  76. CEOs cause autism.

  77. Got my flu shot at a drive through situation where coworkers stood at the side entrance of the hospital. Sign the paper, get the shot drove away. Maybe when it comes to medicine smaller is better.

  78. that's why we need more competition in the medical field!

  79. I went through my primary care physician. I was in for a B-12 shot and the medical assistant said about it. They even made sure I had the proof I needed. So yeah, Target, Walmart, or your primary care physician if you know the people in their office are good. Also Costco because if you have to pay out of pocket and you have a friend who has a membership, it's only $20.

  80. I’m in the semi rural south and we go to the local giant Wally World. The are nice. We get our shots and done. The kids don’t like it but it not traumatic. In and out, mission accomplished.

  81. What a shameful shill! Fuck you.

  82. I get my flu shot at my local Rite Aid. I walk in, tell them my name and that I would like a flu shot. I fill out a form, sit down to wait for my shot, and stick around for a short time to make sure I don't have a bad reaction.

  83. What facility. They have a right to know so they can improve.

  84. I went to Walgreens. Took less than 20 minutes and they were lovely.

  85. ZDogg… have you been working out? dadgum, bruh

  86. Yep. Hard when you're healthy. Even more difficult when you aren't.

    And no one should be treated badly. We need more kindness and compassion and less hostility.

  87. I can't believe all these people get the flu shot ! wouldn't touch that with a 10 ft pole ! worthless only 10 to 15% effective at best and puts you at risk for serious autoimmune reactions ! WTH????

  88. Move back! Lol! No seriously just keep going to Target. Probly better. Ya know. Because you said it. The truth. Hospitals arent supposed to be fucking business's. End of story.

  89. Preach!

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