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Posted: 10/19/2016 4:20:15 PM EDT
So... Had a great doctor for about 18 years. He up and retired, selling his practice to some doctors group. Doctors group assign a new doctor to the office.
Clearly I was annoyed that all my medical information was transferred without anyone asking, but I decided to give the new guy a chance. Saw him three times. He was a dick. A condescending dick. So I fired him earlier this year and found myself a new doctor. (so far so good on that front). Anyway. So I'm pissing away my lunchtime at Harbor Freight in Rowlett (bought nothing), which happens to be in the same shopping center as my old doc's office. Notice big white letters on the door of the old doc's office. Take pics Feeling vindicated that I fired this prick. 
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Posted: 10/19/2016 4:46:38 PM EDT
[#1]
I am happy you said fired.
Most people don't really understand the Dr works for you and it's your right to question or have the ability to second guess them (i.e. Second opinion). Most people think they have to tolerate a asshole of a Dr. Remember they are not the boss and you have the ability to fire them or complain to their corporate overlords. |
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Posted: 10/19/2016 6:34:07 PM EDT
[#2]
Lakepointe is owned by Tenet. 'Nuff said.
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Posted: 10/19/2016 9:29:00 PM EDT
[#3]
Meh, private business, sign doesn't mean shit. I carry everywhere except the courthouse.
But definitely looks like a bootleg medical office. Hospitals have those signs. 99% of medical places have it too. Its just a sign. |
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Posted: 10/19/2016 9:29:53 PM EDT
[#4]
If my doctor posted that my whole family would say adios, which is a lot of business (not necessarily from my patronizing)
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Posted: 10/19/2016 9:42:55 PM EDT
[#5]
Quote HistoryQuoted:
Meh, private business, sign doesn't mean shit. I carry everywhere except the courthouse. But definitely looks like a bootleg medical office. Hospitals have those signs. 99% of medical places have it too. Its just a sign. Sign does mean shit if it follows the law for size and language... that shit stinks but it's real shit for sure Also what makes a dr office not bootleg? |
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Posted: 10/19/2016 10:24:41 PM EDT
[#6]
Quote HistoryQuoted:
I am happy you said fired. Yeah... I get it. The docs don't. So I'm trying to educate them with some negative feedback. This was the first MD I'd fired, but I've fired three dentists for douchebaggery in the last 30 years. One of them lost his license soon after - I had nothing to do with that though. If you or your insurance is paying them, they work for you. Seems like a lot of Docs don't get that. I'm helping them learn. Occasionally it's a hard lesson. I'm going to go check my new Doc's door tomorrow. He also works for Lake Pointe Medical Partners. I suspect I'll have to find yet another Doc. New World Order sucks ass. |
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Posted: 10/19/2016 10:27:22 PM EDT
[#7]
Quote HistoryQuoted:
Yeah... I get it. The docs don't. So I'm trying to educate them with some negative feedback. This was the first MD I'd fired, but I've fired three dentists for douchebaggery in the last 30 years. One of them lost his license soon after - I had nothing to do with that though. If you or your insurance is paying them, they work for you. Seems like a lot of Docs don't get that. I'm helping them learn. Occasionally it's a hard lesson. I'm going to go check my new Doc's door tomorrow. He also works for Lake Pointe Medical Partners. I suspect I'll have to find yet another Doc. New World Order sucks ass. Quote HistoryQuoted:
Quoted:
I am happy you said fired. Yeah... I get it. The docs don't. So I'm trying to educate them with some negative feedback. This was the first MD I'd fired, but I've fired three dentists for douchebaggery in the last 30 years. One of them lost his license soon after - I had nothing to do with that though. If you or your insurance is paying them, they work for you. Seems like a lot of Docs don't get that. I'm helping them learn. Occasionally it's a hard lesson. I'm going to go check my new Doc's door tomorrow. He also works for Lake Pointe Medical Partners. I suspect I'll have to find yet another Doc. New World Order sucks ass. I'm not looking forward to my doctor retiring, been seeing him for 20 years. |
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Posted: 10/19/2016 10:36:35 PM EDT
[#8]
Quote HistoryQuoted:
Yeah... I get it. The docs don't. So I'm trying to educate them with some negative feedback. This was the first MD I'd fired, but I've fired three dentists for douchebaggery in the last 30 years. One of them lost his license soon after - I had nothing to do with that though. If you or your insurance is paying them, they work for you. Seems like a lot of Docs don't get that. I'm helping them learn. Occasionally it's a hard lesson. I'm going to go check my new Doc's door tomorrow. He also works for Lake Pointe Medical Partners. I suspect I'll have to find yet another Doc. New World Order sucks ass. Quote HistoryQuoted:
Quoted:
I am happy you said fired. Yeah... I get it. The docs don't. So I'm trying to educate them with some negative feedback. This was the first MD I'd fired, but I've fired three dentists for douchebaggery in the last 30 years. One of them lost his license soon after - I had nothing to do with that though. If you or your insurance is paying them, they work for you. Seems like a lot of Docs don't get that. I'm helping them learn. Occasionally it's a hard lesson. I'm going to go check my new Doc's door tomorrow. He also works for Lake Pointe Medical Partners. I suspect I'll have to find yet another Doc. New World Order sucks ass. If you believe he was inappropriate with his behavior please do his other patients a favor and report him to the owner of the clinic. By the way a large amount of offices are now owned by a larger organization these days. I work with several good ones and they hate the bad ones as much as you. But they all know that some get away with thier crap because nobody ever reports them. I have also seen some go to management and tell them that one needs to go because their bedside is bad. |
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Posted: 10/19/2016 10:50:34 PM EDT
[#9]
Quote HistoryQuoted:
If you believe he was inappropriate with his behavior please do his other patients a favor and report him to the owner of the clinic. By the way a large amount of offices are now owned by a larger organization these days. I work with several good ones and they hate the bad ones as much as you. But they all know that some get away with thier crap because nobody ever reports them. I have also seen some go to management and tell them that one needs to go because their bedside is bad. Nothing inappropriate... at least towards me. I just thought he was an arrogant ass that didn't listen to a thing I said in any of my visits. Totally different attitude towards medicine than my previous doc. My father is a retired cardiologist... He retired when all this corporate shite and insurance bureaucracy took the fun out of being a doctor. We've had 15 years since that happened, and the clusterfuck is only getting worse. Doctors are getting to be like lawyers.... 95% of them making then other 5% look bad. |
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Posted: 10/19/2016 10:57:55 PM EDT
[#10]
I went to two different Doctors growing up in the Panhandle, one retired, the other moved to Amarillo. Both were great Doctors. What gets me is that when I lived in San Antonio I went to the same Doctor for 5 years, I leave San Antonio and move to south Texas to work on a ranch and I get a phone call one day and that Doctor from San Antonio was the neighboring ranch owner and he wanted to see me concerning an issue that he had seen on the fence. He did not remember me and it was like 6 months since I had been in his office and he fully remembered me then, I feel that if another man in a medical sense has examined my junk (I had swollen testicle from tearing my urinary tract, I thought it was cancer, turns out just piss before you lift heavy things) he should have remembered me.
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Posted: 10/19/2016 11:02:03 PM EDT
[#11]
Quote HistoryQuoted:
I went to two different Doctors growing up in the Panhandle, one retired, the other moved to Amarillo. Both were great Doctors. What gets me is that when I lived in San Antonio I went to the same Doctor for 5 years, I leave San Antonio and move to south Texas to work on a ranch and I get a phone call one day and that Doctor from San Antonio was the neighboring ranch owner and he wanted to see me concerning an issue that he had seen on the fence. He did not remember me and it was like 6 months since I had been in his office and he fully remembered me then, I feel that if another man in a medical sense has examined my junk (I had swollen testicle from tearing my urinary tract, I thought it was cancer, turns out just piss before you lift heavy things) he should have remembered me. The other downside to being a GP is that you have to handle way too many things like that. My doctor doesn't even remember some of that without looking in the records. Turns out his oldest son was born on the same day (year and all) as me |
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Posted: 10/19/2016 11:33:03 PM EDT
[#12]
I just never go to the doctor.
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Posted: 10/19/2016 11:35:23 PM EDT
[#13]
Quote HistoryQuoted:
The other downside to being a GP is that you have to handle way too many things like that. My doctor doesn't even remember some of that without looking in the records. Turns out his oldest son was born on the same day (year and all) as me Quote HistoryQuoted:
Quoted:
I went to two different Doctors growing up in the Panhandle, one retired, the other moved to Amarillo. Both were great Doctors. What gets me is that when I lived in San Antonio I went to the same Doctor for 5 years, I leave San Antonio and move to south Texas to work on a ranch and I get a phone call one day and that Doctor from San Antonio was the neighboring ranch owner and he wanted to see me concerning an issue that he had seen on the fence. He did not remember me and it was like 6 months since I had been in his office and he fully remembered me then, I feel that if another man in a medical sense has examined my junk (I had swollen testicle from tearing my urinary tract, I thought it was cancer, turns out just piss before you lift heavy things) he should have remembered me. The other downside to being a GP is that you have to handle way too many things like that. My doctor doesn't even remember some of that without looking in the records. Turns out his oldest son was born on the same day (year and all) as me My youngest is the Best Birthday Present ever at midnight I turned to my wife and said you are not going to have her tonight are you, she replied no. Three hours later she is in labor and my daughter was born at just after noon on my birthday. |
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Posted: 10/20/2016 2:03:12 AM EDT
[#14]
Quote HistoryQuoted: Yeah... I get it. The docs don't. So I'm trying to educate them with some negative feedback. This was the first MD I'd fired, but I've fired three dentists for douchebaggery in the last 30 years. One of them lost his license soon after - I had nothing to do with that though. If you or your insurance is paying them, they work for you. Seems like a lot of Docs don't get that. I'm helping them learn. Occasionally it's a hard lesson. I'm going to go check my new Doc's door tomorrow. He also works for Lake Pointe Medical Partners. I suspect I'll have to find yet another Doc. New World Order sucks ass. Quote HistoryQuoted: Quoted: I am happy you said fired. Yeah... I get it. The docs don't. So I'm trying to educate them with some negative feedback. This was the first MD I'd fired, but I've fired three dentists for douchebaggery in the last 30 years. One of them lost his license soon after - I had nothing to do with that though. If you or your insurance is paying them, they work for you. Seems like a lot of Docs don't get that. I'm helping them learn. Occasionally it's a hard lesson. I'm going to go check my new Doc's door tomorrow. He also works for Lake Pointe Medical Partners. I suspect I'll have to find yet another Doc. New World Order sucks ass. Not trying to start a pissing match, but that's not actually how it works. They have legal and ethical obligations that overrule what you want if there's a conflict. That doesn't excuse the guy for being a dick, but you don't just get to tell them what to do. If you want somebody who's going to spend a significant amount of time with you, your best bet is finding a solo or small group practice (which is probably gonna be older guys) or a concierge practice. |
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Posted: 10/20/2016 9:31:52 AM EDT
[#15]
Quote HistoryQuoted:
Not trying to start a pissing match, but that's not actually how it works. They have legal and ethical obligations that overrule what you want if there's a conflict. That doesn't excuse the guy for being a dick, but you don't just get to tell them what to do. If you want somebody who's going to spend a significant amount of time with you, your best bet is finding a solo or small group practice (which is probably gonna be older guys) or a concierge practice. A little of this. And more of, you pay for what you get. Insurance companies have jacked up premiums (because everyone deserves insurance you know) and lowered payouts to doctors. A GP can only make money by seeing a ton of people a day.....gotta make those co-pays add up! I had nose surgery last week to remove a bone spur from my right nasal passageway and clean up my turbinates. I could have went to any ENT surgeon to have it done and tried to find the lower out of pocket cost for myself. I chose to go to the best in the metroplex, in his field, but I had to pay for his expertise and quality of care. I may have paid 2 to 3 times what Grocery Store Parking Lot Texas ENT Specialist Practice and Family Medicine of Whatever NTX City would have charged me but that cost was worth it to me. Want to show up 20-30 minutes early to your post surgery appointment, yup we can squeeze you in early. And by squeeze I mean, there are never more than 2 people in his waiting room and they aren't sitting there more than 5 minutes. Want to shoot the shit for 10-15 minutes about whatever because there isn't another patient waiting....sure I like to talk music. ETA: Seven days post surgery, my nose is feeling great! Even with a small bit of swelling still going on I can breathe better now than ever before. |
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Posted: 10/20/2016 10:26:44 AM EDT
[#16]
Quote HistoryQuoted: A little of this. And more of, you pay for what you get. Insurance companies have jacked up premiums (because everyone deserves insurance you know) and lowered payouts to doctors. A GP can only make money by seeing a ton of people a day.....gotta make those co-pays add up! I had nose surgery last week to remove a bone spur from my right nasal passageway and clean up my turbinates. I could have went to any ENT surgeon to have it done and tried to find the lower out of pocket cost for myself. I chose to go to the best in the metroplex, in his field, but I had to pay for his expertise and quality of care. I may have paid 2 to 3 times what Grocery Store Parking Lot Texas ENT Specialist Practice and Family Medicine of Whatever NTX City would have charged me but that cost was worth it to me. Want to show up 20-30 minutes early to your post surgery appointment, yup we can squeeze you in early. And by squeeze I mean, there are never more than 2 people in his waiting room and they aren't sitting there more than 5 minutes. Want to shoot the shit for 10-15 minutes about whatever because there isn't another patient waiting....sure I like to talk music. ETA: Seven days post surgery, my nose is feeling great! Even with a small bit of swelling still going on I can breathe better now than ever before. Quote HistoryQuoted: Quoted: Not trying to start a pissing match, but that's not actually how it works. They have legal and ethical obligations that overrule what you want if there's a conflict. That doesn't excuse the guy for being a dick, but you don't just get to tell them what to do. If you want somebody who's going to spend a significant amount of time with you, your best bet is finding a solo or small group practice (which is probably gonna be older guys) or a concierge practice. A little of this. And more of, you pay for what you get. Insurance companies have jacked up premiums (because everyone deserves insurance you know) and lowered payouts to doctors. A GP can only make money by seeing a ton of people a day.....gotta make those co-pays add up! I had nose surgery last week to remove a bone spur from my right nasal passageway and clean up my turbinates. I could have went to any ENT surgeon to have it done and tried to find the lower out of pocket cost for myself. I chose to go to the best in the metroplex, in his field, but I had to pay for his expertise and quality of care. I may have paid 2 to 3 times what Grocery Store Parking Lot Texas ENT Specialist Practice and Family Medicine of Whatever NTX City would have charged me but that cost was worth it to me. Want to show up 20-30 minutes early to your post surgery appointment, yup we can squeeze you in early. And by squeeze I mean, there are never more than 2 people in his waiting room and they aren't sitting there more than 5 minutes. Want to shoot the shit for 10-15 minutes about whatever because there isn't another patient waiting....sure I like to talk music. ETA: Seven days post surgery, my nose is feeling great! Even with a small bit of swelling still going on I can breathe better now than ever before. When people are used to paying $20 for an office visit, "I'll spend more time with you for 5x the price" is pretty tough to sell. If you have an hmo, your gp generally loses money when you walk in the door |
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Posted: 10/20/2016 11:53:19 AM EDT
[#17]
So you guys carry at the doc's office? Do you ever have to take off your pants? Is the doc ok when they see a Glock 19 in a holster?
I always have to guess at what they'll want me to do. If I know she's gonna want me to take my pants off, I'll either leave it in my car and put it in my laptop bag and take my bag inside. |
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Posted: 10/20/2016 11:56:27 AM EDT
[#18]
Quote HistoryQuoted:
So you guys carry at the doc's office? Do you ever have to take off your pants? Is the doc ok when they see a Glock 19 in a holster? I always have to guess at what they'll want me to do. If I know she's gonna want me to take my pants off, I'll either leave it in my car and put it in my laptop bag and take my bag inside. I have a X-ray of my knee with part of my LCP showing |
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Posted: 10/20/2016 12:38:57 PM EDT
[#19]
Quote HistoryQuoted:
Agree completely. Thing is, it's next to impossible for a gp to run a practice and not have insurance dictate the way things work. When people are used to paying $20 for an office visit, "I'll spend more time with you for 5x the price" is pretty tough to sell. If you have an hmo, your gp generally loses money when you walk in the door Quote HistoryQuoted:
Quoted:
Quoted:
Not trying to start a pissing match, but that's not actually how it works. They have legal and ethical obligations that overrule what you want if there's a conflict. That doesn't excuse the guy for being a dick, but you don't just get to tell them what to do. If you want somebody who's going to spend a significant amount of time with you, your best bet is finding a solo or small group practice (which is probably gonna be older guys) or a concierge practice. A little of this. And more of, you pay for what you get. Insurance companies have jacked up premiums (because everyone deserves insurance you know) and lowered payouts to doctors. A GP can only make money by seeing a ton of people a day.....gotta make those co-pays add up! I had nose surgery last week to remove a bone spur from my right nasal passageway and clean up my turbinates. I could have went to any ENT surgeon to have it done and tried to find the lower out of pocket cost for myself. I chose to go to the best in the metroplex, in his field, but I had to pay for his expertise and quality of care. I may have paid 2 to 3 times what Grocery Store Parking Lot Texas ENT Specialist Practice and Family Medicine of Whatever NTX City would have charged me but that cost was worth it to me. Want to show up 20-30 minutes early to your post surgery appointment, yup we can squeeze you in early. And by squeeze I mean, there are never more than 2 people in his waiting room and they aren't sitting there more than 5 minutes. Want to shoot the shit for 10-15 minutes about whatever because there isn't another patient waiting....sure I like to talk music. ETA: Seven days post surgery, my nose is feeling great! Even with a small bit of swelling still going on I can breathe better now than ever before. When people are used to paying $20 for an office visit, "I'll spend more time with you for 5x the price" is pretty tough to sell. If you have an hmo, your gp generally loses money when you walk in the door I realize there is a bit of a difference between a GP and a specialist. A specialist is there to treat a specific type of ailment that most likely requires more than just a one time prescription and a strep throat test. Whereas a GP is dealing with checkups, bumps, bruises, colds, etc.....things that are dealt with during one office visit and often don't require any followup treatment or long term care. A GP has always been about how many patients he can see in a day. It comes down to simply what the insurance companies are paying out for an office visit and what co-pays are set at. GP's received more money from insurance in the past so they weren't needing to see double the bodies each day. Now that insurance is paying out less, they have to compensate by seeing more people. It's simple math really. |
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Posted: 10/20/2016 1:11:08 PM EDT
[#20]
Quote HistoryQuoted:
I realize there is a bit of a difference between a GP and a specialist. A specialist is there to treat a specific type of ailment that most likely requires more than just a one time prescription and a strep throat test. Whereas a GP is dealing with checkups, bumps, bruises, colds, etc.....things that are dealt with during one office visit and often don't require any followup treatment or long term care. A GP has always been about how many patients he can see in a day. It comes down to simply what the insurance companies are paying out for an office visit and what co-pays are set at. GP's received more money from insurance in the past so they weren't needing to see double the bodies each day. Now that insurance is paying out less, they have to compensate by seeing more people. It's simple math really. Quote HistoryQuoted:
Quoted:
Quoted:
Quoted:
Not trying to start a pissing match, but that's not actually how it works. They have legal and ethical obligations that overrule what you want if there's a conflict. That doesn't excuse the guy for being a dick, but you don't just get to tell them what to do. If you want somebody who's going to spend a significant amount of time with you, your best bet is finding a solo or small group practice (which is probably gonna be older guys) or a concierge practice. A little of this. And more of, you pay for what you get. Insurance companies have jacked up premiums (because everyone deserves insurance you know) and lowered payouts to doctors. A GP can only make money by seeing a ton of people a day.....gotta make those co-pays add up! I had nose surgery last week to remove a bone spur from my right nasal passageway and clean up my turbinates. I could have went to any ENT surgeon to have it done and tried to find the lower out of pocket cost for myself. I chose to go to the best in the metroplex, in his field, but I had to pay for his expertise and quality of care. I may have paid 2 to 3 times what Grocery Store Parking Lot Texas ENT Specialist Practice and Family Medicine of Whatever NTX City would have charged me but that cost was worth it to me. Want to show up 20-30 minutes early to your post surgery appointment, yup we can squeeze you in early. And by squeeze I mean, there are never more than 2 people in his waiting room and they aren't sitting there more than 5 minutes. Want to shoot the shit for 10-15 minutes about whatever because there isn't another patient waiting....sure I like to talk music. ETA: Seven days post surgery, my nose is feeling great! Even with a small bit of swelling still going on I can breathe better now than ever before. When people are used to paying $20 for an office visit, "I'll spend more time with you for 5x the price" is pretty tough to sell. If you have an hmo, your gp generally loses money when you walk in the door I realize there is a bit of a difference between a GP and a specialist. A specialist is there to treat a specific type of ailment that most likely requires more than just a one time prescription and a strep throat test. Whereas a GP is dealing with checkups, bumps, bruises, colds, etc.....things that are dealt with during one office visit and often don't require any followup treatment or long term care. A GP has always been about how many patients he can see in a day. It comes down to simply what the insurance companies are paying out for an office visit and what co-pays are set at. GP's received more money from insurance in the past so they weren't needing to see double the bodies each day. Now that insurance is paying out less, they have to compensate by seeing more people. It's simple math really. Yes a GP is not the same as a specialist but a GP should be pulling data from their patients to get a overall health status. The issues is that most GPs get shit for pay and try to make up for it in volume. But some of the pay issues are created by the clinic. Some med staff not wanting to work 5 days a week and wanting to take a few half days even though they don't do rounds on their patients that are admitted. It also doesn't help their staff sometimes play schedule games to get out early and not try to place walkin patients into canceld slots. |
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Posted: 10/20/2016 1:21:14 PM EDT
[#21]
Quote HistoryQuoted:
I have a X-ray of my knee with part of my LCP showing Quote HistoryQuoted:
Quoted:
So you guys carry at the doc's office? Do you ever have to take off your pants? Is the doc ok when they see a Glock 19 in a holster? I always have to guess at what they'll want me to do. If I know she's gonna want me to take my pants off, I'll either leave it in my car and put it in my laptop bag and take my bag inside. I have a X-ray of my knee with part of my LCP showing Saving the irradiated rounds for alien invasion? 
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Posted: 10/20/2016 1:26:45 PM EDT
[#22]
Quote HistoryQuoted:
Saving the irradiated rounds for alien invasion? Quote HistoryQuoted:
Quoted:
Quoted:
So you guys carry at the doc's office? Do you ever have to take off your pants? Is the doc ok when they see a Glock 19 in a holster? I always have to guess at what they'll want me to do. If I know she's gonna want me to take my pants off, I'll either leave it in my car and put it in my laptop bag and take my bag inside. I have a X-ray of my knee with part of my LCP showing Saving the irradiated rounds for alien invasion? Just didn't pull my cargo shorts up high enough on the weight bearing view. I was hoping the ortho would notice as I thought he would enjoy it... unfortunately he did not. As a side note you might be surprised on the amount of physicians that carry in a hospital and in their clinic. |
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Posted: 10/20/2016 2:01:49 PM EDT
[#23]
Quote HistoryQuoted:
Yes a GP is not the same as a specialist but a GP should be pulling data from their patients to get a overall health status. The issues is that most GPs get shit for pay and try to make up for it in volume. But some of the pay issues are created by the clinic. Some med staff not wanting to work 5 days a week and wanting to take a few half days even though they don't do rounds on their patients that are admitted. It also doesn't help their staff sometimes play schedule games to get out early and not try to place walkin patients into canceld slots. Most of that sounds like an office manager problem and not a doctor problem. Any great GP has an even greater office manager. It's the office managers job to ensure they are making maximum profit possible. If you are having scheduling/appointment issues then that's on the office manager and their staff. Ultimately it's the doctors problem as he is the one who usually owns the practice and should be made aware of these issues. To your point about admittance and rounds. You'd be surprised how many doctors do NOT have admitting rights at area hospitals. Hence why if someone goes to a GP and he deems it very serious, he will instruct you to go to the ER right away or will call an ambulance to take you to the ER. Once you're at the ER, you will be admitted by an ER doc and not your GP. A GP who has the ability to have someone admitted to a hospital under their care is paying for that ability.....a costly ability at that. |
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Posted: 10/20/2016 2:18:48 PM EDT
[#24]
Quote HistoryQuoted:
Most of that sounds like an office manager problem and not a doctor problem. Any great GP has an even greater office manager. It's the office managers job to ensure they are making maximum profit possible. If you are having scheduling/appointment issues then that's on the office manager and their staff. Ultimately it's the doctors problem as he is the one who usually owns the practice and should be made aware of these issues. To your point about admittance and rounds. You'd be surprised how many doctors do NOT have admitting rights at area hospitals. Hence why if someone goes to a GP and he deems it very serious, he will instruct you to go to the ER right away or will call an ambulance to take you to the ER. Once you're at the ER, you will be admitted by an ER doc and not your GP. A GP who has the ability to have someone admitted to a hospital under their care is paying for that ability.....a costly ability at that. Quote HistoryQuoted:
Quoted:
Yes a GP is not the same as a specialist but a GP should be pulling data from their patients to get a overall health status. The issues is that most GPs get shit for pay and try to make up for it in volume. But some of the pay issues are created by the clinic. Some med staff not wanting to work 5 days a week and wanting to take a few half days even though they don't do rounds on their patients that are admitted. It also doesn't help their staff sometimes play schedule games to get out early and not try to place walkin patients into canceld slots. Most of that sounds like an office manager problem and not a doctor problem. Any great GP has an even greater office manager. It's the office managers job to ensure they are making maximum profit possible. If you are having scheduling/appointment issues then that's on the office manager and their staff. Ultimately it's the doctors problem as he is the one who usually owns the practice and should be made aware of these issues. To your point about admittance and rounds. You'd be surprised how many doctors do NOT have admitting rights at area hospitals. Hence why if someone goes to a GP and he deems it very serious, he will instruct you to go to the ER right away or will call an ambulance to take you to the ER. Once you're at the ER, you will be admitted by an ER doc and not your GP. A GP who has the ability to have someone admitted to a hospital under their care is paying for that ability.....a costly ability at that. Trust me I am very aware of the admit Privlage. I for one would never have a GP that will not round for you if you are admited. As to the bad staff you usally see that whith the medical staff that are on guarantees for their first x years then get moved to pay based on quantity. The staff get used to not working much and the office staff get lazy and it spirals from there . |
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Posted: 10/20/2016 6:30:19 PM EDT
[#25]
Quote HistoryQuoted:
So you guys carry at the doc's office? Do you ever have to take off your pants? Is the doc ok when they see a Glock 19 in a holster? I always have to guess at what they'll want me to do. If I know she's gonna want me to take my pants off, I'll either leave it in my car and put it in my laptop bag and take my bag inside. I have and he has, so has the nurse. But he's a customer of mine at the gun shop. He's an older rural doc who I have been exceedingly happy with and am dreading the day he retires. |
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Posted: 10/20/2016 8:17:14 PM EDT
[#26]
I haven't seen a medical place around here without a 30-06 sign (Bryan/College St area) and I've been to way too mamy of them the last few years. |
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Posted: 10/22/2016 8:40:28 PM EDT
[#27]
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Not trying to start a pissing match, but that's not actually how it works. They have legal and ethical obligations that overrule what you want if there's a conflict. That doesn't excuse the guy for being a dick, but you don't just get to tell them what to do. Quote HistoryQuoted:
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I am happy you said fired. Yeah... I get it. The docs don't. So I'm trying to educate them with some negative feedback. This was the first MD I'd fired, but I've fired three dentists for douchebaggery in the last 30 years. One of them lost his license soon after - I had nothing to do with that though. If you or your insurance is paying them, they work for you. Seems like a lot of Docs don't get that. I'm helping them learn. Occasionally it's a hard lesson. I'm going to go check my new Doc's door tomorrow. He also works for Lake Pointe Medical Partners. I suspect I'll have to find yet another Doc. New World Order sucks ass. Not trying to start a pissing match, but that's not actually how it works. They have legal and ethical obligations that overrule what you want if there's a conflict. That doesn't excuse the guy for being a dick, but you don't just get to tell them what to do. Yes, it is (at least part of) how it works. Docs provide a service. And most of us are smart enough to know when we're not getting good service. While I'm not a doc, most of my family is in the medical industry. I get it. So I understand the legal obligations. But docs also have an obligation to listen to the patient. They can't formulate a good diagnosis without that input. If my doc won't stop talking long enough for me to ask questions or voice concerns, is he really meeting his ethical obligations? I really felt like he didn't listen to a single thing I said. So why should I trust him? |
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Posted: 11/4/2016 2:21:04 PM EDT
[#28]
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Most of that sounds like an office manager problem and not a doctor problem. Any great GP has an even greater office manager. It's the office managers job to ensure they are making maximum profit possible. If you are having scheduling/appointment issues then that's on the office manager and their staff. Ultimately it's the doctors problem as he is the one who usually owns the practice and should be made aware of these issues. To your point about admittance and rounds. You'd be surprised how many doctors do NOT have admitting rights at area hospitals. Hence why if someone goes to a GP and he deems it very serious, he will instruct you to go to the ER right away or will call an ambulance to take you to the ER. Once you're at the ER, you will be admitted by an ER doc and not your GP. A GP who has the ability to have someone admitted to a hospital under their care is paying for that ability.....a costly ability at that. Quote HistoryQuoted:
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Yes a GP is not the same as a specialist but a GP should be pulling data from their patients to get a overall health status. The issues is that most GPs get shit for pay and try to make up for it in volume. But some of the pay issues are created by the clinic. Some med staff not wanting to work 5 days a week and wanting to take a few half days even though they don't do rounds on their patients that are admitted. It also doesn't help their staff sometimes play schedule games to get out early and not try to place walkin patients into canceld slots. Most of that sounds like an office manager problem and not a doctor problem. Any great GP has an even greater office manager. It's the office managers job to ensure they are making maximum profit possible. If you are having scheduling/appointment issues then that's on the office manager and their staff. Ultimately it's the doctors problem as he is the one who usually owns the practice and should be made aware of these issues. To your point about admittance and rounds. You'd be surprised how many doctors do NOT have admitting rights at area hospitals. Hence why if someone goes to a GP and he deems it very serious, he will instruct you to go to the ER right away or will call an ambulance to take you to the ER. Once you're at the ER, you will be admitted by an ER doc and not your GP. A GP who has the ability to have someone admitted to a hospital under their care is paying for that ability.....a costly ability at that. Emergency Medicine physicians determine whether or not you will be admitted, usually, but they don't technically admit patients. 90% of the time its going to be a hospitalist that admits you, if you don't need a different specialist of course. There are a couple of PCPs that do admit their own patients in Fort Worth still, though. |
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Posted: 11/4/2016 11:58:49 PM EDT
[#29]
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I went to two different Doctors growing up in the Panhandle, one retired, the other moved to Amarillo. Both were great Doctors. What gets me is that when I lived in San Antonio I went to the same Doctor for 5 years, I leave San Antonio and move to south Texas to work on a ranch and I get a phone call one day and that Doctor from San Antonio was the neighboring ranch owner and he wanted to see me concerning an issue that he had seen on the fence. He did not remember me and it was like 6 months since I had been in his office and he fully remembered me then, I feel that if another man in a medical sense has examined my junk (I had swollen testicle from tearing my urinary tract, I thought it was cancer, turns out just piss before you lift heavy things) he should have remembered me. HIPPA. Its actually a crime for him to acknowledge you outside the practice , unless you initiate the connection first. HIPPA is an overshoot, but the intent is to protect your privacy. Particularly if there was a 3rd party present - as his acknowledge of your medical connection could lead to realization that maybe you had an embarrasing problem, and he then looses his license. Your doctor acted correctly, and as legally required. |
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