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Link Posted: 5/13/2022 9:55:09 PM EDT
[#1]
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Originally Posted By okiehunter39:
Send the doc a bill for your time. If he refuses to pay send to collections. They most certainly do that to us.
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When he does pay put lien on his car.
Link Posted: 5/13/2022 10:02:19 PM EDT
[#2]
I had some quack oncologist known for doing this crap pull the same kind of delay on me.  I was trying to figure out a blood clot issue, otherwise I would have bailed.  I ended up in one of the rooms and just streamed a movie.
Link Posted: 5/13/2022 10:13:56 PM EDT
[#3]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By FrankSymptoms:

I've never seen a male pharma rep, nor even an average-looking female one.
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Originally Posted By FrankSymptoms:
Originally Posted By midcap:
Give the man some slack, after lunch he took the Pharma rep to a hotel to bang. He's gonna be back soon

I've never seen a male pharma rep, nor even an average-looking female one.

You're not looking hard enough.
Link Posted: 5/13/2022 10:25:50 PM EDT
[#4]
I’m currently on hour 5 of the ER for a 4 year old that’s passing blood.
Link Posted: 5/13/2022 10:30:19 PM EDT
[#5]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By MeatPopsicle:
Reasons my patients had to wait for me on ONE day this week.  

Diabetic emergency, a new diagnosis so I was spending a boatload of time trying to figure out why his vital signs were all mixed up.  After I figured it all out and made sure he wasn't going to die.  To the hospital to be admitted.

Elderly lady fell down the stairs at facility.  Xrays, full body exam (family begged me to do it, because they have no faith in the care facility).  So, I am there in a small room with a family, trying to undress an elderly lady in a walker and perform all my normal duties while trying to run down and examine her Xrays and fill out all these referals etc they brought for me, NOT a 30 minute visit.

A guy with shortness of breath.  Probably should have just sent him to the ER when I first laid eyes on him, BUT I try to actually diagnose and treat people when I see them.  Ultimately, he had significant EKG changes and bradycardia. Probably an MI.  To the emergency room and probably cardiology intervention he goes.

These people threw me hours behind my schedule.  

Now, funny thing.  If you are the first patient and your doctor comes in 45 minutes late with his bicycle helmet still on and tells you he was late because he got caught up with another patient.  He is most likely an a hole.   I had a doctor pull that crap on me.  LOL, he works with my wife, who told him later that the jig was up.  Ironically the institution fired him for some B.S totally unrelated.

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No one cares about that.

You're a shitty doctor and a bad person.

Especially if you did not refill their pain meds.

Link Posted: 5/13/2022 10:52:07 PM EDT
[#6]
We had a 3:30 appointment.  They called and asked us to come in at 1:30.

We finally saw the Dr at 4:00.  I was fucking livid.  To make it worse, not even a half assed apology was given.

My kids were bored out of their minds.  After 45 minutes of waiting in the exam room, I let them go through every cabinet in the room, draw on all the table paper, touched everything etc.
Link Posted: 5/13/2022 11:04:22 PM EDT
[#7]
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Originally Posted By 32DOHC:
Take the first available appointment in the AM. I don't blame you OP, it's the only industry where it has some how become acceptable to keep people waiting.
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Laughs in residential tradesman.
Link Posted: 5/13/2022 11:11:56 PM EDT
[#8]
I sat in an examination room for an hour.  Timed it to the second.  Grabbed my chart off the door and left.  They called me on the phone before I got out of the parking lot and demanded the chart back, said it was their property.   I told them they weren't my doctor anymore and didn't need my info.  That was the end of it.
Link Posted: 5/13/2022 11:17:26 PM EDT
[#9]
Not making excuses, but the kind of Dr. matters.

OB’s you can usually give a pass. Someone’s giving birth.
Link Posted: 5/13/2022 11:17:56 PM EDT
[#10]
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Originally Posted By LAWRENCETHOMPSON:
Should of left a dump on the exam table as a specimen sample
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This is a good idea! And maybe pee in every corner to establish your territory!
Link Posted: 5/13/2022 11:18:31 PM EDT
[#11]
I always pick the last appointment of the day around 410pm. The office closes at 5pm so I am never there to long.
Link Posted: 5/13/2022 11:19:55 PM EDT
[#12]
Originally Posted By dogsplat:

Walked in 15 minutes early.

Waiting room one hour.

Back room thirty minutes.

No doc.

Bye bye
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Send them a bill for not notifying you within 24 hours of cancellation
Link Posted: 5/13/2022 11:22:05 PM EDT
[#13]
I've had three appointments in the last two weeks. Two were prompt/on schedule, and the other took me early because I was there early.

Try vetting your docs first...
Link Posted: 5/13/2022 11:25:27 PM EDT
[Last Edit: Sartorius] [#14]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By AR45fan:
I sat in an examination room for an hour.  Timed it to the second.  Grabbed my chart off the door and left.  They called me on the phone before I got out of the parking lot and demanded the chart back, said it was their property.   I told them they weren't my doctor anymore and didn't need my info.  That was the end of it.
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I would've called the cops on you. The chart is not your property and you just admitted to theft on the phone. All of our calls are recorded. You have a legal right to a copy of everything in it. But they absolutely do still have a need for it. There are state and federal medical record retention laws. Not being an internet tough guy here either. I would call the cops and press charges if the chart wasn't back that day.
Link Posted: 5/13/2022 11:29:47 PM EDT
[#15]
Slightly off topic but a long time ago I worked in a hospital (Bio-Med Tech), the guy that fixes all the electronic medical equipment.  Think defibrillators, X-ray machines, Lab instruments, etc.  Got on the elevator one time the same instant that a Dr got on, I pushed the top floor button before the Dr pushed the basement button (Cafeteria), he went ballistic "You think your time is more important than mine", I couldn't believe the arrogance.   I said, "To me it is!" as I stepped off the elevator I pushed every button, and said have a nice trip down.  Called my boss right away and said if an ahole Dr calls Admin this is what happened.
Link Posted: 5/13/2022 11:35:42 PM EDT
[#16]
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Originally Posted By tsd1:
Slightly off topic but a long time ago I worked in a hospital (Bio-Med Tech), the guy that fixes all the electronic medical equipment.  Think defibrillators, X-ray machines, Lab instruments, etc.  Got on the elevator one time the same instant that a Dr got on, I pushed the top floor button before the Dr pushed the basement button (Cafeteria), he went ballistic "You think your time is more important than mine", I couldn't believe the arrogance.   I said, "To me it is!" as I stepped off the elevator I pushed every button, and said have a nice trip down.  Called my boss right away and said if an ahole Dr calls Admin this is what happened.
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That was still pretty awesome! Doc should take the stairs. We had a rule on rounds in med school. Up 2, down 4. Unless you were going up more than two floors or down more than four stories, the team took the stairs.
Link Posted: 5/13/2022 11:43:07 PM EDT
[#17]
Been many years but still ticks me off. My first wife had debilitating MS, wheelchair etc.
She had a 3 PM appt with a specialist.
4 PM comes and I ask the desk when the Dr will get to her -- "oh, very soon now."
5 PM comes and the staff starts turning all the lights off. WTF? "Oh, you are still here? The Dr went home 45 minutes ago"
Link Posted: 5/13/2022 11:45:52 PM EDT
[#18]
My family's GP, when I was in High School, was great.  His thing was bailing out of the office as early in the day as possible.  If you were his last appointment, he'd prescribe you cocaine and a hooker if it'd get you (and, thus, him) out the door ASAP.  Dude liked his golf on the weekdays and his hunting/fishing on Friday.
Link Posted: 5/13/2022 11:48:23 PM EDT
[#19]
Originally Posted By Sartorius:
That was still pretty awesome! Doc should take the stairs. We had a rule on rounds in med school. Up 2, down 4. Unless you were going up more than two floors or down more than four stories, the team took the stairs.
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The thing was the Cafeteria was one floor down, it was only a 6 floor Hospital but still, you can't walk down one flight for lunch.
Link Posted: 5/14/2022 12:03:33 AM EDT
[#20]
During the 'rona wackyness I had to wait in my truck before a dentist appointment. Five mins before the scheduled appointment I get a text saying wait in the car, wear a mask, etc. At the half hour late mark I sent a text back proclaiming my unhappiness, and the fact that I had to make my daughter walk home instead of me being able to pick her up and bring her home before my appointment. When I got in, the office staff said they saw the text and apologized and said it won't happen again. They must have told my dentist too because I got the same apology from him. I honestly wouldn't have given a hoot if it was just me, but it screwed up my family plans.

Fast forward to today, and it's never happened again. I think they put a note in my file or something to get me in on time. I believe the office had been getting lax about it before the corona, and they strive for good reviews and whatnot. My dentist is great, and he's a gun guy too.
Link Posted: 5/14/2022 12:25:39 AM EDT
[#21]
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Originally Posted By mjzman:

Been many years but still ticks me off. My first wife had debilitating MS, wheelchair etc.
She had a 3 PM appt with a specialist.
4 PM comes and I ask the desk when the Dr will get to her -- "oh, very soon now."
5 PM comes and the staff starts turning all the lights off. WTF? "Oh, you are still here? The Dr went home 45 minutes ago"
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OOF!  You would be fully justified in a 10/10 star flip-out come-apart right there. If that was my screw-up, I'd be turning back around, seeing that patient for free, apologizing profusely and probably getting some kind of gift card too. That is not cool! Mistakes happen, but there's some major process and workflow issues going on there.

Our urgent care has 10 rooms plus a procedure room and a cardiac room. And I have a recurring nightmare that I've forgotten a patient in a room for several hours.
Link Posted: 5/14/2022 12:30:54 AM EDT
[#22]
Should have stayed, seen doctor, then call your insurer after you get the EOB and tell them you never saw the doctor so you’re not sure why they are billing your insurance, but it seems very suspicious.



Rf

Link Posted: 5/14/2022 1:33:31 AM EDT
[#23]
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Originally Posted By Whiskey1Alpha:
Wife is a triple board certified doctor (i.e. 3x doctor). It's not her when she's late unless you're the first patient of the day.

She's late because 75% of the fucking patients do one/many/all of the following:

- Show up late. For some fucking reason having an appointment at 9 to most people seems to mean, lets leave the house at 855.
- Have next to nothing filled out and available even though they were contacted 1-2+ times by staff beforehand to ensure that they had their shit ready. So instead of being seen at their appointment time, they're sitting in the waiting room making retard faces while trying to fill out paperwork they should have had done before even showing up.
- No show/no call and then appear out of nowhere 4 hours later
- Have other shitty doctors/clinics scheduled them for the scan/blood work/test they need the results for at the visit literally 15 minutes before the visit so that not only will they be late, but will also have 0 test results
- Patients who decide that the clinic is a fucking daycare and/or bring 72 family members with them, all with questions, especially the daughter in law who is a nurse at a podiatrists office who has a list of questions she scraped together off of a deep dive into WebMD and doesn't understand shit about fuck
- The patient(s) before you who didn't do a fucking thing they were told last time and are now 50 times worse off and waited for it 'to be fixed' at this appointment

And then the one where you might have some area to gripe with, but my wife doesn't do because she told them to go fuck themselves when they tried - administration that looks at everything as 'if we could see 3x the patients wed make 3x the money!1!!' and attempt to force clinics/physicians to be triple booked.

That's why they're late. It's all the fucking retards doing retard shit, before you.
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Attachment Attached File

Link Posted: 5/14/2022 1:56:35 AM EDT
[#24]
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Originally Posted By ray9101:
Originally Posted By okiehunter39:
Send the doc a bill for your time. If he refuses to pay send to collections. They most certainly do that to us.

/media/mediaFiles/sharedAlbum/Jennifer-Lawrence-ok-thumbs-up_zps5c0357b9_GIF-103.gif
Good luck with that


It's been done before and worked (at least once).
Patient charges doctors for making her wait
Link Posted: 5/14/2022 3:23:47 AM EDT
[#25]
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Originally Posted By FaygoJoe:


It's been done before and worked (at least once).
Patient charges doctors for making her wait
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I should do that to all the shit tier contractors who keep scheduling times to come by and look at potential work and then never show up.
Link Posted: 5/14/2022 3:42:17 AM EDT
[#26]
so you came here to tell everyone you screwed yourself and bragged about being impatient, and it still cost you money.  I could think of better ways to spend my money and time
Link Posted: 5/14/2022 3:48:58 AM EDT
[#27]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By Berger24:



That is not only bullshit, but insurance fraud. Your insurance company would definitely like to know there were no services performed and he was wrongfully reimbursed. The office can surely charge you if they have a policy in place. They cannot bill your insurance company for that. Seriously, call your insurance company...
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Originally Posted By Berger24:
Originally Posted By Ecarl4100:


Same here. They still billed my insurance company. A few weeks later I got a certified letter that the doctor was dropping me as a patient.



That is not only bullshit, but insurance fraud. Your insurance company would definitely like to know there were no services performed and he was wrongfully reimbursed. The office can surely charge you if they have a policy in place. They cannot bill your insurance company for that. Seriously, call your insurance company...


If they have a policy in place why wouldn't that apply to the insurance ?
Link Posted: 5/14/2022 6:54:05 AM EDT
[#28]
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Originally Posted By AROKIE:
so you came here to tell everyone you screwed yourself and bragged about being impatient, and it still cost you money.  I could think of better ways to spend my money and time
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I didn’t spend any money.

Impatient?

I can wait 15 minutes but not two fucking hours.

I wasn’t even really mad and don’t really blame the doc. It’s the industry practice to over book in the extreme. Fuck my time? No, fuck you.

Want to know what was so pressing that I left?

I went to the range.
Link Posted: 5/14/2022 7:06:05 AM EDT
[#29]
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Originally Posted By Sartorius:
I would've called the cops on you. The chart is not your property and you just admitted to theft on the phone. All of our calls are recorded. You have a legal right to a copy of everything in it. But they absolutely do still have a need for it. There are state and federal medical record retention laws. Not being an internet tough guy here either. I would call the cops and press charges if the chart wasn't back that day.
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Originally Posted By Sartorius:
Originally Posted By AR45fan:
I sat in an examination room for an hour.  Timed it to the second.  Grabbed my chart off the door and left.  They called me on the phone before I got out of the parking lot and demanded the chart back, said it was their property.   I told them they weren't my doctor anymore and didn't need my info.  That was the end of it.
I would've called the cops on you. The chart is not your property and you just admitted to theft on the phone. All of our calls are recorded. You have a legal right to a copy of everything in it. But they absolutely do still have a need for it. There are state and federal medical record retention laws. Not being an internet tough guy here either. I would call the cops and press charges if the chart wasn't back that day.


Attachment Attached File

Link Posted: 5/14/2022 7:07:47 AM EDT
[#30]
I gave my cardiologist two strikes.

First was an hour in the waiting room.  I finally went to the desk and rescheduled.

Next time I was in the waiting room for 15 minutes past my appointment time, and then took a nap for an hour and a half in the exam room.

Nice guy.  Good doctor.  Buh-bye...
Link Posted: 5/14/2022 7:08:38 AM EDT
[#31]
Link Posted: 5/14/2022 8:31:18 AM EDT
[Last Edit: C-4] [#32]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By 32DOHC:
Take the first available appointment in the AM. I don't blame you OP, it's the only industry where it has some how become acceptable to keep people waiting.
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@32DOHC

Talk to some old-timers.  Doctors used to have 2 appointments a day:  8AM and 1PM.  It was first come, first serve.  You could wait all morning or all afternoon.  

It’s complicated to schedule patients and stay on time for many reasons:

1) Each patient is unique with the problem or problems they have and that need to be covered in a single appointment.  Given that is a fact, it does seem ridiculous to book new patients for the exact same time slot (40 min in my case).  But I don’t have a crystal ball to know which patient may take more or less time.  Sometimes it takes an hour, sometimes it only takes 25 minutes.  Ironically, follow-up patients (that are scheduled for 20 minutes) can often require more time than a new patient because they may have several issues to go over whereas a new patient may have only one.

2) If you blow through the appointment during the time allotted, the patient feels rushed and complains to administrators.  They also don’t have the time to go over everything so by the end of the day they’ve left messages with staff with additional questions.  So you have to make the decision as to whether it’s more efficient to go over everything thoroughly with the patient at the time of the appointment, or have them complain to administrators that they didn’t have all their questions answered.  It’s basically, “Stay on time but answer all my questions.”  

3) One big thing that has happened in the last few years is insurance companies making it much harder to order testing and medications.  They simply state it’s denied or not covered unless you do a prior authorization—after which they still deny it and say it’s not a Tier 1 drug on their list.  OK, which ones are?  They often won’t tell you.  You have to keep trying a different drug until you magically hit one they will cover.  The administrative burden placed on the offices has become ridiculous.

4) There is a lot more to do with EMR (Electronic Medical Records).  While people think they have helped with efficiency, there is more to do compared to the time they have saved.  That’s presuming the system is working properly and not crashing for one reason or another.  I can type fast and even I have hard time keeping up with the “paperwork”.  Ironically, despite having EMR systems, we still have a ton of physical paper since every hospital system has a different EMR so there is still a ton of faxing done.  It’s a nightmare trying to get all that stray paperwork in sinc with appointments.  

5) The core of any office practice is the staff supporting the doctor.  Shitty staff = shitty office.  You can change doctors all you want, but if the staff sucks then you will run into the same problems.  I am lucky to finally have good staffing over the last 6 weeks.  It requires an intelligent secretary and intelligent nurse (LPN in my case) that understand that the priority is to make their jobs as efficient as possible, and to talk to each other when some part of the system is not working and why, then make the necessary changes to fix it.  I have had some shitty staff and it’s absolute poison in a doctor’s office.  I had one LPN last year that was a fat pig weighing > 400 lbs and whose primary interest at work was eating.  She was a lazy, self-entitled POS and it was actually a challenge to get rid of her.  In fact, she left on her own for another job as administrators refused to fire her.

6) Work is work and that’s why they pay you to be there, but with so many jobs available out there paying the same or more than the medical field, the medical system will continue to spiral downward.  I am powerless to fix this.  Hospital corporations have managed to take all the fun out of medicine, and it has become what I can only describe as soul-crushing.  Colleagues are retiring as soon as they can.  I had two, both age 60, retire in March and the second one at the end of this month.  The new docs coming in want to “balance work with life” and just punch in and punch out.  No fucks given.  This is a symptom of a sick medical system.  The government and hospital corporations have completely destroyed the medical culture over the last 20 years.  Bravo.
Link Posted: 5/14/2022 8:33:18 AM EDT
[#33]
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Originally Posted By cyclone:

One did that to me after I left once when the Dr didn’t come for 2 hours……. I called the insurance and they denied the bill and told the Dr why
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Originally Posted By cyclone:
Originally Posted By SoonerBorn:
They will probably send a bill to your insurance company.

One did that to me after I left once when the Dr didn’t come for 2 hours……. I called the insurance and they denied the bill and told the Dr why


Just so you understand:  In the vast majority of practices, the doctor has zero to do with medical billing other than putting in the appropriate billing codes for the appointment, and in many places they don’t even do that.
Link Posted: 5/14/2022 8:34:56 AM EDT
[#34]
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Originally Posted By MeatPopsicle:
Reasons my patients had to wait for me on ONE day this week.  

Diabetic emergency, a new diagnosis so I was spending a boatload of time trying to figure out why his vital signs were all mixed up.  After I figured it all out and made sure he wasn't going to die.  To the hospital to be admitted.

Elderly lady fell down the stairs at facility.  Xrays, full body exam (family begged me to do it, because they have no faith in the care facility).  So, I am there in a small room with a family, trying to undress an elderly lady in a walker and perform all my normal duties while trying to run down and examine her Xrays and fill out all these referals etc they brought for me, NOT a 30 minute visit.

A guy with shortness of breath.  Probably should have just sent him to the ER when I first laid eyes on him, BUT I try to actually diagnose and treat people when I see them.  Ultimately, he had significant EKG changes and bradycardia. Probably an MI.  To the emergency room and probably cardiology intervention he goes.

These people threw me hours behind my schedule.  

Now, funny thing.  If you are the first patient and your doctor comes in 45 minutes late with his bicycle helmet still on and tells you he was late because he got caught up with another patient.  He is most likely an a hole.   I had a doctor pull that crap on me.  LOL, he works with my wife, who told him later that the jig was up.  Ironically the institution fired him for some B.S totally unrelated.

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Some doctors definitely do have shit time management skills.  Fortunately they are not the majority.
Link Posted: 5/14/2022 8:35:22 AM EDT
[#35]
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Originally Posted By Duramaximus:
That will teach the Dr. a lesson they won't soon forget.

/media/mediaFiles/sharedAlbum/giphy-84.gif
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"Any appointments not canceled 24 hours prior will be billed"

Written on the counter at every drs office in the country
Link Posted: 5/14/2022 8:57:20 AM EDT
[Last Edit: ipsilateral_7] [#36]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By midcap:
The biggest fuckin scam is that 99% of the shit your GP does for you, you can do yourself with a little reading.
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I'm a specialist and I will be one of the first to tell people that the breadth of knowledge a PCP has to know is far more than people typically think, so you're bullshit about it being a fucking scam is so far off base.  A good PCP is one who is knowledgeable about all specialties, is good at undifferentiated workups, and knows when to ask for help. A good PCP is absolutely irreplaceable and vastly underpaid.  

And let's clear up definitions, a GP is a general practitioner, which is used to describe someone who did an internship and then started working, those are exceedingly rare in this day and age. A PCP is either a family practice trained doc or an internal medicine trained doc.

There are many docs who are horrible at time management, there are practices that have to double book due to high no show rates if they want to be able to pay the bills and even those of who are better at time management but then acutely sick pts take time, emergencies at the hospital, fucking peer to peer insurance approvals, oftern are scheduled with a 4-6 hour window, then you spend 10-20 minutes repeating the same shit that's in the note to talk to some wash out doc or someone who is not even remotely in your specialty to argue over what pts need. Computers take a shit, or even making doc to doc phone calls to corrdinate care take time.

I feel for younger docs, they are graduating with huge loans, they lost a decade of income potential compared to their college peers and are joining in the face of declining reimbursement or loss of autonomy by being forced to join hospital groups since hospitals get paid more than independent docs for the same services.
Link Posted: 5/14/2022 9:07:36 AM EDT
[#37]
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Originally Posted By Sartorius:
This post and the responses nicely encapsulate why I don't do family medicine any more. Did it for 5.5 years. And I really hated running late. One of my partners consistently ran 1 hour late. The other was variable, perhaps 30-60 minutes. This was a small town and we also covered the ER (right next door). And we delivered babies. So I would regularly get pulled out of a room or called to the ER in between patients. But I usually ran pretty close to on time. And I'm never late to work now that I work urgent care. I'm seeing the first patient right at 9.

There is not just one reason why your doctor is late. There are a dozen. Here's a few:

-You're not paying the doctor. Your insurance is paying the doctor. If we have a 15 minute visit, I bill a 99213 and get paid $75-90. If we go 30 minutes, I bill a 99214 and get paid $100-140. I get paid more for cranking a lot of visits, not for taking time with the patient. Unlike a lawyer, who gets paid more if they spend longer, I get paid more if I crank more visits. Stuffing more patients into the schedule pays better. And if one gets mad and leaves, there's another one who will take that appointment and the wait.

This is clearly illustrated by those who have a concierge physician. You pay a monthly fee or retainer rate. You get visits whenever you want and typically get immediate cell phone access with your doctor. Cutting out insurance completely is most likely to bring back market forces to this aspect of medicine. If I ever went back to family medicine, I would only consider doing it for direct patient care/concierge model. You pay me directly. I have every incentive to perform well and take good care of you.

-Patients want to cover everything and the kitchen sink at their visit. And this makes perfect sense from their perspective. They paid their copay and don't want to come back for another visit to cover more stuff and pay another copay. This is intentional and orchestrated tension and conflict caused by insurance companies. Patients rightly complain about the long wait. And once they're in the room with the doctor, suddenly they want to visit and take all the time in the world. Let's talk about my laundry list of 15 items, which I have written down in detail and I want to read all of it to you. Either you doctor takes the time and goes through all this ("Oh, he's a great doctor but he always runs late"), or he cuts you off ("the doctor didn't spend any time with me"). I'd love to spend 45 minutes with patients (well, most of them), but scheduling 10 patients all day doesn't cover the overhead. And as a practice owner, I don't get paid until all the bills are covered.

-The 'hand on the doorknob' or the 'oh, just one more thing phenomenon'. We've just started to wrap up the visit and the patient says why they really made the appointment. Or, they say they're having crushing chest pain. Okay, now we're going to work that up right now, do an EKG, call an ambulance. I cannot ignore it. I cannot reschedule it. I must act on this right now. And something unplanned like this happens every single day. Every day. And that just blew 30 minutes.

Now I do urgent care. There is no schedule and there is no running late. You might sit in the waiting room for a while, especially Monday morning. We take people as they come in. Usually first come, first served. Some things will get you to the front of the line. But you don't want those things. Not worrying about running late is one of the better parts of urgent care.

-Some doctors don't value your time or respect you. Yes, I know physicians who schedule patients at 9A and don't plan to be there until 10. This is insane and it's annoying that they're still in business. But they'll still get paid by your insurance. See the theme here? Things got bad when Medicare started and it's gone downhill ever since.

-There are more and more financial pressures to keep a practice open. Spending longer with patients is definitely not something that will help that. Seeing more patient's will.

And finally, California_Kid mentioned this. And it won't be a popular opinion. For those who are enjoying ARFcom's weekly "why doctor's suck", this will be catnip.

- Unless you're Elon Musk or the rough equivalent, the doctor's time is more valuable than your time. And that's a capitalistic fact. Arrogant? Yes. Condescending? Yes. Aggravating? Yes. True? Yes. I just said the quiet part out loud, but we all know it.

As they say, don't hate the player. Hate the game. And there's plenty of games in healthcare, and none of them are pointed in favor of the patient. Getting rid of insurance, paying directly for your own care and only having catastrophic coverage would fix a lot of this. It would probably rip our codependent on-the-government-tit society to pieces in the process.

Hate away!
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This.  So much this.  And if people really knew how slimy and so anything not to pay for shit insurances are they'd burn them down.
Link Posted: 5/14/2022 9:14:55 AM EDT
[#38]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By Sartorius:
OOF!  You would be fully justified in a 10/10 star flip-out come-apart right there. If that was my screw-up, I'd be turning back around, seeing that patient for free, apologizing profusely and probably getting some kind of gift card too. That is not cool! Mistakes happen, but there's some major process and workflow issues going on there.

Our urgent care has 10 rooms plus a procedure room and a cardiac room. And I have a recurring nightmare that I've forgotten a patient in a room for several hours.
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Local lore (I pulled court records to read it so it's true) a plastic surgery center left a pt in their recovery, went home, locked pt and their family in and the pt coded, doors had to be broken by emergency response to get pt to ER.
Link Posted: 5/14/2022 9:18:38 AM EDT
[#39]
You have a score to settle.

He owes you for your time.

You know what needs to be done.
Link Posted: 5/14/2022 9:24:28 AM EDT
[#40]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By C-4:

6) Work is work and that’s why they pay you to be there, but with so many jobs available out there paying the same or more than the medical field, the medical system will continue to spiral downward.  I am powerless to fix this.  Hospital corporations have managed to take all the fun out of medicine, and it has become what I can only describe as soul-crushing.  Colleagues are retiring as soon as they can.  I had two, both age 60, retire in March and the second one at the end of this month.  The new docs coming in want to “balance work with life” and just punch in and punch out.  No fucks given.  This is a symptom of a sick medical system.  The government and hospital corporations have completely destroyed the medical culture over the last 20 years.  Bravo.
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It never ceases to amaze me how much gall those people have.  It's a constant stream of asking to take on more work and responsibility, almost always without compensation.  "If we can lower our hospital length of stay 0.1 days we will save the hospital $5,000,000!". Never mind my unit's length of stay is well below expected length of stay compared to our CMI/GLOS.  "If you can see 1 more pt a day that's an extra $xxxx/year!".  But they only want to pay for MAs and no nurses. No help with the piles of insurance paperwork no give a fucks in how inefficient the EMR is.

I can't blame newer docs attitudes on work life balance, the admin will always mask for more for less and with the decreasing autonomy, it's not worth the headache. These admin and hospitals propser guilting docs, often by making it an appeal to their wanting to help patients.
Link Posted: 5/14/2022 9:42:43 AM EDT
[#41]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By ApacheScout:
Its the front office staff. The days of a woman that been working there for 20 years and ran the office like a bootcamp are long gone. Now, its some  chola complete with hand tattoo that doesn't give a shit except when its time to leave.
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Do much truth in what you just said.
Link Posted: 5/14/2022 9:43:58 AM EDT
[#42]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By midcap:


Porsches don't have run flats?
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Discussion ForumsJump to Quoted PostQuote History
Originally Posted By midcap:
Originally Posted By Marquar:
Originally Posted By Grey_Man:
Best way I have found to avoid this is to try get appointments first thing in the morning.

Did that one time. Doc had flat tire.


Porsches don't have run flats?

Why would the Dr. be driving his wife's car?
Link Posted: 5/14/2022 9:46:06 AM EDT
[#43]
I blame it on old people for whom it’s their only time to get out and be social. So they yack and yack and tell stupid jokes. Hardeeharhar 🙄

Stack 2-3 of these old fuckers in the first appointments of the day (because they are always the first few appointments) and the rest of the day (and patients) are fucked.
Link Posted: 5/14/2022 9:48:26 AM EDT
[#44]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By APBullet:
Yes I know what you’re talking about. My doctor was an hour late. Got called for an emergency surgery.
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That’s a bullshit excuse. I’ve had a podiatrist tell me that 🙄
Link Posted: 5/14/2022 9:49:18 AM EDT
[#45]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By ipsilateral_7:


It never ceases to amaze me how much gall those people have.  It's a constant stream of asking to take on more work and responsibility, almost always without compensation.  "If we can lower our hospital length of stay 0.1 days we will save the hospital $5,000,000!". Never mind my unit's length of stay is well below expected length of stay compared to our CMI/GLOS.  "If you can see 1 more pt a day that's an extra $xxxx/year!".  But they only want to pay for MAs and no nurses. No help with the piles of insurance paperwork no give a fucks in how inefficient the EMR is.

I can't blame newer docs attitudes on work life balance, the admin will always mask for more for less and with the decreasing autonomy, it's not worth the headache. These admin and hospitals propser guilting docs, often by making it an appeal to their wanting to help patients.
View Quote View All Quotes
View All Quotes
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By ipsilateral_7:
Originally Posted By C-4:

6) Work is work and that's why they pay you to be there, but with so many jobs available out there paying the same or more than the medical field, the medical system will continue to spiral downward.  I am powerless to fix this.  Hospital corporations have managed to take all the fun out of medicine, and it has become what I can only describe as soul-crushing.  Colleagues are retiring as soon as they can.  I had two, both age 60, retire in March and the second one at the end of this month.  The new docs coming in want to "balance work with life" and just punch in and punch out.  No fucks given.  This is a symptom of a sick medical system.  The government and hospital corporations have completely destroyed the medical culture over the last 20 years.  Bravo.


It never ceases to amaze me how much gall those people have.  It's a constant stream of asking to take on more work and responsibility, almost always without compensation.  "If we can lower our hospital length of stay 0.1 days we will save the hospital $5,000,000!". Never mind my unit's length of stay is well below expected length of stay compared to our CMI/GLOS.  "If you can see 1 more pt a day that's an extra $xxxx/year!".  But they only want to pay for MAs and no nurses. No help with the piles of insurance paperwork no give a fucks in how inefficient the EMR is.

I can't blame newer docs attitudes on work life balance, the admin will always mask for more for less and with the decreasing autonomy, it's not worth the headache. These admin and hospitals propser guilting docs, often by making it an appeal to their wanting to help patients.

Yup.  Everyone is always bitching about "these young docs."  Well, you took a profession and turned it into a job.  Why be surprised that people are treating it like a job?

The next step, of course, is to realize the juice isn't worth the squeeze.  The solution must either be to make the juice worth it, or decrease the opportunity cost (lowered med school tuition, lowered admission standards, replacement of physicians with lower level providers).  Guess which one will is happening?

The admins aren’t the only ones who can count beans.
Link Posted: 5/14/2022 9:51:31 AM EDT
[#46]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By luscioman:
I always pick the last appointment of the day around 410pm. The office closes at 5pm so I am never there to long.
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Better hint:

Take last appointment.

Around the time you need to leave call the office and explain you are the last appointment and how late are you running.

They will usually tell you how behind they are. Come that amount minus 10 minutes late.
Link Posted: 5/14/2022 9:59:28 AM EDT
[#47]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By 1bamashooter:
Drove 60mi to my appointment yesterday get checked in and they asked what time my appointment was I said 1315 why? Well we changed your appointment to 0915 this morning. Nobody called txt email nothing, didn't even get an I'm sorry but hey we can reschedule for Monday! This is my pain management doc too
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I waited for 2 months past my normal date to get the injections I need in my lower back. My pain management doc left the orthopedic group she was with to move to a major hospital group.

So I’m suffering like mad and am finally going to see her, just so they can get their annual clinical notes,  THEN get on her injection schedule.

The night before my appointment, they called me after hours to tell me that they don’t take my insurance and I’ll have to pay out of pocket

So I cancelled my appointment and called to make an appointment with the new pain management doctor. It’s a month from now

Fucking unethical cunt.
Link Posted: 5/14/2022 10:02:49 AM EDT
[#48]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By 32DOHC:
Take the first available appointment in the AM. I don't blame you OP, it's the only industry where it has some how become acceptable to keep people waiting.
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I did try that and had that fail too.   I had a 0730 appointment so I could keep my work apomtments.  I was 20 m early and waited more than an hour beyond my scheduled time.  I was fuming.  The doc looked at my blood pressure that was uncharacteristically high and I told him exactly why it was that high, he blew my schedule to hell which in turn blew other people’s schedule to hell.

Same office same scenario, I waited two hours in the waiting room and finally told the check in girl I had to leave, iirc they tried to bill me but I called them and reminded them that waiting two hours was excessive for a scheduled appointment and my time also has a value.  They tossed that bill.

Moved and got another doctor, he would show up late on occasion but he had hospital rounds he did before coming to the office.  He wasn’t shitting me either, he was pretty top notch and a conscientious doc.  

My current doc is a good egg but works the doc in the box type company because he doesn’t have any responsibilities to work when he walks out the door.  I do have to prod him to work on anything beyond cardiac and sugar level checks.   A little prodding and I get the referrals needed.
Link Posted: 5/14/2022 10:13:37 AM EDT
[#49]
I understand the angst of having to wait....my doctor loves to talk and find out what is going on with me and often I feel guilty because he has patients waiting...just the way some are but he is trying to be thorough.  Ask yourself if you or a family member has ever called a doctor's office due to illness, etc., and asked to be seen that day and they agreed to "squeeze you in"....do you really think they have open time slots?  No, "squeezing you in" so you can have your problem addressed means someone with an appt will have to wait to be seen...think about that next time you feel a little "bitchy".  No, I'm not a doctor, but my son is and I know how hard he works and the long hours he keeps.
Link Posted: 5/14/2022 10:30:11 AM EDT
[#50]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By ipsilateral_7:


I'm a specialist and I will be one of the first to tell people that the breadth of knowledge a PCP has to know is far more than people typically think, so you're bullshit about it being a fucking scam is so far off base.  A good PCP is one who is knowledgeable about all specialties, is good at undifferentiated workups, and knows when to ask for help. A good PCP is absolutely irreplaceable and vastly underpaid.  

And let's clear up definitions, a GP is a general practitioner, which is used to describe someone who did an internship and then started working, those are exceedingly rare in this day and age. A PCP is either a family practice trained doc or an internal medicine trained doc.

There are many docs who are horrible at time management, there are practices that have to double book due to high no show rates if they want to be able to pay the bills and even those of who are better at time management but then acutely sick pts take time, emergencies at the hospital, fucking peer to peer insurance approvals, oftern are scheduled with a 4-6 hour window, then you spend 10-20 minutes repeating the same shit that's in the note to talk to some wash out doc or someone who is not even remotely in your specialty to argue over what pts need. Computers take a shit, or even making doc to doc phone calls to corrdinate care take time.

I feel for younger docs, they are graduating with huge loans, they lost a decade of income potential compared to their college peers and are joining in the face of declining reimbursement or loss of autonomy by being forced to join hospital groups since hospitals get paid more than independent docs for the same services.
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I agree that his post is exaggerated.   But there are some things people can self diagnose but have to go to the doctor to get a prescription or have to get a referral from the doctor for a specialist.   And this is if the doctor agrees with the diagnosis.   If not then it causes more delays until he agrees with you

A prime example.  My grandson had itching break out in his genital area and the doctor said it was a rash.  I speculated it might be scabies since I am familiar with it working in corrections and I had it when a teen.  They dismissed that.  It went on for a month.  Finally sent him to a dermatologist and they said it was eczema.  One again I suggested scabies. They said no.  A month later other family members started breaking out.  They then did a test and it was scabies.

This is a prime example of self diagnose that was correct.  But had to jump through the hoops for 3 months to get it treated.  And the doctors were wrong.  
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