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re: General PSA from patients to healthcare providers: What we want you to know

Posted on 1/20/17 at 8:15 am to
Posted by Jake88
Member since Apr 2005
78028 posts
Posted on 1/20/17 at 8:15 am to
I don't know about 40. If my doc saw 40 per day, I'd expect there would be a wait. I guarantee there are going to be surprises that screw the schedule.

Many of the patients are retired. You're a professional, you lose money if you take off, but employees can burn sick days in many places of employment.
Posted by Jake88
Member since Apr 2005
78028 posts
Posted on 1/20/17 at 8:17 am to
Do you have further insight into that? Why bill 52K when they know they're willing to take $5,600? Doesn't that skew the numbers we always see trumpeted in the media?
Posted by jeff5891
Member since Aug 2011
15905 posts
Posted on 1/20/17 at 8:19 am to
quote:

He wants to be mad...be mad at insurance companies


I was but then the insurance companies told me to be mad at hospitals for over charging the shite out people for every procedure, and to be mad at pharmaceutical companies for jacking up prices to drugs (especially popular life saving ones) bc there is no competition.

The real problem is that healthcare is a business and it shouldn't be one
Posted by Panny Crickets
Fort Worth, TX
Member since Sep 2008
5596 posts
Posted on 1/20/17 at 8:21 am to
quote:

Doesn't that skew the numbers we always see trumpeted in the media


It certainly impacts perception.

That's the system the payers set forth.
Posted by Jake88
Member since Apr 2005
78028 posts
Posted on 1/20/17 at 8:23 am to
quote:

The real problem is that healthcare is a business and it shouldn't be one


Why? Everything is a business.
Posted by Jake88
Member since Apr 2005
78028 posts
Posted on 1/20/17 at 8:24 am to
quote:

That's the system the payers set forth.


I really don't understand why they would let it appear so. Do you know if there is an advantage to it?
Posted by yellowfin
Coastal Bar
Member since May 2006
98747 posts
Posted on 1/20/17 at 8:24 am to
quote:

How does texting patients help?



Well I would know not to show up at the scheduled time. Seems pretty simple


Posted by jordan21210
Member since Apr 2009
14122 posts
Posted on 1/20/17 at 8:28 am to
quote:

The real problem is that healthcare is a business and it shouldn't be one


So it'd be better socialized?
Posted by Jake88
Member since Apr 2005
78028 posts
Posted on 1/20/17 at 8:30 am to
quote:

Well I would know not to show up at the scheduled time. Seems pretty simple


Yes, sounds simple, and you may be reliable enough to show up again, but others are going to get into something else then rush back late themselves, making the patients that follow even later.
Posted by Tyga Woods
South Central Jupiter Island, FL
Member since Sep 2016
41383 posts
Posted on 1/20/17 at 8:32 am to
The worst is the night shift when you have an elderly loved one admitted to a hospital. Most of the times the nurses are chilling in the station on instagram and playing with each other's hair. God forbid you interrupt them for something
Posted by More beer please
Member since Feb 2010
46244 posts
Posted on 1/20/17 at 8:35 am to
quote:

I was but then the insurance companies told me to be mad at hospitals for over charging the shite out people for every procedure, and to be mad at pharmaceutical companies for jacking up prices to drugs (especially popular life saving ones) bc there is no competition.


Well its true. Just like doctors who prescribe and deal medication out of their own clinics. They jack up the price on a pain relieving cream thats simply a combo of things you can get over the counter.
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 8:42 am to
quote:

es, sounds simple, and you may be reliable enough to show up again, but others are going to get into something else then rush back late themselves, making the patients that follow even later.


OIC. Us patients can't be trusted to worry our pretty little heads about schedules. Just let the big smart doctor do it for you.

First, bullshite. The reason you won't tell us how late you are running is that you don't want us to know. You fear that we will cancel or go see some other doc. You don't want us to make an informed decision about scheduling because you know some will simply forgo the appointment. You need the patient inventory stacked up in the waiting room.

Second, the same doctors saying this are carrying around a copy of The Fountainhead in their back pockets and screaming about how governmental paternalism is degrading liberty. Yet they don't have the common damn courtesy to let patients decide their own schedules, which sounds pretty dadgum paternalistic to me.
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 8:45 am to
quote:

but employees can burn sick days in many places of employment.


Which is still a huge drain on the overall productivity.
Posted by Jake88
Member since Apr 2005
78028 posts
Posted on 1/20/17 at 8:49 am to
quote:


OIC. Us patients can't be trusted to worry our pretty little heads about schedules. Just let the big smart doctor do it for you.


Not at all like that. But, you know there are going to be some that are going to come back late and make someone like you later.

quote:

First, bullshite. The reason you won't tell us how late you are running is that you don't want us to know. You fear that we will cancel or go see some other doc. You don't want us to make an informed decision about scheduling because you know some will simply forgo the appointment. You need the patient inventory stacked up in the waiting room.


That doesn't make much sense. Didn't you say you routinely wait for hours? Obviously the doctor knows you know. Cancel, go see another doctor. In fact, I believe I suggested you should get another doc earlier in this thread. If I had a doc that made me wait two hours routinely, I'd go elsewhere.
Posted by Jake88
Member since Apr 2005
78028 posts
Posted on 1/20/17 at 8:51 am to
I don't disagree with you on that. I merely stated that some people took of a day of work to se a doctor.
Posted by Tortious
ATX
Member since Nov 2010
5651 posts
Posted on 1/20/17 at 8:52 am to
quote:

Stop pushing me out the door when I'm trying to discuss my overall health with you. If I have multiple concerns that shouldn't require multiple appointments.


And wonders why they have to wait and doc can't keep appointment times
Posted by Panny Crickets
Fort Worth, TX
Member since Sep 2008
5596 posts
Posted on 1/20/17 at 8:57 am to
quote:

pain relieving cream thats simply a combo of things you can get over the counter.


Example of creams that he writes that you can get over the counter, please.
Posted by medtiger
Member since Sep 2003
21954 posts
Posted on 1/20/17 at 8:59 am to
I'm able to type this response in this thread right now because 2 of my first 4 patients this morning didn't show up. For every person like you who say doctors aren't concerned about patients' time when it comes to scheduling, there are 5 patients who don't care enough about my schedule to properly cancel an appointment they aren't planning to show up to.

If I were to send a text to people telling them to show up 30 minutes later because I'm running late, that could work if I knew everyone would show up. All this banter about paperwork or rounding or being in surgery contribute far less to patient wait times than the fact that doctors overbook to account for no shows. If everyone shows up on my schedule on a given day, there's a good chance I'll be running behind. But I'm not going to stop scheduling like this because, on average, 20% of my patients don't show up. As much as it might make some of you cringe to read this, my practice is a business, and my goal is to maximize my income while providing quality healthcare to my patients.
Posted by More beer please
Member since Feb 2010
46244 posts
Posted on 1/20/17 at 9:00 am to
I said combinations. Used to work for a company where we did DUR's by licensed physicians and pharmacists. It was extremely common for doctors to charge $1000-$2500 for pain relieving creams with compounds that could be made for $50.

I dont remember because I just sold the service and didnt do the reviews.
Posted by Panny Crickets
Fort Worth, TX
Member since Sep 2008
5596 posts
Posted on 1/20/17 at 9:04 am to
So, the doctor sold these creams out of their office or were they writing scripts?
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