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

Posted on 1/20/17 at 7:14 am to
Posted by CrimsonTideMD
Member since Dec 2010
7110 posts
Posted on 1/20/17 at 7:14 am to
quote:

Part of what you sign on for. Do it before or after you schedule clinic. Hire a staff person.



You are a genius. No one has ever thought of that before...

Part of the peer-to-peer is that it has to be the ordering physician talking to a physician from the insurance company.

And in most cases, the insurance docs only work from 9-5.

This post was edited on 1/20/17 at 7:18 am
Posted by Jake88
Member since Apr 2005
78048 posts
Posted on 1/20/17 at 7:16 am to
They round every day. Sometimes it's simple and sometimes there are complications.

If docs made their schedules to accommodate everyone on time, they'd be seeing significantly fewer patients and then people would be screaming about a lack of access and increased time before an appointment could be scheduled.
Posted by yellowfin
Coastal Bar
Member since May 2006
98750 posts
Posted on 1/20/17 at 7:17 am to
Let the market work itself out

I know the govt would have to step out first but I can dream.
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 7:18 am to
quote:

Nope, sorry, they don't and they can't warn you while you're waiting on them.



Yeah, you can. Here's how you do it.

Mr. Smith, I need you at the courthouse at eight. Bring a book, because the judge is going to be late probably. When we get there, I am going to check in with the clerk and get a feel for when you will be up. Then I will tell you. Then you can head to a coffee shop or restaurant for breakfast. Or I can set you up at my office so you can work on wireless. Keep you cellphone on you, because I will text you when it is getting close. Or my paralegal will.

If by chance the judge calls you earlier than I expect, I will approach the bench and explain. The judge knows me, and I know the judge. I have credibility. So the judge will cut me slack.

See, that's how you do it.
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 7:21 am to
quote:

Part of the peer-to-peer is that it has to be the ordering physician talking to a physician from the insurance company.


Then fricking tell me that when you walk in the room two hours late, jackass.

But I really don't believe you anyway. And if the insurers are giving you so much static that you have to spend two hours with them on the phone at 9 am, schedule me for seven. Or maybe you got flagged because you are ordering a bunch of bullshite.

All you are really saying is that I wait on you for lengthy periods of time because you can't or won't get your shite together better.
Posted by CrimsonTideMD
Member since Dec 2010
7110 posts
Posted on 1/20/17 at 7:21 am to
quote:

Yeah, you can. Here's how you do it.






Yeah man, have a 5 minute pre-appointment conversation with each patient. That's how you move things along and keep your clinic on time.

Posted by Jake88
Member since Apr 2005
78048 posts
Posted on 1/20/17 at 7:22 am to
What you described almost never happens.
Posted by leveedogs
Levee
Member since Jan 2016
276 posts
Posted on 1/20/17 at 7:24 am to
Comparing Europe to America in terms of patient population is like comparing apples to elephants. Obesity, noncompliance, and general lack of personal responsibility is out of control.

Defensive medicine, govt beurocracy, archaic medical records, arbitrary price-inflation of medication are all huge problems. But fixing all of these issues will never make our statistics looks as good as Norway because of the large percentage of fat, lazy, irresponsible, noncompliant, entitled Americans who have been brainwashed into thinking healthcare should be free.
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 7:26 am to
quote:

If docs made their schedules to accommodate everyone on time, they'd be seeing significantly fewer patients and then people would be screaming about a lack of access and increased time before an appointment could be scheduled.


Ease up there, happy jack.

There is an absolute amount of time you spend on patients. You spend that amount whether you see them promptly or not.

I am not asking you to spend a MINUTE more in patient care time. I AM asking you to get it together or figure out something so that I don't have to sit in your lobby for two hours. I AM asking you to come up with a system that tells me at you are running late.

If you know at eight that your rounds are running an hour late, text your office to tell your patients. Then the guy scheduled at nine knows he doesn't need to be there until ten.

And if you can't do that better, you are arrogant or dumb or both.
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 7:26 am to
quote:

What you described almost never happens.



It happens every time with my clients, Perry Mason.
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 7:27 am to
quote:

Yeah man, have a 5 minute pre-appointment conversation with each patient. That's how you move things along and keep your clinic on time.


You don't have staff? You poor.
Posted by Jake88
Member since Apr 2005
78048 posts
Posted on 1/20/17 at 7:27 am to
quote:

Surely such non-arrogant but obviously intelligent people such as yourselves


Is "arrogant" your fallback description for every doctor?
quote:

Chuy's does a better job when I am waiting for a table.


I bet you don't bitch about waiting for a table at a mediocre restaurant or in a line at an amusement park as much as you do waiting for your doctor. If so, your priorities are backwards.

You lob low brow insults at everyone who responds to you in this discussion. Maybe the doctors make you late because you're simply a disagreeable person.
This post was edited on 1/20/17 at 7:28 am
Posted by CrimsonTideMD
Member since Dec 2010
7110 posts
Posted on 1/20/17 at 7:27 am to
quote:

Then fricking tell me that when you walk in the room two hours late, jackass.
But I really don't believe you anyway.


Listen angry little man, I don't care what you believe.

I was trying to give you a little insight into the problems that physicians deal with on a daily basis that lead to delays.

I'm not advocating for delays. As you've mentioned it's a very imperfect system, and most of us are doing the best we can.
Posted by fishfighter
RIP
Member since Apr 2008
40026 posts
Posted on 1/20/17 at 7:29 am to
quote:

So why do docs schedule 8am appointments on those days?


Do you think doctors have control over people getting sick in the middle of the night and thrown into the hospital?
Posted by Jake88
Member since Apr 2005
78048 posts
Posted on 1/20/17 at 7:30 am to
quote:

I am not asking you to spend a MINUTE more in patient care time. I AM asking you to get it together or figure out something so that I don't have to sit in your lobby for two hours.


I almost never have to wait for my Internist, Gastroenterologist, or Dermatologist. Maybe you need a different doctor.
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 7:31 am to
quote:

most of us are doing the best we can.


Believe it or not, I believe you.

Here is what I really think. I think doctors' lives suck. I think patients are difficult and whiny. I think the reimbursement system is bewildering and incredibly inefficient.

Here is what I also think. Office management practice for most doctors is poor. I think most doctors can do far, far better at making wait times shorter.

All of the things you doctors have mentioned are valid reasons why I must sometimes wait in an office for medical care. I really do know that. But I also think that without doubt y'all can do better.

End troll.

This post was edited on 1/20/17 at 7:36 am
Posted by Jake88
Member since Apr 2005
78048 posts
Posted on 1/20/17 at 7:32 am to
quote:

It happens every time with my clients, Perry Mason.


Fine, but just like you and your doctors there are others and their attorneys where long waits happen.
Posted by CrimsonTideMD
Member since Dec 2010
7110 posts
Posted on 1/20/17 at 7:32 am to
quote:

And if you can't do that better, you are arrogant or dumb or both.



The only arrogance I've seen in this thread is from the guy on the outside--who really has no fricking clue--mocking and condescending the guys who are actually involved.

If I were truly that arrogant and dumb, I'd have just been an attorney.
This post was edited on 1/20/17 at 7:35 am
Posted by JudgeHolden
Gila River
Member since Jan 2008
18566 posts
Posted on 1/20/17 at 7:33 am to
quote:

angry


When it suits me.

quote:

little man


Baby arm, brah. A fat, healthy baby.
Posted by Jake88
Member since Apr 2005
78048 posts
Posted on 1/20/17 at 7:34 am to
quote:

Listen angry little man, I don't care what you believe.

I was trying to give you a little insight


He is angry, isn't he? Nasty man.
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