>I work for a doctor's office with doctors who work their
>tails off to try to get everyone seen. They are good at
>explaining things to their patients, which at times can cause
>them to get a little behind, and they do try to squeeze
>emergency patients in between as well. Other things that can
>put them behind schedule is the patient who hasnt been seen
>for a few months that comes in for a "sore throat" and then
>does the old "while I"m here I had a few more questions" and
>the appt ends up being much longer than anticipated. My docs
>try to touch briefly on the major questions but will often
>make the patient reschedule to discuss the other more chronic
>problems in more detail when more time can be allotted. So
>for that patient, he or she may feel like they're gettting the
>big blow off and be mad that another copay has to be paid
>later, but for the patient who is next in line to be seen,
>they appreciate the doc not tacking on another 30 minutes to
>their wait time. Oftentimes it's not always the doc who is
>running behind it's the patients. I've seen many days where
>my docs are standing around twiddling their thumbs b/c their
>patients are late so say a 10am appt is 15 min late, the 10:10
>patient is a few minutes late and lo and behold the 10:30
>patient is 15 min early, so now the dilemma is you suddenly
>have 3 patients there literally at the same time and there's
>just no way to see 3 patients at once.
>
>Concerning phone calls, it's not possible on a busy office day
>to answer all phone calls and see all the patients that need
>to be seen. My docs have a phone triage and important calls
>they answer in btwn patients, others wait til the end of the
>day and still others til the next day. I think the docs I
>work for easiy speak to 25-30 patients a day per doc and it's
>usually while they're standing up on their lunch hour trying
>to grab a bite to eat before the afternoon rush of patients
>come in.
>
>As far as meds go, I've seen my docs get "reminder letters"
>from "medical advisory committees" that monitor prescription
>meds especially those with "black box" warnings. Letters
>like, "we notice it's been 6 months since you've see Mr Jones.
> He is on Zoloft and I'm sure you're aware of the close
>monitoring needed to assess suicidal ideations etc etc" So
>yes, docs do need to see certain patients more than others to
>cover their butts, but it is good medicine to do so as well.
>
>Dont get me wrong I'm not saying the medical world is not
>without its flaws, I'm just fortunate enough to work for a
>great group of docs who do miss out on famlily functions and
>put in ALOT of hours and are truly caring people who are
>trying to do the best they can. Can you telll I love where I
>work???? lol Ok, off my soap box now
Well said, Stacy