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Your appointment is only 10 minutes long...



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No. 40
from texas_lvn
Old Jul 04, 2009, 01:37 AM

Bandaid Re: Your appointment is only 10 minutes long...
Originally Posted by qt2168 View Post
So do you guys think I should just let it go and in the future mabye just book double appointments or do you feel like writing a letter to this NP would actually make a diffrence for one of her patients in the future? Thanks for all the input btw its really helping me and seeing it from the point of view of someone working in the setting helps. Still a bit angry tho.
With all that I have said, I agree that your voice should be heard. I think you need to address this in a formal, professional letter. There is no reason why someone should be rude. But also, please be considerate in your letter. Let someone else read it before you send it, or write it and then a few hours later read it and edit it so that you don't come across as (can think of a good word) lol, but that you get your point across that you expect more, the rude behavior was unnecessary and that in the future you will book double appointments. So you have a complaint and a resolution. It will have the provider understand that you are not attacking her (as you feel she did you) and let her know that you do want to keep this professional relationship. If she is rude again, Id be gone like donkey kong........

Cant remember....was this your moms first visit? How long have you had a professional relationship with this provider? That may make a difference.

Good Luck!
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No. 41
from texas_lvn
Old Jul 04, 2009, 01:44 AM

Question Re: Your appointment is only 10 minutes long...
Originally Posted by chenoaspirit View Post
And also, if a patient doesnt have the time to list all their complaints, how can any MD properly diagnose. Some disease processes present with multiple symptoms and unless the MD knows all of them, he/she can not possibly diagnose accurately.
If they are completely different areas like a hurt ankle from a fall 6 months ago, clogged ears for the past 2 months, and wanting an std check, I don't even think House can have a diagnosis where those would be related. LOL
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No. 42
from Daytonite
Old Jul 04, 2009, 06:10 PM
Updated Jul 04, 2009 at 06:34 PM by Daytonite

Change doctors. Your mother knows these people don't care about her. If your mother belongs to an HMO write a letter of complaint along with a demand for a change to a different primary care doctor with the reasons you describe above (you did a pretty good job describing them).

I take a piece of paper to each doctor I visit that I print out from my computer that has the date and a list of my current medications with a list at the bottom of issues they need to know or I want to discuss with them. I leave this paper with them and almost every doc puts this paper in my chart. I also keep them in a file on my computer so I can pull them up at any time.
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No. 43
from boggle
Old Jul 04, 2009, 08:45 PM

Default Re: Your appointment is only 10 minutes long...
A very interesting discussion here! I totally understand the frustration with the "running a business" end of medical care, especially for running an office. If reimbursements keep getting cut, the rush will only get worse.

Still, I think you have to remember the patient here. Their needs are physical and emotional and usually intertwined.

I've been in the health care field forever and still get tongue tied and nervous in the physicians office. Don't rush me. Help me please.

Going to a physician/ NP is very stressful for many people. Many are unsure about what's going on with their bodies, scared, embarrassed, not sure if they are being a bother or will be judged weak or stupid so may have put off coming till little things become big things........ Then there is the financial/ time toll to just get to the appointment. Should I miss a day of work for this problem?....will I miss picking up the kids?...... you get the idea here.

I don't have an answer to this problem, but feel rushed appointments will only lead to more complex illness/problems to be treated on the next appointment.
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No. 44
from qt2168
Old Jul 04, 2009, 09:08 PM

Default Re: Your appointment is only 10 minutes long...
Cant remember....was this your moms first visit? How long have you had a professional relationship with this provider? That may make a difference.

This was not my mothers first visit to this NP she was actually there 6 months ago for major depression (which took me forever to get her to go in the first place) I dont have a professional relationship with this provider either. We will definitly not be going back and I am going to take the advice and write a letter and have someone else read it also. thanks for the help guys!
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No. 45
from texas_lvn
Old Jul 05, 2009, 12:53 AM

Thumbs up Re: Your appointment is only 10 minutes long...
Originally Posted by Daytonite View Post
I take a piece of paper to each doctor I visit that I print out from my computer that has the date and a list of my current medications with a list at the bottom of issues they need to know or I want to discuss with them. I leave this paper with them and almost every doc puts this paper in my chart. I also keep them in a file on my computer so I can pull them up at any time.
Thank you Thank you Thank you!!!!!!!!!!! This is a very good idea and I wish more people would do this!!!!
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No. 46
Old Jul 05, 2009, 02:27 AM

Default Re: Your appointment is only 10 minutes long...
My best friend went to my OB-GYN when she got pregnant, on my recommendation. She miscarried at 5 weeks, and went that afternoon. Imagine my rage when the CNM did her exam, VERY brusquely with unnecessary physical roughness, and didn't even tell her she was sorry for her loss.

This was the same CNM that had done my pap 2 months earlier, and didn't say hello, or anything else, just SHOVED a speculum....well, you know where.

Me and doc had a chat. Don't know if what I said had anything to do with it, but this CNM doesn't work there anymore. Thank God.

Complain. Advocate for your patients - in this case, your mother. Advocate and don't take no for an answer. There are MANY providers out there who are VERY good and would LOVE the opportunity to care for her.
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No. 47
Old Jul 05, 2009, 03:19 AM

Default Re: Your appointment is only 10 minutes long...
Originally Posted by texas_lvn View Post
If they are completely different areas like a hurt ankle from a fall 6 months ago, clogged ears for the past 2 months, and wanting an std check, I don't even think House can have a diagnosis where those would be related. LOL
Exactly. As the nurse, I will listen to the entire list to make sure there isn't something really important or related to the chief complaint. A sinus infection might be related to issue #8, teeth pain. So yeah, that is OK to bring up. But when a pt's CC is shoulder pain r/t fall in basketball last week, then how does that related to the plantar's wart present for 6 months, and the prematutre ejaculation, and the dry skin, and male pattern baldness, and everything under the sun??? we should address all those issues in one appointment? HOW???

The clinic I work in is on an Air Force Base. So the office visits are FREE. People do not have to take unpaid time off to go to the doctor. The supervisor had to allow medical appointments. Non working spouses with children have 3 options for childcare if they don't want to bring the kids along. So, there is no excuse to not come back later.

If it's the first time I see a patient and they have a list, I explain the time constraints (never had a complaint about me being rude). Most people have no idea, and that's OK. I help them go over the list and narrow it down, and immediately book them another appointment or 2 to address the other problems. It is a problem when it's a repeat offender with a shopping list. They know better, yet think the world revolves around them, and that we don't have any other patients to help. Sound familiar? Just like the people constantly on the call bell. Same mentality.

You say you don't want to be rushed in an appointment. You say you shouldn't have to wait long in the waiting room. BUT, you also don't want to pay extra money. What is your suggestion, then?
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No. 48
from nursel56
Old Jul 05, 2009, 03:49 AM
Updated Jul 05, 2009 at 03:57 AM by nursel56

Default Re: Your appointment is only 10 minutes long...
Originally Posted by texas_lvn View Post
If they are completely different areas like a hurt ankle from a fall 6 months ago, clogged ears for the past 2 months, and wanting an std check, I don't even think House can have a diagnosis where those would be related. LOL



OP, I would agree that a letter pointing out how you and your mother were upset by her communication style (rude) would be a good idea. I know that for me, if I'm still disturbed by something after a few days to think about it, I need to address it.
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No. 49
from qt2168
Old Jul 05, 2009, 05:19 AM

Default Re: Your appointment is only 10 minutes long...
Does anyone have any ideas on how I could word this letter?
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