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Author: ImAGolfer Three stars, 500 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: of 885518  
Subject: Poll: Dr. Appt Wait Times Date: 2/19/2014 7:20 PM
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You have a doctor's appointment for 10:00 AM. You arrive at 9:50 AM. When do you typcially get to see the doctor?
10:30 AM
11:00 AM
11:30 AM
Noon
I've got a doctor's appointment for you.

Click here to see results so far.

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Author: Jeanwa Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880217 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/19/2014 7:30 PM
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I should say that, for me, the wait is the nurse taking weight, height, BP, temp, etc., so I don't really consider it a wait.

Jean

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Author: oncqueen Three stars, 500 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880220 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/19/2014 7:37 PM
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Why is there no choice for 10 am/on time? Today I was on time for each of my patients, except for the last one, for whom I was 15 minutes late.

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Author: rharmelink Big red star, 1000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880228 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/19/2014 8:15 PM
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I have the doctors come to me instead.

I was using Mobile Doctors until last year (their corporate offices got shut down by the FBI for Medicare fraud -- they were upcoding). I started up with MD24 last month.

I get a phone call ahead of time asking if a 2-hour window is acceptable, then just do normal stuff at home until they show up.

Last June, I had a chronic cough, called up for the doctor, and he came out the next day. When I was using a brick-and-mortar doctor's office, I would play phone tag with Muzak for a while, then be told the doctor didn't have an opening for a month or more. Then sometimes end up sitting in the waiting room for an hour or more. I always tried to schedule my appointment as the first one in the morning, so there couldn't be a backlog in front of me.

Sonora Quest, our local lab for blood draws, added on-line appointments a few years ago. Worked like a charm. I used to show up 10 minutes early, just so the paperwork could get processed by the appointment time. Then have people glare at me when my name got called, because they had been waiting an hour or so.

Since Mobile Doctors/MD24, I also have house calls for other things -- blood draws, chest X-Ray, ultrasound, eye test, podiatrist, follow-ups, etc. Even got a brochure the other day about a mobile dentist.

The local Walgreen's even delivers prescriptions to my retirement community twice weekly. And MD24 just faxes the prescription over to Walgreen's. So I don't need to wait in line over there either.

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Author: vkg Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880230 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/19/2014 8:42 PM
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You didn't give the option of 10am.

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Author: ramsfanray Big funky green star, 20000 posts Top Favorite Fools Top Recommended Fools Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880234 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/19/2014 10:50 PM
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Why is there no choice for 10 am/on time?

Why have a choice for something that only one doctor can do.

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Author: vkg Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880236 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/19/2014 11:50 PM
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Why is there no choice for 10 am/on time?

Why have a choice for something that only one doctor can do.


If their is no option, then you don't know how many.

Current doctor's office calls to reschedule when the doctor is delayed in surgery.

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Author: BlueGrits Big gold star, 5000 posts Top Recommended Fools Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880237 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/19/2014 11:53 PM
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It's hard to answer this one....

I'm generally taken in on time, but then there's the height/weight/BP/temp routine. Then it's off to a room where I wait - sometimes very little, sometimes up to 20 minutes, for a doctor to show.

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Author: Windowseat Big funky green star, 20000 posts Top Favorite Fools Feste Award Nominee! Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880240 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/20/2014 12:06 AM
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Or even 10:15.

Nancy

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Author: medgoddess Big red star, 1000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880243 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/20/2014 4:29 AM
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If you're seeing me, 10:05 or so. It takes time to room a patient. If I'm running 15 minutes late, it's a rarity. Some docs are not that efficient. I know of some that are always late...because they are thorough. And their patients know and plan for it. And some have poor time management skills (I've worked with many like that).

I've had to reschedule my own personal appointments...my ortho last month had an emergency come in through the ER & he spent part of his office hours in the OR fixing up someone. It happens. It just sucked because I had snuck away from my office to see him. I've had to do that with ruptured ectopics. Or a partner calls from the OB floor and says "I need help now!"

I had a patient a few months back who told the scheduling staff the appointment was about her hormones. She didn't want to admit that it was really for depression and anxiety, which takes longer to deal with. Docs get blindsided like this frequently. And a lot of times they won't even tell the nurse who is rooming the patient!

There are a lot of reasons to run late, not all of them because of overbooking. There are some patients who are so needy that I tell staff to give me a double appointment when they schedule, otherwise I will run behind. Sometimes I will get a test result and tell my nurse to get the patient in today, somewhere, anywhere because we need to talk.

We just do our best.

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Author: tconi Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880244 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/20/2014 5:16 AM
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Why do you ask?

I usually get called in within 5 minutes of schedule, and the office manager is really good and tells people when there is an expected delay.

My doctor (after the intake stuff) arrives between 2 & 15 minutes after I am in a room.
If you haven't brought a book or something to do, waiting for 2 minutes seems much longer than it really is.
I have timed some waiting room times and I almost always overestimate by a factor of 2 how long I have been waiting.

However, I am fortunate enough to see my doctor only once a year and she takes about 20 minutes aside from the exam to ask about me health and otherwise, so she has a complete picture of how I am really doing.
For that, it is worth any wait.

If you don't have any chronic conditions, and are upset by the wait, maybe change practitioners.

peace & choices
t

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Author: barneybetty Three stars, 500 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880245 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/20/2014 6:09 AM
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It depends -

GP - About on time or not more than 10 minutes late
Dermatologist - On time or early
Gyn - Don't get me started. Anywhere from 30 - 60 minutes late. If we didn't have about 20 years of history, I'd go somewhere else. I'll soon not be needing those appointments anyway.

BB

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Author: rosewine Big red star, 1000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880248 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/20/2014 8:31 AM
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None of the above.

The last time I saw my GP I called at 7:05 AM to see if they could get me in or if I needed to go to the immediate care clinic. I arrived at the office at 7:35 for a 7:40 appointment. I barely had time to pick up a magazine in the waiting room when the doctor (not the nurse) came to fetch me back to the examining room. After looking at my wrist, he sent me to X-Ray. I checked in there and was immediately taken back for X-rays. Then back to the Doctors office where I had about a 5 minute wait before I saw him again. I was home again by 8:15 AM with wrist brace and a referral to a hand specialist.

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Author: 2gifts Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880249 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/20/2014 8:46 AM
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Why is there no choice for 10 am/on time?

Why have a choice for something that only one doctor can do.


I looked for that 10am choice as well, and since it wasn't there, just didn't answer.

My doctor is generally on time, as are most of the doctors for my family. I have had doctors who were notoriously late, and I have complained about that, but if their lateness was chronic, I just switched doctors.

I have no problem with a doctor being late for my appointment once in a while because that typically means they are tending to another patient, and I want that same kind of attention. But I won't tolerate it as habitual because that is disrespectful of my time, and I would not be disrespectful of the doctor's time by always being late.

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Author: MetroChick Big funky green star, 20000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880250 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/20/2014 9:14 AM
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It really depends on the type of doctor, if this is a first-time appointment or not, and if they're running late.

I've found appointments with specialists usually have longer wait times than a primary care doctor, most likely because they're seeing more complex cases, and have to get some much background history from the patient.

First-time seeing any doctor there's usually a longer wait time - usually because they spend more time going over your history with you.

And some offices occationally run late, while some offices are notorious for running late.

If you don't like to wait, it's best to try and get "first-morning-appointment", or if the office completely closes at lunch time, the first afternoon appointment.

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Author: impolite Big gold star, 5000 posts Top Favorite Fools Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880256 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/20/2014 10:52 AM
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I had a patient a few months back who told the scheduling staff the appointment was about her hormones. She didn't want to admit that it was really for depression and anxiety, which takes longer to deal with. Docs get blindsided like this frequently. And a lot of times they won't even tell the nurse who is rooming the patient!

This: if you make an appointment for a bad cough, then throw in a screwy mole at the last minute, you are causing the delay for the next person, not the doctor.

My doctor ran about 20 minutes late Tuesday, because a person that morning in for a routine visit had to be taken by ambulance to the ER instead. It happens. I'd rather know that the office will take the correct amount of time to deal with something like that than worry about 20 minutes.

Besides, I had a book.

impolite

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Author: vkg Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880260 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/20/2014 11:31 AM
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My doctor ran about 20 minutes late Tuesday, because a person that morning in for a routine visit had to be taken by ambulance to the ER instead. It happens. I'd rather know that the office will take the correct amount of time to deal with something like that than worry about 20 minutes.

Unexpected stuff happens and it has to be managed.

If it is routine to run a few hours late, then it isn't unexpected. When a doctor is significantly delayed, it is reasonable for the front office to call patients and notify them before they arrive.

A follow up appointment after surgery while I was still on crutches, the receptionist just said sit down and wait, and mumbled the doctor's not here. It took direct questions to find out that he was still in surgery, already a couple of hours late, and they weren't going to volunteer any information. I rescheduled my appointment and left. I should have been notified before I left for the appointment. My regret is that I didn't confront the doctor at the next visit. The surgery was under workmen's comp. My personal insurance was Kaiser HMO. I had never been treated like that at Kaiser, and wondered how they kept patients.

While I was waiting for my husband at an endoscopy center, one doctor was running around 90 minutes late because of two unexpectedly complicated procedures. Because the prep requirements for the patients, rescheduling is not an option. In such cases they stay open until all patients are seen. Choices are limited, but the staff was keeping patients updated.

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Author: ishtarastarte Big funky green star, 20000 posts Top Favorite Fools Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880275 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/20/2014 3:42 PM
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10 - 10:10.

There's a sign that says if you have to wait more than 15 mins past your appt time, to let someone know.

But I use the VA and they've been actively working on wait times for the last few years.

Ishtar

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Author: BAMartin Big red star, 1000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880282 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/20/2014 9:07 PM
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With my new doctor they request I arrive 15 minutes early for the assistant pre-doc weight and stuff. The doctor herself is never late. If this is not normal with your doctor, maybe it's time to change doctors.

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Author: legalwordwarrior Big funky green star, 20000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880283 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/20/2014 9:52 PM
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Or even 10:15.

The last two times I went to the doctor, my family doc messaged me the night before and told me to call his nurse the next morning at 8:00, but to head on over as soon as I called and he would work me in. I left the office at 8:30, drove over to his office, got my finger checked out, got a tetanus shot, and was back at the office by 9:00.

I saw my dermatologist earlier this week. Got to his office at 10:15 for a 10:30 appointment. I was in the office, had two biopsies taken from my face, and was back at the office a little after 11:00.

We currently have 3 hospitals and their associated doctors fighting for patients in our area. The competition has been good motivation for doctors not to let their patients wait.

LWW

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Author: utahtea Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880285 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/20/2014 10:35 PM
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When do you typcially get to see the doctor?

Not only don't you have a slot for on time, you don't even have one for just 5 or 15 minutes late. I am usually seen on time or maybe a few minutes after our scheduled time. My last appointment was with my surgeon. Because he is 45 minutes from where I live during high traffic time I left very early to avoid being late and traffic was light so I arrived 30 minutes early. I was called in just a few minutes after registering, nurse did the blood pressure, temp & weight. Asked me a few questions and I saw my doctor 15 minutes early. DH was out in the waiting room when a lady arrived late...I guess I got her time slot and she probably got mine. :)

Utahtea

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Author: MissEdithKeeler Big gold star, 5000 posts Top Favorite Fools Top Recommended Fools Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880286 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/20/2014 10:55 PM
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I go to a lot of doctor appts with my mom. She had one not too long ago where we waited for an hour. We left, and she changed doctors. Another one a few years ago left her waiting for over 45 minutes while he met with drug reps. Ridiculous.

The neurologist she sees gets her in within 10 minutes of her arrival. I think the only reason it's sometimes that late is that he treats a lot of elderly patients and sometimes they take a little longer.

I really believe in voting with your feet--if you have a doctor and he can't see you pretty close to your scheduled time, find another doctor. I'm amazed sometimes at what people will put up with from a doctor (long wait times, rude staff, rude doctor, etc.) that we'd never put up with at a restaurant!

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Author: VeeEnn Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880290 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 8:45 AM
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...DH was out in the waiting room when a lady arrived late...I guess I got her time slot and she probably got mine. :)

Maybe the subject of another poll....

How late is "too late to be seen"?

One late patient early in the day can kill the best and most meticulously planned appointment system.

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Author: VeeEnn Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880291 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 9:00 AM
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I'm amazed sometimes at what people will put up with from a doctor (long wait times, rude staff, rude doctor, etc.) that we'd never put up with at a restaurant!

Generally speaking, restaurants can plan for meal serving and eating times pretty well. Sometimes folk go to a doctor's office with really serious and unpredictable issues that can't be planned for ahead of time.

The days of building a bit of flexibility into an appointment book to accommodate for lateness or folk calling for what's a routine visit in their minds that turn out to be something very different (or where they've implied a routine problem in order to get a convenient appointment slot) are long gone.

Rudeness etc. needs its own poll.

My husband was apparently very rude in front of a patient yesterday ..... but he was dealing with an insurance company representative who wanted to deny a procedure.

There's yet another poll ....

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Author: vkg Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880293 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 11:37 AM
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How late is "too late to be seen"?

One late patient early in the day can kill the best and most meticulously planned appointment system


There are options:
1.) Reschedule the late patient rather than punishing everyone else

Traffic can interfer with the best of plans. If someone is impacting the doctors schedule, then their appointment needs to be rescheduled.

2.) Call patients who haven't arrived and reschedule someone who has a routine appointment and is willing to reschedule

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Author: Ilby One star, 50 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880294 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 11:39 AM
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I have recently waited a record time in an endocrinologist's office. I had a 2 PM appointment, and when I got there the receptionist mentioned that there is a wait. I asked how long, and she couldn't tell me. There were a lot of people in the waiting room, and the sign was posted that warned people not to complain about the wait, because the doctor is thorough.

I filled out the paperwork, took a picture of the waiting room to have a record of who was there before me, and my husband and I went to lunch. We took our time and came back around 3:30. There were still some of the same people in the waiting room! The receptionist told me that they will call me soon, but I still had about 20 minutes to sit and wait.

The patients were complaining to each other in the waiting room. They said that it is always like this here. There was no emergency that day. There was a sign that there is wifi in the waiting room, with a login and password. Some people had spread their office stuff and were having a working day in the waiting room.

About 3:50, just when I was thinking of walking out, the nurse came for me. She took me in, did the routine weight, blood pressure, etc. and then she connected me to some instruments I have never seen before. Breathe, don’t breathe. Breathe again. I asked for the explanation, and she said the doctor will tell you. When she was done about 40 minutes later, I asked if I passed the tests. The doctor will tell you.

OK, where is the doctor?? She said, you will see him soon. Get your things and go sit in the waiting room. 4:30. I went back to the same waiting room where there was now a lively discussion going on. All those people that were there at 2PM were now friendly and sharing their experiences and wait times (always the same here, but the doctor is great). Now I was half way there and I couldn't turn back. I sat there for another 90 minutes.

Finally I saw the doctor a little after 6PM. Four hours after my appointment! I asked about the test that was done, and he said - everything is fine. I don't know which test it was, it seems that they do it routinely. I couldn’t ask any questions, because the doctor was talking, and talking and talking… He didn’t address my health concerns, but talked endlessly about his scientific research, and microcosm and macrocosm, diabetes (which I don’t have, but he wrote a booklet about it and gave it to me with instructions to follow the diet) and several other things that just ate the whole hour. I was just thinking that there were people waiting for him and I wanted to speed him up, but he couldn’t be interrupted. Around 7PM I tried to return the discussion to my issue, and he said: “There are pills for that. You can take them, but you don’t have to. Do you want to?” I said: “I’d rather not.” He said: “Fine, come back in 6 months and we will see if there are changes.”

I left his office at 7:05, and felt that if he were efficient I could have had the same answer at 2:10. It was a horribly frustrating experience. The appointment was made a month in advance, and I didn’t want to cancel it, although that day was really busy for me otherwise. We had just moved two days before, the stuff was everywhere, and the appraiser was coming the next day in the house that we were selling, so we had a fixer coming in in the afternoon. I didn’t have five hours to waste in the doctor’s waiting room. While I was waiting, the fixer came to our old home (entered through the garage, we gave him the code over the phone). He didn’t do half of the things we asked, and if we were there we would point them out. We had to do them by ourselves, and it took us until 2AM to finish. The doctor threw a monkey wrench into the plans for the whole day. I really felt that it was rude and oblivious not to think that other people had lives that he just stopped for five hours so he could talk about himself to a captive audience.

That was last July. When they called from his office to schedule the six month checkup, I just laughed. Never again am I waiting this long! I found a different doctor, with a shorter waiting time, more interest in my issues, and less need to share the details of his research.

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Author: sissylue Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880295 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 12:57 PM
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Does the onc in your username stand for oncology? Because the ONLY doctor's appointments my mother never had to wait for was her oncologist. There was even a sign posted at the front desk that if you had to wait for more than 15 minutes you needed to let the receptionist know.

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Author: VeeEnn Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880296 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 1:02 PM
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How late is "too late to be seen"?

One late patient early in the day can kill the best and most meticulously planned appointment system

There are options:
1.) Reschedule the late patient rather than punishing everyone else



I guess I should've been more precise...

How late is "too late" when it's you or a really sick family member.....and when you're late for reasons that aren't necessarily under your control (or so you perceive) and have pressing medical concerns that can't wait for a new appointment (or so you perceive)

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Author: sissylue Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880297 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 1:15 PM
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Oh and I forgot to mention that doctor's office also had free wi-fi and a kitchen stocked with free drinks, snacks, sandwiches for the taking; and not just a vast array of books and magazines to read, but a table with an ongoing jigsaw puzzle you could work. Not that we ever got to take advantage because they always whisked us to the back so quickly. My theory is that the idea behind the set-up was the acknowledgment that life was already so suck-ish and stressful for you that they were going to make absolutely sure that nothing in their "doctor's waiting room experience" could add to your stress.

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Author: MetroChick Big funky green star, 20000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880298 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 1:27 PM
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There are options:
1.) Reschedule the late patient rather than punishing everyone else

Traffic can interfer with the best of plans. If someone is impacting the doctors schedule, then their appointment needs to be rescheduled.


Most doctor's offices probably put a higher priority on "care" versus efficiency of running like a McDonald's drive through. I'm sure if a patient is habitually very late for appointments, the office might speak to him/her about it. But since traffic, weather, etc can affect ALL of us, they're probably much more understanding if someone arrives a little late to an appointment some of the time, since they also want patients to be flexible if the office is running late or something out of the ordinary happens.


2.) Call patients who haven't arrived and reschedule someone who has a routine appointment and is willing to reschedule


Most patients probably aren't willing to change their appointment times at the last minute. I've occationally had a doctor's office call and say they've had a cancellation so they could move my appointment to earlier in the day - but I've never taken them up on the offer since once I make an appointment, I schedule other work items around that appointment and it would be more of a pain to me to reschedule everything.

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Author: vkg Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880299 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 1:29 PM
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How late is "too late" when it's you or a really sick family member.....and when you're late for reasons that aren't necessarily under your control (or so you perceive) and have pressing medical concerns that can't wait for a new appointment (or so you perceive)

The family member isn't sick enough to be taken to emergency or for the effort to get them to the appointment on time. The obvious answer is that medical concern isn't an emergency, and they should be the one to wait for an opening.

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Author: vkg Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880300 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 1:41 PM
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Most patients probably aren't willing to change their appointment times at the last minute.

You don't need most.

I would be willing to change a routine appointment rather than deal with a significant delay. I disagree that if the choice is to reschedule or go to the doctor's office to wait a couple of hours many would reschedule.

Our doctor's office has called because the doctor was delayed in surgery. The options were to delay the appointment until later in the day or reschedule for another time. Keeping the original appointment isn't an option. Being given the choice shows respect for the patient.

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Author: vkg Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880301 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 2:04 PM
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Most doctor's offices probably put a higher priority on "care" versus efficiency of running like a McDonald's drive through. I'm sure if a patient is habitually very late for appointments, the office might speak to him/her about it. But since traffic, weather, etc can affect ALL of us, they're probably much more understanding if someone arrives a little late to an appointment some of the time, since they also want patients to be flexible if the office is running late or something out of the ordinary happens.

Patients arriving late is not uncommon. The front office needs to manage it so that it doesn't seriously impact others. The one arriving late is responsible for their being late. If there is no punishment for being late, then there is no reason to ever be on time. There is a also need for the doctor's office to be reasonable. A few minutes late because of traffic shouldn't be too difficult to accomodate. If the delay is before the patient leaves home, then call the doctor's office. When trapped by traffic issues, it may not be possible to call and you may have to reschedule.

Weather and traffic can cause problems. I have arrived early for an appointment and was taken in immediately because others commuting further were delayed by weather. The "good" thing about weather delays is that it hits many at the same time. The front office knew that the fog was going to make a mess of the schedule, and were handling it as best they could.

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Author: MetroChick Big funky green star, 20000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880302 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 2:54 PM
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Our doctor's office has called because the doctor was delayed in surgery. The options were to delay the appointment until later in the day or reschedule for another time.

There's a big difference between a surgeon getting delayed due to an operation going over expected time - or a surgeon having to bump all patients for a day due to a higher-priority surgery, versus non-surgical doctor's offices having delays.

In my area, surgeons now try to have "surgical days" and "office visit days" specifically so office visits aren't bumped due to surgeries going over expected times. I've found as a patient, this works must better than the old standard of surgeries during the morning and office visits in the afternoon.

Plus in your example, if a surgeon has a mix of surgery and office visits on the same day - there's always a chance your make-up appoint could get bumped a 2nd time if he/she is delayed in surgery again.

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Author: vkg Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880303 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 3:38 PM
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In my area, surgeons now try to have "surgical days" and "office visit days" specifically so office visits aren't bumped due to surgeries going over expected times. I've found as a patient, this works must better than the old standard of surgeries during the morning and office visits in the afternoon.

Plus in your example, if a surgeon has a mix of surgery and office visits on the same day - there's always a chance your make-up appoint could get bumped a 2nd time if he/she is delayed in surgery again.


Possible, it depends on the number of surgeries that the doctor performs. The doctor that does colonoscopies and surgery has separate procedure/surgery days and office days. Our primary care doctor doesn't, but doesn't have any many days he does surgery. A first delay is unusual, two would be very unlikely.

My work schedule is such that some days my schedule is flexible. Rescheduling a routine appointment before I leave work or home would not be an issue.

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Author: Levka98 Big red star, 1000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880304 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 6:50 PM
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We see the doctor within 15 minutes of the appointment. We used to have a doctor who made us wait up to two hours, and we decided to seek someone else.

Our dentist sees us within 10 minutes of the appointment. I used to have a dentist whose wait time was at least one hour. When I complained, his staff looked at me as if I was loco. I changed dentists and am much happier.

Regards,

Levka.

one who hates to wait

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Author: Windowseat Big funky green star, 20000 posts Top Favorite Fools Feste Award Nominee! Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880305 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 6:58 PM
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I used to have a dentist whose wait time was at least one hour. When I complained, his staff looked at me as if I was loco. I changed dentists and am much happier.

I used to see an eye doctor whose wait time got worse and worse as the day went by. Then people started realizing that he had three martini lunches (or sometimes more).

I finally started seeing someone else, and realized what an idiot I had been for continuing to see the same doctor, when there were equally good doctors whose waiting rooms didn't involve the massive overcrowding problem that the first guy had.

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Author: Goofyhoofy Big funky green star, 20000 posts Top Favorite Fools Top Recommended Fools Feste Award Nominee! Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880306 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 6:58 PM
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The days of building a bit of flexibility into an appointment book to accommodate for lateness or folk calling for what's a routine visit in their minds that turn out to be something very different (or where they've implied a routine problem in order to get a convenient appointment slot) are long gone.

My wife had a problem with her eye, and was referred to a particular opthamologist by her GP. She waited 90 minutes in the waiting room on the day of the appointment. And when it came to her follow-up several months later, she scheduled the first appointment of the day, at 8:00.

She was still kept waiting for over an hour. How do you explain that?

I explained it this way: "He's fired."
 


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Author: vkg Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880307 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 7:03 PM
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Our dentist sees us within 10 minutes of the appointment. I used to have a dentist whose wait time was at least one hour. When I complained, his staff looked at me as if I was loco. I changed dentists and am much happier.

I wonder if the dentist knows how his staff is treating his patients. His staff isn't going to tell him.

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Author: MissEdithKeeler Big gold star, 5000 posts Top Favorite Fools Top Recommended Fools Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880308 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/21/2014 8:48 PM
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Generally speaking, restaurants can plan for meal serving and eating times pretty well. Sometimes folk go to a doctor's office with really serious and unpredictable issues that can't be planned for ahead of time.

The days of building a bit of flexibility into an appointment book to accommodate for lateness or folk calling for what's a routine visit in their minds that turn out to be something very different (or where they've implied a routine problem in order to get a convenient appointment slot) are long gone.


There's a big difference, IMHO, between the occasional emergency that backs the day up and a pattern of long waits every time you go to the doctor. I can forgive a bad day if it's not a regular thing, just as I will forgive a restaurant for a bad night if that's not the norm.

But I can't forgive a doctor who's meeting with drug reps and keeping his patients waiting. (My mom's neurologist has a sign at the desk that they will NOT meet with drug reps during patient hours. I love that). At a restaurant we won't put up with the servers chatting with their friends and not serving us; why should we put up with doctors chatting with drug reps and not honoring our appointment times? I know some don't want to believe it, but "doctor" does not equal "god," and yet some people act like it does.

I can see some types of doctors getting backed up more than others. I'm guessing pediatricians have a lot more situations where they have emergencies and sick kids that need to be worked in than do neurologists or other specialties.

And I disagree that "gone are the days of building flexibility..." A doctor's office is a business, just like any other. After a time, a doctor (or the manager of the office) is going to have a pretty good idea of how often emergencies come up, how often patients need to be worked in, how long the doctors typically take with each patient, etc. You can manage for that and plan accordingly. No, it's not going to go perfectly every single day--it's not a factory, after all--but it's doable.

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Author: utahtea Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880319 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/22/2014 2:19 AM
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How late is "too late to be seen"?

One late patient early in the day can kill the best and most meticulously planned appointment system

===*===*===

There are options:
1.) Reschedule the late patient rather than punishing everyone else

Traffic can interfer with the best of plans. If someone is impacting the doctors schedule, then their appointment needs to be rescheduled.

2.) Call patients who haven't arrived and reschedule someone who has a routine appointment and is willing to reschedule



I like my DH's idea. The person who is late gets to wait until there is an opening in the doctor's schedule instead of making everyone else wait!

If I had been on time instead of early, then I probably would have been the one waiting.

Utahtea

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Author: MetroChick Big funky green star, 20000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880332 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/22/2014 8:33 PM
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My wife had a problem with her eye, and was referred to a particular opthamologist by her GP. She waited 90 minutes in the waiting room on the day of the appointment. And when it came to her follow-up several months later, she scheduled the first appointment of the day, at 8:00.

She was still kept waiting for over an hour. How do you explain that?


Since an opthamologist can perform surgeries - it's possible the doctor had rounds at a hospital before office visits.

If you didn't ask, there's no way to know for sure.

Again, what a patient puts up with depends on complexity of their case, and specialists available who treat that kind of case.

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Author: WHOVPLLC One star, 50 posts Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880334 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/22/2014 9:19 PM
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I go to a lot of doctor appts with my mom. She had one not too long ago where we waited for an hour. We left, and she changed doctors. Another one a few years ago left her waiting for over 45 minutes while he met with drug reps. Ridiculous. ... - MissEdithKeeler | Date: 2/20/2014 10:55:02 PM | Number: 880333

A good, professional physician of any kind will NEVER meet with Drug Company Reps during scheduled appointment times.

My physicians all schedule separate, specific times to meet with Drug Reps during non-patient appointment times.

WHOVPLLC

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Author: REtim Big red star, 1000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880335 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/22/2014 9:21 PM
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My rule of thumb when i practiced in the ER was the drug rep first had to buy pizza for all the staff then they would get 5 minutes exactly when i had down time.

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Author: WHOVPLLC One star, 50 posts Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880336 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/22/2014 9:25 PM
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I teach my doctor's two children fencing since I am a USFencing.org registered coach for Sabre & Foil.

WHOVPLLC

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Author: VeeEnn Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880347 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/23/2014 9:15 AM
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My wife had a problem with her eye, and was referred to a particular opthamologist by her GP. She waited 90 minutes in the waiting room on the day of the appointment.....

In this instance, she might very well have been the patient waiting in the waiting room as the ophthalmologist was running late because of my husband's cataract surgery. Expected to be a routine procedure..... but ended being not very routine at all. Waiting in a waiting room would've been a very nice luxury for me back then.


.... And when it came to her follow-up several months later, she scheduled the first appointment of the day, at 8:00.

She was still kept waiting for over an hour. How do you explain that?


Just the same way. Maybe someone else was suffering mightily and being attended to by your wife's ophthalmologist whilst your wife was kept waiting. Even ophthalmology has its hairy moments and there's always someone who's inconvenienced.

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Author: VeeEnn Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880348 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/23/2014 9:31 AM
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My rule of thumb when i practiced in the ER was the drug rep first had to buy pizza for all the staff then they would get 5 minutes exactly when i had down time.

Nice try!

Every knows that drug reps don't bother with ERs (not sayin' that ER docs aren't valuable, worthwhile folk and nice persons to hang with) but ERs generally don't run on the sort of drugs that Big Pharma wants to peddle via drug reps (really .....everyone does know that .... or at least, they should)

I know you didn't stipulate that you were actually practising emergency medicine in the ER .... but I'd be very interested to know which pharma rep(s) for which company and introducing which blockbuster drug complied with this rule of thumb.

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Author: REtim Big red star, 1000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880360 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/23/2014 3:11 PM
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My rule of thumb when i practiced in the ER was the drug rep first had to buy pizza for all the staff then they would get 5 minutes exactly when i had down time.

Nice try!

Every knows that drug reps don't bother with ERs (not sayin' that ER docs aren't valuable, worthwhile folk and nice persons to hang with) but ERs generally don't run on the sort of drugs that Big Pharma wants to peddle via drug reps (really .....everyone does know that .... or at least, they should)

I know you didn't stipulate that you were actually practising emergency medicine in the ER .... but I'd be very interested to know which pharma rep(s) for which company and introducing which blockbuster drug complied with this rule of thumb.





Yes I was actually in practice at the time. I am happily retired now for 3 months. My hospital about 3 years ago decided to ban drug reps, so correct in saying that things may have changed.

My fav story is about 8-9 years ago the levaquin rep came in, promised pizza the next day, so I let him talk to me. The next day none of the staff brought their lunches and the drug rep didn't live up to his side of the bargain.

So i had him banned from the hospital.


About a month later he literally snuck into the ER in the night and begged to be re-admitted. So I had him buy a large pizza for each and every staff member, janitor, clerk working that evening. He did. We had stacks of pizza from floor to ceiling. So I relented and made the necessary phone calls.


A majority of patients admitted to the hospital come through the ER. I don't see why they wouldn't want to target us ER docs.


Anyway, hope that answers your question

Still retired,

Tim

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Author: VeeEnn Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880384 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 11:36 AM
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Yes I was actually in practice at the time. I am happily retired now for 3 months. My hospital about 3 years ago decided to ban drug reps, so correct in saying that things may have changed....

WORD!

My fav story is about 8-9 years ago the levaquin rep came in, promised pizza the next day, so I let him talk to me.


Errr, would that be the rep. who was trying to get you to peddle (ooops, make that prescribe) this antibiotic http://en.wikipedia.org/wiki/Levaquin. How many victims of plague did you have in that ER of yours...8-9 years ago??.

Claims such as this can be checked for veracity on line!!


So i had him banned from the hospital.

Just like that!! Dr. House ....or not

About a month later he literally snuck into the ER in the night and begged to be re-admitted. So I had him buy a large pizza for each and every staff member, janitor, clerk working that evening. He did. We had stacks of pizza from floor to ceiling. So I relented and made the necessary phone calls.

Sorry ....in an ER department where anyone needs to sneak in at night and beg to be readmitted there's likely to be no-one there to re-admit them. This scenario would be plausible in, maybe, Somalia, Sierra Leone, Sochi or a TMF board.... but really.

You're assuming that the folk reading these threads have no knowledge or a particular skill set when it comes to evaluating your claims. Don't insult them with your nitwittery.

I'm sure you were very important in your ER position (you told us that)....

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Author: MissEdithKeeler Big gold star, 5000 posts Top Favorite Fools Top Recommended Fools Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880385 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 11:51 AM
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You're assuming that the folk reading these threads have no knowledge or a particular skill set when it comes to evaluating your claims. Don't insult them with your nitwittery.

I'm sure you were very important in your ER position (you told us that)....


Why are you being so snarky to this poster? What's at stake for you here? The poster was relaying a story. Is it possible that different hospitals have different set ups? That the ER department in one hospital might be different from another? Even if you, personally don't believe an anecdote that's really tangential to the discussion at hand, let it go....

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Author: VeeEnn Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880386 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 12:06 PM
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The poster was relaying a story. Is it possible that different hospitals have different set ups?

Yes. Very definitely. It seems to me that this reality isn't aleays understood on this forum.


That the ER department in one hospital might be different from another?

Another YES!!1!. See the above comment.

Even if you, personally don't believe an anecdote that's really tangential to the discussion at hand, let it go....

OK...

Stories are nice.

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Author: wolferd1 Big red star, 1000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880387 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 12:13 PM
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Why are you being so snarky to this poster?

This is her history. She takes a lot of pride on other boards telling people they don't know what they are talking about. Not a pleasant poster.

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Author: VeeEnn Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880390 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 12:33 PM
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This is her history. She takes a lot of pride on other boards telling people they don't know what they are talking about.


I don't recognise your TMF moniker, wolferd. Do you have some sort of past history that's riled you up enough to post about what's gone on WRT *other boards*...

Have you personally made the mistake of talking nonsense and gotten yo' azz roasted a bit.

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Author: ishtarastarte Big funky green star, 20000 posts Top Favorite Fools Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880391 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 12:35 PM
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Errr, would that be the rep. who was trying to get you to peddle (ooops, make that prescribe) this antibiotic http://en.wikipedia.org/wiki/Levaquin. How many victims of plague did you have in that ER of yours...8-9 years ago??.



Hmmm. . .From your link. . . .

a broad spectrum antibiotic

Now, not an expert, but doesn't "broad spectrum" mean it fights a lot of different bacterial infections, as in, it is not specific to one?


Its spectrum of activity includes most strains of bacterial pathogens responsible for respiratory, urinary tract, gastrointestinal, and abdominal infections



This would still seem to indicate that it's used for many different bacterial infections. . . .


Now, I have to look up the Latin names, but:

Gram negative (Escherichia coli, Haemophilus influenzae, Klebsiella pneumoniae, Legionella pneumophila, Moraxella catarrhalis, Proteus mirabilis, and Pseudomonas aeruginosa), Gram positive (methicillin-sensitive but not methicillin-resistant Staphylococcus aureus, Streptococcus pneumoniae, Staphylococcus epidermidis, Enterococcus faecalis, and Streptococcus pyogenes), and atypical bacterial pathogens (Chlamydophila pneumoniae and Mycoplasma pneumoniae).


Isn't that first one the infamous E Coli causing intestinal distress and in some cases death? Not in every burger, but not terribly uncommon, either? Makes the news at least once a year in some part of the country?

Haemophilus influenzae, it seems we vaccinate for that one?

Due to routine use of the Hib conjugate vaccine in the U.S. since 1990, the incidence of invasive Hib disease has decreased to 1.3/100,000 in children. However, Hib remains a major cause of lower respiratory tract infections in infants and children in developing countries where the vaccine is not widely used. Unencapsulated H. influenzae strains are unaffected by the Hib vaccine and cause ear infections (otitis media), eye infections (conjunctivitis), and sinusitis in children, and are associated with pneumonia.


As a general rule, Klebsiella infections are seen mostly in people with a weakened immune system. Most often illness affects middle-aged and older men with debilitating diseases. This patient population is believed to have impaired respiratory host defenses, including persons with diabetes, alcoholism, malignancy, liver disease, Chronic obstructive pulmonary diseases (COPD), glucocorticoid therapy, renal failure, and certain occupational exposures (such as paper mill workers). Many of these infections are obtained when a person is in the hospital for some other reason (a nosocomial infection).


So, if the bacteria is found in hospitals, wouldn't it make sense for a hospital to have an antibiotic on hand that fights it?

Next one is Legionnaire's disease - and Wiki tells me that 4-5% of pneumonia nationwide is cause by it.

Again, not terribly uncommon.

Looks like it also fights some staph and strep strains.

I have to get back to work now, but really, why did you think this is only to fight the plague?

Ishtar

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Author: VeeEnn Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880392 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 1:39 PM
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Now, not an expert, ....

This is a very important issue to take on board. I know that. You know that. Other folk may not.!


Now, I have to look up the Latin names, but:....

You have to look up the words. Right, that fills me with confidence that you know WTF you're talking about. While this might seem tremendously *snarky* to some, I tend to wonder why a lack of knowledge in the subject under discussion is so valuable.

I have to get back to work now, but really, why did you think this is only to fight the plague?

Well, I don't. But I put it out there as an example of what folk can glom onto when they they on't have much of a knowledge base .... but can do a link dumping exercise.

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Author: BigKahoona Big funky green star, 20000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880393 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 1:39 PM
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I have to get back to work now, but really, why did you think this is only to fight the plague?


Remember this scene from Hangover 2?

Stu: You know, between Teddy and me you must be pretty excited. Pretty soon you'll have two doctors in the family.
Fohn: You have to realize that in my country we don't consider dentist to be a real doctor.

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Author: MissEdithKeeler Big gold star, 5000 posts Top Favorite Fools Top Recommended Fools Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880394 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 1:46 PM
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Right, that fills me with confidence that you know WTF you're talking about.

Aren't you a dental hygienist or something?

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Author: ishtarastarte Big funky green star, 20000 posts Top Favorite Fools Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880396 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 1:49 PM
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Fohn: You have to realize that in my country we don't consider dentist to be a real doctor.

Good times.. . . :P

Ishtar

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Author: VeeEnn Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880397 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 1:57 PM
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Aren't you a dental hygienist or something? ....

Ooops. I think I'm more of a *something* (well, I used to be) than a dental hygienist.

Nice try, though.

Don't try to dump on dental hygienists.....if you want to look like you know WETF you're talking about.

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Author: MissEdithKeeler Big gold star, 5000 posts Top Favorite Fools Top Recommended Fools Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880398 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 2:04 PM
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Ooops. I think I'm more of a *something* (well, I used to be) than a dental hygienist.

Nice try, though.

Don't try to dump on dental hygienists.....if you want to look like you know WETF you're talking about.


You know, I wasn't dumping on anyone. My point is that you are accusing people of not having "credentials" to comment on certain things, yet you don't comment on the credentials that you think qualify you to tell people that they are incorrect about their personal anecdotes and their questions to you.

I don't know you--I seem to recall seeing some of your posts on another board--but I think you've been rather unkind and dismissive to others in this thread. And I don't understand why, except that maybe you need to do that to make yourself feel better about yourself for some reason. I wish you luck with your self-esteem issues.

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Author: VeeEnn Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880399 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 2:15 PM
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I seem to recall seeing some of your posts on another board--but I think you've been rather unkind and dismissive to others in this thread. And I don't understand why, except that maybe you need to do that to make yourself feel better about yourself for some reason

Can you offer up some sort of insight into how you feel I've tried to make myself feel better about myself??

Have I touched upon a self-esteem nerve of yours???

On this particular thread I've offered up insights into why folk who're sitting in a waiting room ....and waiting......might consider that there's a reason for their wait beyond what they perceive. Not saying at all that I'm right. But still....

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Author: GardenStateFool Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880400 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 2:33 PM
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About a month later he literally snuck into the ER in the night and begged to be re-admitted. So I had him buy a large pizza for each and every staff member, janitor, clerk working that evening. He did. We had stacks of pizza from floor to ceiling. So I relented and made the necessary phone calls.


Well, thank goodness you're retired. I desperately want my medical choices being made by someone who's swayed by pizza.

I believe that PhRMA has now pretty much gone swag-free, including those pizza lunches, that you're discussing, and J&J (who makes Levaquin) was one of the first to adopt and enforce those standards.

Still, you remind me of the doctors who cheerfully informed me (during some of my pharma ride-alongs) that they "write who they see... and who's skirt is shortest."

Yeah, I'm thrilled by that code of ethics.

How about an in-service for the purpose of learning more about the drug?

GSF

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Author: GardenStateFool Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880401 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 2:35 PM
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Errr, would that be the rep. who was trying to get you to peddle (ooops, make that prescribe) this antibiotic http://en.wikipedia.org/wiki/Levaquin. How many victims of plague did you have in that ER of yours...8-9 years ago??.

Just because something is indicated for the plague doesn't mean that's all it does.

GSF
... ended up with Levaquin for a respiratory infection last year, and knows quite a bit about what it is and is not prescribed for.

Claims such as this can be checked for veracity on line!!

Yes!! Thank goodness!! Because then people can educate themselves!! Too bad it doesn't always work!!

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Author: GardenStateFool Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880402 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 2:41 PM
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You have to look up the words. Right, that fills me with confidence that you know WTF you're talking about.

Better than the person whose starting position was that Levaquin was for the plague.

If you didn't think that, exactly what *did* you mean by your comment:

How many victims of plague did you have in that ER of yours...8-9 years ago??.

Either you know what it is ACTUALLY for or you don't. There are a lot of legitimate reasons to be prescribing that drug. And Cipro. Shockingly, it's not just for anthrax. Or would you have simply asked how many anthrax victims they had if that had been the named drug?

GSF

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Author: wolferd1 Big red star, 1000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880403 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 3:57 PM
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I don't recognise your TMF moniker, wolferd. . . . Have you personally made the mistake of talking nonsense and gotten yo' azz roasted a bit.

Don't flatter yourself.

I came by the health and nutrition board a while back, thinking I could learn something. Rather than being a place where one could learn a bit from other folks with similar interests, it was too hostile for most people to have any interest in hanging around. So I left, as did the OP who dared to ask a question.

http://boards.fool.com/well-i-came-here-asking-for-informati...

In case you or anyone else wonders why it was so hostile, I would just point to your posts in this thread.

This is not life, this is just a board on the internet.
Ease up.

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Author: MasonMcDan Big gold star, 5000 posts Top Recommended Fools Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880404 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/24/2014 4:17 PM
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Errr, would that be the rep. who was trying to get you to peddle (ooops, make that prescribe) this antibiotic http://en.wikipedia.org/wiki/Levaquin. How many victims of plague did you have in that ER of yours...8-9 years ago??.

What the heck are you talking about?

I'm an RN and regularly administer levaquin/levofloxacin, both IV and PO.

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Author: Gingko100 Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880420 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/25/2014 12:07 AM
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Sorry ....in an ER department where anyone needs to sneak in at night and beg to be readmitted there's likely to be no-one there to re-admit them. This scenario would be plausible in, maybe, Somalia, Sierra Leone, Sochi or a TMF board.... but really.

You're assuming that the folk reading these threads have no knowledge or a particular skill set when it comes to evaluating your claims. Don't insult them with your nitwittery.


What the hey?!? Everyone on this thread has been mostly collegial and polite, except for you. Please don't come out guns blazing insulting another poster. All they did is tell an anecdote from their experience. You are welcome to tell some of your own anecdotes. This rudeness doesn't lend your position any credibility. And it's just nasty.

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Author: reader99 Big red star, 1000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880423 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/25/2014 8:54 AM
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This is her history. She takes a lot of pride on other boards telling people they don't know what they are talking about. Not a pleasant poster.

****

Which is why this poster has been in my p-box for years

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Author: Gingko100 Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880430 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/25/2014 1:08 PM
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Good idea.

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Author: scaryblondechick Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880432 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/25/2014 1:49 PM
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I really believe in voting with your feet--if you have a doctor and he can't see you pretty close to your scheduled time, find another doctor. I'm amazed sometimes at what people will put up with from a doctor (long wait times, rude staff, rude doctor, etc.) that we'd never put up with at a restaurant!

I live in an outer borough of NYC. My community has about half a million people. In that whole population I searched for six months and could not find an endocrinologist who was taking new patients (with or without insurance). I finally got in to see one because he does hospital rounds with my internist, who made the referral as if it were professional - as if I worked with him. Otherwise it wouldn't have happened.

When I show up for a 10:00AM appointment to this endo, I routinely wait at least one hour and usually two before I'm shown in for vitals and baseline history. Again routinely, it's another one to two hours before I'm roomed. And once roomed it runs approximately 15 to 20 minutes to see the doctor - who spends 10 to 15 minutes with me.

I put up with this because none of my other practitioners are willing to routinely prescribe thyroid hormone replacement therapy. I am starting to think it might be worth my while to commute for an hour (or more on a bad day) to see another doctor. This of course would mean starting over with history, labs, etc., but as I mention, I'm considering it.

We walk out of a restaurant after two hours because the restaurant food isn't that important to us. I wait for two to four hours every appointment because my medication is. If there were another doc within half an hour of me who would take a new patient I would be there already.

No, I don't understand why this specialty should be so overwhelmed, and I don't have this problem with any other practitioner. Can there be that many diabetics out there, that they're choking the access so seriously?

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Author: dianakalt Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880444 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/25/2014 5:06 PM
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I don't recognise your TMF moniker, wolferd. Do you have some sort of past history that's riled you up enough to post about what's gone on WRT *other boards*...

Have you personally made the mistake of talking nonsense and gotten yo' azz roasted a bit.


A person doesn't have to be a victim of nonsense to know about it. Lurkers know how to read, too.

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Author: alchook Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880446 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/25/2014 5:58 PM
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I put up with this because none of my other practitioners are willing to routinely prescribe thyroid hormone replacement therapy.

Seriously?

That's something I would think to be well within the scope of practice of any primary care physician.

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Author: elQu Big gold star, 5000 posts Top Favorite Fools Feste Award Nominee! Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880510 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/26/2014 2:10 PM
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this antibiotic http://en.wikipedia.org/wiki/Levaquin. How many victims of plague did you have in that ER of yours...8-9 years ago??.

My MIL was prescribed Levaquin by her doctor at the critical care clinic for a suspected case of pneumonia.

Claims such as this can be checked for veracity on line!!

Yes, they can. Such as in PubMed...

http://www.ncbi.nlm.nih.gov/m/pubmed/20455679/
Levofloxacin is a fluoroquinolone that has a broad spectrum of activity against several causative bacterial pathogens of community-acquired pneumonia (CAP). The efficacy and tolerability of levofloxacin 500 mg once daily for 10 days in patients with CAP are well established...

Your comments about why doctors can be delayed and run late for appointments were on topic and mostly thoughtful. But the above tirade is rude and nonsensical. Even if you never prescribed Levaquin yourself before you retired from practicing dentistry, doesn't mean you aren't capable of looking up a medication's use with a bit more care than that before making such silly comments.

Laura

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Author: elQu Big gold star, 5000 posts Top Favorite Fools Feste Award Nominee! Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880511 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/26/2014 2:32 PM
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Aren't you a dental hygienist or something?

Vee used to be a dentist. She's now a spin instructor:

http://boards.fool.com/so-vee-what-exactly-are-your-credenti...

Laura

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Author: Commodore64 Big gold star, 5000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: 880542 of 885518
Subject: Re: Poll: Dr. Appt Wait Times Date: 2/28/2014 4:31 AM
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Sometimes they are right on time.

Other times I have to wait, up to 1.5 hours.

I ALWAYS bring something to do, just in case- either work or a good book.

So it's not really a big deal.

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