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Message
re: Gotta Love Doctors Offices
Posted on 9/9/22 at 5:08 pm to HueyLongJr
Posted on 9/9/22 at 5:08 pm to HueyLongJr
quote:
Guess who else has this problem? Restaurants. Yet you rarely wait as long for a reserved table as you do for a scheduled doctor appointment.
horrible comparison. telling your waiter hey i want to add cheese sticks as they leaving the table is a hell of a lot different than a patient saying oh wait I have these headaches as their doc leaving.
waiters dont have to spend several minutes asking about your cheese sticks, how to eat your cheesesticks, and what to do after you digest your cheesesticks before spending twice as long doing paperwork about your cheesesticks.
no doubt most docs could be better managing time, but people are just woefully ignorant of what goes into a doctor visit, have unrealistic expectations...expecting burger king (have it your way) treatment. prime example of the ignorance: comparing a doc appointment to a table reservation
1
Posted on 9/9/22 at 5:12 pm to HueyLongJr
quote:
Restaurants. Yet you rarely wait as long for a reserved table as you do for a scheduled doctor appointment.
It’s not a terrible analogy. I think the biggest difference is in the variability of the duration of 1 visit. Restaurants can more reliably know the range of time each party will take. Some MD visits literally take 2 minutes, some demand an hour.
Posted on 9/9/22 at 5:12 pm to donRANDOMnumbers
quote:
insurance companies have cut down on payout as well, so they are having to pick up more
which means there's more people showing up 15 minutes late, setting everyone else back 15 minutes. and then more people railroading the doc as the scheduled appointment is over by dropping the bomb of some random potentially worrisome symptom that was previously unmentioned and entirely unrelated to the purpose of the appointment which again sets everyone else back.
Posted on 9/9/22 at 5:17 pm to 777Tiger
quote:quote:
He also charged $20 per visit
would he accept a chicken if you were short on cash?
THis was in the 80s and early 90s. And he might have
Posted on 9/9/22 at 5:23 pm to AMS
quote:
but people are just woefully ignorant of what goes into a doctor visit, have unrealistic expectations.
And doctors aren't ignorant, yet do nothing to manage the problem. I guess we're the suckers. For instance, I will get a text and a call confirming my appointment. Yet I never get a text or call saying, "hey we are running an hour late." I'm expected to always be on time, and doctors take effort to make sure of it, even though they know I will be kept waiting. Are you really saying every day is the first day of practice for a doctor and they have no idea how backed up it will get?! LOL.
quote:
waiters dont have to spend several minutes asking about your cheese sticks,...
Does it really matter why there is time variability? The appointment will be 30-60 mins. Just like a restaurant.
You don't think restaurants couldn't overbook their tables. You don't think restaurants get a lot of cancellations. LOL.
Doctors do this because they know they can get away with it. Restaurants know they can't get away with it. So they don't do it. Sorry you don't like being compared to Burger King. Maybe offer better service.
Posted on 9/9/22 at 5:28 pm to TDFreak
Concierge medicine, turns the tables on the doctor and he is catering to you instead of the other way around.
Posted on 9/9/22 at 5:29 pm to Mufassa
quote:
It’s not a terrible analogy. I think the biggest difference is in the variability of the duration of 1 visit. Restaurants can more reliably know the range of time each party will take. Some MD visits literally take 2 minutes, some demand an hour.
its pretty awful of a comparison if youd spend a day behind the scenes at a doc office or had any legit insight.
once an appointment is going doctors office personnel cant interchangeably fill the docs role like in a restaurant. the nurse/receptionist/tech cant step in and work up your headache, but anyone can refill your coke or clean a table off.
hey wait id like to change my order is a lot different than oh and btw I started pooping blood at the end of a wellness visit.
delays in cleaning off a table or something doesnt make everyone else have to wait. it should be obvious an appointment at a business isnt the same as an appointment with a specific individual. you can cook everything for the enire party at one time, docs have to go 1 at a time.
Posted on 9/9/22 at 5:34 pm to fstegl
quote:
fstegl
Member since Oct 2010
1 post
Posted on 9/9/22 at 5:34 pm to AMS
Again, all these things seem to be known. Yet Doctors expect customers to eat the slack. Unexpected events are excusable. Everything described here is known by practitioners.
Posted on 9/9/22 at 5:36 pm to fstegl
quote:
Direct Primary Care. $100/month. No charge for visits, discounted medication, labs and imaging. NEVER wait at appointments. Usually the only patient even there. Dr. spends up to 90 minutes with you. Most routine issues are handled via secure text or video so you don't even have to go to the office most of the time. Sasser Direct Primary Care is a practice in Baton Rouge.
This is basically the model mine has. Monthly fee, never a dollar other than that. Blood draws are done in office, too. Set up for convenience. Incredible experience all around. Typically texts with Dr suffice.
Posted on 9/9/22 at 5:36 pm to LSUwag
quote:This. Unless it involves diagnostics or acute pain (et al) I try to do telemedicine exclusively.
Telemedicine is freaking awesome. I had an appointment yesterday from my office.
Posted on 9/9/22 at 5:37 pm to TyOconner
quote:
Concierge medicine, turns the tables on the doctor and he is catering to you instead of the other way around.
Yes, but it does cost more.
Posted on 9/9/22 at 5:38 pm to fstegl
quote:
Direct Primary Care. $100/month. No charge for visits, discounted medication, labs and imaging. NEVER wait at appointments. Usually the only patient even there. Dr. spends up to 90 minutes with you. Most routine issues are handled via secure text or video so you don't even have to go to the office most of the time. Sasser Direct Primary Care is a practice in Baton Rouge
Lol sounds like easy money for a GP.
Posted on 9/9/22 at 5:41 pm to USMCguy121
quote:
Lol sounds like easy money for a GP.
Well, you sure get what you pay for, right? Pay more and get a better experience. Pay less and get a worse experience(and complain publicly about it).
Posted on 9/9/22 at 5:53 pm to TDFreak
About a third of the patients show up late. Some of them don’t show up at all.
So you get a doctor that’s running a half hour late by 11am and an hour late by 2pm.
So you get a doctor that’s running a half hour late by 11am and an hour late by 2pm.
Posted on 9/9/22 at 5:56 pm to HueyLongJr
quote:
And doctors aren't ignorant, yet do nothing to manage the problem. I guess we're the suckers. For instance, I will get a text and a call confirming my appointment. Yet I never get a text or call saying, "hey we are running an hour late." I'm expected to always be on time, and doctors take effort to make sure of it, even though they know I will be kept waiting. Are you really saying every day is the first day of practice for a doctor and they have no idea how backed up it will get?! LOL.
I mean i acknowledged docs could do better but yea everyone is expected to be on time bc if not everyone gets pushed back. some blame is on you/your fellow patients for being inconsiderate for your time.
obviously silly 'muh first day' notion about how backed up they may get. they may have 40% no shows and save time... or everyone shows up, 3 fill ins 5 late, 5 hey wait also this thing unrelated to the appointment that really should be a whole other appointment.
quote:
Does it really matter why there is time variability? The appointment will be 30-60 mins. Just like a restaurant.
yes it matters a lot.
the fact you don't get this demonstrates the lack of insight
restaurants are an entire business specifically organized for handling many groups simultaneously...your doctor is an individual organized to handle one person at a time.
You wouldnt even notice reservations for 30 minutes lasting 40 minutes due to handling multiple groups simultaneously, but 40 minutes in a 30 minute doc appointment sets everyone back 10 minutes.
Posted on 9/9/22 at 6:02 pm to dewster
quote:This.
About a third of the patients show up late. Some of them don’t show up at all.
So you get a doctor that’s running a half hour late by 11am and an hour late by 2pm.
They have a necessary number of patients (based on compensation) to make their practice profitable. And (with few exceptions) patients come in poorly prepared to describe their complaint. Which turns a ten minute visit into a thirty minute encounter. And there is entering in coding for billing. So yeah, they run behind. Regularly.
Schedule yourself for as early in the day as you can for the best outcome.
Posted on 9/9/22 at 6:11 pm to HueyLongJr
quote:
Again, all these things seem to be known. Yet Doctors expect customers to eat the slack. Unexpected events are excusable. Everything described here is known by practitioners.
I guess its inexcusable your doctor has takes a few extra minutes to make sure a patient understands how to take their medications so the diabetic doesn't go into hypoglycemic coma and die or kill people while driving.
you should appreciate your doc taking the appropriate amount of time to handle a patient even if you have to wait a little bit. I guess your perspective would at least be consistent if you were happy that your doc just gets up and leaves suddenly because bye, 20 minutes is up, even if you are confused or want attention paid to something important with your health.
Posted on 9/9/22 at 6:13 pm to GumboPot
quote:
Two things. Demand is high and they don't schedule emergencies.
Yep. Not to mention people showing up with numerous complaints that weren't part of the scheduled visit. Pt's are just as much at fault as anyone. Sorry. Don't like it? Go to the clinic that isn't busy. They'll get you in and out. When you have a serious problem, they'll still get you in and out.
Don't like the wait for me? Change doctors. The ones that bitch the most are usually a-hole pt's that we skip over because we dread going in the room. It's easier for a patient to get pissed and go elsewhere than to fire them.
Mine know the best time is first part of the day or right after lunch. I never get a lunch but it gives me catch up time for all the shite that may walk/limp in. Some docs may be fricking around, but I work my arse off from the time I get there until I leave. Each practice is different. If my patients come in for what they have made the appt for and don't dump a load of extra shite on me, don't have any severe issues they didn't recognize and aren't a work in, they'll be seen on time. Ones that are notorious for being time vampires will be skipped over to get more people seen closer to or at their appt time.
Posted on 9/9/22 at 6:17 pm to KLSU
quote:
Because a-hole patients no show at an alarming rate which causes huge holes in the schedule and wasted time.
This can be managed differently. My wife just scheduled an appointment with a new doctor and advised there would be a $50 deposit to make the appointment. It seemed like a reasonable way to ensure patients who do show up aren’t inconvenienced by being overbooked.
I know others charge a no show fee.
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