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| Aqua: here's one for you | |
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| Tweet Topic Started: Oct 4 2016, 12:47 PM (114 Views) | |
| justme | Oct 4 2016, 12:47 PM Post #1 |
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HOLY CARP!!!
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My regular doctor's office called a couple of weeks ago to schedule a follow-up to my gall bladder surgery. I went yesterday. Went to the window to sign in and the reception asked me what I was going to do about my account balance. I said I have no balance that I'd pay when we were thru with the appointment. "Oh, but you do have a balance. It's $438.00." I said "no, I don't believe so". She said "you were in the hospital right? For your gall bladder?" I said "yes, I was but I never saw Dr. B****." She explained that while I was in the hospital a "chartist" from their physician's group looked over my chart so he/she could inform my doctor what was going on and make sure everything was okay. I said that I never asked anyone to do that. There was a fuss and she said she'd talk to her boss who had already gone home for the day. I go in and see my doctor and he says "How are you? And what can I do for you today?" I said "I'm here to follow up on my gall bladder surgery." He said "You had your gall bladder removed? When? Tell me what happened?" What the f***? |
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"Men sway more towards hussies." G-D3 | |
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| Aqua Letifer | Oct 4 2016, 12:49 PM Post #2 |
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ZOOOOOM!
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Yeah our private health care system is so thoroughly awesome and badass that it would be a terrible blow if it received and overhaul. I have a "financial specialist" "reaching out to me" about my hospital bill. I'm going to ask her if they're going to take my kidneys if I can't afford to pay for them taking my gallbladder. |
| I cite irreconcilable differences. | |
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| justme | Oct 4 2016, 12:58 PM Post #3 |
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HOLY CARP!!!
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Sadly, I wasn't quick enough to say in a puzzled voice "you mean your chartist didn't inform you???" According to spellcheck "chartist" isn't even a word. |
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"Men sway more towards hussies." G-D3 | |
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| Jolly | Oct 4 2016, 01:05 PM Post #4 |
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Geaux Tigers!
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Hospitalist. Betya... |
| The main obstacle to a stable and just world order is the United States.- George Soros | |
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| sue | Oct 4 2016, 01:08 PM Post #5 |
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HOLY CARP!!!
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that's insane, Peggy. Absolutely insane. |
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| justme | Oct 4 2016, 01:13 PM Post #6 |
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HOLY CARP!!!
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isn't it???? this country is f***ed up in so many ways. |
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"Men sway more towards hussies." G-D3 | |
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| John Galt | Oct 4 2016, 01:30 PM Post #7 |
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Fulla-Carp
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How universal is the hospitalist model? Could it be evolving differently in various institutions? I had a family member who went to the hospital in 2010. His PCP never saw him in the hospital. The medical group had a couple of docs who would see patients in the hospital. Sounds kind of like what happened in justme's case ("chartist", or maybe a precursor to a hospitalist). At least one of those guys also saw patients in the office; in fact the patient switched doctors because he liked the one who came to the hospital better than the one he had been seeing for several years. And I also know of another hospitalization, also in 2010, where the hospitalist was responsible for a patient's care and was not part of the medical group the patient's PCP was in. So two different approaches in the same time frame, but at different hospitals in the same area. FF to 2016. Same family member (first one I described), same hospital and same physician group. This time he was assigned a hospitalist, not from the medical group his PCP is in. His PCP tracked the case via electronic medical records; he was completely up to speed when he went to see him a week or so after he was discharged from the hospital. There was a charge for the hospitalist, but his doctor charged nothing until the office visit. |
| Let us begin anew, remembering on both sides that civility is not a sign of weakness. | |
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| George K | Oct 4 2016, 01:47 PM Post #8 |
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Finally
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We have hospitalists at our place. Most of them are pretty good. When D4 was in the hospital for her (recurrent) disc herniation, she was admitted for pain control. She was under the care of a hospitalist service, with the neurosurgery service and the pain service being "consultants." At the university, "consultants" don't write orders, they make "recommendations," and it's up to the primary service to either follow or ignore the recommendations. Most of the recommendations made by the pain service (she was admitted for pain, after all) and the neurosurgery service (she needed another operation) were ignored. The hospitalist usually made rounds once a day - other than the two days when the hospitalist called her on her cell phone to see how she was doing. That qualified as a visit, I guess. Another time, when the hospitalist called, D4 didn't answer because she was talking to the surgeon. After her operation, the surgeon said, "I'm transferring her to my service," and all of us were thrilled. So, as JG says, it can be good, or it can be horrible. Our experience wasn't good. Not at all. This is a symptom of the government requiring ACO's in which large groups of docs get a break for negotiating contracts. And no, the docs aren't getting paid more for this, the bean counters (weren't we talking about paperwork earlier today?) are. |
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A guide to GKSR: Click "Now look here, you Baltic gas passer... " - Mik, 6/14/08 Nothing is as effective as homeopathy. I'd rather listen to an hour of Abba than an hour of The Beatles. - Klaus, 4/29/18 | |
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