for display only
Big Blue Interactive The Corner Forum  
Back to the Corner

Archived Thread

NFT: Is there any other field that can pull off what doctors do?

pjcas18 : 6/29/2016 1:50 pm
yes this is a rant.

8:45 doctors appt with a renowned orthopedic surgeon. I know I need shoulder surgery, I met with my local orthopedist, went through the PT, cortisone shots, exercises etc. no change, only worsened over time, and now that I know what's next and went through the stupid medical insurance checklists I went to meet with the big dog.

he does a lot of the local colleges knees and shoulders as well as some overflow pros and he operated on my left shoulder in 2011.

9:30 rolls around I ask the receptionist, my appt was at 8:45 right? she says yes sheepishly, but the doctor is running way behind. you're not even next she says, there are two or three still ahead of you. I look at her like I want to rip her head off, but it's not her fault. I sit back down and read BBI on my phone.

9:55, an hour and 10 min after my appt was scheduled I get called in.

a nurse of some type fills out some form asking questions about my pain level and how long has this been hurting, and am I allergic to anything.

25 min later a "fellow" to the doctor I had an appt with comes in looks at my x-rays, examines me, asks some questions and says what he thinks (what I already knew) and then says he'll go talk to the dr and then come back.

11am now (2 hours and 15 min post appt time) the doctor comes in, says my x-rays showed much worse than he expected, need to start thinking about a surgery date, have to check the MRI box so get that scheduled with reception and did I want a cortisone shot for temporary relief.

no "sorry for the wait", no "wow I didn't realize your appt was for 8:45" or anything.

just strolls in like he's the king of the planet.

what other industries can get away with this?

I'll go to him and I'll be pissed off about the wait, but he's the best so you put up with it. but I don't have to like it.

I know in my job even if I was the best on the planet I could not get away with being unprofessional.

/rant
You can see someone else  
spike : 6/29/2016 1:54 pm : link
Who is more prompt.

They have to round their hospital patients in the early
Morning possibly
Find a few websites  
mrvax : 6/29/2016 1:54 pm : link
that cover reviews with doctors. Leave a detailed account of your experience. Maybe some prospective patients will think twice before going there and waiting a long freegin' time.
It's the inefficiencies  
Azzuri blue : 6/29/2016 1:55 pm : link
Of a for profit system. Dentists do the same shit.
RE: You can see someone else  
pjcas18 : 6/29/2016 1:56 pm : link
In comment 13014083 spike said:
Quote:
Who is more prompt.

They have to round their hospital patients in the early
Morning possibly


I know, but he's the best. It's like Yogi Berra said nobody goes there anymore because it's too crowded.

.  
arcarsenal : 6/29/2016 2:01 pm : link
It's frustrating. I routinely sit in the waiting room for at least half an hour past when my appointment is any time I go to my primary. Most of the time, I don't even see him.. it'll be a PA he has and they rarely tell me anything I couldn't have found with a quick google search.

I get that on one hand, you want them to take their time with each patient and not fly through them for the sake of getting them all done ASAP.. I also get that they're not going to book fewer appointments because it means less money for them. But it's still majorly inconvenient when what should be a 25-30 minute appointment takes well over an hour and there's zero remorse on their end as if it's something we're just supposed to deal with and "too bad".
People who rise to his ranks can often become too important...  
RC02XX : 6/29/2016 2:05 pm : link
in their minds to give a shit about being professional or being courteous to the "peons."

While not to this level, I've seen many officers, usually Colonels and Genera/Flag Officers, who don't seem to give a shit about other people's time now that they've climbed to the upper echelons of their services.
If he sees 5000 patients a year  
spike : 6/29/2016 2:12 pm : link
Then he wont care if he upsets 50 of them by being late.
And I guess  
Jolly Blue Giant : 6/29/2016 2:13 pm : link
You should yell at the old lady that came to the ER with a broken hip babe was the one that woke him up and had him to the the ER and operate in the morning. She made him late that bitch!
The Airline industry is pretty brutal when it comes to this stuff  
Mike in Long Beach : 6/29/2016 2:14 pm : link
You're right that they'll say sorry, but that doesn't get you to that wedding you're now missing, nor do you get your money back in most cases.
In customer service...  
Dan in the Springs : 6/29/2016 2:14 pm : link
if you have a rep who gives you a good answer and can resolve the problem for you, and you decide that you want to confirm that answer with someone you trust more (a manager), who you think is more likely to do a better job at solving your problem, you understand that you're going to have to wait for that manager, right? What if you insisted on speaking to a director of customer service? What about if you insisted on speaking to the CEO?

These people are busy, and even if you have an appointment you realize that it might have to wait should they be delayed in getting to you. The same is true for holding out for the medical specialist of your choice.

Not a perfect analogy but it's all I got.
And I would submit...  
Dan in the Springs : 6/29/2016 2:16 pm : link
that he's probably not late because he's indifferent, he's late because he's likely to have been in surgery, making sure he did that job as best he could.

Likely that's why he's at the top of his field. You want him cutting short your surgery if there's a complication because he had an 8:45 he can't be late to?

Just trying to help you see your issue from another perspective, not saying you're necessarily wrong. An apology would have been nice, I agree.
I recall being at my kids pediatrcian's office  
upstatenyg : 6/29/2016 2:16 pm : link
and constantly being pissed he would make me wait especially with an inpatient kid.

then after a few years, i was outside his office waiting for a prescription when i overheard him consoling another parents whose kid had a serious cognitive functioning issue.

they were asking a ton of questions, and seeking alot of information about a serious disorder that their kids would never recover from.

when I went in, the doc realized i probably heard a little.

he said he schedules everyone at 15 min, some take 10, and others like the couple before me take 90 min.

kept everything in perspective, I am sure he isn't intentionally screwing you. maybe something life involved with another patient came up.
yeah  
gidiefor : Mod : 6/29/2016 2:26 pm : link
no way I ever get away with this crap
Airlines often do much the same  
Hades07 : 6/29/2016 2:32 pm : link
.
this guy is sports medicine he's not seeing  
pjcas18 : 6/29/2016 2:33 pm : link
cognitively challenged kids, not operating on old ladies who fall and break their hips, he doesn't have an ER rotation/on-call responsibility and he schedules surgeries only on days when he doesn't see patients.

He works on two body parts. Shoulders and knees. That's literally it.

He operated on my other shoulder. I know him. he was never this late before, but he's always late.

He just over-books. Some professionalism and courtesy would be nice.
Sorry pjcas, that was you?  
YelbertonA : 6/29/2016 2:35 pm : link
truth be known, the foursome in front of us was slower than molasses.

-----Dr. High & Mighty
This thread is such bs  
ImThatGuy : 6/29/2016 2:37 pm : link
Sorry but you have no idea the doctor was doing at that time.

I know an MD and this is a synopsis of 3 stories she told me about her day yesterday

-one of her patients was sick and had been emailing her all week about his inability to eat or drink... and how had nieces/nephews living in his house and that he had thoughts of harming them. Fortunately my wife was able to get him to come in and get checked out/admitted
-she spent another hour on the phone with a social worker and the local police department tracking down a patient who was discharged against medical advice all because it had been 48hrs since the discharge and she wanted to make sure he was ok
-another patient was supposed to get a feeding tube delivered but the purchasing Dept f'ed up the order and delivery so she spent an hour apologizing to the patient and figuring out a plan so this guy could get the nutrients his body needs.

This was just yesterday and this wasn't even the patients she was supposed to see that day. But needless to say this put her behind in seeing patients and the work she was really supposed to do that day.

I have countless of stories like this. Maybe your doctor is a dick but don't put all MDs in that category
I didn't put all doctors  
pjcas18 : 6/29/2016 2:43 pm : link
in this category, I put my doctor in it and asked if there was any other field who could get away with this.

maybe the thread title is poorly worded, but I didn't have much room.

and as I said my doctor is a sports medicine orthopedist, he's not in an ER, not saving lives, and not talking to family members.
Apology  
Samiam : 6/29/2016 2:43 pm : link
I'm assuming there is a legitimate explanation for the delay; not likely the dr was golfing or goofing off. But, I think the point you made about no apology hits the nail on the head. All the dr has to do is acknowledge that you are a person who has things to do also and that would have worked for me. I wouldn't have been happy with the delay but an apology even if it's just words from the dr would help.
RE: Apology  
pjcas18 : 6/29/2016 2:45 pm : link
In comment 13014201 Samiam said:
Quote:
I'm assuming there is a legitimate explanation for the delay; not likely the dr was golfing or goofing off. But, I think the point you made about no apology hits the nail on the head. All the dr has to do is acknowledge that you are a person who has things to do also and that would have worked for me. I wouldn't have been happy with the delay but an apology even if it's just words from the dr would help.


Exactly, even if he was just laughing as he looked over the patient list and said "lol, some of those poor assholes will be sitting in that waiting room for over an hour given the fact we have 8 people booked at 8:45 and one of me" - which I don't believe was the case, a simple "sorry you had to wait" from any of the staff would have at least made me feel like they give a shit.
I'm that Guy  
gidiefor : Mod : 6/29/2016 2:45 pm : link
I think we're all talking about specialists that you set an appointment for non-emergency consultations with here

what exactly is the purpose of setting an appointment if the doctor is going to see you hours later?????
RE: I didn't put all doctors  
ImThatGuy : 6/29/2016 2:46 pm : link
In comment 13014199 pjcas18 said:
Quote:
in this category, I put my doctor in it and asked if there was any other field who could get away with this.

maybe the thread title is poorly worded, but I didn't have much room.

and as I said my doctor is a sports medicine orthopedist, he's not in an ER, not saving lives, and not talking to family members.


Understood ... didn't mean to attack, just showing the otherside.
I once had a courtdate in Manhattan for "9am"  
NoPeanutz : 6/29/2016 2:46 pm : link
and the judge didn't show up until after 10. An entire court room of nervous and tired people, pissed off attorneys, and court employees just watching the clock tick. And when she finally showed up, not a word, politie apology, no excuse me or anything.
Cable installer  
Deej : 6/29/2016 2:47 pm : link
will be there between 4 am and whenever.
RE: I'm that Guy  
ImThatGuy : 6/29/2016 2:48 pm : link
In comment 13014205 gidiefor said:
Quote:
I think we're all talking about specialists that you set an appointment for non-emergency consultations with here

what exactly is the purpose of setting an appointment if the doctor is going to see you hours later?????


Specialists do operate, maybe an operation before took longer then expected. Maybe he was rounding at the hospital in the morning and a trauma case came in and they asked him to help out.

Maybe he's a jerk and tried to squeeze in 18 holes ...
RE: I once had a courtdate in Manhattan for  
Deej : 6/29/2016 2:49 pm : link
In comment 13014208 NoPeanutz said:
Quote:
and the judge didn't show up until after 10. An entire court room of nervous and tired people, pissed off attorneys, and court employees just watching the clock tick. And when she finally showed up, not a word, politie apology, no excuse me or anything.


I once had a court date in the Bronx, on a pro bono matter (!), for 10 am. At 1pm they told us that the judge was in Manhattan all morning for training because she was switching courts, and would be in by 2:30. She arrived at 3:30.
When I asked the receptionist  
pjcas18 : 6/29/2016 2:49 pm : link
if I had made a mistake and my appointment wasn't really at 8:45, and she responded to me, it reminded me of the woman at the rental car counter in planes trains and automobiles.

yes, your appt was at 8:45, the doctor is running late.

I just wonder what they'd say if I showed up at 11 for my 8:45 am appt.

RE: RE: I'm that Guy  
gidiefor : Mod : 6/29/2016 2:52 pm : link
In comment 13014214 ImThatGuy said:
Quote:

Specialists do operate, maybe an operation before took longer then expected. Maybe he was rounding at the hospital in the morning and a trauma case came in and they asked him to help out.

Maybe he's a jerk and tried to squeeze in 18 holes ...


maybe the nurse lost the frikken file and just let me and pj sit out there like no bodies until we reminded them we were in the office
The nurse  
spike : 6/29/2016 2:54 pm : link
Was blowing his .... morning joe but It went past schedule
RE: RE: RE: I'm that Guy  
pjcas18 : 6/29/2016 2:54 pm : link
In comment 13014225 gidiefor said:
Quote:
In comment 13014214 ImThatGuy said:


Quote:



Specialists do operate, maybe an operation before took longer then expected. Maybe he was rounding at the hospital in the morning and a trauma case came in and they asked him to help out.

Maybe he's a jerk and tried to squeeze in 18 holes ...



maybe the nurse lost the frikken file and just let me and pj sit out there like no bodies until we reminded them we were in the office


that's actually what I thought happened, but then I asked her, and when she said "you're not even next, there are two people ahead of you" I figured that wasn't the case.

and for the record, there were other people in the waiting room who were wondering WTF was going on.

and the funny thing is once I got in to see the doctor I felt like beetlejuice finally getting his number called and almost all the anger seaped out of my body.

until I got home and reflected on it. LOL.
pjacs  
mitch300 : 6/29/2016 2:58 pm : link
how long did you have to wait to get an appointment to see this doctor?
RE: pjacs  
pjcas18 : 6/29/2016 3:02 pm : link
In comment 13014241 mitch300 said:
Quote:
how long did you have to wait to get an appointment to see this doctor?


I want to say two months? And my follow up to review the MRI is in 6 weeks.

he's booking surgeries into December.
What really pisses me off?  
jcn56 : 6/29/2016 3:06 pm : link
I have one doctor who has a strict minimum '24 hours notice' for cancellations. Miss it, and you pay a penalty.

That same doctor has canceled appointments on me, same day, no less than 3 times.

I get that shit happens, but that's a bi-directional issue.
RE: When I asked the receptionist  
Big Al : 6/29/2016 3:06 pm : link
In comment 13014218 pjcas18 said:
Quote:
if I had made a mistake and my appointment wasn't really at 8:45, and she responded to me, it reminded me of the woman at the rental car counter in planes trains and automobiles.

yes, your appt was at 8:45, the doctor is running late.

I just wonder what they'd say if I showed up at 11 for my 8:45 am appt.

You would not be seen and get a $100 no show charge.
look  
mitch300 : 6/29/2016 3:07 pm : link
at it this way, you could have waited 3-4 months to see him. Sounds like he is over booking due to being in high demand. Sucks,just keep in mind anytime you see him that your gonna be there a lot longer than expected.
They are probably  
spike : 6/29/2016 3:09 pm : link
Overbooking him due to high demands.

You are lucky you dont have an afternoon appt
I have never been left waiting for a Dr.  
Stan in LA : 6/29/2016 4:17 pm : link
Most of the time they take me early.

Of course, I only go to UCLA Medical so there's that...
Sorry you had to wait that long  
section125 : 6/29/2016 4:36 pm : link
and damn it is annoying.
But if he is that good, then he is ultra busy. If he wasn't even in yet, he was either at a complex surgery or an emergency surgery. I doubt he was fucking off somewhere.

You are right not many occupations can get away with that kind of delay.

At least you got to see him. Sounds like he has somebody screening the patients and only really sees the bad ones personally.

The orthopedic surgeon I go to is one of those famous guys  
81_Great_Dane : 6/29/2016 4:43 pm : link
who operates on athletes, and is quoted in the paper when a major athlete needs surgery and the news people need a medical expert. I go to Frank Jobe's former clinic -- you can probably figure out who it is if you feel like it.

I saw him first for a shoulder surgery around 10 years ago. There were similar long wait times for him. When I was in with him, he'd frequently be interrupted by his nurses, telling him so-and-so is on the line -- always some weird name, presumably code for athletes, so no one like me will overhear "Peyton Manning is on line 3" or whatever.

I went back recently for a knee issue. He's changed up his practice so he doesn't do initial evaluations. A lower-level doctor does that. Wait times are much better. So I wait less time, but I don't see the Pro From Dover. I think that's fair.
The only thing worse than waiting forever for a dr app  
Patrick77 : 6/29/2016 4:43 pm : link
Is when they are waiting for you. Usually a bad sign.
..  
Named Later : 6/29/2016 5:17 pm : link
One thing I've learned is don't schedule too early in the morning. I was first one in the waiting room and the Pill-pushing Salesmen showed up with Dunkin' Donuts and a Box of Joe. That was the only time the Doc would see them, and he extracted a price for 1/2 hour of his undivided attention. The Office Staff were all a-buzz over the Caffeine and Sugar.

I've since asked for a 10am appointment and show up at 9:55.

The delicate  
Dirt1 : 6/29/2016 5:34 pm : link

Genius has a policy.

Link - ( New Window )
I don't even think it's specialists  
JOrthman : 6/29/2016 5:51 pm : link
I've gotten to the point where I don't make a medical appointment unless I have uncontrolled bleeding or a bone sticking out of my skin. Between the wait times and everything else, you can be there over an hour for a five minute appointment with whoever your seeing.
RE: And I would submit...  
mrvax : 6/29/2016 6:22 pm : link
In comment 13014145 Dan in the Springs said:
Quote:

Just trying to help you see your issue from another perspective, not saying you're necessarily wrong. An apology would have been nice, I agree.


A reduction in the fee would be nice. 10% off for every 15 minutes late.
I have to go to my doctor every 6 months  
buford : 6/29/2016 6:29 pm : link
for med refills. I started making the first appointment in the AM. That way you don't wait. And I can still get to work on time.
RE: It's the inefficiencies  
BillT : 6/29/2016 7:11 pm : link
In comment 13014090 Azzuri blue said:
Quote:
Of a for profit system. Dentists do the same shit.

No, it's the inefficiencies of a healthcace system completely controlled by the government.
A little difference of opinion there  
WideRight : 6/29/2016 7:31 pm : link
I submit its supply and demand for that individual's services, whether he's trying to see as many patients as possible for profit in a private system, or break even in a government controlled system with low reimbursement.

Either way, its the patients who continue to show up who allow him to get away with it.
Try scheduling early  
Steve in South Jersey : 6/29/2016 7:38 pm : link
1st appointment of his day.
It's that way with every doctor  
AP in Halfmoon : 6/29/2016 7:39 pm : link
I've been too. I just accept it as part of the deal. A simple appointment kills half a day.
Well like I said  
pjcas18 : 6/29/2016 7:43 pm : link
he's the best, so I guess for him people would wait.

and I don't go to the doctor very often.

Anyway, glad I'm not alone, and the fact he pushed a cortisone shot on me that I didn't want and it left my shoulder and upper arm feeling like I had a charlie horse all day didn't help.

Plus the day has been shitty overall.

normally I'm not a big whiner.
BTW  
WideRight : 6/29/2016 7:44 pm : link
Health care systems can now financially penalize physicians if they do not see their patients in a timely fashion. There are contractual obligations because Medicare reimbursement will soon be tied to patient satisfaction.....
It's the same thing with hookers  
Milton : 6/29/2016 8:15 pm : link
You have an 8pm appointment, but they don't show up until after 11 and by then the viagra is wearing off.
pjcas  
Matt M. : 6/29/2016 8:48 pm : link
I don't know if you are locked in to this doctor, but I highly recommend Dr. Andrew Rokito at the Hospital for Joint Disease. He specializes in elbows and shoulders and started up a sports medicine office at NYU. If you can't see him, HJD and the NYU clinic are affiliated with one another and both excellent. They are efficient and the doctors are excellent.
RE: pjcas  
pjcas18 : 6/29/2016 8:52 pm : link
In comment 13014799 Matt M. said:
Quote:
I don't know if you are locked in to this doctor, but I highly recommend Dr. Andrew Rokito at the Hospital for Joint Disease. He specializes in elbows and shoulders and started up a sports medicine office at NYU. If you can't see him, HJD and the NYU clinic are affiliated with one another and both excellent. They are efficient and the doctors are excellent.


thanks Matt, I'm in the Boston area and this guy is well regarded up here, and I've used him before for the same surgery on my other shoulder.
You are right  
UConn4523 : 6/29/2016 9:01 pm : link
it's bullshit. Doctors overbook all the time and it will never stop. It's awful. I used to go to the top eye doc in NYC for 2 surgeries I had to do. Had to see him 4 or 5 times for follow up appointments thereafter. It's always a 3 hour commitment. When I go to a doctor now I ask for the first appointment or I won't go and when I get the first appointment and they aren't there I have a lot of leverage when asking what's going on.

Sure, maybe an emergency comes up here and there, but not every fucking time I see him. And that goes for everyone else comparing with me in the waiting room. Patients get fucked over as usual.
I know docs who schedule every 10 minutes  
TJ : 6/30/2016 1:48 am : link
They know before they arrive at the office that they will be running an hour+ behind by afternoon. I've worked in health care about 14 years now and the old joke is really true.

What's the difference between God and an MD?
God doesn't think he's a doctor.
Back to the Corner