RE: EKG

[Guest guest]

My contracts might say the same thing,

though I don’t think they do. Besides, I’m not sure that I

will ever be so busy that I close to all payors. I am not going to take

any Medicaid after this year & then may close to Medicare too.

As for the frequent fliers, why can’t

you just say that there is nothing more I’m going to have to offer today

that I did not have 2 days ago, assuming of course that the second visit is for

basically the same thing (not worsened, etc)? A private office is not an

ER where you are forced to see all comers. True, you do have to be

careful about putting someone off as they may one day really be sick, but at

least a little bit of screening by phone is OK. For example, if someone

was in 2 days ago for a cold of 5 days duration & then wants in again 2

days later because it is “no better” I would give them a 15 second

phone explanation that a standard uri/cough can last 3 – 4 wks, etc, etc,

BUT to call again if not better in a few days or if any worse. If you are

not doing ANY screening/triage whatsoever before scheduling then I can

definitely see why you would have to close to all new pt’s with only 900

in your panel. I don’t do much medicine by phone, but I also do not

want to see someone that clearly just does not need to be seen again so soon as

my schedule will eventually clog up & open access will fail. However,

I guess your patient example is a good one & if I had a similar patient I

might see them more often as well. I do have a few exceptions as well.

The pt’s I see quite a lot are those that come back every week or so

wanting an extension of their work excuse. A lot of people must really

hate their jobs out there!

EKG

Hi everyone,

i was wondering for those of

you who have an EKG machine, what diagnoses do insurances reimburse for an

EKG? Can you get reimbursed for your hypertensives, diabetics,

chest pain? annual physical after a certain age?

I am thinking about getting a PC

based EKG made by Burdick. Anyone have this? Any regrets? any

cautions?

Thanks

Lee

[Guest guest]

I agree. But she has one distinct advantage: she

actually comes to work. Of all the

staff I have hired, this one is the ONLY one that consistently shows up when

scheduled, does not make personal phone calls during work to manage her

{divorce, bankruptcy, child custody battle, home purchase, or family health

crisis} and works the whole time she is here. She has some quirks, no doubt, but if the

EKG is the only thing she can’t do in her 10-12 hours per week, I can

live with that. I won’t have

to get rid of her; eventually she will graduate and go on to full time work

some where.

Annie

Re:

EKG

Hi Annie,

Do you like the EKG from

Midmark? Did you look at any other brands ? Do you remember how

much it cost ( and is it interpretive? or do you need it to be

interpretive?). Did you also get the spirometer that can go with it?

EKG

Hi everyone,

i was wondering for those of

you who have an EKG machine, what diagnoses do insurances reimburse for an

EKG? Can you get reimbursed for your hypertensives, diabetics,

chest pain? annual physical after a certain age?

I am thinking about getting a PC

based EKG made by Burdick. Anyone have this? Any regrets? any

cautions?

Thanks

Lee

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[Guest guest]

An employee with a good work ethic is as valuable as she is rare; it is nice to hear your story.

Here is a thought: maybe she is one of those people who influence electronics in strange ways. One way to evaluate this is to see if this happens to her in other, perhaps similar, situations. If so, she may have an unusual electrical polarity, or something. You may have encountered people like this: computers freeze, electronic doors won't open, etc. If you know anyone who does polarity therapy of other "energy" work, you might as their opinion.

I acknowledge that this may sound strange to some, but I feel this is important to bring up since this young lady may have characteristics that may be beneficial in ways we do not understand (yet). Check to see if she has some unsual abilities or perceptive capabilities that have surprised her or those around her in the past.

Then again, she could be sabatoging the device, but her overall work ethic examples do not support this.

Charlie Vargas

New Mountain Medicine

lin, NC

[Guest guest]

i completely agree. then she can work in a "wu-wu" office. one of my assistants claims that she can make computers freeze up and even burn down. she once lost all my data temporarily through sloppy mouse clicks. i have found other equipment mysteriously inappropriately set-- "oh, i was just dusting there." amazingly, these things stopped when i told her that they are job-ending behaviors. she is charming, and great with people. she also has great difficulty with authority, and behaves how she wants. happily, she is leaving shortly. LLCharlie Vargas wrote: An employee with a good work ethic is as valuable as she is rare; it is nice to hear

your story. Here is a thought: maybe she is one of those people who influence electronics in strange ways. One way to evaluate this is to see if this happens to her in other, perhaps similar, situations. If so, she may have an unusual electrical polarity, or something. You may have encountered people like this: computers freeze, electronic doors won't open, etc. If you know anyone who does polarity therapy of other "energy" work, you might as their opinion. I acknowledge that this may sound strange to some, but I feel this is important to bring up since this young lady may have characteristics that may be beneficial in ways we do not understand (yet). Check to see if she has some unsual abilities or perceptive capabilities that have surprised her or those around her in the past. Then again, she could be sabatoging the device, but her overall work ethic examples do not support this. Charlie Vargas New Mountain Medicine lin, NC

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[Guest guest]

Charlie,

Mind if I pick your brains about how you

have incorporated medical acupuncture into your practice? I just

completed the Helms course and am trying to figure out some details of doing

the solo/solo thing and using acupuncture with it. Feel free to email me

off-list if you could. @....

Thanks.

From: [mailto: ] On Behalf Of Charlie Vargas

Sent: Sunday, January 22, 2006

5:37 PM

To:

Subject: RE:

EKG

I appreciate the follow-up. I know my last

posting on this was out there, but I know and have encountered people capable

of such incredible things that I remind myself to try to stay open-minded. She

may be sabatoging her own work, but let me inject the possibility, if

infinitesimal, that your presence somehow neutralizes hers.

I know a woman in LA state who, with

touch, can fix computers, electric doors, and other devices that occasionally

go on the blink. At first, she did it privately, unsure about how her work

colleagues would react. Now, they seek her out and ask her to touch their

computers, the doors, etc. More often than not, it works. I cannot explain

this, but I have been humbled enough times to know that I do not know

everything. My work in medical acupunture, by itself, keeps me on the edge of

belief/disbelief every day. It is as fascinating as it is fun.

Thanks again,

Charlie Vargas

New Mountain Woo-Woo Medicine

lin, NC

January 22, 2006

RE: EKG

She believes that there is some sort of odd electric thing with her

and the EKG, but I don’t because if I sit there while she is doing it, it

works fine.. It’s only if I leave the room

that she has trouble, so I am convinced it is something she does, but I

don’t think it is intentional…I told her she needs to recruit one

of her class mates and they can EKG each other all night if that’s what

it takes, just do it on Friday so I have

Saturday and Sunday to fix it again.

She does have a good ethic, and as long as I keep her

on tasks that use her strengths we are in good shape.

Some day she will go on to a full time job somewhere,

so I don’t have to fire her. And I don’t want to fire her;

she drives me nuts sometimes, but she is a good kid. Someday she will be

a good nurse.

annie