Office Visits in Weird Places

[Guest guest]

Wait -- you look up your family members' noses at the kitchen table? Ewwww.

I just remembered once I had a lady come to my house for a sinus infection visit. It was kind of strange to be sitting at my kitchen table looking up someone's nose who was not a family member!Margaret Office Visits in Weird Places Ummm. . . since I am now working "very part time" just 2 half-days per week on Wed and Friday I have had to be really creative in providing open access scheduling and same-day visits. I REFUSE to close my practice so I first asked for 200 volunteers of my 488 panel to transfer elsewhere. I got 100 moved over to Stew Mones, Leigh St. Louis, and 2 other IMPs in town. THANK YOU! So now when I get urgent calls for patients who need to be seen on days other than Wed or Friday I simply tell them where I am and they come to me. Today I was at the DMV waiting to renew my license and I told my patient (finger injury) to come to the DMV. He arrived all smiles so excited that I am the coolest doctor who will see him on the spot wherever I am in town running errands. Well, even the DMV workers behind the desk were into it. Here I am finishing up my exam on the guys finger when they call my number and suddenly I'm pulling out my passport, birth certificate, and SS card, all while completing my exam and discussing possible antibiotics in case things get worse. . .and getting my picture taken. I've had people meet me at the basketball court at the YMCA, at my house, in the grocery store, and I think I'll continue to practice this way. It is so easy and patients LOVE it! Next time you are on an errand and a patient calls consider taking them with you to HomeDepot or the movie theater. Hey, cognitive specialists can use their brain anywhere to provide excellent health care! We don't need no stinking office. . . (for most things) Cool, eh? Anyone else doing this? ~ Pamela Pamela Wible, MD 3575 St. #220 Eugene, OR 97405 roxywible@... www.idealmedicalpractice.org

[Guest guest]

Ummm. . . since I am now working " very part time "

just 2 half-days per week on Wed and Friday I have

had to be really creative in providing open access

scheduling and same-day visits.

I REFUSE to close my practice so I first asked

for 200 volunteers of my 488 panel to transfer

elsewhere. I got 100 moved over to Stew

Mones, Leigh St. Louis, and 2 other IMPs in town.

THANK YOU!

So now when I get urgent calls for patients who need

to be seen on days other than Wed or Friday I simply tell

them where I am and they come to me.

Today I was at the DMV waiting to renew my license

and I told my patient (finger injury) to come to the DMV.

He arrived all smiles so excited that I am the coolest

doctor who will see him on the spot wherever I am in

town running errands. Well, even the DMV workers behind the

desk were into it. Here I am finishing up my exam on the guys

finger when they call my number and suddenly I'm pulling

out my passport, birth certificate, and SS card, all while

completing my exam and discussing possible antibiotics

in case things get worse. . .and getting my picture taken.

I've had people meet me at the basketball court at the YMCA,

at my house, in the grocery store, and I think I'll continue to

practice this way. It is so easy and patients LOVE it!

Next time you are on an errand and a patient calls consider taking

them with you to HomeDepot or the movie theater. Hey, cognitive

specialists can use their brain anywhere to provide excellent

health care! We don't need no stinking office. . . (for most things)

Cool, eh?

Anyone else doing this?

~ Pamela

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

roxywible@...

www.idealmedicalpractice.org

[Guest guest]

I am thinking to meet the landscape employees at their field for simple things!I like and agree with you thinking...way to go!lia

 

Ummm. . . since I am now working " very part time "

just 2 half-days per week on Wed and Friday I have

had to be really creative in providing open access

scheduling and same-day visits.

I REFUSE to close my practice so I first asked

for 200 volunteers of my 488 panel to transfer

elsewhere. I got 100 moved over to Stew

Mones, Leigh St. Louis, and 2 other IMPs in town.

THANK YOU!

So now when I get urgent calls for patients who need

to be seen on days other than Wed or Friday I simply tell

them where I am and they come to me.

Today I was at the DMV waiting to renew my license

and I told my patient (finger injury) to come to the DMV.

He arrived all smiles so excited that I am the coolest

doctor who will see him on the spot wherever I am in

town running errands. Well, even the DMV workers behind the

desk were into it. Here I am finishing up my exam on the guys

finger when they call my number and suddenly I'm pulling

out my passport, birth certificate, and SS card, all while

completing my exam and discussing possible antibiotics

in case things get worse. . .and getting my picture taken.

I've had people meet me at the basketball court at the YMCA,

at my house, in the grocery store, and I think I'll continue to

practice this way. It is so easy and patients LOVE it!

Next time you are on an errand and a patient calls consider taking

them with you to HomeDepot or the movie theater. Hey, cognitive

specialists can use their brain anywhere to provide excellent

health care! We don't need no stinking office. . . (for most things)

Cool, eh?

Anyone else doing this?

~ Pamela

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

roxywible@...

www.idealmedicalpractice.org

-- lia Leite- MDPalm Beach Hello Health

[Guest guest]

I have patients who have to drive 6-7 hrs to see me for their Suboxone rx.

Others " just " have a 3 hrs drive. If I'm in the western part of the

state for a conference or even just going back to my home town for the

weekend, I will tell pts they can meet me at " the bridge " crossing the

Missouri River or at the motel where the conference is located. They

uniformly appreciate not spending that much windshield time for their 1/2

hr appt. It does create some scheduling logistical problems though....I

have to make sure to schedule enough slack time between patients so they

don't see their neighbor or relative with me. Also, urine drug screens in

port-a-potties call for LOTS of hand sanitizer.

I only do these types of appointments on my stable, non-personality

disordered patients.

[Guest guest]

cool stuff Challenging stuff to  be paid.... I did once go over to the hospital to see a nurse in a corner of the OR   locker room, can I  get credit for that? And I got one  guy  who works 1 hr away(NOTHING by Montana standards) but cannot get out of work at the  mill there,  but gets  recurrent cellulitis of face s/.p  I  found a lymph node in  his neck  and it was cancer in a nonsmoker, who knew    and he sends me a digital photo of his face and we  do  an evisit  and then  once I picked up the meds and he came to my house to get it.... I think Eads once had somneone send her a  wav file of a cough...

But  I don;t do banks or bridges I must say.Jean

 

I have patients who have to drive 6-7 hrs to see me for their Suboxone rx.

Others " just " have a 3 hrs drive. If I'm in the western part of the

state for a conference or even just going back to my home town for the

weekend, I will tell pts they can meet me at " the bridge " crossing the

Missouri River or at the motel where the conference is located. They

uniformly appreciate not spending that much windshield time for their 1/2

hr appt. It does create some scheduling logistical problems though....I

have to make sure to schedule enough slack time between patients so they

don't see their neighbor or relative with me. Also, urine drug screens in

port-a-potties call for LOTS of hand sanitizer.

I only do these types of appointments on my stable, non-personality

disordered patients.

-- PATIENTS-please remember  that email may not be entirely secure, and that Email is part of the medical  record and is placed into your  chart ( be careful what you say!)

Email is best used for appointment making and  brief  questionsEmail replies can be expected within 24 hours-Please CALL  if the  matter is more urgent .     MD    

     ph    fax impcenter.org

[Guest guest]

I have had patients meet me at my son's soccer game and at the local convenience

store to read PPD's.

Margaret

Office Visits in Weird Places

 

Ummm. . . since I am now working " very part time "

just 2 half-days per week on Wed and Friday I have

had to be really creative in providing open access

scheduling and same-day visits.

I REFUSE to close my practice so I first asked

for 200 volunteers of my 488 panel to transfer

elsewhere. I got 100 moved over to Stew

Mones, Leigh St. Louis, and 2 other IMPs in town.

THANK YOU!

So now when I get urgent calls for patients who need

to be seen on days other than Wed or Friday I simply tell

them where I am and they come to me.

Today I was at the DMV waiting to renew my license

and I told my patient (finger injury) to come to the DMV.

He arrived all smiles so excited that I am the coolest

doctor who will see him on the spot wherever I am in

town running errands. Well, even the DMV workers behind the

desk were into it. Here I am finishing up my exam on the guys

finger when they call my number and suddenly I'm pulling

out my passport, birth certificate, and SS card, all while

completing my exam and discussing possible antibiotics

in case things get worse. . .and getting my picture taken.

I've had people meet me at the basketball court at the YMCA,

at my house, in the grocery store, and I think I'll continue to

practice this way. It is so easy and patients LOVE it!

Next time you are on an errand and a patient calls consider taking

them with you to HomeDepot or the movie theater. Hey, cognitive

specialists can use their brain anywhere to provide excellent

health care! We don't need no stinking office. . . (for most things)

Cool, eh?

Anyone else doing this?

~ Pamela

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

roxywible@...

www.idealmedicalpractice.org

[Guest guest]

I just remembered once I had a lady come to my house for a sinus infection

visit. It was kind of strange to be sitting at my kitchen table looking up

someone's nose who was not a family member!

Margaret

Office Visits in Weird Places

 

Ummm. . . since I am now working " very part time "

just 2 half-days per week on Wed and Friday I have

had to be really creative in providing open access

scheduling and same-day visits.

I REFUSE to close my practice so I first asked

for 200 volunteers of my 488 panel to transfer

elsewhere. I got 100 moved over to Stew

Mones, Leigh St. Louis, and 2 other IMPs in town.

THANK YOU!

So now when I get urgent calls for patients who need

to be seen on days other than Wed or Friday I simply tell

them where I am and they come to me.

Today I was at the DMV waiting to renew my license

and I told my patient (finger injury) to come to the DMV.

He arrived all smiles so excited that I am the coolest

doctor who will see him on the spot wherever I am in

town running errands. Well, even the DMV workers behind the

desk were into it. Here I am finishing up my exam on the guys

finger when they call my number and suddenly I'm pulling

out my passport, birth certificate, and SS card, all while

completing my exam and discussing possible antibiotics

in case things get worse. . .and getting my picture taken.

I've had people meet me at the basketball court at the YMCA,

at my house, in the grocery store, and I think I'll continue to

practice this way. It is so easy and patients LOVE it!

Next time you are on an errand and a patient calls consider taking

them with you to HomeDepot or the movie theater. Hey, cognitive

specialists can use their brain anywhere to provide excellent

health care! We don't need no stinking office. . . (for most things)

Cool, eh?

Anyone else doing this?

~ Pamela

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

roxywible@...

www.idealmedicalpractice.org

[Guest guest]

I did meet someone at the grocery store parking lot once to check for lice. Then, of course, there was the patient who dropped in my front yard one Saturday morning having a massive heart attack (he rode his bike past the ER of the hospital because he “knew I would take care of himâ€). I called EMS and, thank goodness, he waited until he hit the ER to code. After he got out of the hospital, I pointed out the house of the cardiologist who lives down the road. I told him to go there if it ever happened again. From: [mailto: ] On Behalf Of Margaret CoughlanSent: Wednesday, December 01, 2010 11:13 AMTo: Subject: Re: Office Visits in Weird Places I just remembered once I had a lady come to my house for a sinus infection visit. It was kind of strange to be sitting at my kitchen table looking up someone's nose who was not a family member!Margaret Office Visits in Weird Places Ummm. . . since I am now working " very part time " just 2 half-days per week on Wed and Friday I have had to be really creative in providing open access scheduling and same-day visits. I REFUSE to close my practice so I first asked for 200 volunteers of my 488 panel to transfer elsewhere. I got 100 moved over to Stew Mones, Leigh St. Louis, and 2 other IMPs in town. THANK YOU! So now when I get urgent calls for patients who need to be seen on days other than Wed or Friday I simply tell them where I am and they come to me. Today I was at the DMV waiting to renew my license and I told my patient (finger injury) to come to the DMV. He arrived all smiles so excited that I am the coolest doctor who will see him on the spot wherever I am in town running errands. Well, even the DMV workers behind the desk were into it. Here I am finishing up my exam on the guys finger when they call my number and suddenly I'm pulling out my passport, birth certificate, and SS card, all while completing my exam and discussing possible antibiotics in case things get worse. . .and getting my picture taken. I've had people meet me at the basketball court at the YMCA, at my house, in the grocery store, and I think I'll continue to practice this way. It is so easy and patients LOVE it! Next time you are on an errand and a patient calls consider taking them with you to HomeDepot or the movie theater. Hey, cognitive specialists can use their brain anywhere to provide excellent health care! We don't need no stinking office. . . (for most things) Cool, eh? Anyone else doing this? ~ Pamela Pamela Wible, MD 3575 St. #220 Eugene, OR 97405 roxywible@... www.idealmedicalpractice.org

[Guest guest]

I frequently have folks meet me in the hospital waiting room area

when I am on call there and they need a quick check for non-private

stuff...and they love it!

Once I had a person who lived down the block, who was the wife of a

patient of my partner's, knock on our door early on a Sat morning

(and awaken us) with a sprained ankle.

I do like Patch ' idea of doing a walking office visit - but

have not yet tried it...

Steve Hersch

Ashland, OR

 

I did meet someone at the grocery

store parking lot once to check for lice. Then, of

course, there was the patient who dropped in my front

yard one Saturday morning having a massive heart

attack (he rode his bike past the ER of the hospital

because he “knew I would take care of himâ€). I called

EMS and, thank goodness, he waited until he hit the ER

to code. After he got out of the hospital, I pointed

out the house of the cardiologist who lives down the

road. I told him to go there if it ever happened

again.

 

From:

[mailto: ] On

Behalf Of Margaret Coughlan

Sent: Wednesday, December 01, 2010 11:13 AM

To:

Subject: Re: Office

Visits in Weird Places

 

 

I just remembered once I had a lady come to my

house for a sinus infection visit. It was kind of

strange to be sitting at my kitchen table looking

up someone's nose who was not a family member!

Margaret

Office Visits in

Weird Places

 

Ummm. . . since I am now working "very part time"

just 2 half-days per week on Wed and Friday I have

had to be really creative in providing open access

scheduling and same-day visits.

I REFUSE to close my practice so I first asked

for 200 volunteers of my 488 panel to transfer

elsewhere. I got 100 moved over to Stew

Mones, Leigh St. Louis, and 2 other IMPs in town.

THANK YOU!

So now when I get urgent calls for patients who

need

to be seen on days other than Wed or Friday I

simply tell

them where I am and they come to me.

Today I was at the DMV waiting to renew my license

and I told my patient (finger injury) to come to

the DMV.

He arrived all smiles so excited that I am the

coolest

doctor who will see him on the spot wherever I am

in

town running errands. Well, even the DMV workers

behind the

desk were into it. Here I am finishing up my exam

on the guys

finger when they call my number and suddenly I'm

pulling

out my passport, birth certificate, and SS card,

all while

completing my exam and discussing possible

antibiotics

in case things get worse. . .and getting my

picture taken.

I've had people meet me at the basketball court at

the YMCA,

at my house, in the grocery store, and I think

I'll continue to

practice this way. It is so easy and patients LOVE

it!

Next time you are on an errand and a patient calls

consider taking

them with you to HomeDepot or the movie theater.

Hey, cognitive

specialists can use their brain anywhere to

provide excellent

health care! We don't need no stinking office. . .

(for most things)

Cool, eh?

Anyone else doing this?

~ Pamela

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

roxywible@...

www.idealmedicalpractice.org

[Guest guest]

I don't know about doing a visit at the theater (may if there was an intermission), but I certainly do them at basketball and soccer games; school parking lots; occasionally stores; on walks along with Milo the therapy dog (learned this from a therapist in town who walks around a lake for her psychotherapy appointments and a teen counselor who has a therapy dog on hand for visits with teens during which they often walk).  I've brought flu shots to give the staff at my dentist's office when I'm there for a visit; always do the teams at school in the gym before/after practices (although I have learned to do screening EKG's BEFORE they work-out and get too sweaty for the leads to stick.  The school was too nervous to let me give free flu shots to the teachers on school property so did that at the park next door.  Interesting, until you asked I forgot how unusual this is for " regular " doctors.

Sharon

Sharon McCoy MDRenaissance Family Medicine10 McClintock Court; Irvine, CA  92617PH: (949)387-5504   Fax: (949)281-2197  Toll free phone/fax:  www.SharonMD.com

[Guest guest]

I have patients who live near me come to my house rather than drive 45 minutes to my rural office. I have done visits at kids party etc. by finding a private corner. Since my EMR is on a laptop it's easy to sketch it out when get home and do the note later.

To: Sent: Wed, December 1, 2010 12:09:55 PMSubject: Re: Office Visits in Weird Places

I frequently have folks meet me in the hospital waiting room area when I am on call there and they need a quick check for non-private stuff...and they love it!Once I had a person who lived down the block, who was the wife of a patient of my partner's, knock on our door early on a Sat morning (and awaken us) with a sprained ankle. I do like Patch ' idea of doing a walking office visit - but have not yet tried it...Steve HerschAshland, OR

I did meet someone at the grocery store parking lot once to check for lice. Then, of course, there was the patient who dropped in my front yard one Saturday morning having a massive heart attack (he rode his bike past the ER of the hospital because he “knew I would take care of himâ€). I called EMS and, thank goodness, he waited until he hit the ER to code. After he got out of the hospital, I pointed out the house of the cardiologist who lives down the road. I told him to go there if it ever happened again.

From: [mailto: ] On Behalf Of Margaret CoughlanSent: Wednesday, December 01, 2010 11:13 AMTo: Subject: Re: Office Visits in Weird Places

I just remembered once I had a lady come to my house for a sinus infection visit. It was kind of strange to be sitting at my kitchen table looking up someone's nose who was not a family member!Margaret Office Visits in Weird Places Ummm. . . since I am now working "very part time" just 2 half-days per week on Wed and Friday I have had to be really creative in providing open access scheduling and same-day visits. I REFUSE to close my practice so I first asked for 200 volunteers of my 488 panel to transfer elsewhere. I got 100 moved over to Stew Mones, Leigh St. Louis, and 2 other IMPs in town. THANK YOU! So now when I get urgent calls for patients who need

to be seen on days other than Wed or Friday I simply tell them where I am and they come to me. Today I was at the DMV waiting to renew my license and I told my patient (finger injury) to come to the DMV. He arrived all smiles so excited that I am the coolest doctor who will see him on the spot wherever I am in town running errands. Well, even the DMV workers behind the desk were into it. Here I am finishing up my exam on the guys finger when they call my number and suddenly I'm pulling out my passport, birth certificate, and SS card, all while completing my exam and discussing possible antibiotics in case things get worse. . .and getting my picture taken. I've had people meet me at the basketball court at the YMCA, at my house, in the grocery store, and I think I'll continue to practice this way. It is so easy and patients LOVE it! Next time you are on an errand and a patient

calls consider taking them with you to HomeDepot or the movie theater. Hey, cognitive specialists can use their brain anywhere to provide excellent health care! We don't need no stinking office. . . (for most things) Cool, eh? Anyone else doing this? ~ Pamela Pamela Wible, MD 3575 St. #220 Eugene, OR 97405 roxywible@... www.idealmedicalpractice.org

[Guest guest]

Pretty versatilve, Pamela !    Do you have a code for Office Depot visit instead of Office visit?  

How do you do Pap smears?  Bed Bath and Beyond?  

 

Ummm. . . since I am now working " very part time " just 2 half-days per week on Wed and Friday I have had to be really creative in providing open accessscheduling and same-day visits.I REFUSE to close my practice so I first asked

for 200 volunteers of my 488 panel to transfer elsewhere. I got 100 moved over to StewMones, Leigh St. Louis, and 2 other IMPs in town.THANK YOU!So now when I get urgent calls for patients who need

to be seen on days other than Wed or Friday I simply tellthem where I am and they come to me.Today I was at the DMV waiting to renew my licenseand I told my patient (finger injury) to come to the DMV.He arrived all smiles so excited that I am the coolest

doctor who will see him on the spot wherever I am intown running errands. Well, even the DMV workers behind thedesk were into it. Here I am finishing up my exam on the guysfinger when they call my number and suddenly I'm pulling

out my passport, birth certificate, and SS card, all while completing my exam and discussing possible antibioticsin case things get worse. . .and getting my picture taken.I've had people meet me at the basketball court at the YMCA,

at my house, in the grocery store, and I think I'll continue topractice this way. It is so easy and patients LOVE it!Next time you are on an errand and a patient calls consider takingthem with you to HomeDepot or the movie theater. Hey, cognitive

specialists can use their brain anywhere to provide excellent health care! We don't need no stinking office. . . (for most things)Cool, eh?Anyone else doing this?~ PamelaPamela Wible, MD

3575 St. #220 Eugene, OR 97405(541) 345-2437roxywible@...www.idealmedicalpractice.org

[Guest guest]

Are you all charging for these visits? What do you list as the POS?To: Sent: Wed, December 1, 2010 8:17:52 PMSubject: Re: Office Visits in Weird Places

I have patients who live near me come to my house rather than drive 45 minutes to my rural office. I have done visits at kids party etc. by finding a private corner. Since my EMR is on a laptop it's easy to sketch it out when get home and do the note later.

To: Sent: Wed, December 1, 2010 12:09:55 PMSubject: Re: Office Visits in Weird Places

I frequently have folks meet me in the hospital waiting room area when I am on call there and they need a quick check for non-private stuff...and they love it!Once I had a person who lived down the block, who was the wife of a patient of my partner's, knock on our door early on a Sat morning (and awaken us) with a sprained ankle. I do like Patch ' idea of doing a walking office visit - but have not yet tried it...Steve HerschAshland, OR

I did meet someone at the grocery store parking lot once to check for lice. Then, of course, there was the patient who dropped in my front yard one Saturday morning having a massive heart attack (he rode his bike past the ER of the hospital because he “knew I would take care of himâ€). I called EMS and, thank goodness, he waited until he hit the ER to code. After he got out of the hospital, I pointed out the house of the cardiologist who lives down the road. I told him to go there if it ever happened again.

From: [mailto: ] On Behalf Of Margaret CoughlanSent: Wednesday, December 01, 2010 11:13 AMTo: Subject: Re: Office Visits in Weird Places

I just remembered once I had a lady come to my house for a sinus infection visit. It was kind of strange to be sitting at my kitchen table looking up someone's nose who was not a family member!Margaret Office Visits in Weird Places Ummm. . . since I am now working "very part time" just 2 half-days per week on Wed and Friday I have had to be really creative in providing open access scheduling and same-day visits. I REFUSE to close my practice so I first asked for 200 volunteers of my 488 panel to transfer elsewhere. I got 100 moved over to Stew Mones, Leigh St. Louis, and 2 other IMPs in town. THANK YOU! So now when I get urgent calls for patients who need

to be seen on days other than Wed or Friday I simply tell them where I am and they come to me. Today I was at the DMV waiting to renew my license and I told my patient (finger injury) to come to the DMV. He arrived all smiles so excited that I am the coolest doctor who will see him on the spot wherever I am in town running errands. Well, even the DMV workers behind the desk were into it. Here I am finishing up my exam on the guys finger when they call my number and suddenly I'm pulling out my passport, birth certificate, and SS card, all while completing my exam and discussing possible antibiotics in case things get worse. . .and getting my picture taken. I've had people meet me at the basketball court at the YMCA, at my house, in the grocery store, and I think I'll continue to practice this way. It is so easy and patients LOVE it! Next time you are on an errand and a patient

calls consider taking them with you to HomeDepot or the movie theater. Hey, cognitive specialists can use their brain anywhere to provide excellent health care! We don't need no stinking office. . . (for most things) Cool, eh? Anyone else doing this? ~ Pamela Pamela Wible, MD 3575 St. #220 Eugene, OR 97405 roxywible@... www.idealmedicalpractice.org

[Guest guest]

Carla, Thank you for bring up the thorny money thing. Does anyone get paid for visits outside of the office? If the friendly insurance won't cover home visits, are they going to cover walk in the park visits? Or visits to birthday parties. Do the patients pay a co-pay for this?I'm not talking about little social check ins like, "Hey, how is she doing today. Feeling better?" while you're in the grocery store. Or the quick look-see in the hallway. Or about doing free sports physicals at the school or the lots of things we do because we love to take care of people. If my neighbor knocked on my door with a sprained ankle or an earache, or a fish hook stuck in his hand, of course I'd help. Have done so and so have all of you. Like you all, my reward is feeling good about it. I know talking about money is crass. But many people, here on this list seem to be in awful financial shape, barely making enough to cover their mortgages. If I knocked on my attorney neighbor's door to say, "I'm not sleeping well, because my will is woefully out of date." I don't think he's say, come on in I'll have you fixed up in a jiffy. Please understand, he is really nice guy with a heart of gold. I'm just saying.KAre you all charging for these visits? What do you list as the POS?To: Sent: Wed, December 1, 2010 8:17:52 PMSubject: Re: Office Visits in Weird Places I have patients who live near me come to my house rather than drive 45 minutes to my rural office. I have done visits at kids party etc. by finding a private corner. Since my EMR is on a laptop it's easy to sketch it out when get home and do the note later. To: Sent: Wed, December 1, 2010 12:09:55 PMSubject: Re: Office Visits in Weird Places I frequently have folks meet me in the hospital waiting room area when I am on call there and they need a quick check for non-private stuff...and they love it!Once I had a person who lived down the block, who was the wife of a patient of my partner's, knock on our door early on a Sat morning (and awaken us) with a sprained ankle. I do like Patch ' idea of doing a walking office visit - but have not yet tried it...Steve HerschAshland, OR I did meet someone at the grocery store parking lot once to check for lice. Then, of course, there was the patient who dropped in my front yard one Saturday morning having a massive heart attack (he rode his bike past the ER of the hospital because he “knew I would take care of him”). I called EMS and, thank goodness, he waited until he hit the ER to code. After he got out of the hospital, I pointed out the house of the cardiologist who lives down the road. I told him to go there if it ever happened again. From: [mailto: ] On Behalf OfMargaret CoughlanSent: Wednesday, December 01, 2010 11:13 AMTo: Subject: Re: Office Visits in Weird Places I just remembered once I had a lady come to my house for a sinus infection visit. It was kind of strange to be sitting at my kitchen table looking up someone's nose who was not a family member!Margaret Office Visits in Weird Places Ummm. . . since I am now working "very part time" just 2 half-days per week on Wed and Friday I have had to be really creative in providing open access scheduling and same-day visits. I REFUSE to close my practice so I first asked for 200 volunteers of my 488 panel to transfer elsewhere. I got 100 moved over to Stew Mones, Leigh St. Louis, and 2 other IMPs in town. THANK YOU! So now when I get urgent calls for patients who need to be seen on days other than Wed or Friday I simply tell them where I am and they come to me. Today I was at the DMV waiting to renew my license and I told my patient (finger injury) to come to the DMV. He arrived all smiles so excited that I am the coolest doctor who will see him on the spot wherever I am in town running errands. Well, even the DMV workers behind the desk were into it. Here I am finishing up my exam on the guys finger when they call my number and suddenly I'm pulling out my passport, birth certificate, and SS card, all while completing my exam and discussing possible antibiotics in case things get worse. . .and getting my picture taken. I've had people meet me at the basketball court at the YMCA, at my house, in the grocery store, and I think I'll continue to practice this way. It is so easy and patients LOVE it! Next time you are on an errand and a patient calls consider taking them with you to HomeDepot or the movie theater. Hey, cognitive specialists can use their brain anywhere to provide excellent health care! We don't need no stinking office. . . (for most things) Cool, eh? Anyone else doing this? ~ Pamela Pamela Wible, MD 3575 St. #220 Eugene, OR 97405 roxywible@... www.idealmedicalpractice.org

[Guest guest]

I'll try it and let you know.

>

> >

> >

> > Ummm. . . since I am now working " very part time "

> > just 2 half-days per week on Wed and Friday I have

> > had to be really creative in providing open access

> > scheduling and same-day visits.

> >

> > I REFUSE to close my practice so I first asked

> > for 200 volunteers of my 488 panel to transfer

> > elsewhere. I got 100 moved over to Stew

> > Mones, Leigh St. Louis, and 2 other IMPs in town.

> > THANK YOU!

> >

> > So now when I get urgent calls for patients who need

> > to be seen on days other than Wed or Friday I simply tell

> > them where I am and they come to me.

> >

> > Today I was at the DMV waiting to renew my license

> > and I told my patient (finger injury) to come to the DMV.

> > He arrived all smiles so excited that I am the coolest

> > doctor who will see him on the spot wherever I am in

> > town running errands. Well, even the DMV workers behind the

> > desk were into it. Here I am finishing up my exam on the guys

> > finger when they call my number and suddenly I'm pulling

> > out my passport, birth certificate, and SS card, all while

> > completing my exam and discussing possible antibiotics

> > in case things get worse. . .and getting my picture taken.

> >

> > I've had people meet me at the basketball court at the YMCA,

> > at my house, in the grocery store, and I think I'll continue to

> > practice this way. It is so easy and patients LOVE it!

> >

> > Next time you are on an errand and a patient calls consider taking

> > them with you to HomeDepot or the movie theater. Hey, cognitive

> > specialists can use their brain anywhere to provide excellent

> > health care! We don't need no stinking office. . . (for most things)

> >

> > Cool, eh?

> >

> > Anyone else doing this?

> >

> > ~ Pamela

> >

> > Pamela Wible, MD

> > 3575 St. #220

> > Eugene, OR 97405

> >

> > roxywible@... <roxywible%40comcast.net>

> > www.idealmedicalpractice.org

> >

> >

> >

>

[Guest guest]

Great thread folks... BTW???? If you see them in the hospital waiting room does that mean you have to bill under the facilities based fees instead of the Non-facilities based fees for visits done inside your own office??? Just teasing obviously...

To: Sent: Wed, December 1, 2010 12:09:55 PMSubject: Re: Office Visits in Weird Places

I frequently have folks meet me in the hospital waiting room area when I am on call there and they need a quick check for non-private stuff...and they love it!Once I had a person who lived down the block, who was the wife of a patient of my partner's, knock on our door early on a Sat morning (and awaken us) with a sprained ankle. I do like Patch ' idea of doing a walking office visit - but have not yet tried it...Steve HerschAshland, OR

I did meet someone at the grocery store parking lot once to check for lice. Then, of course, there was the patient who dropped in my front yard one Saturday morning having a massive heart attack (he rode his bike past the ER of the hospital because he “knew I would take care of himâ€). I called EMS and, thank goodness, he waited until he hit the ER to code. After he got out of the hospital, I pointed out the house of the cardiologist who lives down the road. I told him to go there if it ever happened again.

From: [mailto: ] On Behalf Of Margaret CoughlanSent: Wednesday, December 01, 2010 11:13 AMTo: Subject: Re: Office Visits in Weird Places

I just remembered once I had a lady come to my house for a sinus infection visit. It was kind of strange to be sitting at my kitchen table looking up someone's nose who was not a family member!Margaret Office Visits in Weird Places Ummm. . . since I am now working "very part time" just 2 half-days per week on Wed and Friday I have had to be really creative in providing open access scheduling and same-day visits. I REFUSE to close my practice so I first asked for 200 volunteers of my 488 panel to transfer elsewhere. I got 100 moved over to Stew Mones, Leigh St. Louis, and 2 other IMPs in town. THANK YOU! So now when I get urgent calls for patients who need

to be seen on days other than Wed or Friday I simply tell them where I am and they come to me. Today I was at the DMV waiting to renew my license and I told my patient (finger injury) to come to the DMV. He arrived all smiles so excited that I am the coolest doctor who will see him on the spot wherever I am in town running errands. Well, even the DMV workers behind the desk were into it. Here I am finishing up my exam on the guys finger when they call my number and suddenly I'm pulling out my passport, birth certificate, and SS card, all while completing my exam and discussing possible antibiotics in case things get worse. . .and getting my picture taken. I've had people meet me at the basketball court at the YMCA, at my house, in the grocery store, and I think I'll continue to practice this way. It is so easy and patients LOVE it! Next time you are on an errand and a patient

calls consider taking them with you to HomeDepot or the movie theater. Hey, cognitive specialists can use their brain anywhere to provide excellent health care! We don't need no stinking office. . . (for most things) Cool, eh? Anyone else doing this? ~ Pamela Pamela Wible, MD 3575 St. #220 Eugene, OR 97405 roxywible@... www.idealmedicalpractice.org

[Guest guest]

Do whatever works. What you can sleep with at night.

Best thing about uninsured patients is they pay cash

and I can document 1-2 sentences in chart plus

no coding for YMCA/Home Depot/DMV facility/non-facility,

Who cares?

I'm having fun and I got cash in my pocket. Patients love

me and now folks at the DMV think I'm all that and more. . .

The classic win*win*win situation.

Amazing how much fun we can have when we can just be

real doctors and human beings again. . .

Live your dreams fearlessly,

Pamela

P.S. , I need your snailmail address.

>  

> >I did meet someone at the grocery store parking lot once to check for lice.

> >Then, of course, there was the patient who dropped in my front yard one

Saturday

> >morning having a massive heart attack (he rode his bike past the ER of the

> >hospital because he “knew I would take care of himâ€). I called EMS and,

thank

> >goodness, he waited until he hit the ER to code. After he got out of the

> >hospital, I pointed out the house of the cardiologist who lives down the

road. I

> >told him to go there if it ever happened again.

> >

> > 

> >From:

> >[mailto: ] On Behalf Of Margaret Coughlan

> >Sent: Wednesday, December 01, 2010 11:13 AM

> >To:

> >Subject: Re: Office Visits in Weird Places

> > 

> > 

> >I just remembered once I had a lady come to my house for a sinus infection

> >visit. It was kind of strange to be sitting at my kitchen table looking up

> >someone's nose who was not a family member!

> >Margaret

> >

> > Office Visits in Weird Places

> >

> > 

> >

> >Ummm. . . since I am now working " very part time "

> >just 2 half-days per week on Wed and Friday I have

> >had to be really creative in providing open access

> >scheduling and same-day visits.

> >

> >I REFUSE to close my practice so I first asked

> >for 200 volunteers of my 488 panel to transfer

> >elsewhere. I got 100 moved over to Stew

> >Mones, Leigh St. Louis, and 2 other IMPs in town.

> >THANK YOU!

> >

> >So now when I get urgent calls for patients who need

> >to be seen on days other than Wed or Friday I simply tell

> >them where I am and they come to me.

> >

> >Today I was at the DMV waiting to renew my license

> >and I told my patient (finger injury) to come to the DMV.

> >He arrived all smiles so excited that I am the coolest

> >doctor who will see him on the spot wherever I am in

> >town running errands. Well, even the DMV workers behind the

> >desk were into it. Here I am finishing up my exam on the guys

> >finger when they call my number and suddenly I'm pulling

> >out my passport, birth certificate, and SS card, all while

> >completing my exam and discussing possible antibiotics

> >in case things get worse. . .and getting my picture taken.

> >

> >I've had people meet me at the basketball court at the YMCA,

> >at my house, in the grocery store, and I think I'll continue to

> >practice this way. It is so easy and patients LOVE it!

> >

> >Next time you are on an errand and a patient calls consider taking

> >them with you to HomeDepot or the movie theater. Hey, cognitive

> >specialists can use their brain anywhere to provide excellent

> >health care! We don't need no stinking office. . . (for most things)

> >

> >Cool, eh?

> >

> >Anyone else doing this?

> >

> >~ Pamela

> >

> >Pamela Wible, MD

> >3575 St. #220

> >Eugene, OR 97405

> >

> >roxywible@...

> >www.idealmedicalpractice.org

>