Re: Hospitalist Vent .... soooo

[Guest guest]

The secretary's secretary called my " office " today to schedule a new patient

for f/u post discharge. I answered the phone. The lady then says, " Wow, I got

right to you! "

IMP practices can be a breath of fresh air for more than just the patients.

You all inspire me. I share your frustrations. Crazy system. Don't be crazy.

Jack

> >> > >

> >> > > Clarification, he is my patient. And I ordered testing for him

> >> tomorrow.

> >> > > No urine C & S was done. A U/A was very positive on admission on 2/26.

> >> > > They sent him home on 2/28 saying " oh by the way it looks like you

> >> have a

> >> > > UTI, contact your primary for treatment and drink cranberry juice " . So

> >> no

> >> > > one noticed the U/A for 2 days. Then they didn't even bother to act on

> >> it.

> >> > > I just consider that bad medicine.

> >> > >

> >> > >

> >> > >

> >> > > They wait until today at 4 PM to call. Labs are closed already and I

> >> am

> >> > > about to. He waits another day to get treated as men are not supposed

> >> to

> >> > > get UTIs and I am not going to treat without a culture. He has been

> >> > > hospitalized twice in 2 weeks and has had surgery. I don't like not

> >> acting

> >> > > on this today but he needs a culture done.

> >> > >

> >> > >

> >> > >

> >> > > It's just another example of how I don't think the hospitalist system

> >> is

> >> > > working. And I can't believe they give the excuse of " can't " write

> >> treat

> >> > > after discharge when they should have treated before or at least at

> >> the

> >> > time

> >> > > of discharge. They don't know that he is going to follow up, and he

> >> did

> >> > > wait a day to do so. Just bad medicine.

> >> > >

> >> > >

> >> > >

> >> > >

> >> > >

> >> > > Kathy Saradarian, MD

> >> > >

> >> > > Branchville, NJ

> >> > >

> >> > > www.qualityfamilypractice.com

> >> > >

> >> > > Solo 4/03, Practicing since 9/90

> >> > >

> >> > > Practice Partner 5/03

> >> > >

> >> > > Low staffing

> >> > >

> >> > >

> >> > >

> >> > >

> >> > >

> >> > >

> >> > >

> >> > > From:

> >> > <mailto:%40yahoogroups.com>

> >> > > [mailto:

> >> > <mailto:%40yahoogroups.com> ] On Behalf Of Sharon

> >> McCoy

> >>

> >> > >

> >> > > Sent: Tuesday, March 01, 2011 10:33 PM

> >> > > To:

> >> > <mailto:%40yahoogroups.com>

> >> > > Subject: Re: Hospitalist Vent

> >> > >

> >> > >

> >> > >

> >> > >

> >> > >

> >> > > I guess this is where a truly integrated system would work.....once

> >> the

> >> > > patient is discharged, care goes back to the PCP. Presumably the urine

> >> > > culture came back after the patient went home. And the PCP gets the

> >> > > discharge summary, the labs that return after discharge, and a

> >> follow-up

> >> > > appointment already scheduled. The problem seems to be payment and the

> >> > fact

> >> > > that this patient doesn't seem to really have a PCP. So, if you are

> >> > > " assigned " as the PCP, and as Ben says, haven't discharged them, seems

> >> > like

> >> > > good medicine to schedule the patient to come in, do a UA, request the

> >> > urine

> >> > > culture results, and treat appropriately.

> >> > >

> >> > >

> >> > >

> >> > > It is amazing how many neighbors, etc. call when they need something

> >> > > urgently because " their " doctor is too busy to see them. My mother

> >> would

> >> > > say you'll get your reward in heaven. But, if you've reached your

> >> limit,

> >> > > page the discharging doctor and explain your situation. I'm sure they

> >> have

> >> > > no idea what you are going through.

> >> > >

> >> > >

> >> > >

> >> > > Best,

> >> > >

> >> > > Sharon

> >> > > Sharon McCoy MD

> >> > > Renaissance Family Medicine

> >> > > 10 McClintock Court; Irvine, CA 92617

> >> > > PH: (949)387-5504 Fax: (949)281-2197 Toll free phone/fax:

> >> > > www.SharonMD.com <http://www.sharongeorgemd.com/>

> >> > >

> >> > >

> >> > >

> >> > >

> >> > >

> >> > > CyberDefender has scanned this email for potential threats.

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> >> > > Get free PC security at http://www.cyberdefender.com

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> >> >

> >> >

> >> >

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> >>

> >>

> >

> >

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> Sangeetha

>