Doctors can be taken to small claims court for running late

[Guest guest]

From CNN comments:

I billed an orthopeadic clinic for making me wait 2 hours in the

waiting room, then another 2 hours in the inner exam room

(gown on) an hour in the x-ray room and another hour post-x-ray,

then the doc showed up for only a brief time, made me wait 1 hour

more, then let me go after doing his thing.  By the time I left, it was

8 hours. I billed $200 per hour for all but the time I actually saw the

doc and x-ray tech., which was the rate the PR firm billed for my

time to their clients.  I said they can pay my bill or wipe out theirs

(I didn't have insurance at that time) or I would take them to small

claims court and make sure I sent a supoena to the entire office to

drag them down to the courthouse and waste a full day each- so

even if I lost, I'd win that way.  They paid, and wiped out my bill.

I actually read 2 or 3 cases on here where patients took docs to small

claims and won. . .

Pamela

[Guest guest]

OK, I hope you never REALLY need them for care....

I once worked for a staff model HMO. I was told "to improve efficiency, ask pt for the top 3 things they want to talk with me about for the visit."

Husband of pt (a doc no less), called me back later to ask what I had done to offend his wife (the pt) so much.

I don't do this anymore.

I always ask the pt "what can I do for you today" then I proceed to do EVERYTHING they need. I record the entire visit in an EMR (except I hand write the CC, and HPI, still quicker, working on this with newer version of EMR) so I can cover almost everything. Tests ordered are typed up, prescriptions are typed up, hand out with all of this (except subjective, objective) given to patient at end of visit.

Sometimes it's alot but I tell pt they can always call and talk with the nurse (yep, I have 2 that job shre, lucky me!) to review.

If stable, my goal is to see a chronic pt every 6 months (many of my "stable chronic pts" are over 50-95), but I encourage and schedule same day/next day appts. Even had 4 call on July 4th, but I'd forwarded calls to my cell phone.

I try not to be more than 1/2 hour late. In my area, the "corporate practices" take more than 1 month for regular appts, and most acutes are deferred to Urgicares.

I've worked in those. I'd rather know my pts...my chronic pts know they can see me right away. Insurance encourages them to see me by having low copays. I occasionally treat people by phone with office follow up.

This wait thing depends more on the complexity of pts seen, whether you accept new pts (I for one NEED new pts, esp as I treat the elderly and don't do inhospital work), what insurance you do accept.

Please do not judge the quality of the work by the volume and waits. I for one would rather have a good doc than a quick one.... remember 100+ years ago the surgeon was judged based on the speed of amputation!

I almost NEVER have pts wait more than an hour (if an emergency), but I have. Does that make me bad or more comprehensive OR compassionate?

Dr Matt Levin

FP since 1988

Solo since 2004

EMR used for all pts since solo in 2004, used EMR before than for about 25% of pt contacts between 1997-2004.

matlev@...

Doctors can be taken to small claims court for running late

From CNN comments:I billed an orthopeadic clinic for making me wait 2 hours in the waiting room, then another 2 hours in the inner exam room (gown on) an hour in the x-ray room and another hour post-x-ray, then the doc showed up for only a brief time, made me wait 1 hour more, then let me go after doing his thing. By the time I left, it was 8 hours. I billed $200 per hour for all but the time I actually saw the doc and x-ray tech., which was the rate the PR firm billed for my time to their clients. I said they can pay my bill or wipe out theirs (I didn't have insurance at that time) or I would take them to small claims court and make sure I sent a supoena to the entire office to drag them down to the courthouse and waste a full day each- so even if I lost, I'd win that way. They paid, and wiped out my bill.I actually read 2 or 3 cases on here where patients took docs to smallclaims and won. . .Pamela

[Guest guest]

pamela,

and how in hell is opening this can of epic-length worms going to help any of

us?

please before you go again and get quoted (through your blog) on any other news

station, please ask the rest of us who is on the IMP map if we agree to be in

this with you...

so ill have time to ask seto to take me off it.

your way is not the only way to do IMP.

grace

>

> From CNN comments:

>

>

> I billed an orthopeadic clinic for making me wait 2 hours in the

> waiting room, then another 2 hours in the inner exam room

> (gown on) an hour in the x-ray room and another hour post-x-ray,

> then the doc showed up for only a brief time, made me wait 1 hour

> more, then let me go after doing his thing.  By the time I left, it was

> 8 hours. I billed $200 per hour for all but the time I actually saw the

> doc and x-ray tech., which was the rate the PR firm billed for my

> time to their clients.  I said they can pay my bill or wipe out theirs

> (I didn't have insurance at that time) or I would take them to small

> claims court and make sure I sent a supoena to the entire office to

> drag them down to the courthouse and waste a full day each- so

> even if I lost, I'd win that way.  They paid, and wiped out my bill.

>

>

> I actually read 2 or 3 cases on here where patients took docs to small

> claims and won. . .

>

>

> Pamela

>

[Guest guest]

pamela,

how in hell is opening this can of epic-length worms helping any of us?

please before you do anything else ... please ask the rest of us who are on the

map but dont agree with you...

give me time to ask seto to take me off it.

your way is not the only way to do IMP

grace

[Guest guest]

This is not something I am discussing. I am merely pointing out

something I read on CNN to you guys.

I promote IMPs as much as I can. It is not my sole purpose

in life. My primary goal is to help everyone live their dreams

in medicine. I am not attached to any one specific model.

Doctors deserve to be happy. Patients deserve to be happy.

We all can live our dreams if we break out of the confines of

what does not work personally for us.

I'm here to push the envelope. . . .

Pamela

> >

> > From CNN comments:

> >

> >

> > I billed an orthopeadic clinic for making me wait 2 hours in the

> > waiting room, then another 2 hours in the inner exam room

> > (gown on) an hour in the x-ray room and another hour post-x-ray,

> > then the doc showed up for only a brief time, made me wait 1 hour

> > more, then let me go after doing his thing.  By the time I left, it was

> > 8 hours. I billed $200 per hour for all but the time I actually saw the

> > doc and x-ray tech., which was the rate the PR firm billed for my

> > time to their clients.  I said they can pay my bill or wipe out theirs

> > (I didn't have insurance at that time) or I would take them to small

> > claims court and make sure I sent a supoena to the entire office to

> > drag them down to the courthouse and waste a full day each- so

> > even if I lost, I'd win that way.  They paid, and wiped out my bill.

> >

> >

> > I actually read 2 or 3 cases on here where patients took docs to small

> > claims and won. . .

> >

> >

> > Pamela

> >

>

[Guest guest]

I love you Matt. You are awesome.

To summarize:

Waiting is not always BAD

NOT waiting is not always GOOD.

Waiting plus DISRESPECT is not good.

(give apology, explanation, gift, $5 bill. . . whatever floats your boat)

Do something.

Pamela

>

> OK, I hope you never REALLY need them for care....

>

> I once worked for a staff model HMO. I was told " to improve efficiency, ask

pt for the top 3 things they want to talk with me about for the visit. "

>

> Husband of pt (a doc no less), called me back later to ask what I had done to

offend his wife (the pt) so much.

>

> I don't do this anymore.

>

> I always ask the pt " what can I do for you today " then I proceed to do

EVERYTHING they need. I record the entire visit in an EMR (except I hand write

the CC, and HPI, still quicker, working on this with newer version of EMR) so I

can cover almost everything. Tests ordered are typed up, prescriptions are

typed up, hand out with all of this (except subjective, objective) given to

patient at end of visit.

>

> Sometimes it's alot but I tell pt they can always call and talk with the nurse

(yep, I have 2 that job shre, lucky me!) to review.

>

> If stable, my goal is to see a chronic pt every 6 months (many of my " stable

chronic pts " are over 50-95), but I encourage and schedule same day/next day

appts. Even had 4 call on July 4th, but I'd forwarded calls to my cell phone.

>

> I try not to be more than 1/2 hour late. In my area, the " corporate

practices " take more than 1 month for regular appts, and most acutes are

deferred to Urgicares.

>

> I've worked in those. I'd rather know my pts...my chronic pts know they can

see me right away. Insurance encourages them to see me by having low copays. I

occasionally treat people by phone with office follow up.

>

> This wait thing depends more on the complexity of pts seen, whether you accept

new pts (I for one NEED new pts, esp as I treat the elderly and don't do

inhospital work), what insurance you do accept.

>

> Please do not judge the quality of the work by the volume and waits. I for

one would rather have a good doc than a quick one.... remember 100+ years ago

the surgeon was judged based on the speed of amputation!

>

> I almost NEVER have pts wait more than an hour (if an emergency), but I have.

Does that make me bad or more comprehensive OR compassionate?

>

> Dr Matt Levin

> FP since 1988

> Solo since 2004

> EMR used for all pts since solo in 2004, used EMR before than for about 25% of

pt contacts between 1997-2004.

> matlev@...

>

> Doctors can be taken to small claims court

for running late

>

>

>

> From CNN comments:

>

> I billed an orthopeadic clinic for making me wait 2 hours in the

> waiting room, then another 2 hours in the inner exam room

> (gown on) an hour in the x-ray room and another hour post-x-ray,

> then the doc showed up for only a brief time, made me wait 1 hour

> more, then let me go after doing his thing. By the time I left, it was

> 8 hours. I billed $200 per hour for all but the time I actually saw the

> doc and x-ray tech., which was the rate the PR firm billed for my

> time to their clients. I said they can pay my bill or wipe out theirs

> (I didn't have insurance at that time) or I would take them to small

> claims court and make sure I sent a supoena to the entire office to

> drag them down to the courthouse and waste a full day each- so

> even if I lost, I'd win that way. They paid, and wiped out my bill.

>

> I actually read 2 or 3 cases on here where patients took docs to small

> claims and won. . .

>

> Pamela

>

[Guest guest]

I am sharing a comment from CNN Grace. I'm not promoting

that patients take docs to small claims court.

The CNN article was not about IMPs.

It was not about ME. It was not about

my way to do an IMP.

CNN featured 3 IMPs and their cool ideas

what they (joyfully) do when they run late.

It featured the IMP map as a solution to a

widespread problem that pisses off most of

America.

What's the problem?

Pamela

>

> pamela,

>

> how in hell is opening this can of epic-length worms helping any of us?

>

> please before you do anything else ... please ask the rest of us who are on

the map but dont agree with you...

>

> give me time to ask seto to take me off it.

>

> your way is not the only way to do IMP

>

> grace

>

[Guest guest]

why would you post this then if you are not promoting anything? what, for

information that patients can do this to us?

wouldnt you think that being at risk for malpractice for a frivolous suit 25 x a

day is not enough for me to worry about?

i do NOT practice defensive medicine and dont order tests 'just to be sure' but

frivolous suits are out there and they are upsetting.

i need you to consider, there are people on this list who did not like the whole

story and you seem to think all of us should think this is an interesting

conversation and we all should be happy that this is in the news and people are

talking about it!!

well, if you are so considerate and kind to your patients, i would like you to

be the same to me. i am your colleague after all.

and i am considering also that to you there is no problem and the problem is

after all just me.

cheers

grace

[Guest guest]

I think you Pamela are an egotistical maniac and only in this for yourself and really noone else. There I said it, ban me from the listserv. Sent on the Sprint® Now Network from my BlackBerry®Sender: Date: Tue, 05 Jul 2011 18:18:33 -0000To: < >ReplyTo: Subject: Re: Doctors can be taken to small claims court for running late I am sharing a comment from CNN Grace. I'm not promotingthat patients take docs to small claims court.The CNN article was not about IMPs.It was not about ME. It was not aboutmy way to do an IMP.CNN featured 3 IMPs and their cool ideaswhat they (joyfully) do when they run late.It featured the IMP map as a solution to a widespread problem that pisses off most ofAmerica.What's the problem? Pamela>> pamela, > > how in hell is opening this can of epic-length worms helping any of us?> > please before you do anything else ... please ask the rest of us who are on the map but dont agree with you...> > give me time to ask seto to take me off it.> > your way is not the only way to do IMP> > grace>

[Guest guest]

Pam, I don't agree with your judgement or your posts, you seem to be just Stirring the pot, as we say. I think you have way too much time on your hands, and are way to easily maniputated by the media. You should spend more time seeing patients, and less trying to delivery every one to happiness, is that some kind of GOD complex, please, I can find my own happiness. I agree with Grace, and here. And no not any media is good media.

Cote'

To: Sent: Tuesday, July 5, 2011 11:13:04 AMSubject: Re: Doctors can be taken to small claims court for running late

This is not something I am discussing. I am merely pointing outsomething I read on CNN to you guys.I promote IMPs as much as I can. It is not my sole purposein life. My primary goal is to help everyone live their dreamsin medicine. I am not attached to any one specific model. Doctors deserve to be happy. Patients deserve to be happy.We all can live our dreams if we break out of the confines ofwhat does not work personally for us.I'm here to push the envelope. . . .Pamela> >> > From CNN comments:> > > > > > I billed an orthopeadic clinic for making me wait 2 hours in the > > waiting room, then another 2 hours in the inner exam room > > (gown on) an hour in the x-ray room and another hour post-x-ray, > > then the doc showed up for only a brief time, made me wait 1 hour > > more, then let me go after doing his thing. By the time I left, it was > > 8 hours. I billed $200 per hour for all but the time I actually saw the > > doc and x-ray tech., which was the rate the PR firm billed for my > > time to their clients. I said they can pay my bill or wipe out theirs > > (I didn't have insurance at that time) or I would take them to small > > claims court and make sure I sent a supoena to the entire office to > > drag them down to the courthouse and waste a full day each- so > > even if I lost, I'd win that way. They paid, and wiped out my bill.> > > > > > I actually read 2 or 3 cases on here where patients took docs to small> > claims and won. . .> > > > > > Pamela> >>

[Guest guest]

WILL,

just because you said something that isnt too PC and polite does not mean you

have to leave the listserve...

skip the posts that says wible... you still would find a wealth of information

here.

ive been with the listserve since late 2004 and this helped me get off the

ground. i started IMP like but there was way too much need here in my community

i needed to fill.. ive expanded and my office is beautiful, relaxing, the way i

want it to be with 4 x 6 foot panorama landscapes i took myself all posted on my

walls. NOT IMP for sure. but the ideals are there.

DONT LEAVE.

grace

PS. DEAR GARY SETO, i was just kidding about volunteering to be Ms. Moses to

head the exodus out. I believe in your movement way too much to be blindsided by

all this...

zzzzzzzzzz

[Guest guest]

Certainly I'm not promoting this.

I'm shocked that anyone would

do this. But there is obviously

a level of frustration among

patients and doctors that needs

to be addressed.

Ignoring things does nothing.

I (obviously) do not fear conflict.

We need a healthy national debate

and the CNN is breaking through

the media glass ceiling for us.

When Maddow gets a hold of

this we will have the type of discourse

that is needed. I'm working on this

now while Tim Malia is preparing for CBS

The Early Show.

Maybe some on the list are so burned out

that you want the listserve to be

a safe haven of comfort. . . .

I know Grace that you must feel victimized, but

I'm opening up discourse that will ultimately

liberate us.

Trust me. I'm a doctor.

Pamela

>

>

> why would you post this then if you are not promoting anything? what, for

information that patients can do this to us?

>

> wouldnt you think that being at risk for malpractice for a frivolous suit 25 x

a day is not enough for me to worry about?

> i do NOT practice defensive medicine and dont order tests 'just to be sure'

but frivolous suits are out there and they are upsetting.

>

> i need you to consider, there are people on this list who did not like the

whole story and you seem to think all of us should think this is an interesting

conversation and we all should be happy that this is in the news and people are

talking about it!!

>

> well, if you are so considerate and kind to your patients, i would like you to

be the same to me. i am your colleague after all.

>

> and i am considering also that to you there is no problem and the problem is

after all just me.

>

> cheers

> grace

>

[Guest guest]

Will, you should stay. I'll move this conversation elsewhere.

> >

> > pamela,

> >

> > how in hell is opening this can of epic-length worms helping any of us?

> >

> > please before you do anything else ... please ask the rest of us who are on

the map but dont agree with you...

> >

> > give me time to ask seto to take me off it.

> >

> > your way is not the only way to do IMP

> >

> > grace

> >

>

[Guest guest]

Will, I agree with Grace. Please stay.

I'll take the conversation elsewhere.

Pamela

> >

> > pamela,

> >

> > how in hell is opening this can of epic-length worms helping any of us?

> >

> > please before you do anything else ... please ask the rest of us who are on

the map but dont agree with you...

> >

> > give me time to ask seto to take me off it.

> >

> > your way is not the only way to do IMP

> >

> > grace

> >

>

[Guest guest]

pamela,

this is my last message to you about this issue.

believe me my safe haven goes beyond this listserve.. this list serve is an

ideal as it should be and goes beyond the boundaries of the physicality of this

yahoogroup, myself and the people that belong to it. this is only a resource

that i pick from so i could go on doing MY thing, what I believe in. i try to

walk the talk. i havent even met any of the members not a single one. but i

profusely thank those who I know have helped me but there's too many.

my safe haven is MYSELF: not another person, not a patient, not another doctor.

even though you are taking this conversation elsewhere, understand that you need

everybody else's permission to pick up the banner of IMP.. not just Seto's,

Gordon's, but everybody else on the map. your blog has the IMP map on it and it

sounds like we think like you. i dont like that.

'you must feel victimized' you say... please i dont need your sympathy. and you

dont need to liberate me.

you and tim MUST BE CLEAR that you are representing yourselves when you are

talking to media.

attack the middle men - insurance companies and the AMA and ill be right behind

you.. on this issue, YOU are on your own...

well, so am i...

good luck

grace

[Guest guest]

Hey gang, don't shoot the messenger here.

How does it hurt anything to debate it and discuss it? That's the whole purpose of our most honored concept of freedom of speech. With transparent dialogue problems get solved.

Let's put this patient wait problem in perspective; it is not at the top of the list of doctor problems. Quite frankly, I think it will likely help doctors more than hurt. Most transparent dialogue does. Patients will likely get educated; some.

Look at the health reform debates. As goofy as the health reform debated started, education has absolutely matured the debate to the point of now putting medicare sustainability on the table. Three years ago people were actually chiming "let's extent medicare to all." More importantly, the health reform debate has brought focus on the plight of primary care, to the extent that we've been supported with the medicare bonus and wellness exams this year. Not earth shattering, but better than nothing. Look, primary care has been on the ropes for two decades, but the plight is actually reaching the light of day now, in my opinion, due to the health reform debates. People complain about Romney care in Mass. But, in my opinion, Mass care has done more to help primary care than anything else in the last several years by vividly demonstrating what happens when there are a shortage of PCP's.

So don't get all nervous about sunlight. It's the best disinfectant in the world. It'll shake out.

WK

Re: Doctors can be taken to small claims court for running late

I am sharing a comment from CNN Grace. I'm not promotingthat patients take docs to small claims court.The CNN article was not about IMPs.It was not about ME. It was not aboutmy way to do an IMP.CNN featured 3 IMPs and their cool ideaswhat they (joyfully) do when they run late.It featured the IMP map as a solution to a widespread problem that pisses off most ofAmerica.What's the problem? Pamela>> pamela, > > how in hell is opening this can of epic-length worms helping any of us?> > please before you do anything else ... please ask the rest of us who are on the map but dont agree with you...> > give me time to ask seto to take me off it.> > your way is not the only way to do IMP> > grace>

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[Guest guest]

Thanks, Walter. I agree with you ... and I, too, ask all to not kill the

messenger.

What has struck me the most is that simply reporting that a patient invoiced her

doc, and got paid, for waiting time has triggered such an uproar, both among

docs who are stressed, tired, and often burnt out, and among patients who are

stressed, tired and often burnt out.

If nothing else, this whole discussion is proving the point to me that BOTH docs

and patients are fried.

And we all need to understand the situation better from both sides of the

equation, and work to maintain/improve/mend the doctor-patient relationship.

My analogy the other day seems to still work if we think of wait times like a

" touchy " issue -- if we don't at least put it out on the table for consideration

it would be like a married couple on the verge of divorce going to counseling

but refusing to discuss their infidelity because they feel it is a " touchy "

issue.

Folks, if even a small number of patients feel their concerns are being heard,

and a small number of patients suddenly gain perspective of why docs may run

behind (and that wait times will only be worse if docs keep burning out), and

some docs realize that wait times are a big frustration for patients but is

often a systems issue that can be accommodated for and perhaps improved ... then

health care will be somewhat improved. All our problems will not be solved, but

it will be somewhat improved.

No one who isn't already angry, stressed, or burnt out will be any more so just

by having the obvious pointed out and considered.

Respectfully, and hopeful -- Tim

Malia, MD

(phone / fax)

www.MaliaFamilyMedicine.com

www.SkinSenseLaser.com

Malia Family Medicine & Skin Sense Laser

6720 Pittsford-Palmyra Rd.

Perinton Square Mall

Fairport, NY 14450

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Re: Doctors can be taken to small claims court

for running late

I am sharing a comment from CNN Grace. I'm not promoting

that patients take docs to small claims court.

The CNN article was not about IMPs.

It was not about ME. It was not about

my way to do an IMP.

CNN featured 3 IMPs and their cool ideas

what they (joyfully) do when they run late.

It featured the IMP map as a solution to a

widespread problem that pisses off most of

America.

What's the problem?

Pamela

>

> pamela,

>

> how in hell is opening this can of epic-length worms helping any of us?

>

> please before you do anything else ... please ask the rest of us who are on

the map but dont agree with you...

>

> give me time to ask seto to take me off it.

>

> your way is not the only way to do IMP

>

> grace

>

=======

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[Guest guest]

Can anyone name a service industry that “runs on timeâ€.  I can’t.  You bring your car into get fixed and you have no idea when it will be taken care of or how long it will take.  You need a plumber, cable guy, etc at the house and they have now pinned it down to a morning or afternoon and you wait.  But for some reason, people believe doctors can work differently and we should pay them for their time not spent directly on their care.  They ask to see us and we see them when we can.  They don’t want to pay us for our time though and begrudge us everything.  They think that since they have to take time out of work (which for most people is paid, that is what personal days and sick days are for) that they should maximize their $10 copay but trying to cover everything they have been saving up for that visit.  And they want us to run on time. I am mad because we brought up an issue that is “touchy†and for which there is no cure.  I don’t see the point of this at all.  We aren’t starting a revolution.  We don’t need a Luther King to create a media uproar.  This is just anger and it’s not the real issue.  Tim even you said if a patient presented you with a bill, you would ask the patient to find another doctor because it’s toxic.  Patient will never understand why they can’t have everything they want.    This is more like going to marital counseling and repeatedly discussing monetary problems when it’s just do to the fact that there isn’t enough money, not to pathological spending.  What is the point of discussing something that can’t be fixed over and over.     Also, people keep linking timeliness to respect.  That really has nothing to do with this and every little snippet can’t get past this.  I would mine if we were really discussing the actual problem.  I don’t see this as leading us anywhere to conversing about the real issues instead of just the symptom.    I can’t see Pam’s vision and then yours Tim about what the purpose of this was other than to create noise.  It created a lot of noise.  I want peace and quiet again.  This didn’t promote IMPism and I don’t think the IMP movement is looking for a revolution….is it?  There aren’t enough IMP style doctors to treat everyone nor will there ever be.  So patients are just getting riled up with nowhere to go.  What is the point?  Also, why doesn’t anyone ever say  “If you don’t’ like your doctor, switch and quit complainingâ€.  Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of MaliaSent: Wednesday, July 06, 2011 10:00 AMTo: Subject: Re: Re: Doctors can be taken to small claims court for running late Thanks, Walter. I agree with you ... and I, too, ask all to not kill the messenger.What has struck me the most is that simply reporting that a patient invoiced her doc, and got paid, for waiting time has triggered such an uproar, both among docs who are stressed, tired, and often burnt out, and among patients who are stressed, tired and often burnt out.If nothing else, this whole discussion is proving the point to me that BOTH docs and patients are fried.And we all need to understand the situation better from both sides of the equation, and work to maintain/improve/mend the doctor-patient relationship.My analogy the other day seems to still work if we think of wait times like a " touchy " issue -- if we don't at least put it out on the table for consideration it would be like a married couple on the verge of divorce going to counseling but refusing to discuss their infidelity because they feel it is a " touchy " issue.Folks, if even a small number of patients feel their concerns are being heard, and a small number of patients suddenly gain perspective of why docs may run behind (and that wait times will only be worse if docs keep burning out), and some docs realize that wait times are a big frustration for patients but is often a systems issue that can be accommodated for and perhaps improved ... then health care will be somewhat improved. All our problems will not be solved, but it will be somewhat improved.No one who isn't already angry, stressed, or burnt out will be any more so just by having the obvious pointed out and considered.Respectfully, and hopeful -- Tim Malia, MD (phone / fax)www.MaliaFamilyMedicine.comwww.SkinSenseLaser.comMalia Family Medicine & Skin Sense Laser6720 Pittsford-Palmyra Rd.Perinton Square MallFairport, NY 14450-- Confidentiality Notice --This email message, including all the attachments, is for the sole use of the intended recipient(s) and contains confidential information. Unauthorized use or disclosure is prohibited. If you are not the intended recipient, you may not use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender immediately by reply email and destroy all copies of the original message, including attachments. Re: Doctors can be taken to small claims court for running late I am sharing a comment from CNN Grace. I'm not promoting that patients take docs to small claims court. The CNN article was not about IMPs. It was not about ME. It was not about my way to do an IMP. CNN featured 3 IMPs and their cool ideas what they (joyfully) do when they run late. It featured the IMP map as a solution to a widespread problem that pisses off most of America. What's the problem? Pamela > > pamela, > > how in hell is opening this can of epic-length worms helping any of us? > > please before you do anything else ... please ask the rest of us who are on the map but dont agree with you... > > give me time to ask seto to take me off it. > > your way is not the only way to do IMP > > grace > ======= Email scanned by PC Tools - No viruses or spyware found. (Email Guard: 7.0.0.26, Virus/Spyware Database: 6.17830) http://www.pctools.com ======= ======= Email scanned by PC Tools - No viruses or spyware found. (Email Guard: 7.0.0.26, Virus/Spyware Database: 6.17830) http://www.pctools.com =======

[Guest guest]



You mean you don't believe in the First Amendment? Don't you subscribe to the idea that the way to deal with offensive speech is with better speech?

Like I said, don't shoot the messenger. There are no messengers making this issue up. It's out there. Some of it is off the wall with respect to patients. Some of it is off the wall with respect to doctors, like waiting 4-5 hrs. Let who wants to, sort it out.

WK

Re: Doctors can be taken to small claims court for running late I am sharing a comment from CNN Grace. I'm not promoting that patients take docs to small claims court. The CNN article was not about IMPs. It was not about ME. It was not about my way to do an IMP. CNN featured 3 IMPs and their cool ideas what they (joyfully) do when they run late. It featured the IMP map as a solution to a widespread problem that pisses off most of America. What's the problem? Pamela > > pamela, > > how in hell is opening this can of epic-length worms helping any of us? > > please before you do anything else ... please ask the rest of us who are on the map but dont agree with you... > > give me time to ask seto to take me off it. > > your way is not the only way to do IMP > > grace > ======= Email scanned by PC Tools - No viruses or spyware found. (Email Guard: 7.0.0.26, Virus/Spyware Database: 6.17830) http://www.pctools.com ======= ======= Email scanned by PC Tools - No viruses or spyware found. (Email Guard: 7.0.0.26, Virus/Spyware Database: 6.17830) http://www.pctools.com =======

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[Guest guest]

Kathy --

I absolutely agree about the service industries issue and time expectations...

and have blog in my head to touch on that.

And, believe it or not, I agree that we all need to be considering what

solutions there may be, if there are any, for doctors offices and running on

time and efficiency/effectiveness.

Patients deserve to know that many doctors, including the whole IMP group, do at

least CARE that the system work well enough that we can be effective. And, I at

least would say, that working for timeliness is part of what IMPs strive for,

even if we don't always get there.

But the definition of effective has to be considered, both from our perspectives

and the patients' perspectives.

Your question of whether there are answers/solutions is right, and must be the

next step.

I contend that simply our knowing that the stress (anger at times) is there for

patients, and for patients to be told that docs are burning out and actually

working hard to serve them in many ways (as I pointed out in my blog) may allow

everyone to know: (1) there may not be easy solutions, so patients should cool

their jets, and (2) some docs can work systems a bit better for improved flow of

patients to ease the pts' stress.

I think IMP is exactly that ... a way of letting the patients know we care, and

we are trying to design offices that are better both for them and us, but also

for other docs to be encouraged to watch out for burn out, and control factors

they can because we all will benefit from having all hands on deck in primary

care.

--Tim

Malia, MD

(phone / fax)

www.MaliaFamilyMedicine.com

www.SkinSenseLaser.com

Malia Family Medicine & Skin Sense Laser

6720 Pittsford-Palmyra Rd.

Perinton Square Mall

Fairport, NY 14450

-- Confidentiality Notice --

This email message, including all the attachments, is for the sole use of the

intended recipient(s) and contains confidential information. Unauthorized use or

disclosure is prohibited. If you are not the intended recipient, you may not

use, disclose, copy or disseminate this information. If you are not the intended

recipient, please contact the sender immediately by reply email and destroy all

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Re: Doctors can be taken to small claims court

for running late

I am sharing a comment from CNN Grace. I'm not promoting

that patients take docs to small claims court.

The CNN article was not about IMPs.

It was not about ME. It was not about

my way to do an IMP.

CNN featured 3 IMPs and their cool ideas

what they (joyfully) do when they run late.

It featured the IMP map as a solution to a

widespread problem that pisses off most of

America.

What's the problem?

Pamela

>

> pamela,

>

> how in hell is opening this can of epic-length worms helping any of us?

>

> please before you do anything else ... please ask the rest of us who are on

the map but dont agree with you...

>

> give me time to ask seto to take me off it.

>

> your way is not the only way to do IMP

>

> grace

>

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[Guest guest]

For an issue that the public is completely uneducated about, I think any discussion is a good thing.  I didn't feel the article was very negative though I felt the CNN spot was completely biased against physicians.  However, that is the reality of our country and our media.  If you were to list the major problems that we all know exist in primary care and attempt to have a discussion about those, it wouldn't get mass media airtime at this juncture.  First, you need to get in the news and then it's the responsibility of physicians being interviewed to drive the discussion towards the real problems.  It's pathetic but that is just the way our country works.

I think resentment on this issue is just blowing up because physicians are so beat down by the system.  But no matter how hard people like Gordon and others work on the national and political level, it's going to require physician voices and issues making it out to the general public.  Unfortunately the front door to media here is things that are great to catch peoples attention, not necessarily what is the most important topics.

 



You mean you don't believe in the First Amendment?    Don't you subscribe to the idea that the way to deal with offensive speech is with better speech?    

 

Like I said,  don't shoot the messenger.   There are no messengers making this issue up.  It's out there.    Some of it is off the wall with respect to patients.  Some of it is off the wall with respect to doctors, like waiting 4-5 hrs.    Let who wants to, sort it out.  

 

WK

 

 

Re: Doctors can be taken to small claims court for running late I am sharing a comment from CNN Grace. I'm not promoting that patients take docs to small claims court. The CNN article was not about IMPs. It was not about ME. It was not about my way to do an IMP. CNN featured 3 IMPs and their cool ideas what they (joyfully) do when they run late. It featured the IMP map as a solution to a widespread problem that pisses off most of America. What's the problem? Pamela > > pamela, > > how in hell is opening this can of epic-length worms helping any of us? > > please before you do anything else ... please ask the rest of us who are on the map but dont agree with you... > > give me time to ask seto to take me off it. > > your way is not the only way to do IMP > > grace > ======= Email scanned by PC Tools - No viruses or spyware found. (Email Guard: 7.0.0.26, Virus/Spyware Database: 6.17830) http://www.pctools.com ======= ======= Email scanned by PC Tools - No viruses or spyware found. (Email Guard: 7.0.0.26, Virus/Spyware Database: 6.17830) http://www.pctools.com =======

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=======