Good morning Dr. Roberts it?s 8 am on Sunday.
I am calling to ask you why you gave some iv fluids to patient in an outpatient status.
The patient was in my office on Friday afternoon for dizzyness and had a bp of 90s/60s, was orthostatic by pulse, had ketonuria and elevated SG.
I ordered 2 liters of NS-one wide open and one at 250ml/hr with repeat orthostatics at the end. Orthostasis resolved.
The H&P was dictated from my office, I personally made sure the copy of my note from the emr was in the chart before I left the floor. The H&P wasn?t typed yet and she just wanted to put a check in a box.
Forget the fact that she knows that we have so little personal/down time and what little we have, we covet.
I?m sure the physician caller made a lot more calling me than I will make for the office visit/iv fluid admin (can?t bill for both because that?s double dipping).
As a private practitioner, I have an interest in the hospital getting their money, because I don?t get paid for the same day visit if they don?t get paid-but hey PLEASE CALL AT A DECENT HOUR. I had stayed up late working on my business and was sound asleep when she called.
WHAT A WASTE OF HEALTH CARE DOLLARS
