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PMP
by Bert - 02/27/2025 1:22 PM
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Posts: 34
Joined: August 2010
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#55546
07/28/2013 10:50 AM
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Joined: Apr 2008
Posts: 1,078
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OP
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Joined: Apr 2008
Posts: 1,078 |
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
Vicki Roberts, MD Family Medicine of Southeast Missouri Sikeston, MO
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Joined: Apr 2010
Posts: 1,546 Likes: 1
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Maybe she was calling from Pakisitan and it was mid-morning on a Monday.
David Grauman MD Department of Medicine Commonwealth Health Center Saipan, Northern Mariana Islands
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Joined: Apr 2008
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Nope, somewhere on the East Coast. She could care less that she woke me up.
Vicki Roberts, MD Family Medicine of Southeast Missouri Sikeston, MO
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Joined: Apr 2010
Posts: 1,546 Likes: 1
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Oh. I was just hoping that it was only that they had outsourced QA to a 3rd world country. Come to think of it, that might be an improvement.
David Grauman MD Department of Medicine Commonwealth Health Center Saipan, Northern Mariana Islands
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