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#55546 07/28/2013 10:50 AM
Joined: Apr 2008
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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
Joined: Apr 2010
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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
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
Joined: Apr 2010
Posts: 1,546
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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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