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It's called a "Waiting Room"..what do you think you will be doing there?

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  • It's called a "Waiting Room"..what do you think you will be doing there?

    This post consist of complaints, rants, questions, and rants on co-workers. Not to mention I work in a medical office, so MODs can move it where it is appropriate, but I figure this is a general area enough for it all.

    Background: I work with a Primary Care Doc and 1-2 other Physician Assistants on a given day. We get anywhere from 60-100 patients a day, split among all of us to see. The Doc sees patients herself and will be called in if any 1 of us can't handle a case.

    The Wait

    I understand going to the Doctor's office is never a fun thing, and you probably want to get out as soon as possible. So we ( or at least myself) will try to make the wait as short as possible, but that wont work if everyone comes in insisting to see the Doc when anyone of us can take care of you, especially if it's something as simple as a "cold".

    But NO, the Doc MUST see me because I'm a VIP/special patient/too complicated for you peons/ or my personal favorite: she's the REAL doctor. Seriously?!? We all went to med school and are fully trained, so it's not rocket science to know how to manage your Hypertension/Diabetes/High Cholesterol/Allergy/Rash/Etc. But, if that's what you want, then you can wait in line with the 20 other people that insist on seeing the Doc and add another 30-60 minutes to your already 20 minute wait.

    My question to everyone is this, does it really make a difference who sees you?? I know you have a relationship/trust with your Doc, but if there is already a long wait to see the Doc and your stuck in a small room with crying children/sickly people/and/or people coughing up a lung, wouldn't you want to get out of there as soon as you can?

    Co-workers

    Our front desk is a joke, the girls can't schedule appointments well and can't manage the flow, not to mention stopping anyone of medical team for every little thing. But the kicker is when it's boiling hot outside, and we crank the AC up, they are complaining it's too cold! Meanwhile, 1 of them is wearing a fish-net shirt over a tank top, and another is wearing some lace thing. The medical team is in dress shirt/pants/tie with lab coats or in scrubs over regular clothes, and we are running around in over 80% of the office while the front desk just sit in front of computers or move about in general front desk area. So please, next time before you complain it's too cold, bring a damn sweater or something, or maybe wear something that's more shirt and less holes.

    We have several PAs that alternate shifts, in general they are pretty good and fast. I'm technically a MD-in-training, so rank a little higher than them, but we do the same work, which includes seeing patients, examinations, diagnosis, and writing up the notes. Some patients are more complicated and obviously needs more time, but that shouldn't be every patient you see, especially if there's a packed waiting room. There is 1 particular PA that is especially slow. He can take upwards of 45 mins for someone coming in for a cold. And then all he writes down in the notes is: Patient with such and such history come in with complain of coughing for 2 days. Then some other unrelated stuff. REALLY?? You spent 45 mins with that patient and that's all you have to write about their main complaint?!? Anyone we grab off the street can write that, you are a trained medical professional, you are trained to know how and what to write on a chart, even if it's for something simple. And on a day where we saw 60 people, with him, the Doc and me on call, and I saw patients on my own as well as everyone that Doc saw, he only totaled 14. And that was the day I slipped down a flight of stairs that morning in a rush to get to work and was having seriously back pain.

    Phew..sorry for the long post.

  • #2
    While I don't get the insisting on seeing X at the office, I confess, the wait times annoy me too. I have an appointment for a time. I don't like being told the doctor is out to lunch/golfing/hitting on an intern instead of seeing me at the appointment time :P

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    • #3
      Here, you don't have to ask to see the doctor, it's just automatic. For appointments, it's doctor only. For walk-in clinics, it's wait for the nurse to call you first. She (I've never had a male nurse now that I think of it) will ask questions, take my BP and other note-taking info related stuff. Then I go back to the waiting room for the doctor to call me. I honestly don't know if they advise people that they don't need to see the doctor as I almost always walk out with a prescription of some kind.

      How come those two girls haven't been brought up to speed with appropriate work attire? o_O Every girl (again, never guys, lol, sorry) I've ever seen has always been formally dressed in a doctor's office. I'd be taken aback at seeing someone with a fishnet shirt over a tank in any kind of doctor's office. And it's really not that hard to bring a sweater, definitely agree on that one.

      There's one clinic here that I try to avoid on certain days because I know the slowest doctor imaginable is there. He does weird things and takes forever to do them. The first and last time I encountered him I spent most of the visit trying to keep my jaw from dropping.

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      • #4
        By far not an excuse for sucky behavior, but I do understand wanting to see somebody specific. Because to me, it means they know what is going on with me..while another doctor/nurse/etc might not. Still I know that means a longer wait, so I don't get that upset about it. Getting upset about it is definitely not going to help anything.
        Engaged to the amazing Marmalady. She is my Silver Dragon, shining as bright as the sun. I her Black Dragon (though good honestly), dark as night..fierce and strong.

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        • #5
          These people are pissing and moaning about a 20 minute to an hour wait? God help them if they're ever required to visit an ED like the one at Cook County in Chicago. I waited 18 hours to be seen there. Of course, they're a triage hospital so the really bad cases (heart attacks, car crashes, gunshot wounds and so on) are seen first.

          After that, I laughed at the hometown hospital when they apologized for an hour wait.
          Last edited by Mike Taylor; 06-07-2012, 07:44 AM.
          "Sigh, I'm going to Hell.....but I'm going with a smile on my face." -- Gravekeeper

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          • #6
            I am a complicated case - I have fourteen formal diagnoses, plus several suspected. For this reason, I prefer to consistently see the same physician wherever possible.
            If there were 'physician assistants' where I am, I'd probably prefer to see the same PA and/or physician. I don't mind if it's a team rather than an individual.

            As for the office girls; most doctors' offices I've been to, the staff wear either a uniform (larger places) or a more tailored variant of scrubs.
            Seshat's self-help guide:
            1. Would you rather be right, or get the result you want?
            2. If you're consistently getting results you don't want, change what you do.
            3. Deal with the situation you have now, however it occurred.
            4. Accept the consequences of your decisions.

            "All I want is a pretty girl, a decent meal, and the right to shoot lightning at fools." - Anders, Dragon Age.

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            • #7
              20 minutes? I have never seen my doctor so quickly. A practise that I went to a few years ago would be a 45 minute wait to get to the room and another 45-1 hour to see the doctor. I didn't stay long with them.

              The PCP I have now is fairly quick, but their office staff is terrible. Rude, chews and cracks their gum. The PA and nurses there are fantastic though.

              I don't know why people haven't learned to bring some kind of entertainment with them whenever they go to see the doctor. Book, iPod, etc.

              Comment


              • #8
                Quoth Draco View Post
                While I don't get the insisting on seeing X at the office, I confess, the wait times annoy me too. I have an appointment for a time. I don't like being told the doctor is out to lunch/golfing/hitting on an intern instead of seeing me at the appointment time :P
                My mom is feeling that way too right now. Part of it is because she's gotten use to her primary care doctor (I'll call him Dr. D). Dr. D's policy is that if you're going to be 15 minutes late you need to reschedule. And he himself is almost never late, so it works well for both him and the patients.


                But right now Mom's getting treatments from other doctors that Dr. D's office doesn't do. (He's general / cardiologist and she's getting chemo now). She went in yesterday with severe pain related to the treatments & had to wait an hour and a half. By the time she finally stood up to be seen, she almost fell over because her limbs were numb. And she wasn't the only one it happened to.

                She's already considered finding another doctor to see who has a shorter wait time. Or rather one that doesn't over-book.

                I don't know why people haven't learned to bring some kind of entertainment with them whenever they go to see the doctor. Book, iPod, etc.
                Mom got herself a Nook for this reason, kinda. Her treatments take time so she can read or play cards while she waits. And it's easier for her to carry than a book.

                Last time I went to the doctor it was a long wait, partially cos I was a new patient and they had no data on me. But my pain from the ear infection wasn't severe exactly. So I played cards or read Act of Valor on the iPod while I waited.
                Last edited by PepperElf; 06-06-2012, 02:36 PM.

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                • #9
                  You may not want to hear this, but: this is what I don't like about my current doctor's office.

                  The wait time is minimum 30 minutes after the scheduled appointment time every time you go, and patients are not allowed to see the doctor at their first appointment. Everyone must schedule with a NP first, and then if the doctor deems it necessary, she will see the patient at subsequent appointments. Consistent waiting times past my appointed time also make me feel as though my time isn't as valuable as the Almighty Doctor's Time, and that is very annoying. My time is valuable, too.

                  Then there are all kinds of rules and fees for rescheduling an appointment without 24 hours notice, missing appointment fees, etc. The fees, I get because it seems to be the only way to keep people in line.

                  This practice, however, makes me feel like I'm actually bothering the doctor and the practice for wanting to be seen in order to manage my ongoing medical conditions. I need blood tests every three months, so I have to go see someone.

                  Luckily, the NP I found there is made of awesome and I love her. The first NP I saw, though, I didn't like.

                  I think a lot of it depends on personalities/illnesses/comfort level with the doctor or team member people are scheduled with; I know I don't want to see the first NP I saw again, and will be sure never to schedule time with him.

                  On the front desk staff and their clothes: most everyplace I've been to has the staff clothed in scrubs. Does your office not have a dress code? Maybe the doc should put one into practice.
                  Last edited by MamaMootz; 06-06-2012, 03:12 PM. Reason: Doh - sentence fragments
                  Two things are infinite: the universe and human stupidity; and I'm not even sure about the universe.
                  --attributed to Albert Einstein

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                  • #10
                    Quoth Seshat View Post
                    I am a complicated case - I have fourteen formal diagnoses, plus several suspected. For this reason, I prefer to consistently see the same physician wherever possible.
                    Agreed. I remember one ER visit where I was seen by two different staff members, both presumably in charge, one a doctor the other a nurse, and neither one of them appeared to be communicating with each other when they left my bedside.

                    One insisted I was fine and should go home. The other insisted I should stay and wait while she arranged for me to be moved to a bed on the patient floor. The doctor came back and said go home. The nurse came back while I was getting dressed and told me to stay.

                    It was like a bad scene in a cartoon, only not funny. So yeah, I'm far more comfortable having the same person and if there's a wait, I'm not going to complain about it.

                    Comment


                    • #11
                      Quoth Seshat View Post
                      I am a complicated case - I have fourteen formal diagnoses, plus several suspected. For this reason, I prefer to consistently see the same physician wherever possible..
                      Yeah, this was the first thing that crossed my mind. I have half a dozen unusual and totally unrelated medical conditions. Having to explain them all to a new person gets old, and occasionally a doctor has thought I was making stuff up. Once I was told, "You should bring a complete medical history with you." I actually tried, but some of my records proved impossible to get. And really, how do you NOT believe I had open-heart surgery as a child when I've got a giant zipper of a scar running down my chest?

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                      • #12
                        Most of my doctors are in a large, multi-speciality practice group. As in close to 200 docs total. I like that because they have all my records, and can pull them up on the computer in no time flat. My PCP doens't have PAs, but I really only go to him for a physical, or something that isn't urgent, since its tough to get an appt with him. I think others may have PAs, but not any docs that I've ever been to.

                        My GI does have a PA, who I saw the first time I went, and she said I needed an endoscopy. She seems to sort of be the one you see first, and if she can take care of your issue, she will, if not, she will schedule an appt with one of the docs. My only gripe was that I didn't actually meet the dr. until the day of the procedure, in the procedure room. But he turned out to be awesome, and as my issue wasn't serious, but weird, I then saw him from then on. But my mom, who used to go to him as well, saw the PA for a minor issue with constipation.

                        My feeling is, if its something minor, and I know what it is, but need a dr. visit to get meds, i.e. sinus infection, I'm ok with seeing the PA if it means I can get in sooner. But if I had more complicated issues, that needed regular dr. visits, I might be more inclinded to see the dr. themself.

                        But...that being said, if people have the option to see the PA, but choose to want the doc instead, then they need to be prepared to wait since he is one person, and there are several PAs that can be seen, with less wait time.

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                        • #13
                          Thanks for the input everyone, this is great. As I plan to eventually open my own practice someday, this is good feedback.

                          We do have Electronic Records set up in the office, so we have very patient's medical records on hand as we see them, and we will review it when we come in the room, so we won't be asking you the same questions over and over again. But my gripe is that sometimes, the patients are not really here for something serious or complicated, they could be here for a simple follow up from last visit, meds refill, or they just want to talk to the doc personally. Follow ups and meds we can do without you having to wait too long, same as referrals to other specialties or what nots. Or we can even simply just take down what you need/want, get that taken care of, and then the doc can come in to talk to you for 5 mins afterwards. But they just simply refuse to even address/talk to us if we are not the doc, and will insist on waiting and then get all upset about the wait.

                          There are also the "regulars" that we dread. Those are the ones that we know by name/face that are sure to take up the doc's time for non-medical issues, and they will bitch/moan about the wait time. Guess what, the doc is a PCP, not a Psychiatrist/Psychologist, if you got Depression/Anxiety/other mental issues/simple stressed, kindly seek the appropriate help. Yes we can help by being lending an ear, but when we got over 10 people waiting in the waiting rooms, and the exam rooms are packed, we can't really have the doc tied up for 30-45 mins by you over non-medical issues.

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                          • #14
                            I also don't know why the doc dont issue a dress code for the front desk, but then, not my practice, not my problem, unless they start complaining about being cold and we're about to pass out from heat and lack of O2

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                            • #15
                              I like that because they have all my records, and can pull them up on the computer in no time flat.
                              I have all of mine from the military stored on the computer now. should have gotten a copy from the last appt i went to but i didn't think of it.


                              as for the dress code - unless it's a private practice, the doctors aren't in charge of that. the medical center would be the ones who address that issue.

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