Re: cost of "no shows"

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Thu May 27 09:27:55 2004


Attorneys as patients always fill me with trepidation

--
Richard Chudacoff, MD

Heaven grant that the burden you carry may have as easy an exit as it had an entrance.

[Prayer To A Pregnant Woman]

- <http://www.brainyquote.com/quotes/quotes/d/desiderius148996.html> Desiderius Erasmus

"Back in 2000 a Republican friend warned me that if I voted for Al Gore and he won,

the stock market would tank, we'd lose millions of jobs, and our military would be totally overstretched.

You know what? I did vote for Gore, he did win, and I'll be damned if all those things didn't come true!"

-James Carville

_____

From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Gerald P. Rodríguez Sent: Thursday, May 27, 2004 9:22 AM To: Multiple recipients of list OB-GYN-L Subject: Re: cost of "no shows"

Richard,

You are much better off to have this patient hit the road.

Gerald P. Rodríguez, M.D., FACOG

Santa Fe

>----- Original Message -----

From: Richard <mailto:rchudacoff@mylinuxisp.com> Chudacoff, MD

To: Multiple <mailto:ob-gyn-l@dns.obgyn.net> recipients of list OB-GYN-L

Sent: Thursday, May 27, 2004 8:05 AM

Subject: Re: cost of "no shows"

Tell me about it. I had a patient try a Nuvaring. Unfortunately it fell out. Patient is a lawyer. Patient was counseled, and left with a one easy FAQ sheet, the patient information sheet, the physician’s information sheet, a CD and the web site. She then quit me because the Nuvaring fell out and I did not inform her of this possibility…strongly enough.

I said good-bye, and realized that if attorneys refused to read basic and detailed instructions and directives, then the practice of medicine is in a world of irreparable hurt.

--
Richard Chudacoff, MD

Heaven grant that the burden you carry may have as easy an exit as it had an entrance.

[Prayer To A Pregnant Woman]

- <http://www.brainyquote.com/quotes/quotes/d/desiderius148996.html> Desiderius Erasmus

"Back in 2000 a Republican friend warned me that if I voted for Al Gore and he won,

the stock market would tank, we'd lose millions of jobs, and our military would be totally overstretched.

You know what? I did vote for Gore, he did win, and I'll be damned if all those things didn't come true!"

-James Carville

_____

From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Zachariah Newton Sent: Wednesday, May 26, 2004 8:16 PM To: Multiple recipients of list OB-GYN-L Subject: Re: cost of "no shows"

The issue of the culpability of the medical practice that fails to trace and reinforce the indication for coming in after a missed appointment is, at face, a gross shifting of responsibility away from the patient.

Essentially, the consequences of failure to respond to recommendation belongs squarely on the shoulders of the patient who choses to not accept the recommendation.

Enter, lawyers. The patient did not understand from communication received the level of importance of accepting the recommendation. The failure to alert the patient of the level of importance in responding represents a deviation from standard of care.

"You did not scare me." My suffering is your fault.

In a jury of peers, that makes good sense.

IMV, a professional relationship is ultimately based on the trust of the patient. If trust exists, the patient will show up. If trust does not exist, the partient does not show up. You pays your money and you makes your choice.

No show consequences are in the court of the no show responder.

Zach Newton

Z. B. Newton, III, M.D.

Atlanta/Gyn





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