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Re: cost of "no shows"From: ainsron (ainsron@sbcglobal.net)Thu May 27 12:01:08 2004
Its not just the plaintiff's lawyers. My malpractice carrier expects and requires that I have a mechanism to follow-up on missed appointments, abnormal paps, mammograms, etc. Like you Zak, I feel that my responsibility as a physician is to evaluate patients and diagnose their condition within the best of my ability, then educate them regarding what their options are, offer them the best treatment I have available and teach them how to follow-up to prevent further deterioration or complication. At that point, the ball is in their court. I do not want to baby sit them or cajole them to do what I have recommended to them. That is where personal choice and accountability should kick in. Lawyers be damned! (except of course my son and my personal lawyer). :-) Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Zachariah Newton Sent: Wednesday, May 26, 2004 6:16 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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