Re: Bad week

From: Dr Eberhard W. Lisse (el@ac.lisse.na)
Fri Feb 21 23:31:35 2003


Anna,

In message <200302220151.h1M1pnF24884@mail.medispecialty.com>, Anna Meenan, MD writes:

> Monday I got a "Compliance Alert" from an insurance company
> informing me that, by their calculations, one of my patients had
> missed 8.6% of her doses of Prilosec, and insisting that I needed to
> return the form with my assesment of why this might be so. The
> choices included "Pt. no longer taking this med", "Pt. deceased"
> and a couple of others. I wrote in "Pt. is a normal average human
> being." Do I really need this?

In one of my former lives I have run a BP clinic with some 400 patients twice a month. Prior to commencing we had a stroke a week and a death from sok a month. It took a few interested sisters and me bullying (my usual charming self :-)-O) every patient that came late for over a year to raise compliance to one stroke a month and one death every six month (virtually all of them defaulters).

I'd love to have someone figure out that a patient was defaulting. And to be in a position to do something about it.

> Wednesday I saw a 14-year-old girl with a tongue stud that said
> "Lick Me" on it. Her mother took her to have it done and was proud
> of how brave the kid was. I know those of you who practice in New
> York or California have probably seen much worse than that, but this
> is a small farm town in Illinois. I was depressed. I comforted
> myself with the thought that, if her boyfriend can read and follow
> instructions, at least she won't get pregnant.

At some stage one particular poorly trained branch of the Namibian Police (a hob creation program for former combatants) had the idea that our President's abhorrance of homosexuality required that they, in pre-emptive obedience, forced every male with an ear stud they'd encounter on the street to remove it or they'd rip it off.

Took some gentle explanations from lawyers that they should rather nab some criminals (coupled with a few law suits for assault) to stop that.

> Today my partner (1/4 of our group) was called up to report to his
> reserve unit on Sunday and ship out on Monday. Yikes!

Poo thing. But then he never complained about the money they paid him to go to Medical School and for not having to go, yet, right?

el

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