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Re: cost of 'no shows' From: Joanne Bulley, MD (islesannie@yahoo.com) Thu May 27 21:59:22 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert Modugno MD: "BBC E-mail: Judge rules against Janet payout" Previous message: art fougner, md: "Systems Analysis Vs. Risk Management" My thoughts absolutely! And that is how I do it. I am a bit compulsive on making sure I have gone out of my way to get women in for colpos and cervical treatments - and the first follow up pap. Send certified letters etc. Those that are to have a 6 month mammogram are put in for "appointments" with me on my day off the first week of the month they are to get - so they can be contacted. So there are some safeguards put in for this stuff. But I agree - the PATIENT herself needs to decide whether or not she will do what is recommended. The radiology dept here has a system - so that if they have read an abnormal mammogram and wantmore views now - or a 6 month follow up and it doesn't happen - I get a letter saying "Mary Jones was to have thus-and-such done and we have no record of that happening". The Cyto & Path labs do the same thing - if the Pap was abnormal and they don't get a biopsy. Joanne At Thu, 27 May 2004, ainsron wrote: > >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 > -- Joanne Bulley, MD Keene, NH, USA Next message: Robert Modugno MD: "BBC E-mail: Judge rules against Janet payout" Previous message: art fougner, md: "Systems Analysis Vs. Risk Management"

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