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Re: A rant and a poll From: Meenan, Anna (annam@uic.edu) Sat May 20 15:57:31 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: A rant and a poll" Previous message: art fougner, md: "Re: A rant and a poll" In reply to: Dr Eberhard Lisse: "Re: A rant and a poll" Next in thread: Dr Eberhard Lisse: "Re: A rant and a poll" Reply: Dr Eberhard Lisse: "Re: A rant and a poll" Reply: rmodugno@aol.com: "Re: A rant and a poll" We don't have patients translate for each other either, el. All my assistant did was to ask another patient who she knew to be a close associate of pt. #1 (they had come into the office together, all chummy, on other occasions) if she knew of a way to reach her by phone. She did not give pt#2 ANY other information as to why we needed to get ahold of #1. My assistant's reasoning was that pt#1 has potentially dangerous infection which needs to be treated, the weekend is coming up, and we are not back in outreach clinic til next Friday. We could have, I suppose, sent the info in the mail, but this young woman's address information is about as reliable as her phone contact info. BTW, in this small town, any translator the patient might bring in with her is quite likely to be a patient of ours also. Then what, el? We are not permitted to require a patient to bring their own translator anyway (in this mean, awful, horrible country of ours that treats its minorities so poorly, we are required by law to provide translation at any medical encounter, and if we don't have a paid translator in the office, we can use the AT&T Language Line, where we can reach a translator for any language at the incredibly low low price of 6 bucks a MINUTE, or at least that was the going rate when I checked a few years ago.) I'm just glad to know that, so far, no one thinks I should have called in an Rx for the FOB. Anna Meenan, MD >Bye Bye, now, you are unaccepted... > >I would *NEVER* *EVER* do what you did with patient #2 for #1. I refuse >even to let patients translate for other patients, either we can get >someone from the pharmacy, lad or optometrist in the building, or I >tell them to bring one themselves. > >greetings, el > >on 5/20/06 4:19 PM Anna Meenan, MD said the following: >> Just need to blow off steam and wondering how everyone else stands on a >> question. >> >> The background: Working in outreach clinic yesterday. Positive >> chlamydia test on a patient who's been positive twice before. In fact, >> she's 20 weeks and has never been negative yet in this pregnancy (been >> treated appropriately and recommended to get partner(s) treated). She >> had an appointment that day so we planned to talk to her then. She >> no-shows (3rd time this pregnancy). My medical >> assistant/receptionist/lab/translator, who obviously has nothing better >> to do with her time, calls all of the phone numbers this pt. has given >> us at various times and cannot reach her at any of them, most having >> been disconnected. A pt. who would be an in-law of hers if any of them >> were married, and who has come in together with her on other occasions, >> has an appointment and does show up. Assistant asks her if there is any >> other way to contact pt. #1. She says she will contact her and have >> her call us, which she did. Pt#1 calls back and screams at my assistant >> that she should not involve pt.#2 in her affairs. Assistant is very >> diplomatic, in spite of the fact that Pt. is screaming so loud I can >> hear every word from across the room. We arrange to get pt. treated >> again but the question now arises as to whether we should call in an Rx >> for her partner. Listening to her abusive tirade from across the room >> and recalling a commercial I had seen on TV just the night before >> (malpractice lawyer soliciting pts who had ever had Stevens-Johnson or >> TEN and had ever taken Vioxx, Celebrex, ibuprofen, Clinoril, or >> ZITHROMAX), I declined to phone in an Rx for FOB, who i have never met, >> based on the attitude of pt.#1 and the knowledge that this is obviously >> one person who will sue me at the drop of a hat if anything goes wrong. >> There is a clinic right in town that will treat partners on a >> sliding-scale fee basis, so access is not a problem for FOB. >> >> So what would y'all do in this situation? >> >> Anna Meenan, MD Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: A rant and a poll" Previous message: art fougner, md: "Re: A rant and a poll" In reply to: Dr Eberhard Lisse: "Re: A rant and a poll" Next in thread: Dr Eberhard Lisse: "Re: A rant and a poll" Reply: Dr Eberhard Lisse: "Re: A rant and a poll" Reply: rmodugno@aol.com: "Re: A rant and a poll"

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