|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Gyn: You can't please all of the people all of the time--longFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Wed Jan 30 12:00:00 2008
We all face similar issues--seeing more people for less time, getting paid less, consumerism, etc. We all try to do the best that we can, for the right reasons. Sometimes, for many valid reasons, things just don't work out. One never wants an upset or angry patient, and, in general, the customer is always right. That said: 48 YO P2002 referred by a local radiologist, whom she saw for a possible embolization. The patient was first seen by a local gyn with AUB and a 7 cm. ovary, as well as fibroids. According to the patient, her exam was difficult and the gyn (a good doc)couldn't access her cervix for a biopsy, and wanted her to see a gyn onc ASAP because of the ovary. Next, the radiologist reviewed her scan, and did another, and felt that the ovary was OK, and that she had distorting fibroids. Because of pain and abnormal bleeding her recommended that she be evaluated by a gyn before consideration of embolization. On my exam she had an enlarged, posterior uterus and I could not visualize her very anterior cervix due to distortion and pain. I recommended lapscope/h-scope to assess her bleeding and situation. A month or two later, she self referred to a gyn onc, who agreed and sent her back. She had another ultrasound done by another good radiologist who pretty much had similar findings and "cleared" the ovary per se. Somewhere in there, a Ca 125 was OK. Surgery was planned. Today, I was swamped (every Ob and every annual this AM had extra stuff to discuss), and by the time I came around for her 11:30 appointment, it was 12:30, which is a bit later than normal for me (30 minutes, maybe 45 on bad days). Frankly, she was to see me at 11:30, and then go to the hopsital for her preop there at 1 PM, so she was going to be occupied from 11:30 to 2, give or take, and was told that when the arrangments were made. She starting fussing around 11:35, and despite the staff telling her the timeframe, she was unhappy. When she finally got brought back and was asked to undress (I routinely examine preops unless I've done so recently), she balked. Eventually, she simply dressed and cancelled. Clearly, I was later than I should have been, and her time was wasted, though she knew that she would be busy from 11:30 to around 2. Clearly, she has shopped doctors and situations. So. . .I am at fault, and in my earlier years, would lament this and be upset. While I'm not happy, I am going to file this in the "You can't please all the people all of the time" file. Thanks for letting me vent--cheaper than therapy :). Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:48:38 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.