Wednesday, October 22, 2014

With a capital E

Mrs. Eword: "So, anyway, I want an MRI, and can do it today."

Dr. Grumpy: "I agree with getting one, but your insurance requires a pre-authorization. I'll have my staff get started on that, but it takes a few days and..."

Mrs. Eword: "I don't think you heard me. I want it NOW. While I'm here."

Dr. Grumpy: "Well, it has to be scheduled with an MRI facility and your insurance. I don't do them here."

Mrs. Eword: "What do you mean you don't do them here? You're a neurologist, aren't you?"

Dr. Grumpy: "Yes, and I order MRI's, but don't have the machine in my office. We use Local MRI, across the street and..."

Mrs. Eword: "I cannot believe this. What's that room I passed with the door closed down the hall here? There was a lot of noise. Isn't that your MRI?"

Dr. Grumpy: "Uh, that's the bathroom. They're replacing the sink's pipes today."

Mrs. Eword: "So you've been wasting my time this morning. Doesn't other peoples time mean anything to you? This is incredibly inconsiderate."

Dr. Grumpy: "I..."

Mrs. Eword: "I'll go elsewhere." (gets up, leaves)

22 comments:

  1. Oh, wow. The assumptions and lack of practical knowledge is... ouch.

    The really sad part is she had a perfect opportunity to be educated -but that would mean admitting she could be wrong.

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  2. Wow. Is there even such a thing as a doctor with their own MRI in their office?

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    1. Sure, at the veterinarian's office; most commonly at veterinary teaching hospitals or veterinary multispecialty centers. We don't deal with insurance in nearly the same way nor with same frequency as human med, though!

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  3. First off I don't think there would be a good ROI for even a very large neurology group to have their own MRI machine. Those things need to run almost 24-7 to make up for the cost. Even then I believe there are rules regarding referral to facilities that the physician has a financial interest in

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  4. I don't think an MRI is going to diagnose her issue.

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  5. Dr Grumpy I hope you realize your online reviews as well as your Press Ganey scores are most certainly going to suffer for this. The appropriate respose would have been, "Would you like fries with that MRI".

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  6. Having had precisely the same type of day yesterday.....which crushed my spirit...unfair criticism still smarts after all these years. So I sometimes find that I need to pull myself up.

    "There are two ways of exerting one's strength: One is pushing down : the other is pulling up."
    Booker T. Washington

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  7. I can only imagine what she's like in bed.

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  8. Send in her into the bathroom, tell her to stick her head in the toilet and hold very still for twenty minutes, and then come out.

    I'm sure she'll be satisfied.

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  9. Are you sure her name wasn't Mrs. Bword?

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  10. Please tell me you have a shredder in your office and after you meet with a patient like that you just walk over and feed their file into it......

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  11. So long...
    Farewell...

    Sounds just like the seriously under-the-influence client I had last week. Nearly insane with indignation that I could not (refused) to work around the load he was carrying in his nose. Or veins. Or lungs.

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  12. WTF?! Jo, is that you? Seriously, I think that was my ex-mother-in-law. A lovely lady. *cough cough*

    In nursing school, they tell us to use therapeutic communication to deal with patients like this. Be calm, which I believe you were. But trying to convince someone that you're not hiding an MRI in the small 6'x9' room next door is another matter.

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  13. She didn't even get as far as asking if you had a PET scanner in your office.

    And you probably didn't have time to tell her she needed her vision checked because she couldn't tell that the sign on the door down the hall said MEN, not MRI.

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  14. Clearly you didn't do a sufficient job in selling her the benefits of waiting the few days to be able to use the MRI machine with 80% more x-Rays...

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  15. And doesn't other people's time mean anything to HER?

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  16. Such a simple mistake. Confusing the sound of bathroom repairs with a MRI, why didn't your office staff get down on their knees to beg this patient to stay?

    Personally, I think MRIs sound like a washeteria, and wouldn't confuse it with a bathroom. But, then, I've spent my fair share of time in washeterias with a pharmacology textbook.

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So wadda you think?