tag:blogger.com,1999:blog-5883634615775822475.post3920644883224527113..comments2024-03-18T09:00:31.992-04:00Comments on Doctor Grumpy in the House: Things that make me grumpyGrumpy, M.D.http://www.blogger.com/profile/09858110332436246760noreply@blogger.comBlogger46125tag:blogger.com,1999:blog-5883634615775822475.post-8682723356325713112010-03-12T04:23:38.554-05:002010-03-12T04:23:38.554-05:00Instant Fan!
Dr G, you are writing the script for ...Instant Fan!<br />Dr G, you are writing the script for a fantastically funny comedy show.....anyone *listening* out there?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-78503018979940442282010-03-11T22:02:49.540-05:002010-03-11T22:02:49.540-05:00You rock!! I have to tell Ultrasound techs every ...You rock!! I have to tell Ultrasound techs every 6 months, that my GYN oncologist only ordered a VAG US -- Not an abdominal one and a VAG one. they will bill be for both and when you pay 30% it sure adds up. <br /><br />The techs always insist they must do both, but the Oncologist has told me she doesn't need the abdomnial one. <br /><br />Now I just refuse the abdominal one and tell them they better not bill me for it.<br /><br />Thanks for looking out for your patients and their wallets!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-40213825852331548952010-03-11T20:48:57.944-05:002010-03-11T20:48:57.944-05:00Did you consider reporting that to the BBB?Did you consider reporting that to the BBB?ERPhttps://www.blogger.com/profile/15973334581468131595noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-65330750408454783672010-03-11T07:02:44.707-05:002010-03-11T07:02:44.707-05:00GAD-dam, how unethical can you get????
May I joi...GAD-dam, how unethical can you get????<br /><br /><br />May I join in the Greek chorus thankful to you for your honesty and advocacy? You can never quit blogging, as you and a strong cup of coffee are my biggest reasons for hauling my substantial gluteus out of bed in the morning!<br /><br />Pattie, RNAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-75204884236531289902010-03-11T05:14:57.940-05:002010-03-11T05:14:57.940-05:00Dr G, I wish we could clone you :)
(in a nice, no...Dr G, I wish we could clone you :)<br />(in a nice, non-mad-scientist way, of course!)ausduckhttps://www.blogger.com/profile/14652949172620096113noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-43423365965188068792010-03-10T21:31:20.051-05:002010-03-10T21:31:20.051-05:00IDK Aaron.
The difference between your two orders...IDK Aaron.<br /><br />The difference between your two orders is minimal and easy to mistake.<br />"MRI Brain w/ contrast"<br />and<br />"MRI Brain w/o contrast"<br /><br />My preference when writing scripts has been to only what is necessary. My training center has now moved to form ordering for Imaging and contrast is a check box with a type. Probably a little safer.The Hatchlinghttps://www.blogger.com/profile/02741106169088113733noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-3479048494132878422010-03-10T20:40:24.320-05:002010-03-10T20:40:24.320-05:00I think you're just looking for trouble writin...I think you're just looking for trouble writing your order thay way...<br /><br />"MRI brain w/o contrast" would be much clearer, and could avoid situations like this.<br /><br />All of my MRI and CT orders specify whether contrast should be administered. That seems to be fairly standard around here.<br /><br />If you omit that instruction, you're really inviting problems from these centers, whether they stem from greed or lack of understanding.<br /><br />Good job looking out for your patients. But save yourself the hassle and just give a clear order from the start...Aaronhttps://www.blogger.com/profile/01484143551849514701noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-59033026400974894342010-03-10T18:30:28.093-05:002010-03-10T18:30:28.093-05:00"We (residents, fellows, or attendings) proto..."We (residents, fellows, or attendings) protocol all of our MRIs"<br /><br />Anon 9:22; Ok, i'm a little in love with you right now! We've been trying to get our Radiologists to protocol all our PET/CT orders beforehand but so far no go. They're all "too busy" so when the pt shows and we (techs) have a question we have to waste tons of time finding a radiologist and calling ordering docs and tons of other bull...<br /><br />and Dr. G, thank you for being such a wonderful pt advocate and saving the pt unnecessary medication and bills.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-47964946349974631552010-03-10T18:21:56.490-05:002010-03-10T18:21:56.490-05:00And THIS dear Grumpy is exactly why Obama is teari...And THIS dear Grumpy is exactly why Obama is tearing providers apart. Thanks for taking a stand on this one!<br />you are awesome!pharmacy chickhttp://pharmacychick.blogpharm.comnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-44871198990219369562010-03-10T18:14:07.850-05:002010-03-10T18:14:07.850-05:00I wish my Mom had you for her neurologist. You ro...I wish my Mom had you for her neurologist. You rock!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-45697601641929570672010-03-10T17:59:18.212-05:002010-03-10T17:59:18.212-05:00There are hospitals in my area that are sending ou...There are hospitals in my area that are sending out bills to Medicare patients for the difference between what Medicare and the secondary insurance didn't pay.<br /><br />For example, Pretend someone spent a night in the hospital. Hospital bills $2,000. Medicare pays their max allowable, 2nd insurance has a contract that says the maximum you can charge is $1800 and pays the difference. After receiving payment the hospital sends another bill to the patient for $200.<br /><br />My parents are savvy and noticed this happening to them and refused to pay. Talked to their insurance company was their insurance company has started a fraud investigation with the State Attorney General's office.<br /><br />My Dad's brother, 500 miles away, completely different medical system had the same thing happen and paid because he was afraid to challenge them. <br /><br />I am starting to believe the medical misbillings are intentional and endemic.Donhttps://www.blogger.com/profile/01287039093284613915noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-58353197619361310482010-03-10T17:50:09.743-05:002010-03-10T17:50:09.743-05:00Ergh! This is exactly the way I'm currently fe...Ergh! This is exactly the way I'm currently feeling about Those Skooter Places. Those guys are nearly as bad as Ms. Gouge.The Evil Receptionistnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-48749788148341047732010-03-10T16:19:55.709-05:002010-03-10T16:19:55.709-05:00Hopefully this place will go on your permanent Do ...Hopefully this place will go on your permanent Do Not Call list. No matter how convenient they might be, it doesn't sound worth it to have to deal with their tactics. I like the idea of doctors voting with their feet not to send business to places like this.Celestenoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-9638130109883952412010-03-10T14:43:25.788-05:002010-03-10T14:43:25.788-05:00C'mon Dr. G. I thought this was just the Ameri...C'mon Dr. G. I thought this was just the American way of 'seizing the opportunity' and do unto others before they do unto you.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-11676914700313701782010-03-10T14:41:16.502-05:002010-03-10T14:41:16.502-05:00Thanks for showing concerns for your patients on m...Thanks for showing concerns for your patients on many levels. I admire that greatly. You can continue blushing.<br /><br />And yes, always, ALWAYS, check your EOBs and don't ever pay a single dime until you have your EOB. The provider's billing cycle may not be the same as the third party's payment cycle, leaving you to think it is not going to be paid. I'm obviously in health care so I have a clue of how it works and have demanded three-way calls between insurance companies, providers and myself to clarify payments. I hate being a pain in the butt, but I am not going to back down.Texas Pharmacy Chicahttps://www.blogger.com/profile/02886874486374432629noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-88343623118466756712010-03-10T13:59:56.272-05:002010-03-10T13:59:56.272-05:00And this is why Dr. Grumpy kicks ass!!!And this is why Dr. Grumpy kicks ass!!!J-Quell'nhttps://www.blogger.com/profile/01878522077562588401noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-54432693733974664412010-03-10T13:58:34.022-05:002010-03-10T13:58:34.022-05:00Dr. Grumpy, you are the best. You bet I'm a m...Dr. Grumpy, you are the best. You bet I'm a member of your fan club.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-69159874356349053472010-03-10T13:52:11.541-05:002010-03-10T13:52:11.541-05:00To paraphrase Claude Raines, I am shocked, SHOCKED...To paraphrase Claude Raines, I am shocked, SHOCKED, to find that there are unethical medical businesses that are out to extract the maximum cash possible from patients by hook or by crook. Lucky for your patient there was an ethical practitioner around.<br /><br />Is there no ethics board for these places to whom the Ms. Gouges of the world can be reported? No Better Medical Business Bureau to issue warnings? Referring patients elsewhere helps those patients -- which is of course a good thing -- but does not address the real problem, and if ethical doctors don't speak out, I fear nothing ever will address it.Danhttps://www.blogger.com/profile/14664975442130119477noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-36880726075675255032010-03-10T13:52:11.540-05:002010-03-10T13:52:11.540-05:00That whole exchange sounds like something your sta...That whole exchange sounds like something your state's Attorney General should know about. I'm certain you were not the first doctor they tried to persuade to order something that wasn't needed.Celestenoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-14013988222359128942010-03-10T13:00:42.926-05:002010-03-10T13:00:42.926-05:00Thank you, Dr. Grumpy. In a way it helps all of us...Thank you, Dr. Grumpy. In a way it helps all of us out.<br /><br />-FlaviusFlaviusnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-71434990685049896602010-03-10T12:57:45.202-05:002010-03-10T12:57:45.202-05:00My son is autistic and I held off on any sort of A...My son is autistic and I held off on any sort of ADD/ADHD meds as long as I could. But there came a point last year he needed the help. So we went to a neurologist and he ordered the usually EKG, blood work, etc. When he was ordering the blood work he told us about a new test for a genetic marker for autism and asked if we would like it. We thought it might be interesting to find out, so said yes. Turns out the test is $3000+. Luckily insurance covered most of it, but we still had a $700 bill. The next visit, we were talking about my son, our practices, the latest meds on the market. I told him about the cost of the test and his jaw dropped. He doesn't recommend the test anymore until after he calls the insurance company first. Oh, and the test was negative.LilMsHppyPillznoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-27560704925469776772010-03-10T12:43:53.985-05:002010-03-10T12:43:53.985-05:00A year ago I was supposed to get an MRI of my unha...A year ago I was supposed to get an MRI of my unhappy spine. The first place I went to had a table that could handle someone of my weight, no problem. The tech tried for nearly an hour to get an image, but couldn't. Kept saying that my weight was too high for things to be clear. Tried various things, some kind of reflector, moving me around the table (oh that was fun), etc. Still couldn't get a clear image.<br /><br />Then when I went to get off the table the tech handed me my cane. My metal cane. Which promptly flew out my hand and zoomed into the machine, just missing my head. He had to get the receptionist to help him pry the thing out. (It had a nice bend to it after that, too.)<br /><br />As I was finishing up some paperwork before leaving the guy who was scheduled after me came out after about 5 minutes, telling the receptionist, "I gotta reschedule, the machine is broken, he can't get a clear image." No, REALLY?<br /><br />IF the machine wasn't broken before I got it in -- assuming that it really was my weight and not the machine already broken before I got there -- it surely was broken after having a 3' metal tube fly in it.<br /><br />I went to another place which got images of me just fine. Some of these "imaging" places are so shady it scares me.<br /><br /><br />My captcha word is: CHESSE. When you're getting an MRI, don't forget to say CHESSE!Moosehttps://www.blogger.com/profile/10397412122635951126noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-17890833405678356652010-03-10T12:21:08.890-05:002010-03-10T12:21:08.890-05:00(blush)(blush)Grumpy, M.D.https://www.blogger.com/profile/09858110332436246760noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-27918989907833874242010-03-10T12:21:08.891-05:002010-03-10T12:21:08.891-05:00Their indication for Gad?
Positive wallet sign.Their indication for Gad? <br /><br />Positive wallet sign.ndenunznoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-22794304338624299902010-03-10T12:20:38.754-05:002010-03-10T12:20:38.754-05:00...and this, ladies and gentlemen, is why this man......and this, ladies and gentlemen, is why this man has a fan club!Anonymousnoreply@blogger.com