Wednesday, March 2, 2011

Family Medicine: One Morning for One Family Doctor

Alcoholism, Depression, Generalized Anxiety disorder, Caretaker Stress, Insulin Dependent Diabetes Mellitis (IDDM)- uncontrolled, Hypertension, Hypercholesterolism, Non-Insulin Dependent Diabetes Mellitis (NIDDM)- uncontrolled, Dietary Non-compliance, Hypothyroidism, History of Thyroid Cancer status post partial Thyroidectomy, Hypertension- Essential-controlled, Hypertension, NIDDM- controlled, Coronary Artery Disease s/p MI with Congestive Heart Failure s/p Cardiac Arrest, Generalized Anxiety Disorder, Hypothyroidism, Hypertension- uncontrolled, Mild Dementia-Multi-Infarct, Depression, Dependency, Pharyngitis, Insulin Resistance, Hirsuitism, Abnormal Menses, Pre-Menstrual Syndrome, No-Show Hospital Follow-Up, Acute Intestinal Obstruction s/p Colon Resection, Chronic Renal Failure, Atrial Fibrillation- controlled, Call No-Show. Chronic Anticoagulation- Stable, Patient Education RE: Human Papilloma Virus and Vaccine to prevent same.

Lunch Break: Water, Chicken Noodle Soup, 2 Tablespoons of Peanut Butter.
Check Facebook, E-mail, Twitter, Blog Posts. Review lab reports and correspondence, write recommendations for medical therapy. Sign forms.

Rinse and Repeat.

3 comments:

  1. Wow...and what did your afternoon look like?

    Seriously, how many patients do you see in a morning? Do you ever use group appointments for people with similar conditions? Do you sometimes secretly feel happy when you find yourself with a no-show?

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  2. We have older patients in the morning with more illness, medications, diagnoses, etc. Each person has 3-5 different problems that need special attention. I give it, charge it and pray. The bill to insurance only has four lines on it for four codes total. Family doctors notoriously under charge patients. About 20% of the patient visits include something about a family member since we take families only. Now we're gradually going out of business nationwide. See about 6 of my previous posts. We are the consummate multi-taskers when in the room with patients covering a wide array of needs. The system has demanded that we stop doing so much.

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  3. Glad to have discovered your blog! I look forward to following you. Feel free to check mine out at www.doctorcarriesbetterliving.com

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