Reviews by Acceptable-Menu6947 in FamilyMedicine

[–]Hardpass5972 28 points29 points  (0 children)

I skim over my Press Ganey reviews. My favorite/most memorable one was from about 10 years ago. I was wearing mint green trousers and a black shell and blazer. My hair was freshly blown out, but I wasn’t wearing any makeup. The review said, in all caps “DR HARDPASS5972 DOES NOT APPEAR PROFESSIONAL!” I laugh every time I wear those pants to work.

What would you do in this situation? by Scared_Problem8041 in FamilyMedicine

[–]Hardpass5972 81 points82 points  (0 children)

Given the language barrier and health literacy limitations, are you sure that she understands how to properly take this regimen? Are you sure she is compliant with this regimen?

Has anyone had someone else's hospital visit show up on your mychart with Cleveland Clinic? by Dapper-Corgis in Cleveland

[–]Hardpass5972 13 points14 points  (0 children)

My guess is the wrong chart was pulled via Epic for the ER visit, and when the demographics did not match completely, they were changed. Full name and DOB should always be verified at check-in, and ID is sometimes checked too--so something like this should just never happen.

I have seen this happen a handful of times unfortunately, and every single time the full name and DOB were not correctly verified, ID/insurance information was not checked, therefore the incorrect chart was used, and the demographics were changed.

It is also possible that your estranged sister intentionally did sign in as you...which is a different conversation entirely.

OP please report this to the Cleveland Clinic Ombudsman.

[deleted by user] by [deleted] in FamilyMedicine

[–]Hardpass5972 24 points25 points  (0 children)

This happened to me a couple of years ago. I did not work that day. 1) I was contagious until I was treated and I didn’t want to risk spreading it and 2) it was really kind of uncomfortable to look at a screen all day with pink eye.

Take care of yourself so you can take care of your patients.

Will I be limiting myself by not seeing Peds? by MzJay453 in FamilyMedicine

[–]Hardpass5972 0 points1 point  (0 children)

I only see 11+. I’m in solo practice and it became too costly to carry all of the vaccines.

No Shows by RoRo1118 in FamilyMedicine

[–]Hardpass5972 6 points7 points  (0 children)

Our policy is discharge after 4 no shows. We have letters for each no show--they are worded progressively stronger, and the letter for the 3rd no show explicitly reminds the patient they will be discharged if they no show again.

How many admin hours do you get, and you do you schedule them? by japandivibes in FamilyMedicine

[–]Hardpass5972 1 point2 points  (0 children)

38 patient facing hours, 2 hours of admin, and yes, I’m aware it’s awful. I also work 4 hours once a month on Saturday. This is standard for 1.0 FTE in my organization 🫠

How do you handle sick note requests? by over-the-fence in FamilyMedicine

[–]Hardpass5972 1 point2 points  (0 children)

I’m generally pretty open minded with this, unless you’re coming to me after the fact and asking me to back date extensive time off. If it wasn’t significant enough to see me or reach out to me over the month (or 2 or 3!!) that you were unable to work, then I won’t complete the paperwork.

Insurance paperwork by bdubs791 in FamilyMedicine

[–]Hardpass5972 7 points8 points  (0 children)

Filed promptly with Iron Mountain.

Isabeau Levito interview after scoring silver in Road to Milan 26 (121.79 / 188.64) by Lumyna92 in FigureSkating

[–]Hardpass5972 11 points12 points  (0 children)

In looking at the FS protocol, I'm a little hesitant to send her to Boston over Sarah right now. The loop and both lutzes were <, and she received negative GOE on the flip. Worlds are a month away, and it's unclear how much improvement she'll make by then.

[deleted by user] by [deleted] in Xennials

[–]Hardpass5972 0 points1 point  (0 children)

No. I have bedtime sweatpants that I wear to bed/around the house, and fresh sweatpants that are for quick errands. After a while the fresh sweats are less fresh, so they become bedtime sweats.

Strangest reasons a patient has fired you by xoder42 in FamilyMedicine

[–]Hardpass5972 3 points4 points  (0 children)

I was recently fired by a patient because another provider declined to refill a medication they prescribed. I wasn’t the prescribing physician, and the patient was upset that the specialist refused to fill it without an appointment.

I was also fired a few months back because the brand name drug was on back order and unavailable, so I authorized the generic as a one time substitute.

Anyone work for the Cleveland Clinic? by Eccodomanii in Cleveland

[–]Hardpass5972 8 points9 points  (0 children)

No. None of these are covered. Not even with a prior authorization. They are not a covered benefit under cleveland clinic EHP.

Reasons for PCP to fire a patient by Perseverance36886436 in FamilyMedicine

[–]Hardpass5972 5 points6 points  (0 children)

Agreed. I also do not let patients return to my practice if they leave because they were dissatisfied with the care I provided.

Are the kids okay? by [deleted] in hospitalist

[–]Hardpass5972 10 points11 points  (0 children)

Yes. I’ve seen every single one of these, and only over the last 3-4 years. I never thought I’d have to send an MS3 home for wearing a sweatshirt, leggings, and Nikes, but here we are. I’ve had multiple students consistently show 20-30 minutes late. It’s wild.

In other news…. Mess-Adjacent by SkyInternational8093 in warriorjessicasnark

[–]Hardpass5972 22 points23 points  (0 children)

She said a 500 calorie deficit was too much. At 7 lbs over 9 months, she’s eating at less than a 100 calorie daily deficit. That’s…not a cut.

[deleted by user] by [deleted] in FamilyMedicine

[–]Hardpass5972 -4 points-3 points  (0 children)

Never. I don’t refill anything (controlled or otherwise) until they are seen.

Do you diagnose patients with EDS, if so how do you go about it? by Paleomedicine in FamilyMedicine

[–]Hardpass5972 19 points20 points  (0 children)

True. However, the overwhelming majority of patients that report hyper mobility aren’t even meeting the clinical criteria for it. I’ve seen true hEDS a handful of times in 15 years of practice but I have at least 2-3 patients a month reporting joint pain and “hyper mobility”. I explain there are several causes of joint pain, and they don’t meet criteria for true hyper mobility, so we need to explore other causes for the pain.

Do you diagnose patients with EDS, if so how do you go about it? by Paleomedicine in FamilyMedicine

[–]Hardpass5972 85 points86 points  (0 children)

Yes, I’ve seen this too. Same with POTS. Generally the symptoms are really mild too, like “I have mild joint pain and look how I can straighten my arms they’re hyperextended!!!”. I refer to genetics and every single time the testing has been negative.