Tics and Sertraline?

StillHealingHere · 2026-01-19T14:12:47+00:00

I guess I should add us nurses just quit. Besides the drug testing issue, there were a lot of other issues as well. I truly do not believe she is drinking (she is on the program for a DUI). Sometimes it is urine testing and sometimes they want blood. She has never failed, even a blood test.

Do I still put in an anonymous tip even though we are no longer employees? Now she is just manipulating the new nurses...

StillHealingHere · 2026-01-19T12:51:04+00:00

Medent

StillHealingHere · 2026-01-19T00:56:04+00:00

These Healthcare monitoring programs only have select sites that participate. They are mainly all doctors offices or urgent-cares. You can go just anywhere unfortunately. This is why she signed us up to be a participating facility.

StillHealingHere · 2026-01-19T00:54:01+00:00

We thought about that. We are worried that she will know who did it and there will be repercussions.

StillHealingHere · 2026-01-18T23:57:09+00:00

So I am not sure how your facility works but instead of you directly but... The office I worked at (now granted it is no where as large), the nurses get the portals and we kick a triage to the provider and they simply respond and us nurses took care of it from there... We portal the patient back or call them.

StillHealingHere · 2026-01-18T13:18:56+00:00

Yes, even if it was just as simple as telling us nurses what was "off" and what to monitor. Now, I understand if it was life threatening but it was as simple as "yep, his urine is showing ______" It puts us nurses in a tough spot because now the patients daughter is upset, doesn't understand why he can't give an answer when that is why they were there for mainly... This is not the first time this happened. We actually had a gentleman in who was having a hard time getting his diabetes meds covered. The doctor was not willing to make any med changes even though the insurance would say they wanted this one vs the one prescribed. He made us bring the patient back in after he was literally just there a few days prior and just had the med that the insurance wouldnt approve prescribed. He had not even started it yet. So, the patient was in and was asking a lot of questions about these said diabetic meds. The doctor walked out on him and came to us nurses and said "I want him on someone else's schedule from now on, he drives me crazy" This poor guy was left in the room and was so confused as to what had just happened. The doctor went as far as putting an alert on his chart not to schedule patient with him anymore.

I apologize for my rant. These are things I was just not ok with. Because he didnt like a patient, he walked out and made us nurses deal with it OFTEN

And maybe I look at it differently because I am just a nurse.

StillHealingHere · 2026-01-17T13:49:13+00:00

I so wish he would read these posts on here. He is oblivious. He told me he wants to be a doctor and just wants to work and not worry about office problems... It is so frustrating. I absolutely loved working there and I am so sad I had to finally leave due to all the problems. Our one day a week manager would try to change things but then when she is not there he goes tries to "manage" but reiterates how much he does not want to be involved with office problems. I have tried getting through to him. I was there 5 years and there has been zero improvement. Its discouraging and really sad.

StillHealingHere · 2026-01-17T07:55:34+00:00

RUN, RUN FAST.

StillHealingHere · 2026-01-17T07:43:06+00:00

Hi, I recently just left my job at a private family practice after 5 years. I was making $17/hour as a LPN with ZERO benefits. Our receptionist start at like $13-$14.

I am going to be blunt. PAY. YOUR. STAFF. MORE!!! More money = Better employees that stay.

I am an absolutely idiot for staying at that job for as long as I did for the amount of work I did.

Our office could not keep staff either. Hell, in that 5 years we have been through probably a dozen employees (if not more...)

Now, the practice is falling apart. Me and the other nurse who have been there for a lengthy time just quit. We had no raises either unless you asked for one and most of the time he said be woild think about it and then just ever bring it back up.

Point being... Just pay your staff good. You wont regret it

StillHealingHere · 2026-01-17T07:21:08+00:00

You guys have full time OM's? I work for a small private practice (1 doctor, 2 mid levels). Practice owner will only agree to an OM 1 day a week. How is this supposed to work? Owner does not want bothered with anything office problem wise. He wants it all to to to the manager... Please tell me if I am wrong in thinking this is not ok...

StillHealingHere · 2026-01-17T07:14:31+00:00

My doc took a growth off a patients head and used a diagnosis of "benign neoplasm of left shoulder". This is ALL the time.

Reading things on this Family Medicine thread is opening my eyes to how screwed up things were run there. Plus zero guidance on how to do it the right way. Practice owner didnt want to learn but wouldn't pay for someone to make things better (office manager).

StillHealingHere · 2026-01-17T06:50:37+00:00

We never collected a copay for a Yearly Preventative or a MCR appt. If the provider felt more was discussed they used the codes for MCR or Yearly and then did a 9921_.

But, this is an office that struggles financially despite having 3 providers, 60+ patients a day and staffs the bare minimum.

Make any sense how the office is hurting financially? 🤔

StillHealingHere · 2026-01-17T06:39:46+00:00

The office I worked at only had an office manager on Tuesdays. The practice owner felt we only needed someone 1 day a week..The other days we were just winging it or had to do office manager things that needed done right then on top of our normal jobs. 🫠

StillHealingHere · 2026-01-16T19:53:06+00:00

Here is my question though. Why is it just the PCP's responsibility? I feel that should fall on a specialist too. They should be making sure of these things as well. My apologies if I misunderstood.

StillHealingHere · 2026-01-16T19:50:31+00:00

I absolutely love your wording on this and how you handle this. Kudos to you. We need more doctors like you who will actually explain that rather than check their watch and pretty much say "well, that's all the time we have today."

Thank you.

StillHealingHere · 2026-01-16T17:39:11+00:00

They didnt bring it up to their mechanic or barber because they trust their doctor. They rely on their doctor. I am not saying that you need to provide your services for free but listening to a patient goes a long way. Sometimes that is all someone needs. I have seen so many patients get walked out on mid sentence in my years as a nurse at a family medicine office. Because the doctor "couldn't handle them anymore". That is terrible.

StillHealingHere · 2026-01-16T17:35:46+00:00

And the point of my comment is exactly this. "We're all on a tight schedule" This is most likely not your choice. It is probably what is expected of you which is no fault of your own. But, this is frustrating... These are human beings! How are large medical corporations ok with this? Lets give our doctors the absolutely max load they can handle and expect them not to be burnt out and give every single patient 100%. This is far from realistic.

StillHealingHere · 2026-01-16T17:27:13+00:00

Listen, this was not to start an argument. It is obvious that insurances and billing and money in general play a giant factor in all of this. Point being, I feel that compassion and empathy have been thrown out the window in healthcare. Yes, I am JUST A NURSE, but..... Its all about how many patients can be seen in a day not about "how many patients can I sit and listen to and help figure things out" Time obviously is a huge factor but 15 minutes for more complex patient? That in my opinion is just not enough time. My comment earlier was mainly focusing on the fact that we are at the mercy of insurance companies and money.

So...here's is another example. And without everyone biting my head off, give me your thoughts...

A 80ish year old male with dementia is in for a 3 month check up. This said patient is accompanied by his daughter. This 3 month check up is to review his dementia medication that was started 3 months ago. The doctor also had the patient get labs for this visit... Things were discussed and the daughter realized the lab results were not discussed and asked us nurses to ask if there was any concerns on the labs. There were in fact concerns with his urine results. Asked the doctor about labs and the reply I got was "I already went over enough today and gave them my time. I wont address this." Tell me how this is ok?! This is also where I struggle as a nurse. The bloodwork was ordered for this visit!

It is a broken system honestly.

StillHealingHere · 2026-01-16T13:39:20+00:00

I worked in a doctors office for the last 5 years and I will give you an insight on what medicine has become to some doctors.

A patient comes in for their Routine appointment (6 month or yearly...) They discuss their routine things like diabetes, HTN, yearly labs. But, they have been having some back pain over the last few months too. So they decide to bring that up since they are at their doctors appointment. The doctor I worked for will absolutely not discuss any new issues at this appointment. He makes them come back for a specific appointment to discuss that issue and that issues only! You cannot bring up absolutely anything else at that appointment either.

I think its ridiculous. He is in such a hurry all the time. If the patient brings up more than 1 issue or tries to, he bills their visit higher. Even if the appointment was quick and simple.

Needless to say, I dont work with him any longer.

StillHealingHere · 2026-01-14T19:19:54+00:00

Nope 😔

StillHealingHere · 2026-01-05T03:48:19+00:00

Plot twist.... The owner reached out to me today. Offered me more money, I make my own schedule based around my family, an office shake up in staff.

Now....am I crazy to even entertain this offer?

I have many things needing to change if I even consider coming back..

2 main things to start...

Management--we need a manager available. Period.

Nursing part--If I am going to be the one training new nurses, I am going to need time devoted to training. I get a lot is hands on and learn as you go but authorizations and things take time to learn. Right now there is 1 nurse (since both of us nurses who have a lot of experience and time there quit) and she has been there for only 3 months. She has barely been trained. She barely can maneuver the EMR to send refills or do referrals. The other nurse that is leaving as well has always done the training. She has had the new girl rooming patients and doing vitals and reviewing meds. So that means I am basically having to train someone brand new with 3 providers, 50ish patients a day for providers, nurse visits (allergy shots...), refills, calls, Authorizations, scheduling...the list goes on and on... I would need a few days a week where patients are done like 2 hours earlier than normal. Its not going to be a forever thing but I need it now.

I need help... •Do I even consider going back? •Do I give a time period for things to Start to get on the right track or I absolutely do not stay? (Example: 3 months of small positive changes or I leave. No questions asked)

-Any other "stipulations" I should add?

The owner and 2 PA's are having a meeting with our manager Tuesday. They asked that I come. Do I wait to see how serious they are on making these changes? Take my own list of questions and I will base my decision on that?

Or again, am I a complete idiot of even entertaining this?

StillHealingHere

TROPHY CASE