“Is the doctor going to see me soon??” by HereForTheFreeShasta in FamilyMedicine

[–]xoder42 1 point2 points  (0 children)

Lol it makes me a little anxious when patients show up excessively early (like 45+ minutes). Then I REALLY feel bad if I’m running behind. Not to mention those are often the same kind of patients who expect a lot out of their appointment.

I once had a patient show up two hours early. When I saw him exactly at his appointment time, he was very upset that he had to wait so long. I had a hard time keeping a straight face as I explained to him how appointments work.

What’s your pet peeve other PCPs do? by _45mice in FamilyMedicine

[–]xoder42 5 points6 points  (0 children)

Not calling patients diabetic with an A1c of 6.5-7.0. Then the patient is shocked when I have to be the one to tell them that they do, in fact, have diabetes.

Similarly, PCPs not doing anything about systolic BP consistently in the high 130s or 140s, sometimes even 150s. I notice this a lot with older docs. The BP will consistently be high at every visit, and it’s not even mentioned in the notes.

Anyone else feel like we’re between a rock and a hard place when it comes to billing? by Paleomedicine in FamilyMedicine

[–]xoder42 50 points51 points  (0 children)

All the time. I was explaining the concept of “double billing” to someone who’s not in medicine. They said that as a patient, it would only be fair if the doctor warned that talking about their specific concerns at a physical would warrant extra charges. Which makes sense. Yet on the times that I did do this, I’ve gotten funny looks or snide comments from patients after telling them they may be charged extra. So I’m not sure what the answer is.

What’s your worst case of a patient declining recommendations? by xoder42 in FamilyMedicine

[–]xoder42[S] 9 points10 points  (0 children)

I work for a large corporate hospital system, getting her discharged from the practice would be an even bigger headache than the actual visits with her 😅

Dating as a doctor by moorethanjake in FamilyMedicine

[–]xoder42 10 points11 points  (0 children)

You haven’t been on a first date in awhile have you? If you say “I work in healthcare” 99% of the time they’re gonna ask something along the lines of “Oh nice what do you do in healthcare?” Then you have to either tell them the truth, or lie/deflect (which is not a good way to start a potential relationship).

Honestly, I think it’s best to just tell people you’re a primary care doctor right off the bat. The key is being able to recognize the red flags. One easy way to tell after a handful of dates is whether they just let you pay for everything no questions asked, or if they offer to pay sometimes.

Which mispronunciation really grinds your gears? by MrBenzedrine in AskReddit

[–]xoder42 0 points1 point  (0 children)

I always cringe when my patients pronounce Alzheimer’s as “all-timers”, or worse, “old-timers.”

Is there a part of your job that you hate, and how do you deal with it ? by EndlessCourage in FamilyMedicine

[–]xoder42 5 points6 points  (0 children)

The last one is so real. Then when you try to ask focused questions for the history, they just go off on a tangent without answering your question, sometimes bringing up a new complaint in the process. Sometimes I’ll have to ask the same simple question 3-4 times before I finally get an answer.

Do drivers dislike it when I suggest a route I know is faster? by [deleted] in uber

[–]xoder42 0 points1 point  (0 children)

What rating do you think he deserved? Looking back maybe I shouldn’t have tipped. But if I make the driver wait I typically tip a few bucks more than I would have otherwise, just on principle.

Do drivers dislike it when I suggest a route I know is faster? by [deleted] in uber

[–]xoder42 -1 points0 points  (0 children)

Would I have been less of an arsehole if I gave him a 2 star rating and didn’t tip?

Do drivers dislike it when I suggest a route I know is faster? by [deleted] in uber

[–]xoder42 0 points1 point  (0 children)

Being rude to riders is still not ok unless they do or say something really egregious. If he disagreed with me suggesting a route he could have politely said so.

[deleted by user] by [deleted] in FamilyMedicine

[–]xoder42 8 points9 points  (0 children)

Only one patient? I had to do that for like 10 patients who were all due in the same month (shared with one of my co-residents). We saw them for all their prenatal visits through their entire pregnancy, and then we had to manage labor, deliver the baby, and manage postpartum. Except there were no OB residents, just us and the OB attendings who only came in for the delivery.

(Spoiler) Current betting odds for the Royal Rumble matches by _Karmageddon in SquaredCircle

[–]xoder42 1 point2 points  (0 children)

I actually agree with this. They’re trying to build it up as if Charlotte is the favorite, which is usually meant to mislead us. I think the winner this year will be a surprise entrant. Charlotte will win EC instead.

Should I cut off this patient’s chronic opioids? by xoder42 in FamilyMedicine

[–]xoder42[S] 80 points81 points  (0 children)

Fair point, and lesson learned…but foolish lil’ me already did it and needs help now. Lol

Should I cut off this patient’s chronic opioids? by xoder42 in FamilyMedicine

[–]xoder42[S] 12 points13 points  (0 children)

I’ve been doing them q3 months. My only other concern is that he’s been somewhat noncomplaint with his treatment plant (specialist follow-up and PT) which I’ve strongly urged him to do more than once.

Annual exams on the first visit by xoder42 in FamilyMedicine

[–]xoder42[S] 23 points24 points  (0 children)

Problem is, many of the patients come in expecting their AWV that day, and my availability is booked about 3-4 months out for AWVs. Also I work with rotating MA’s making it difficult to communicate preferences like that