Guest guest Posted May 25, 2005 Report Share Posted May 25, 2005 Hi, I have to agree with Dee here. I was so distrusful of everyone, I assumed that their intentions and motives were negative and I think then I would behave in that mode and it became a self-fulfilling prophecy which I think is a huge flea because I see this pattern with my Nada. So consequently I may have thought I was so perceptive when in actuality my perception was screwed up and I also think I had that Nada rationalizing thing going on so I would completely take people the wrong way. I think a lot of the reality of my life is in my head and if I choose to see things with a negative spin on it, it affects my reaction and inturn becomes a reality. By the same token if I choose not to take the negative spin on things and be more understanding of others and possibly their perception of things, be more forgiving so it completely changes how I react and feel. Now if I could only do that with Nada that would be great! cntbreathe > lleigh asks: > >Do any of you feel you are > >talented in reading the emotions and motives of co-workers, friends, > >neighbors? Is that a personality trait of non BP's? > > Yes, I was not only talented in reading the emotions and motives of > others, but also very talented in MISreading things and being way too > sensitive. I think it was a flea I learned from my nada. Sometimes > we think we know what a persons motive is, when we are only reading > into their actions or words much more than they ever mean. Many times > people are not really being as sneaky as we KO's perceive them to be. > I think we are accustomed to being manipulated and think every one > has an ulterior motive. I also built on my perceptions way too much > and spent way too much time trying to analyze everything and > everybody. Life is so much simpler now that I have recognized this in > myself. Dee Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 25, 2005 Report Share Posted May 25, 2005 Hi, I have to agree with Dee here. I was so distrusful of everyone, I assumed that their intentions and motives were negative and I think then I would behave in that mode and it became a self-fulfilling prophecy which I think is a huge flea because I see this pattern with my Nada. So consequently I may have thought I was so perceptive when in actuality my perception was screwed up and I also think I had that Nada rationalizing thing going on so I would completely take people the wrong way. I think a lot of the reality of my life is in my head and if I choose to see things with a negative spin on it, it affects my reaction and inturn becomes a reality. By the same token if I choose not to take the negative spin on things and be more understanding of others and possibly their perception of things, be more forgiving so it completely changes how I react and feel. Now if I could only do that with Nada that would be great! cntbreathe > lleigh asks: > >Do any of you feel you are > >talented in reading the emotions and motives of co-workers, friends, > >neighbors? Is that a personality trait of non BP's? > > Yes, I was not only talented in reading the emotions and motives of > others, but also very talented in MISreading things and being way too > sensitive. I think it was a flea I learned from my nada. Sometimes > we think we know what a persons motive is, when we are only reading > into their actions or words much more than they ever mean. Many times > people are not really being as sneaky as we KO's perceive them to be. > I think we are accustomed to being manipulated and think every one > has an ulterior motive. I also built on my perceptions way too much > and spent way too much time trying to analyze everything and > everybody. Life is so much simpler now that I have recognized this in > myself. Dee Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 25, 2005 Report Share Posted May 25, 2005 Hi, I have to agree with Dee here. I was so distrusful of everyone, I assumed that their intentions and motives were negative and I think then I would behave in that mode and it became a self-fulfilling prophecy which I think is a huge flea because I see this pattern with my Nada. So consequently I may have thought I was so perceptive when in actuality my perception was screwed up and I also think I had that Nada rationalizing thing going on so I would completely take people the wrong way. I think a lot of the reality of my life is in my head and if I choose to see things with a negative spin on it, it affects my reaction and inturn becomes a reality. By the same token if I choose not to take the negative spin on things and be more understanding of others and possibly their perception of things, be more forgiving so it completely changes how I react and feel. Now if I could only do that with Nada that would be great! cntbreathe > lleigh asks: > >Do any of you feel you are > >talented in reading the emotions and motives of co-workers, friends, > >neighbors? Is that a personality trait of non BP's? > > Yes, I was not only talented in reading the emotions and motives of > others, but also very talented in MISreading things and being way too > sensitive. I think it was a flea I learned from my nada. Sometimes > we think we know what a persons motive is, when we are only reading > into their actions or words much more than they ever mean. Many times > people are not really being as sneaky as we KO's perceive them to be. > I think we are accustomed to being manipulated and think every one > has an ulterior motive. I also built on my perceptions way too much > and spent way too much time trying to analyze everything and > everybody. Life is so much simpler now that I have recognized this in > myself. Dee Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 14, 2008 Report Share Posted August 14, 2008 OLE!!! Olive Leaf Extract has helped my daughter's gassyness. Also, helped her to become regular. It also helped me with my gass issues. I've been on it for about 3 months now and I love how it makes me feel!! BTW, not any of us have had a single sniffle since we've started on it. No allergies....nothing. hugs, karen > > Does anyone know of anything that could help my son's bad gas? It > wakes him up it is so bad. So, it is probably causing him some > discomfort. > > Also, he seems to get colds a lot which turns into a green sinus > infection which in turn makes him gag from all the mucus draining down > the back of his throat. I was wondering if there were any supplements > I could give to boost his immune system to maybe help him not get > these colds in the first place. Thereby, not making him be on more > antibiotics which we don't won't to do which causes his diarrhea to > return with a vengeance. > > TIA~Christy > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 14, 2008 Report Share Posted August 14, 2008 Do you give him enzymes? That may help. Have you noticed it being worse with protein, carbs, or fats? Could be a clue to what kind of enzyme is needed. Also, if he's got a lot of drainage, he may be swallowing a lot of air as the mucous trickles down his throat. My daughter has been chronically ill most of her life, was just dxed with mitochondrial disorder. We're doing lots of things now for her, among it carnitor. Don't know if that's to credit or other things that is probably boosting her glutathione. Have you tried LDN -- low-dose naltrexone? Debi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 15, 2008 Report Share Posted August 15, 2008 when we really increased probiotics my daughter's gas went away. What type of diet is your son on? certain foods are going to increase gas. Lysine, elderberry and OLE every day really helped us. my husband who has had sinus problems his entire life has been cold and infection free for 3 years because he uses a neti pot 2x a day. i don't know if that is a possibility for your child. A friend's 6 year old uses it. Two questions Does anyone know of anything that could help my son's bad gas? It wakes him up it is so bad. So, it is probably causing him some discomfort. Also, he seems to get colds a lot which turns into a green sinus infection which in turn makes him gag from all the mucus draining down the back of his throat. I was wondering if there were any supplements I could give to boost his immune system to maybe help him not get these colds in the first place. Thereby, not making him be on more antibiotics which we don't won't to do which causes his diarrhea to return with a vengeance. TIA~Christy It's time to go back to school! Get the latest trends and gadgets that make the grade on AOL Shopping. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 15, 2008 Report Share Posted August 15, 2008 Hi, We like Transfer Factor Classic for an immune system boost. We dose 3 caps per day, but some use as many as 9 per day. We have been using this for 6 months and have only had one very short-lived runny nose for about a day - and this was with going to school/therapy 5x's a week! It can be pricey I think unless you buy in bulk. > > Does anyone know of anything that could help my son's bad gas? It > wakes him up it is so bad. So, it is probably causing him some > discomfort. > > Also, he seems to get colds a lot which turns into a green sinus > infection which in turn makes him gag from all the mucus draining down > the back of his throat. I was wondering if there were any supplements > I could give to boost his immune system to maybe help him not get > these colds in the first place. Thereby, not making him be on more > antibiotics which we don't won't to do which causes his diarrhea to > return with a vengeance. > > TIA~Christy > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2008 Report Share Posted August 16, 2008 This sounds like lactose intolerance. At the first sign of the runny nose, I would give half apple cider vinegar/half water (1/2 shot glass size). If it is not lactose intolerance, it could be another food allergy. All my life, I thought I had allergies to pollen and dust, come to find out I have NO allegies anymore when I cut out all dairy products. > > Does anyone know of anything that could help my son's bad gas? It > wakes him up it is so bad. So, it is probably causing him some > discomfort. > > Also, he seems to get colds a lot which turns into a green sinus > infection which in turn makes him gag from all the mucus draining down > the back of his throat. I was wondering if there were any supplements > I could give to boost his immune system to maybe help him not get > these colds in the first place. Thereby, not making him be on more > antibiotics which we don't won't to do which causes his diarrhea to > return with a vengeance. > > TIA~Christy > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2008 Report Share Posted August 18, 2008 in our house that is a classic IGG intollerence. Recovering from Autism is a marathonNOT a sprint, but FULLY possible!Read more about it on my BLOGs athttp://www.myspace.com/christelkinghttp://foggyrock.com/MyPage/recoveringwisheshttp://www.facebook.com/profile.php?id=677063169 Two questions Does anyone know of anything that could help my son's bad gas? Itwakes him up it is so bad. So, it is probably causing him somediscomfort. Also, he seems to get colds a lot which turns into a green sinusinfection which in turn makes him gag from all the mucus draining downthe back of his throat. I was wondering if there were any supplementsI could give to boost his immune system to maybe help him not getthese colds in the first place. Thereby, not making him be on moreantibiotics which we don't won't to do which causes his diarrhea toreturn with a vengeance.TIA~ChristyNo virus found in this incoming message. Checked by AVG - http://www.avg.com Version: 8.0.138 / Virus Database: 270.6.5/1619 - Release Date: 8/18/2008 5:39 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 19, 2008 Report Share Posted August 19, 2008 Hi Christy I would recommend Digest Gold (a digestive enzyme). We also make one called V-gest it has VERY high amounts of Alpha-Galactosidase (1,000 Gal U) where Beano only has something like 250 units. As for his colds and sinus infections I would recommend 3 products. FIRST is MucoStop. It works amazingly on braking down mucous. Then I would recommend Virastop and Defenze. These 2 products can be used as preventatives from getting colds or during a cold, to help get rid of it by supporting the immune system. If you would like information and samples on these products please just let me know. Feel free to ask me any questions or visit our website. Alessandra Enzymedica's Education Department enzymedica.com > > Does anyone know of anything that could help my son's bad gas? It > wakes him up it is so bad. So, it is probably causing him some > discomfort. > > Also, he seems to get colds a lot which turns into a green sinus > infection which in turn makes him gag from all the mucus draining down > the back of his throat. I was wondering if there were any supplements > I could give to boost his immune system to maybe help him not get > these colds in the first place. Thereby, not making him be on more > antibiotics which we don't won't to do which causes his diarrhea to > return with a vengeance. > > TIA~Christy > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 19, 2008 Report Share Posted August 19, 2008 What would you recommend for a young man with Crohn's and Lyme disease? He has chronic CMV in the intestines and is intolerant of most foods thanks Jean Subject: Re: Two questionsTo: mb12 valtrex Date: Tuesday, August 19, 2008, 10:04 AM Hi ChristyI would recommend Digest Gold (a digestive enzyme). We also make one called V-gest it has VERY high amounts of Alpha-Galactosidase (1,000 Gal U) where Beano only has something like 250 units. As for his colds and sinus infections I would recommend 3 products. FIRST is MucoStop. It works amazingly on braking down mucous. Then I would recommend Virastop and Defenze. These 2 products can be used as preventatives from getting colds or during a cold, to help get rid of it by supporting the immune system. If you would like information and samples on these products please just let me know. Feel free to ask me any questions or visit our website.AlessandraEnzymedica's Education Departmentenzymedica.com >> Does anyone know of anything that could help my son's bad gas? It> wakes him up it is so bad. So, it is probably causing him some> discomfort. > > Also, he seems to get colds a lot which turns into a green sinus> infection which in turn makes him gag from all the mucus draining down> the back of his throat. I was wondering if there were any supplements> I could give to boost his immune system to maybe help him not get> these colds in the first place. Thereby, not making him be on more> antibiotics which we don't won't to do which causes his diarrhea to> return with a vengeance.> > TIA~Christy> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 19, 2008 Report Share Posted August 19, 2008 Hi Jean Crohn's Disease Suggestions: 1 Digest Gold before and after meal 2 Candidase 3x per day between meals 2 Repair Gold 3x per day between meals Lyme Disease Suggestions: 1 Digest Gold with every meal 2 Repair Gold 3x per day 3 Virastop 3x per day 2 pH Basic 2x per day CMV Suggestions: 1 Digest Gold 1-2 Virastop 2x per day – Increase to 4 - (4x) per day 2 pH Basic 2x per day All together 1 Digest Gold before and after meal 2 Candidase 3x per day between meals (empty stomach) 2 Repair Gold 3x per day between meals (empty stomach) 2 Virastop 3x per day (Increase to 4 (4X) per day (empty stomach) 2 pH Basic 2x per day (empty stomach) All products that need to be taken on an empty stomach can be taken together. Please feel to ask me any other questions. Alessandra Enzymedica's Education Department enzymedica.com > > > > Does anyone know of anything that could help my son's bad gas? It > > wakes him up it is so bad. So, it is probably causing him some > > discomfort. > > > > Also, he seems to get colds a lot which turns into a green sinus > > infection which in turn makes him gag from all the mucus draining down > > the back of his throat. I was wondering if there were any supplements > > I could give to boost his immune system to maybe help him not get > > these colds in the first place. Thereby, not making him be on more > > antibiotics which we don't won't to do which causes his diarrhea to > > return with a vengeance. > > > > TIA~Christy > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 2, 2009 Report Share Posted November 2, 2009 Art,Congratulations on opening your practice recently. Can you tell us more about your practice? In what way is your practice "sort of" an IMP? If it is IMP-like enough, I can add you to the 188 other practitioners on the IMP Map (www.impmap.com). You should consider describing the IMP-like qualities of your practice on your web site since that is a increasingly common way for patients to find you.I didn't know any solo FPs either when I first opened my practice. I met some at the Hospital Medical Staff meeting, introduced myself, and asked if they would be interested in having mutual coverage for when each of us is out of town. That is how we have been doing it ever since, even though they are not IMPs.I have been taking credit cards for years, don't see how practices can operate without them. The fees are part of the price of doing business in the 21st century. SetoSouth Pasadena, CAHi all,Thanks to all who post here...this is a tremendous resource. I opened my "sort of" imp in the somewhat dead zone of southern NJ 4 months ago and, thanks in no small part to all the pearls of wisdom here, am surviving both mentally and financially. Actually, after 14 years working for "the man" I couldn't be happier, although my wife waking me at 8 am to discuss coding does get a little frustrating...but she works good and for free!I have two issues pressing right now...1. I will need to take a vacation eventually. How do most of you work it with your colleagues? Is there anyone in this group in Gloucester County NJ? I have several docs i know well but who are just a little too far away, and know no solo docs well enough in my immediate vicinity.2. To credit card or not credit card. In the past two weeks I've had 3 patients say goodbye because I don't take credit cards. This to me is a purely financial decision. Does the cost of lost patients outweigh the cost of taking credit cards. For those that take credit cards, what is your cost per year to the credit card companies?(and who do you use?)Thanks again. It's great to be part of this terrific group of people.Art TreimanTreiman Family Medicinewww.doctortreiman.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2009 Report Share Posted November 3, 2009 Hi Ellen, I would definately take credit cards. I have had several patients bounce checks. A couple of those and your credit card charges will pay for itself! Not worth it. Imagine if you went to the store and they didn't accept a cc. Its not just a convenience it is almost a neccessity these days. I use Costco. Not sure if you have that there. They are prety resonable but I have seen better rates. Good luck. Michele To: Sent: Sun, November 1, 2009 10:48:52 AMSubject: Re: Two Questions Art---I don't have the nos at hand but I think that using credit cards has increased co-pays at the time of service and more pts are calling to pay their bill with cards.I avoided it for a no. of yrs but now share office space with someone who uses it so we joined ranks. In this day and age of tech stuff, seems the way to go.Vac---one wk out of office isn't usually a problem. I have two solo doc friends who see pts prn, there is also a great UC nearby(I know one of the owners--we worked tog at the medical school and they refer pts to me all the time). Unless I"m out of the country, my ass't calls me when I'm on vac and we discusswhat's going on. I don't have to refer many pts to these docs when I'm gone a wk...most of my pts wait for me to return. I'm quite busy the wk before and afterI go away. Income down some but not hugely. That's my experience. Ellensirwmosler wrote:> >> Hi all,> Thanks to all who post here...this is a tremendous resource. I opened > my "sort of" imp in the somewhat dead zone of southern NJ 4 months ago > and, thanks in no small part to all the pearls of wisdom here, am > surviving both mentally and financially. Actually, after 14 years > working for "the man" I couldn't be happier, although my wife waking > me at 8 am to discuss coding does get a little frustrating. ..but she > works good and for free!> I have two issues pressing right now...> 1. I will need to take a vacation eventually. How do most of you work > it with your colleagues? Is there anyone in this group in Gloucester > County NJ? I have several docs i know well but who are just a little > too far away, and know no solo docs well enough in my immediate vicinity.> 2. To credit card or not credit card. In the past two weeks I've had 3 > patients say goodbye because I don't take credit cards. This to me is > a purely financial decision. Does the cost of lost patients outweigh > the cost of taking credit cards. For those that take credit cards, > what is your cost per year to the credit card companies?(and who do > you use?)> Thanks again. It's great to be part of this terrific group of people.> Art Treiman> Treiman Family Medicine> www.doctortreiman. com>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2009 Report Share Posted November 3, 2009 Michele--- What do you mean that you use Costco? We have WestCoast, a bank, that we do cc's thru. What kind of rates do you get? Ellen Michele Ortiz wrote: > > Hi Ellen, > I would definately take credit cards. I have had several patients > bounce checks. A couple of those and your credit card charges will pay > for itself! > Not worth it. Imagine if you went to the store and they didn't accept > a cc. Its not just > a convenience it is almost a neccessity these days. I use Costco. Not > sure if you have that there. > They are prety resonable but I have seen better rates. Good luck. > Michele > > ------------------------------------------------------------------------ > *From:* Ellen son > *To:* > *Sent:* Sun, November 1, 2009 10:48:52 AM > *Subject:* Re: Two Questions > > > > Art--- > > I don't have the nos at hand but I think that using credit cards has > increased co-pays at the time of service and more pts are calling to pay > their bill with cards. > I avoided it for a no. of yrs but now share office space with someone > who uses it so we joined ranks. In this day and age of tech stuff, > seems the way to go. > > Vac---one wk out of office isn't usually a problem. I have two solo doc > friends who see pts prn, there is also a great UC nearby(I know one of > the owners-- > we worked tog at the medical school and they refer pts to me all the > time). Unless I " m out of the country, my ass't calls me when I'm on vac > and we discuss > what's going on. I don't have to refer many pts to these docs when I'm > gone a wk...most of my pts wait for me to return. I'm quite busy the wk > before and after > I go away. Income down some but not hugely. That's my experience. > > Ellen > > sirwmosler wrote: > > > > > > Hi all, > > Thanks to all who post here...this is a tremendous resource. I opened > > my " sort of " imp in the somewhat dead zone of southern NJ 4 months ago > > and, thanks in no small part to all the pearls of wisdom here, am > > surviving both mentally and financially. Actually, after 14 years > > working for " the man " I couldn't be happier, although my wife waking > > me at 8 am to discuss coding does get a little frustrating. ..but she > > works good and for free! > > I have two issues pressing right now... > > 1. I will need to take a vacation eventually. How do most of you work > > it with your colleagues? Is there anyone in this group in Gloucester > > County NJ? I have several docs i know well but who are just a little > > too far away, and know no solo docs well enough in my immediate > vicinity. > > 2. To credit card or not credit card. In the past two weeks I've had 3 > > patients say goodbye because I don't take credit cards. This to me is > > a purely financial decision. Does the cost of lost patients outweigh > > the cost of taking credit cards. For those that take credit cards, > > what is your cost per year to the credit card companies?(and who do > > you use?) > > Thanks again. It's great to be part of this terrific group of people. > > Art Treiman > > Treiman Family Medicine > > www.doctortreiman. com > > > > > > > Attachment: vcard [not shown] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2009 Report Share Posted November 3, 2009 Costco is a store like Sams Club. They have all kinds of merchant services. I will look at my bill and get back to you tomorrow. Michele To: Sent: Tue, November 3, 2009 2:15:41 PMSubject: Re: Two Questions Michele---What do you mean that you use Costco? We have WestCoast, a bank, that we do cc's thru.What kind of rates do you get?EllenMichele Ortiz wrote:> > Hi Ellen,> I would definately take credit cards. I have had several patients > bounce checks. A couple of those and your credit card charges will pay > for itself!> Not worth it. Imagine if you went to the store and they didn't accept > a cc. Its not just> a convenience it is almost a neccessity these days. I use Costco. Not > sure if you have that there.> They are prety resonable but I have seen better rates. Good luck.> Michele>> ------------ --------- --------- --------- --------- --------- -> *From:* Ellen son <nellegreen@earthlin k.net>> *To:* Practiceimprovement 1yahoogroups (DOT) com> *Sent:* Sun, November 1, 2009 10:48:52 AM> *Subject:* Re: [Practiceimprovemen t1] Two Questions>> >> Art--->> I don't have the nos at hand but I think that using credit cards has> increased co-pays at the time of service and more pts are calling to pay> their bill with cards.> I avoided it for a no. of yrs but now share office space with someone> who uses it so we joined ranks. In this day and age of tech stuff,> seems the way to go.>> Vac---one wk out of office isn't usually a problem. I have two solo doc> friends who see pts prn, there is also a great UC nearby(I know one of> the owners--> we worked tog at the medical school and they refer pts to me all the> time). Unless I"m out of the country, my ass't calls me when I'm on vac> and we discuss> what's going on. I don't have to refer many pts to these docs when I'm> gone a wk...most of my pts wait for me to return. I'm quite busy the wk> before and after> I go away. Income down some but not hugely. That's my experience.>> Ellen>> sirwmosler wrote:> >> >> > Hi all,> > Thanks to all who post here...this is a tremendous resource. I opened> > my "sort of" imp in the somewhat dead zone of southern NJ 4 months ago> > and, thanks in no small part to all the pearls of wisdom here, am> > surviving both mentally and financially. Actually, after 14 years> > working for "the man" I couldn't be happier, although my wife waking> > me at 8 am to discuss coding does get a little frustrating. ..but she> > works good and for free!> > I have two issues pressing right now...> > 1. I will need to take a vacation eventually. How do most of you work> > it with your colleagues? Is there anyone in this group in Gloucester> > County NJ? I have several docs i know well but who are just a little> > too far away, and know no solo docs well enough in my immediate > vicinity.> > 2. To credit card or not credit card. In the past two weeks I've had 3> > patients say goodbye because I don't take credit cards. This to me is> > a purely financial decision. Does the cost of lost patients outweigh> > the cost of taking credit cards. For those that take credit cards,> > what is your cost per year to the credit card companies?(and who do> > you use?)> > Thanks again. It's great to be part of this terrific group of people.> > Art Treiman> > Treiman Family Medicine> > www.doctortreiman. com> >> >>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2009 Report Share Posted November 3, 2009 Hi Art, I am the office manager (for free) for my husband, who is the MD. We take vacation. Steve takes his cell phone. For those times when he won’t be in range, the phone is forwarded to either me or our nurse. 99% of the calls can be triaged by us – go to ER, Urgent Care, etc. For those few that can’t, he will be back in range in a few hours and those can wait (otherwise, they’d get sent to ER). We get very few calls. We are looking into satellite phone for our vacation this Christmas where we won’t have cell phone service. The nurse will take call, then text anything to him that needs to be. So far, no burnout. After a few years, I don’t know. We also take credit cards through Costco/Elavon. Fees are about $60/month. Convenient for the patients who have HSA accounts tied to a debit card. In this economy, we’re finding more and more patients either paying cash or with CC. Good luck! Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of sirwmosler Sent: Sunday, November 01, 2009 9:28 AM To: Subject: Two Questions Hi all, Thanks to all who post here...this is a tremendous resource. I opened my " sort of " imp in the somewhat dead zone of southern NJ 4 months ago and, thanks in no small part to all the pearls of wisdom here, am surviving both mentally and financially. Actually, after 14 years working for " the man " I couldn't be happier, although my wife waking me at 8 am to discuss coding does get a little frustrating...but she works good and for free! I have two issues pressing right now... 1. I will need to take a vacation eventually. How do most of you work it with your colleagues? Is there anyone in this group in Gloucester County NJ? I have several docs i know well but who are just a little too far away, and know no solo docs well enough in my immediate vicinity. 2. To credit card or not credit card. In the past two weeks I've had 3 patients say goodbye because I don't take credit cards. This to me is a purely financial decision. Does the cost of lost patients outweigh the cost of taking credit cards. For those that take credit cards, what is your cost per year to the credit card companies?(and who do you use?) Thanks again. It's great to be part of this terrific group of people. Art Treiman Treiman Family Medicine www.doctortreiman.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2009 Report Share Posted November 4, 2009 Keep in mind however, that you can only do it this way if you are not on staff at a hospital. Also, I don’t think it’s a vacation if I have to be tied to the phone in case a patient needs me. However I am on staff at a hospital and have responsibilities from that and cannot cover by phone by more than 1 hour away realistically. So there is one other family Doc in my area and we cross cover each other weekends, vacations and holidays. It is nice to know that I am “off” and can do things not worrying about getting called with an emergency, have a drink, get involved in games, go places like the mall to buy my kid clothes., etc. Personally, I hate getting calls when I am trying to relax and have fun. I have been at this 19 years though. Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing From: [mailto: ] On Behalf Of Pratt Sent: Tuesday, November 03, 2009 6:37 PM To: Subject: RE: Two Questions Hi Art, I am the office manager (for free) for my husband, who is the MD. We take vacation. Steve takes his cell phone. For those times when he won’t be in range, the phone is forwarded to either me or our nurse. 99% of the calls can be triaged by us – go to ER, Urgent Care, etc. For those few that can’t, he will be back in range in a few hours and those can wait (otherwise, they’d get sent to ER). We get very few calls. We are looking into satellite phone for our vacation this Christmas where we won’t have cell phone service. The nurse will take call, then text anything to him that needs to be. So far, no burnout. After a few years, I don’t know. We also take credit cards through Costco/Elavon. Fees are about $60/month. Convenient for the patients who have HSA accounts tied to a debit card. In this economy, we’re finding more and more patients either paying cash or with CC. Good luck! Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of sirwmosler Sent: Sunday, November 01, 2009 9:28 AM To: Subject: Two Questions Hi all, Thanks to all who post here...this is a tremendous resource. I opened my " sort of " imp in the somewhat dead zone of southern NJ 4 months ago and, thanks in no small part to all the pearls of wisdom here, am surviving both mentally and financially. Actually, after 14 years working for " the man " I couldn't be happier, although my wife waking me at 8 am to discuss coding does get a little frustrating...but she works good and for free! I have two issues pressing right now... 1. I will need to take a vacation eventually. How do most of you work it with your colleagues? Is there anyone in this group in Gloucester County NJ? I have several docs i know well but who are just a little too far away, and know no solo docs well enough in my immediate vicinity. 2. To credit card or not credit card. In the past two weeks I've had 3 patients say goodbye because I don't take credit cards. This to me is a purely financial decision. Does the cost of lost patients outweigh the cost of taking credit cards. For those that take credit cards, what is your cost per year to the credit card companies?(and who do you use?) Thanks again. It's great to be part of this terrific group of people. Art Treiman Treiman Family Medicine www.doctortreiman.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2009 Report Share Posted November 4, 2009 Hi all, I have a friend who showed me cool app for the iPhone, which I don't have yet, but may well get (depending on Holiday pricing sales). This app allows a credit card number to be entered into the iPhone at the time of service (think house call) for immediate tansaction; the patient gets an email receipt and you, the vendor, get an email confirmation of transaction, as well as an email daily summary of all posting for your account book entries for the day. Sounds neat! Also allowing the patient to enter his/her own number, holding the iPhone, gives a psychological perception of patient data security. Is anyone using this iPhone app? Marc T > > > > > > Hi all, > > Thanks to all who post here...this is a tremendous resource. I opened > > my " sort of " imp in the somewhat dead zone of southern NJ 4 months ago > > and, thanks in no small part to all the pearls of wisdom here, am > > surviving both mentally and financially. Actually, after 14 years > > working for " the man " I couldn't be happier, although my wife waking > > me at 8 am to discuss coding does get a little frustrating. ..but she > > works good and for free! > > I have two issues pressing right now... > > 1. I will need to take a vacation eventually. How do most of you work > > it with your colleagues? Is there anyone in this group in Gloucester > > County NJ? I have several docs i know well but who are just a little > > too far away, and know no solo docs well enough in my immediate vicinity. > > 2. To credit card or not credit card. In the past two weeks I've had 3 > > patients say goodbye because I don't take credit cards. This to me is > > a purely financial decision. Does the cost of lost patients outweigh > > the cost of taking credit cards. For those that take credit cards, > > what is your cost per year to the credit card companies?(and who do > > you use?) > > Thanks again. It's great to be part of this terrific group of people. > > Art Treiman > > Treiman Family Medicine > > www.doctortreiman. com > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2009 Report Share Posted November 4, 2009 Marc, I don’t have an iPhone, but I did see that Quickbook has a Bluetooth card reader device, which allows you to take credit cards on the fly on your Blackberry or other smartphone, also email receipt, but get the benefit of the lower rate for swiped transactions. Of course, there is the problem of the small thing to carry around and lose…..I haven’t tried it but am considering it. Sharon From: [mailto: ] On Behalf Of Dr. T Sent: Wednesday, November 04, 2009 6:56 AM To: Subject: Re: Two Questions Hi all, I have a friend who showed me cool app for the iPhone, which I don't have yet, but may well get (depending on Holiday pricing sales). This app allows a credit card number to be entered into the iPhone at the time of service (think house call) for immediate tansaction; the patient gets an email receipt and you, the vendor, get an email confirmation of transaction, as well as an email daily summary of all posting for your account book entries for the day. Sounds neat! Also allowing the patient to enter his/her own number, holding the iPhone, gives a psychological perception of patient data security. Is anyone using this iPhone app? Marc T > > > > > > Hi all, > > Thanks to all who post here...this is a tremendous resource. I opened > > my " sort of " imp in the somewhat dead zone of southern NJ 4 months ago > > and, thanks in no small part to all the pearls of wisdom here, am > > surviving both mentally and financially. Actually, after 14 years > > working for " the man " I couldn't be happier, although my wife waking > > me at 8 am to discuss coding does get a little frustrating. ..but she > > works good and for free! > > I have two issues pressing right now... > > 1. I will need to take a vacation eventually. How do most of you work > > it with your colleagues? Is there anyone in this group in Gloucester > > County NJ? I have several docs i know well but who are just a little > > too far away, and know no solo docs well enough in my immediate vicinity. > > 2. To credit card or not credit card. In the past two weeks I've had 3 > > patients say goodbye because I don't take credit cards. This to me is > > a purely financial decision. Does the cost of lost patients outweigh > > the cost of taking credit cards. For those that take credit cards, > > what is your cost per year to the credit card companies?(and who do > > you use?) > > Thanks again. It's great to be part of this terrific group of people. > > Art Treiman > > Treiman Family Medicine > > www.doctortreiman. com > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2009 Report Share Posted November 5, 2009 I took call this way for 4 years, before my daugther joined me. Works OK, I have not gotten burned out yet. most patients of ours anyway, understand that you will help them and don't complain. From: [ ] On Behalf Of Pratt [karen.oaktree@...] Sent: Tuesday, November 03, 2009 4:36 PM To: Subject: RE: Two Questions Hi Art, I am the office manager (for free) for my husband, who is the MD. We take vacation. Steve takes his cell phone. For those times when he won’t be in range, the phone is forwarded to either me or our nurse. 99% of the calls can be triaged by us – go to ER, Urgent Care, etc. For those few that can’t, he will be back in range in a few hours and those can wait (otherwise, they’d get sent to ER). We get very few calls. We are looking into satellite phone for our vacation this Christmas where we won’t have cell phone service. The nurse will take call, then text anything to him that needs to be. So far, no burnout. After a few years, I don’t know. We also take credit cards through Costco/Elavon. Fees are about $60/month. Convenient for the patients who have HSA accounts tied to a debit card. In this economy, we’re finding more and more patients either paying cash or with CC. Good luck! Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of sirwmosler Sent: Sunday, November 01, 2009 9:28 AM To: Subject: Two Questions Hi all, Thanks to all who post here...this is a tremendous resource. I opened my " sort of " imp in the somewhat dead zone of southern NJ 4 months ago and, thanks in no small part to all the pearls of wisdom here, am surviving both mentally and financially. Actually, after 14 years working for " the man " I couldn't be happier, although my wife waking me at 8 am to discuss coding does get a little frustrating...but she works good and for free! I have two issues pressing right now... 1. I will need to take a vacation eventually. How do most of you work it with your colleagues? Is there anyone in this group in Gloucester County NJ? I have several docs i know well but who are just a little too far away, and know no solo docs well enough in my immediate vicinity. 2. To credit card or not credit card. In the past two weeks I've had 3 patients say goodbye because I don't take credit cards. This to me is a purely financial decision. Does the cost of lost patients outweigh the cost of taking credit cards. For those that take credit cards, what is your cost per year to the credit card companies?(and who do you use?) Thanks again. It's great to be part of this terrific group of people. Art Treiman Treiman Family Medicine www.doctortreiman.com Quote Link to comment Share on other sites More sharing options...
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