Guest guest Posted November 11, 2008 Report Share Posted November 11, 2008 No did the same thing up here, almost the exact same words, at which point the office manager gave me the old ''everyone else blah blah blah" I guess this list is just full of rabble rousers. I did give in I think, but not gracefully. You are definitely not alone. And tells me a story like this, different players, same idea, on a weekly basis...LynnTo: From: andrea.skaggs@...Date: Tue, 11 Nov 2008 13:38:49 -0500Subject: "dental clearance" I just had another frustrating go-'round with a dentists office, wanting me to fax a "letter saying it is OK for Dr.__to clean Ms. X's teeth; she says she has a murmur" I told them that she had a perfectly normal Echo, and mailed them the report. They called back and said "we need a letter, yes or no, is it OK with you if we clean her teeth. I told them that if their dentist is not competent to read the word NORMAL on the echo report, and read AHA guidelines, that he should not be practicing. I further told them that I would not interpret AHA guidelines for them. Personally, I hope they refused to do her teeth and she finds another dentist.. Anybody out there think I am being too hard headed?-- Annie SkaggsLexington, KY Color coding for safety: Windows Live Hotmail alerts you to suspicious email. Sign up today. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2008 Report Share Posted November 11, 2008 is a lot of troubleOn the other hand, I had a nice talk with the dentist herslef today, such a peach ...One bright spot No did the same thing up here, almost the exact same words, at which point the office manager gave me the old ''everyone else blah blah blah " I guess this list is just full of rabble rousers. I did give in I think, but not gracefully. You are definitely not alone. And tells me a story like this, different players, same idea, on a weekly basis... LynnTo: From: andrea.skaggs@... Date: Tue, 11 Nov 2008 13:38:49 -0500Subject: " dental clearance " I just had another frustrating go-'round with a dentists office, wanting me to fax a " letter saying it is OK for Dr.__to clean Ms. X's teeth; she says she has a murmur " I told them that she had a perfectly normal Echo, and mailed them the report. They called back and said " we need a letter, yes or no, is it OK with you if we clean her teeth. I told them that if their dentist is not competent to read the word NORMAL on the echo report, and read AHA guidelines, that he should not be practicing. I further told them that I would not interpret AHA guidelines for them. Personally, I hope they refused to do her teeth and she finds another dentist.. Anybody out there think I am being too hard headed?-- Annie SkaggsLexington, KY Color coding for safety: Windows Live Hotmail alerts you to suspicious email. Sign up today. -- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2008 Report Share Posted November 11, 2008 is a lot of troubleOn the other hand, I had a nice talk with the dentist herslef today, such a peach ...One bright spot No did the same thing up here, almost the exact same words, at which point the office manager gave me the old ''everyone else blah blah blah " I guess this list is just full of rabble rousers. I did give in I think, but not gracefully. You are definitely not alone. And tells me a story like this, different players, same idea, on a weekly basis... LynnTo: From: andrea.skaggs@... Date: Tue, 11 Nov 2008 13:38:49 -0500Subject: " dental clearance " I just had another frustrating go-'round with a dentists office, wanting me to fax a " letter saying it is OK for Dr.__to clean Ms. X's teeth; she says she has a murmur " I told them that she had a perfectly normal Echo, and mailed them the report. They called back and said " we need a letter, yes or no, is it OK with you if we clean her teeth. I told them that if their dentist is not competent to read the word NORMAL on the echo report, and read AHA guidelines, that he should not be practicing. I further told them that I would not interpret AHA guidelines for them. Personally, I hope they refused to do her teeth and she finds another dentist.. Anybody out there think I am being too hard headed?-- Annie SkaggsLexington, KY Color coding for safety: Windows Live Hotmail alerts you to suspicious email. Sign up today. -- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 13, 2008 Report Share Posted November 13, 2008 From Drain, These things like "dental clearance" are things that pop up when some group of people go to a continued ed meeting in which some person lectures giving listeners this idea. They all hear it, then someone writes about it in some journal query...and the field is off, passing the buck to you. As a vet, I remember getting a request from an MDs office to guarantee that some cat didn't carry Toxoplasmosis. The MD was going to recommend the pregnant lady get rid of the cat if no guarantee was forthcoming. He turned out to be a senior resident with officious nuisance tendencies, and I called his residency director about this impossible request, outlined the life cycle of the parasite and why it was not a problem if the feces was cleaned up by other people and spoke of the problems caused by the threat to the beloved cat's life. That ended such things immediately. I usually call the professional in question and talk politely about "standard of care." In this case I would ask for documentation that the standard is that there will be MD exams and clearance, and check if there will be insurance reimbursment for these exams done by MDs for dentists. I ask if it is certain that the dental standard requires this clearance. I discuss the process, cost to the patient, and then request a signed formal letter from the dentist asking for such clearance since it is obviously inappropriate for such requests to come from the receptionist. I never hear from them again. This process is good for me and makes the other office think about their processes more clearly. Remember, in general these things are accidents of the need for some guy to write a good lecture for his paid continued ed course. Insignificant requests disappear before long unless there is an authoritative consensus statement. Unfortunately the world is full of officious nuisances. Joanne Holland MD/DVM Quote Link to comment Share on other sites More sharing options...
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