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My turn to be a grouch today! When I send someone to a specialist and surgery is needed then I expect them to be sent back to me for the pre-op physical not have the ortho office use their physician extenders to further take away from my practice! I call the office manager to request that my patients be returned to me for pre-op clearance and get this run around of "it's how we've always done it!" and no committment at all --- if they send the patient back to me they'll still do their "own" H & P before hand! So if it isn't professionally courteous then it's medical wastefulness! GRRR!

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so. Consider a conversation with the doc him or herslef?Or find different offices to use?Gosh your experience is like so totally different than mine (not)Lately I have been telling patients " I hate doctors "

My turn to be a grouch today! When I send someone to a specialist and surgery is needed then I expect them to be sent back to me for the pre-op physical not have the ortho office use their physician extenders to further take away from my practice! I call the office manager to request that my patients be returned to me for pre-op clearance and get this run around of " it's how we've always done it! " and no committment at all --- if they send the patient back to me they'll still do their " own " H & P before hand! So if it isn't professionally courteous then it's medical wastefulness! GRRR!

-- If you are a patient please allow up to 24 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD

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Myria, I could be wrong, but I think that surgeons are SUPPOSED to do

their own preop physicals if the pt. is healthy and does not need

medical evaluation to " clear " him/her for surgery. Isn't it paid for

as part of the global fee for the surgery?---Sharlene

>

> My turn to be a grouch today!  When I send someone to a specialist

and surgery is needed then I expect them to be sent back to me for the

pre-op physical not have the ortho office use their physician

extenders to further take away from my practice!  I call the office

manager to request that my patients be returned to me for pre-op

clearance and get this run around of " it's how we've always done

it! "  and no committment at all --- if they send the patient back to me

they'll still do their " own " H & P before hand!  So if it isn't

professionally courteous then it's medical wastefulness! GRRR!

>

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Often the specialist has the pre-op physical done by the "pretesting dept" of the hospital. They do labs and ECG and send pt and labs/ECG to me. I can use the $15 bucks for the ECG myself.

IDEA ! picking up on Myria's train fo thought...

With the referral letter to the specialist, in bold print - "send pt back for pre-op testing if surgery is indicated"

To: practiceimprovement1 Sent: Tuesday, December 30, 2008 12:20:18 PMSubject: pre op physicals

My turn to be a grouch today! When I send someone to a specialist and surgery is needed then I expect them to be sent back to me for the pre-op physical not have the ortho office use their physician extenders to further take away from my practice! I call the office manager to request that my patients be returned to me for pre-op clearance and get this run around of "it's how we've always done it!" and no committment at all --- if they send the patient back to me they'll still do their "own" H & P before hand! So if it isn't professionally courteous then it's medical wastefulness! GRRR!

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  • 2 weeks later...

Most (if not all0 of the specialists we refer to automatically send the patients to us for pre-op for most things. There are a few exceptions, espcially if the person is already undergoing certain treatments at the hosptial. But we get quite a few pre-op requests.

To: Sent: Thursday, January 1, 2009 10:40:21 AMSubject: Re: pre op physicals

Often the specialist has the pre-op physical done by the "pretesting dept" of the hospital. They do labs and ECG and send pt and labs/ECG to me. I can use the $15 bucks for the ECG myself.

IDEA ! picking up on Myria's train fo thought...

With the referral letter to the specialist, in bold print - "send pt back for pre-op testing if surgery is indicated"

To: practiceimprovement1 Sent: Tuesday, December 30, 2008 12:20:18 PMSubject: pre op physicals

My turn to be a grouch today! When I send someone to a specialist and surgery is needed then I expect them to be sent back to me for the pre-op physical not have the ortho office use their physician extenders to further take away from my practice! I call the office manager to request that my patients be returned to me for pre-op clearance and get this run around of "it's how we've always done it!" and no committment at all --- if they send the patient back to me they'll still do their "own" H & P before hand! So if it isn't professionally courteous then it's medical wastefulness! GRRR!

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