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Dr. Rutledge,

First, let me say I think the open enrollment period sounds like an EXCELLENT

plan . . with that many patients, you could realistically have an enrollment

period once or twice per year and have them scheduled way ahead of time.

Really, think about how long it takes to get into a new Doctor . . many

OB-GYN's take a 3month wait to get in for a physical unless something is

wrong. I think that is a perfect idea . . and on top of that, only take

people that fit your guidelines and don't lean or stretch the rules during

the enrollment (ie: not over 350, no other major illnesses, and NOT a

revision)

Next, I wanted to add soemthing that may be of help, not in reducing the

number of patients, but perhaps help manage your time with the concerns of

current patients. I know your e-mail address is AT clos.net, this tells me

you guys have your own server . . .well, when you have your own server you

can add as many e-mail names as you need. Right now it seems that ALL e-mails

come to you at Dr_R@.... Wouldn't it be easier to manage, as well as

help you distribute the load to appropriate people, if you had different

e-mail accounts. For instance, post-op_health_concerns@..., or

information@... for people who are just trying to get more information

on mgb while they are in researching stages, perhaps insurance@... for

issues ONLY dealing with insurance, Rx@... for issues relating to

prescriptions and medications . .. this way if you subdivided the e-mail

accounts, you wouldn't have to READ and forward to appropriate person. You

would only get the ones in your area of expertise! I know how much you want

to be involved, but you are only 1 person and you have to reallize you can't

do it all . . you can DELEGATE! That is the job of a leader! (I am in an

education leadership graduate program .. so this is my lingo for the next 2

years! : ) )

I hope this idea helps whichever way you go to reduce the number of patients,

you still need to have a way to wade through the vast information, just from

us 700 post-oppers already out there that still have questions sometimes!

(sorry!)

This group has come up with some good ideas, and I am SO impressed that Dr. R

would even bring it out for us to help him brainstorm!!!!!! (I love the open

enrollment idea . . run with that!!!!!)

L.

mgb 7-20-00

DOWN 17 POUNDS ALREADY!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

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