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Medical Forum / General / General / January 2004

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A formula for recouping the loss of your valuable time

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Lilly - 16 Jan 2004 21:46 GMT
Tired of lengthy waiting room vists?  Here is a formula for determining
how much you should charge the doctor for the time you spend sitting in
the waiting room.

STEP ONE -- RECORD THREE TIMES

Call the appointment time A.

Try to about 10 - 20 minutes before the appointment.  Make your presence
known to the receptionist, and note the time.  Call this time W.

Wait until you are called for your appointment, and note the time again.  
Call this time S.

STEP TWO -- COMPUTE YOUR EXCESS WAITING TIME

If A - W >= 5 minutes, then your excess wait time is given by the
formula S - A - 15 minutes.

If A - W < 5 minutes but >= 0 minutes, then your excess wait time is
given by the formula S - A - 30 minutes.

If A - W < 0 minutes but >= -5 minutes, then your excess wait time is
given by the formula S - A - 60 minutes.

If A - W < -5 minutes, then do not compute your excess wait time,
because you have waived your claim to excessive waiting due to your
tardiness.

STEP THREE -- RECOVER THE VALUE OF YOUR LOST TIME

If your excess wait time is 10 minutes or more, then bill $1 per minute;
if less than 10 minutes, then bill $10.

If your fee is not paid within 21 business days of your demand, then add
an administration fee of either $10 or 5% (whichever amount is higher)
and try again.

If your fee is not paid after three demands, then file a lawsuit.  Be
sure to claim all your legal fees as damages.

EXAMPLES

#1.  You have an appointment for 1:15PM.  You arrive at 1:00PM, and the
receptionist acknowledges your presence at 1:03PM.  You wait, until you
are called at 1:35PM.

A is 1:15
W is 1:03
S is 1:35

A - W is 12 minutes, so your excess wait time is S - A - 15 = 5 minutes.  
That's less than 10 minutes, so the doctor owes you $10.

#2.  You have an appointment for 2:00PM.  You arrive at 2:15PM, and the
receptionist acknowledges your presence at 2:16PM.  You are called at
3:10PM

A is 2:00
W is 2:16
S is 3:10

A - W is -16 minutes.  You were rather late, so do not charge for excess
wait time.

#3.  You have an appointment for 3:00PM.  You arrive at 2:50PM, and the
receptionist greets you at 2:52PM.  You are finally called at 3:50PM.

A is 3:00
W is 2:52
S is 3:50

A - W is 8 minutes, so your excess wait time is S - A - 15 = 35 minutes.  
The doctor owes you $35.
Florida Hygienist - 16 Jan 2004 23:14 GMT
And the next time you have a toothache, lose a filling, or a have a crown
fall off, the receptionist can get you an appointment in about a month.
After all, wouldn't want to make anyone who has regularly scheduled
appointments have to WAIT after you are seen for an emergency.  Don't even
get me started on what happens if YOU come in late...

> Tired of lengthy waiting room vists?  Here is a formula for determining
> how much you should charge the doctor for the time you spend sitting in
[quoted text clipped - 70 lines]
> A - W is 8 minutes, so your excess wait time is S - A - 15 = 35 minutes.
> The doctor owes you $35.
carabelli - 16 Jan 2004 23:25 GMT
Sounds wonderful, you would never have to wait in my office again.

Of course you wouldn't ever have an appointment at my office again either.

carabelli
Florida Hygienist - 17 Jan 2004 00:32 GMT
Better yet, we can all set our office clocks 1 hour ahead.  Then, she will
already be late for her appointment, thereby oweing us money before
treatment even begins!!

> Sounds wonderful, you would never have to wait in my office again.
>
> Of course you wouldn't ever have an appointment at my office again either.
>
> carabelli
Joel M. Eichen D.D.S. - 17 Jan 2004 01:38 GMT
I had patients, thank God not lots of them but some ....., who we
noted on their chart, if the REAL appointment is for 2pm, TELL THE
PATIENT its for 11am.

(Appointment minus three hours --> write on the card)

Sure enough, right around 1:30pm the patient waltzes in saying, "Sorry
I am a little late."

"Okay, have seat and ......... no problem!"

>Better yet, we can all set our office clocks 1 hour ahead.  Then, she will
>already be late for her appointment, thereby oweing us money before
[quoted text clipped - 5 lines]
>>
>> carabelli

Signature

Joel M. Eichen, .
Philadelphia PA

DISCLAIMER FOLLOWS:

*********

Dental health-related material
is provided for information purposes
only and does not necessarily
represent endorsement by or an official
position of the SciMedDentistry gang
or any other official agency either
actual or fictitious or Steve Mancuso.

Advice on the treatment or care
of an individual patient should
be obtained through consultation
with a dentist who has examined
that patient or is familiar with
that patient's dental history.

STANDARD DISCLAIMER

fiz - 17 Jan 2004 13:56 GMT
> And the next time you have a toothache, lose a filling, or a have a crown
> fall off, the receptionist can get you an appointment in about a month.

At which point you hang up on that office and call one that has a
reasonable schedule, right before you write a letter of complaint to the
dental board.
Joel M. Eichen D.D.S. - 17 Jan 2004 14:23 GMT
Dental Board cares not!

"Oh the doctor took me late!"

That is quite funny! When I have complicated stuff and the patient
insists I do it, I often tell him that he may have to wait for two
hours to see me ...... if he bawks and goes elsewhere ... GREAT. If he
waits, then I will extend myself and do the job!

Its how it is.

Joel

Joel

>> And the next time you have a toothache, lose a filling, or a have a crown
>> fall off, the receptionist can get you an appointment in about a month.
>
>At which point you hang up on that office and call one that has a
>reasonable schedule, right before you write a letter of complaint to the
>dental board.

Signature

Joel M. Eichen, .
Philadelphia PA

DISCLAIMER FOLLOWS:

*********

Dental health-related material
is provided for information purposes
only and does not necessarily
represent endorsement by or an official
position of the SciMedDentistry gang
or any other official agency either
actual or fictitious or Steve Mancuso.

Advice on the treatment or care
of an individual patient should
be obtained through consultation
with a dentist who has examined
that patient or is familiar with
that patient's dental history.

STANDARD DISCLAIMER

Kurt Ullman - 17 Jan 2004 15:31 GMT
>Dental Board cares not!
>
[quoted text clipped - 6 lines]
>
>Its how it is.

  There is a touch difference between two hours and a month (which is when
the other person suggested they hang up and go somewhere else).

--
    "Distracting a politician from governing is like distracting a bear from eating your baby."
                                 --PJ O'Rourke
Howard McCollister - 17 Jan 2004 21:49 GMT
> > And the next time you have a toothache, lose a filling, or a have a crown
> > fall off, the receptionist can get you an appointment in about a month.
>
> At which point you hang up on that office and call one that has a
> reasonable schedule, right before you write a letter of complaint to the
> dental board.

An amusing concept. What do you think the "dental board" is going to do
about your displeasure with appointment scheduling? Professional boards that
receive such letters put them right in the shredder file. The whole exercise
would be a waste of your time and theirs.

Your only recourse is to find another dentist. That'll teach him...

HMc
fiz - 17 Jan 2004 23:28 GMT
> > > And the next time you have a toothache, lose a filling, or a have a
> crown
[quoted text clipped - 6 lines]
> An amusing concept. What do you think the "dental board" is going to do
> about your displeasure with appointment scheduling?

The letter wouldn't mention a "scheduling" issue specifically.  It would
explain that emergency treatment was denied, and describe any extra
damage or extra treatment that followed as a consequence.  That would
probably get their attention.

> Professional boards that
> receive such letters put them right in the shredder file. The whole exercise
> would be a waste of your time and theirs.

I guess we won't know for sure unless a letter is written and sent, will
we?
/folds hands and smiles sweetly
carabelli - 18 Jan 2004 05:22 GMT
> > > > And the next time you have a toothache, lose a filling, or a have a
> > crown
[quoted text clipped - 11 lines]
> damage or extra treatment that followed as a consequence.  That would
> probably get their attention.

Hey, egocentric dipwad, it was a hypothetical  situation with treatment
being postponed for an emergency patient to accommodate your six month
check-up so you wouldn't have to wait.  We don't do that, it's the other way
around - have a trusted friend explain it to you.

carabelli
Howard McCollister - 18 Jan 2004 14:25 GMT
> > The letter wouldn't mention a "scheduling" issue specifically.  It would
> > explain that emergency treatment was denied, and describe any extra
> > damage or extra treatment that followed as a consequence.  That would
> > probably get their attention.

Such a letter would get the attention of the person who opens the mail.
That's as far as it would go. Next stop....shredder.

> Hey, egocentric dipwad, it was a hypothetical  situation with treatment
> being postponed for an emergency patient to accommodate your six month
> check-up so you wouldn't have to wait.  We don't do that, it's the other way
> around - have a trusted friend explain it to you.

A dentist, isn't required by the professional standards of the licensing
state to see an emergency in his office, even if you could classify a  lost
crown an "emergency". Most dentists do squeeze these pseudo-emergency
patients into their schedule, (that's one of the reasons why they run late)
but they don't have to. They can legally tell you to go somewhere else, or
go to the local hospital emergency room. Some dentists even carry a beeper
and take call for hospital emergency rooms. But they don't have to, and most
don't (around here). Nevertheless most ERs have protocols for dealing with
true dental emergencies. Good luck with that lost crown, though.

HMc
fizz - 18 Jan 2004 15:24 GMT
> > > The letter wouldn't mention a "scheduling" issue specifically.  It would
> > > explain that emergency treatment was denied, and describe any extra
[quoted text clipped - 3 lines]
> Such a letter would get the attention of the person who opens the mail.
> That's as far as it would go. Next stop....shredder.

Maybe if YOU were on the board.  Next top...  Court.

> > Hey, egocentric dipwad, it was a hypothetical  situation with treatment
> > being postponed for an emergency patient to accommodate your six month
[quoted text clipped - 4 lines]
> A dentist, isn't required by the professional standards of the licensing
> state to see an emergency in his office

I'm quite sure it would initiate a hearing, at the very least,
regardless of what so-called standards are in print.  Any doctor
(whether a dentist or physician) is morally bound to provide aid when
presented with an emergency, or at least analyze the case well enough to
determine that is isn't a bona fide emergency.  Of course, some people
such as yourself probably have no morals, so this concept goes right
over their heads.
Joel M. Eichen D.D.S. - 18 Jan 2004 17:32 GMT
I do not get it. What do you mean "next top?"

Are you possibly insinuating that there are gay people in the court
system?

You wrote:

>> Such a letter would get the attention of the person who opens the mail.
>> That's as far as it would go. Next stop....shredder.
>
>Maybe if YOU were on the board.  Next top...  Court.

>> > > The letter wouldn't mention a "scheduling" issue specifically.  It would
>> > > explain that emergency treatment was denied, and describe any extra
[quoted text clipped - 22 lines]
>such as yourself probably have no morals, so this concept goes right
>over their heads.

Signature

Joel M. Eichen, .
Philadelphia PA

DISCLAIMER FOLLOWS:

*********

Dental health-related material
is provided for information purposes
only and does not necessarily
represent endorsement by or an official
position of the SciMedDentistry gang
or any other official agency either
actual or fictitious or Steve Mancuso.

Advice on the treatment or care
of an individual patient should
be obtained through consultation
with a dentist who has examined
that patient or is familiar with
that patient's dental history.

STANDARD DISCLAIMER

Steven Bornfeld - 18 Jan 2004 18:24 GMT
> I'm quite sure it would initiate a hearing, at the very least,
> regardless of what so-called standards are in print.  Any doctor
[quoted text clipped - 3 lines]
> such as yourself probably have no morals, so this concept goes right
> over their heads.

    These regulations vary by state.  True emergencies rising to the level
of mandatory care for dentists are probably rare.  Most of those--say
airway obstruction by a submandibular space cellulitis--would probably
mandate a referral to a hospital in any case.  I can think of very few
other situations which would lead to legal liability.  But failure to
refer is very different from keeping a patient waiting--even for hours.
    Keeping a patient waiting for hours is poor business management, but
the dental and medical boards have more important things to worry about.

Steve
Joel M. Eichen D.D.S. - 18 Jan 2004 18:43 GMT
Steve!

You forgot a big one for legal liability!

FAILURE to give the patient a refrigerator magnet with your name on
it.

(Punishable by prison time).

>> I'm quite sure it would initiate a hearing, at the very least,
>> regardless of what so-called standards are in print.  Any doctor
[quoted text clipped - 14 lines]
>
>Steve

Signature

Joel M. Eichen, .
Philadelphia PA

DISCLAIMER FOLLOWS:

*********

Dental health-related material
is provided for information purposes
only and does not necessarily
represent endorsement by or an official
position of the SciMedDentistry gang
or any other official agency either
actual or fictitious or Steve Mancuso.

Advice on the treatment or care
of an individual patient should
be obtained through consultation
with a dentist who has examined
that patient or is familiar with
that patient's dental history.

STANDARD DISCLAIMER

Steven Bornfeld - 18 Jan 2004 19:01 GMT
> Steve!
>
[quoted text clipped - 4 lines]
>
> (Punishable by prison time).

    I used to give the smiley refrigerator magnets--no more!

Steve
Howard McCollister - 18 Jan 2004 22:10 GMT
> I'm quite sure it would initiate a hearing, at the very least,
> regardless of what so-called standards are in print.  Any doctor
[quoted text clipped - 3 lines]
> such as yourself probably have no morals, so this concept goes right
> over their heads.

You're wrong.

HMc
Steven Bornfeld - 18 Jan 2004 18:16 GMT
>>>The letter wouldn't mention a "scheduling" issue specifically.  It would
>>>explain that emergency treatment was denied, and describe any extra
[quoted text clipped - 23 lines]
>
> HMc

    My understanding is that dentists must make reasonable provision for
care of patients of record.
    In our risk management programs, we have it drummed into our heads that
we can be charged with "abandonment" for failure to treat patients in
need--for instance, for failure to pay.  As a practical matter, in most
areas (certainly in New York, where I practice) it would be difficult to
make a case that care was unavailable to a patient if a dentist or
physician failed to see a patient.  If treatment were discontinued in
the midst of a complex treatment the situation would likely be different.
    I am, by the way, sympathetic to the plight of patients who are
habitually taken late by dentists and/or physicians.  It certainly does
give the impression that the doctor feels his/her time is worth more
than the patients'.

Steve
fizz - 18 Jan 2004 15:19 GMT
> > > > > And the next time you have a toothache, lose a filling, or a have a
> > > crown
[quoted text clipped - 17 lines]
> being postponed for an emergency patient to accommodate your six month
> check-up so you wouldn't have to wait.

You said if I had an emergency (toothache, missing filling, missing
crown) the receptionist would get me an appointment "in about a month".  
Your original post is still at the very top of this one, if you need to
review it.  Apparently this is how your particular office handles
patients who complain about having to wait for two hours -- the next
time they call, even if it's an emergency, you basically tell them to
f.ck off.  I should think that a professional board would be very
interested in such an incident.
Florida Hygienist - 18 Jan 2004 15:44 GMT
No, genius, *I* said it in as a means of finding an office where you will
NEVER have to wait, you will always be called back on time if emergency
patients aren't seen in a timely basis.  Maybe *you* should review the posts
before making accusations.

> You said if I had an emergency (toothache, missing filling, missing
> crown) the receptionist would get me an appointment "in about a month".
[quoted text clipped - 4 lines]
> f.ck off.  I should think that a professional board would be very
> interested in such an incident.
fiz - 18 Jan 2004 15:59 GMT
> No, genius, *I* said it in as a means of finding an office where you will
[chop]

Nobody cares what YOU said.  Now shut up and go floss your teeth or
whatever it is you wanna-be-dentist hygienists do in your spare time.
Florida Hygienist - 18 Jan 2004 16:14 GMT
Apparently you care.  You keep quoting it.

And at least I have a job.  (and teeth).

> > No, genius, *I* said it in as a means of finding an office where you will
> [chop]
>
> Nobody cares what YOU said.  Now shut up and go floss your teeth or
> whatever it is you wanna-be-dentist hygienists do in your spare time.
fiz - 18 Jan 2004 16:29 GMT
> Apparently you care.

Now you're just trolling.

PLONK
Tony Bad - 18 Jan 2004 16:45 GMT
> > Apparently you care.
>
> Now you're just trolling.
>
> PLONK

...now that is ironic!

T
carabelli - 18 Jan 2004 17:04 GMT
> > > Apparently you care.
> >
[quoted text clipped - 5 lines]
>
> T

and moronic.

carabelli
Joel M. Eichen D.D.S. - 18 Jan 2004 17:33 GMT
Oh this guy is b-a-a-a-a-a-d!

>> No, genius, *I* said it in as a means of finding an office where you will
>[chop]
>
>Nobody cares what YOU said.  Now shut up and go floss your teeth or
>whatever it is you wanna-be-dentist hygienists do in your spare time.

Signature

Joel M. Eichen, .
Philadelphia PA

DISCLAIMER FOLLOWS:

*********

Dental health-related material
is provided for information purposes
only and does not necessarily
represent endorsement by or an official
position of the SciMedDentistry gang
or any other official agency either
actual or fictitious or Steve Mancuso.

Advice on the treatment or care
of an individual patient should
be obtained through consultation
with a dentist who has examined
that patient or is familiar with
that patient's dental history.

STANDARD DISCLAIMER

Howard McCollister - 18 Jan 2004 22:10 GMT
> You said if I had an emergency (toothache, missing filling, missing
> crown) the receptionist would get me an appointment "in about a month".
[quoted text clipped - 4 lines]
> f.ck off.  I should think that a professional board would be very
> interested in such an incident.

You're wrong...

HMc
Howard McCollister - 18 Jan 2004 06:05 GMT
> > > > And the next time you have a toothache, lose a filling, or a have a
> > crown
[quoted text clipped - 19 lines]
> we?
> /folds hands and smiles sweetly

The whole concept indicates complete cluelessness about how professional
licensing boards work. If you just wrote a letter, no matter what you
claimed, they would just shred it. To get any attention, you would have to
fill out a formal complaint file such as described here
http://www.dentalboard.state.mn.us/complaintov.htm , and it's validity would
be investigated before the dentist in question would even be aware of it. An
after they heard the details (unless you lie), they'd just shred it and
likely the dentist would never know.

HMc
fizz - 18 Jan 2004 15:27 GMT
> > > > > And the next time you have a toothache, lose a filling, or a have a
> > > crown
[quoted text clipped - 31 lines]
> after they heard the details (unless you lie), they'd just shred it and
> likely the dentist would never know.

Maybe that's how it's done in Minnesota, but not all states are like
Minnesota.  (Besides, I suspect that you don't know what you're talking
about.)
Howard McCollister - 18 Jan 2004 22:10 GMT
> Maybe that's how it's done in Minnesota, but not all states are like
> Minnesota.  (Besides, I suspect that you don't know what you're talking
> about.)

Sorry, but you are just wrong.

But, it's a question that is easily resolved. Why don't you call your
state's dental licensing board and ask them. And get back to us.

HMc
Steven Bornfeld - 18 Jan 2004 18:34 GMT
> The whole concept indicates complete cluelessness about how professional
> licensing boards work. If you just wrote a letter, no matter what you
[quoted text clipped - 6 lines]
>
> HMc

    Actually, this is not uniform from state to state.  In NY, anyone can
make a complaint to the Office of Professional Discipline.  It can even
be an anonymous phone call, and they must open up a file on the
complaint.  A complaint of not being seen on time would likely get the
amount of attention it deserves, but charges of a serious nature will be
investigated.

Steve
Bill Combs - 18 Jan 2004 07:44 GMT
> At which point you hang up on that office and call one that has a
> reasonable schedule,

So far, that makes sense . . .

right before you write a letter of complaint to the
> dental board.

Complaint to the Board? About WHAT? The Board knows darn well that if
you don't like that dental office, you can solve that problem by just
going elsewhere.

The Board has serious, REAL issues to deal with.

-dentaldoc
taurusrc@aol.com - 17 Jan 2004 00:02 GMT
Waiting room staff that keep you waiting with no explanation should be replaced.
If the waiting room is full of patients, I always ask whether there is a delay
and how long it will be.  Most of the time I get a straight answer and I always
ask if I can leave and come back when I am likely to be seen.  

I have run errands and done my grocery shopping while I was waiting to see the
doctor.  Sometimes delays are inevitable but there are ways to cope.

There is nothing more uplifting than to walk back into the doctor's office or
even the hairdresser, after running errands and being the next client to be
seen.  But sometimes you get dirty looks from those who are waiting.

Ora

On Fri, 16 Jan 2004 16:46:48 -0500, in sci.med you wrote:

>Tired of lengthy waiting room vists?  Here is a formula for determining
>how much you should charge the doctor for the time you spend sitting in
>the waiting room.

>Tired of lengthy waiting room vists?  Here is a formula for determining
>how much you should charge the doctor for the time you spend sitting in
>the waiting room.
Joel M. Eichen D.D.S. - 17 Jan 2004 00:44 GMT
>Waiting room staff that keep you waiting with no explanation should be replaced.

Well that is common courtesy, and I can agree with your concept, but
not your methods!

You forgot to add the "Heil," either in the beginning or at the end.

>If the waiting room is full of patients, I always ask whether there is a delay
>and how long it will be.  Most of the time I get a straight answer and I always
>ask if I can leave and come back when I am likely to be seen.  

Good plan. What with cell phones, you can check back to see how things
are progressing.

>I have run errands and done my grocery shopping while I was waiting to see the
>doctor.  Sometimes delays are inevitable but there are ways to cope.

How about that ice-cream melting in the hot car!

>There is nothing more uplifting than to walk back into the doctor's office or
>even the hairdresser, after running errands and being the next client to be
>seen.

Yup.

> But sometimes you get dirty looks from those who are waiting.

Should be a word of explanation to the other people!

Joel

>Ora
>
[quoted text clipped - 7 lines]
>>how much you should charge the doctor for the time you spend sitting in
>>the waiting room.

Signature

Joel M. Eichen, .
Philadelphia PA

DISCLAIMER FOLLOWS:

*********

Dental health-related material
is provided for information purposes
only and does not necessarily
represent endorsement by or an official
position of the SciMedDentistry gang
or any other official agency either
actual or fictitious or Steve Mancuso.

Advice on the treatment or care
of an individual patient should
be obtained through consultation
with a dentist who has examined
that patient or is familiar with
that patient's dental history.

STANDARD DISCLAIMER

carabelli - 17 Jan 2004 01:13 GMT
I run on time probably 97% of the time, if you wait it may be 15 minutes, no
longer.

Reasons I run late

1. Pt arrives with loose brackets that need repair.  We ask that they call
and tell us in advance so we will be prepared - most do not let us know.

2. Pt. sometime before you arrives late - as in they arrived past the time
we anticipated their appointment would last now we have to fit them in or
send them home.  For a time I had my staff reschedule these patients when
the arrived.  Lots of ill feelings that everyone in the reception room could
hear.  A no win situation, school couldn't locate the patient when the
parent arrived to pick them up, forgot and took the bus home when mom was
there to pick them up, and an endless variety of other reasons.  I
understand, it happens - send them home and reappoint for next week? - There
is a patient and parent that will bad mouth me to anyone that will listen.

3. New patients - we appoint them 15 minutes before they are scheduled to be
seated, send all paperwork, map to the office with directions and of course
confirm the appointment the day before and reaffirm directions and paperwork
were received.  80% show up 15 minutes late without the health history, ins
info etc...

4. True emergencies, you will be seen, others need to understand.

Trust me, it bothers me more than the patients.

carabelli
fiz - 17 Jan 2004 13:59 GMT
> I run on time probably 97% of the time, if you wait it may be 15 minutes, no
> longer.
>
> Reasons I run late
[chop]

Who cares about your excuses.  Time is money, and if you run late then
you will pay.
Joel M. Eichen D.D.S. - 17 Jan 2004 14:24 GMT
Time is money ... gotta get back home to play my  computer games
.......

I am guessing here, but how many teeth of yours are missing?

Joel

>> I run on time probably 97% of the time, if you wait it may be 15 minutes, no
>> longer.
[quoted text clipped - 4 lines]
>Who cares about your excuses.  Time is money, and if you run late then
>you will pay.

Signature

Joel M. Eichen, .
Philadelphia PA

DISCLAIMER FOLLOWS:

*********

Dental health-related material
is provided for information purposes
only and does not necessarily
represent endorsement by or an official
position of the SciMedDentistry gang
or any other official agency either
actual or fictitious or Steve Mancuso.

Advice on the treatment or care
of an individual patient should
be obtained through consultation
with a dentist who has examined
that patient or is familiar with
that patient's dental history.

STANDARD DISCLAIMER

NOYB - 18 Jan 2004 03:11 GMT
It's easier to count how many of his are present...cause that should require
more than one hand.

> Time is money ... gotta get back home to play my  computer games
> .......
[quoted text clipped - 11 lines]
> >Who cares about your excuses.  Time is money, and if you run late then
> >you will pay.
NOYB - 18 Jan 2004 03:10 GMT
> > I run on time probably 97% of the time, if you wait it may be 15 minutes, no
> > longer.
[quoted text clipped - 4 lines]
> Who cares about your excuses.  Time is money, and if you run late then
> you will pay.

Dentists run late because we constantly alter our schedules to squeeze in
those "my-front-crown-came-off-and-I-have-dinner-with-friends-tonight"
patients.  If *you* were that patient, you'd appreciate the dentist altering
his/her schedule to accommodate you.  Of course, I only go out of my way to
alter the schedule for patients I like...and I doubt that you'd be one of
'em.
Vaughn - 17 Jan 2004 15:24 GMT
> I run on time probably 97% of the time, if you wait it may be 15 minutes, no
> longer.
[quoted text clipped - 5 lines]
> 3. New patients - we appoint them 15 minutes before ...
> 4. True emergencies, you will be seen, others need to understand. ...

    I also know of a fifth reason dentists run late; dental labs.  Having
been aware of that world for many years, I know that they too often deliver
cases at the last minute.  In fact, the last two times I have had caps
fitted, the lady with the little paper bag showed up scant minutes before my
chair-time.  My wife is responsible for the work flow through her lab and
often has to call dental offices to find out when a case is "really" due.

    As a typical dental patient (and a typical human), I have gotten
distracted on my job and totally missed dental appointments, not often, but
it has happened.  I atone for these rare incidents any way I can; including
offering my cell phone number so they can call me on short notice when they
get a cancellation.  I have also shown up for scheduled appointments to find
the dental office closed (sh.t happens) and I have also (rarely) had to
suffer through unexpected waits.

    You should know that I, and probably most patients, judge a dentist or
other practitioner partially on the basis of their front office.  If the
staff are unfriendly, ill informed, insincere or evasive, it tells me
something about the dentist.  If the office is unclean or disorganized, it
tells me something about the operatory.   Naturally, the opposite is also
true.

    This morning, my wife was scheduled for a mammogram (grammygram?)  We
showed up 20 minutes early to deal with the dreaded clip board with the
attached pen.  The place was clean, neat and efficient.  She was called in
for her 8:30 appointment at 8:29 and we were out of there 20 minutes later.
Sometimes sh.t doesn't happen.

Vaughn
Tony Bad - 17 Jan 2004 15:30 GMT
>      I also know of a fifth reason dentists run late; dental labs.  Having
> been aware of that world for many years, I know that they too often deliver
> cases at the last minute.  In fact, the last two times I have had caps
> fitted, the lady with the little paper bag showed up scant minutes before my
> chair-time.  My wife is responsible for the work flow through her lab and
> often has to call dental offices to find out when a case is "really" due.

I don't think it is fair to blame a lab unless they routinely blow off requested
dates. I worked in an office when just out of school that would routinely
schedule patients for the day they requested the case. This left them no time to
look it over, compensate for an unexpected delay, or bad weather...and there was
no good reason for scheduling things so tight. I prefer to leave a day or two of
wiggle room. Rarely do I need it, but when there are instances that a case needs
some fine tuning, no one has to panic. There is enough pressure in healthcare,
why add to it by scheduling like you are running a swiss railroad!

T

>      As a typical dental patient (and a typical human), I have gotten
> distracted on my job and totally missed dental appointments, not often, but
[quoted text clipped - 18 lines]
>
> Vaughn
Joel M. Eichen D.D.S. - 17 Jan 2004 15:56 GMT
>> I run on time probably 97% of the time, if you wait it may be 15 minutes,
>no
[quoted text clipped - 13 lines]
>chair-time.  My wife is responsible for the work flow through her lab and
>often has to call dental offices to find out when a case is "really" due.

REPLY:

We never tell them ,,,, its better to look the case over first and if
necessary, cancel the patient's appointment because I do not like the
shape of the pontic ..... I suspect dental labs bushwhack us with the
last minute deliveries......

We keep all of the lab appointment/schedules in Albanian or in Papua
New Guinean ........

>     As a typical dental patient (and a typical human), I have gotten
>distracted on my job and totally missed dental appointments, not often, but
[quoted text clipped - 18 lines]
>
>Vaughn

Signature

Joel M. Eichen, .
Philadelphia PA

DISCLAIMER FOLLOWS:

*********

Dental health-related material
is provided for information purposes
only and does not necessarily
represent endorsement by or an official
position of the SciMedDentistry gang
or any other official agency either
actual or fictitious or Steve Mancuso.

Advice on the treatment or care
of an individual patient should
be obtained through consultation
with a dentist who has examined
that patient or is familiar with
that patient's dental history.

STANDARD DISCLAIMER

Joel M. Eichen D.D.S. - 17 Jan 2004 00:38 GMT
>Tired of lengthy waiting room vists?  Here is a formula for determining
>how much you should charge the doctor for the time you spend sitting in
>the waiting room.

REPLY:

I love these posts!

LOVE them.

Here is the reply: Any patient who wants to be seen exactly on time,
well you are welcome to purchase a three-hour time slot from me, (for
your one hour appointment. or ten minute appointment). I will be
sitting there waiting for you, whatever time you want to show up.

This is how the White House handles dentistry for George Bush. The
dentist just sits there and reads his own old magazines, just waiting
for the bossman.

PS- They pay the dentist lots of dough! You do not!

Joel M. Eichen DDS

>STEP ONE -- RECORD THREE TIMES
>
[quoted text clipped - 66 lines]
>A - W is 8 minutes, so your excess wait time is S - A - 15 = 35 minutes.  
>The doctor owes you $35.

Signature

Joel M. Eichen, .
Philadelphia PA

DISCLAIMER FOLLOWS:

*********

Dental health-related material
is provided for information purposes
only and does not necessarily
represent endorsement by or an official
position of the SciMedDentistry gang
or any other official agency either
actual or fictitious or Steve Mancuso.

Advice on the treatment or care
of an individual patient should
be obtained through consultation
with a dentist who has examined
that patient or is familiar with
that patient's dental history.

STANDARD DISCLAIMER

Steven Fawks DDS - 17 Jan 2004 03:13 GMT
You're one funny lady!

:-)
Fawks

Lilly

> Tired of lengthy waiting room vists?  Here is a formula for determining
> how much you should charge the doctor for the time you spend sitting in
> the waiting room.
Vaughn - 18 Jan 2004 01:09 GMT
> Tired of lengthy waiting room vists?  Here is a formula for determining
> how much you should charge the doctor for the time you spend sitting in
> the waiting room.

    Many of you know that I hold the distinction of being smd's only
professional glider pilot, so perhaps it would be fun to talk about our
scheduling problems at the airport.  First, our entire weekend day is
typically scheduled tight!  Like you, there are many things that set us
behind, weather, equipment, late customers, people that just don't come back
down etc. etc. etc.  Once behind, it is difficult to get caught up.   We
have many people that are just there for a glider ride, we usually tell
these folks that this is not the dentist and we try to make the wait fun and
interesting for them.

    My flight students are supposed to be more understanding, I tell them
to leave their watch at home and instead strap a calendar to their wrist!
If the date is correct, we are on time!

    By the way, I am temporarily laid off from that gig and am taking the
opportunity to turn the tables and enjoy some flying lessons.

Vaughn
 
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