Well, as it turns out, it was very lucky that they did postpone the Lou Gramm concert. Erie is once again being hit by lake effect snow. They got twelve inches in two hours. This time, the worst of the snow has gone north of Erie and is hammering New York State. There are high winds in the Buffalo area and near white out conditions, with a reported three feet on the ground. Don't advise listening to this whole video. The fellow is annoying, but it gives you an idea of what the weather is like there.
It was very cold and windy here today, but our snow was minimal. I guess that I prefer that.
Funny story. The only real reason that I switched my family care provider was because they work in conjunction with the hospital, and without going through it all again, really, I think that our hospital is focused on maximizing their profits. I've discussed this before. I also am bothered by the simple inefficiency. Three visits to get lab work done because of a lapse in communication between the specialist (who works out of the hospital) and the hospital. A required EKG resulted in 'concerning results' which required yet another doctor to duplicate the test and could not see any problems at all. It just gets aggravating when the left hand doesn't know what the right is doing.
Knowing that I am going to need a knee replacement in my near future, I made up my mind to switch practices to one that is affiliated with a different hospital. Tim is already a patient there, and his experience at that hospital was eye opening. The procedure was scheduled in a timely manner. The pre-op instructions were concise and clear. Post op care was very organized and we were out of there on time. I am sure that they have their glitches. Nothing runs perfectly, but this was a very coordinated team and we appreciated that.
None-the-less, I did feel badly about leaving my practitioner. I really liked her a lot.
So today, I got a call from my previous doctor reminding me of my appointment. I was a bit dumbfounded. It hadn't occurred to me to cancel the yearly appointment. I thought that would have happened automatically when they processed my release of information to the new primary care practitioner. I called right away and explained that. Much to my surprise, I was informed that I needed to tell the new practice that they needed to get my records.
I said, "They did that already."
She said, "They have not. I'm looking at your records right now, and there is nothing on this."
I said, "Well, I'm not sure what to tell you. I signed the papers a long time ago. Probably at the end of summer."
Impatiently, she said, "Well, you didn't tell me that. I thought you meant that it had happened recently."
And that's the irritating thing right there. The right hand doesn't seem to know what the left is doing. I said, "Well, in any case, please tell Lindsey that it has nothing to do with her, that I thought she was great. There were just too many problems dealing with the hospital."
My appointment with the new doctor went smoothly. They've had my records since early September. They listened to my concerns about my knee, made notes. They are getting my records from the local orthopedist at the hospital, and will forward them to the orthopedic practice at the other hospital. I will have that appointment by the time I have my blood draw next Wednesday (which is done right there in their building.)
It was a much longer appointment than I expected. I stopped on the way home to get a frozen pizza, only to discover that I had taken my debit card from my wallet when I filled up the car. I had absentmindedly stuffed the card into a pocket instead of replacing it in my purse.
Yes. I see the irony. One of those cases where the right hand does not know what the left is doing. Have I ever told you how much inefficiency annoys me?
I live in a small town (today encased in ice). We have one hospital. All the doctors are owned by that hospital. You call the hospital switchboard (I know it isn't called that anymore) and they schedule all your appointments. It is run like your original practitioners office and hospital. It is maddening.
ReplyDeleteWe are close enough to the state line that we have the option of seeing doctors affiliated with the Jamestown hospital.
ReplyDeleteThat is fortunate.. hope it stays that way with you new home.
DeleteAt least you got a chance to say that it wasn't the old doctor's fault
There is no limit on the mileage. If the hospital/doctor is in network (meaning your insurance will cover them) I could travel to Florida to see my doctor. So, yes. I would be able to continue with the same care after our move.
DeleteWhen it comes to health care and medical issues, inefficiency is the last thing you need.
ReplyDeleteHope it all goes smoothly for you Debby.
I think the thing that really bugs me is that when the system doesn't work, it is up to you to figure out why. For instance, when there was no paperwork for the bloodwork, the doctor (who practices just down the hall...really, a two minute walk...), a phone call, is not contacted by the hospital. It is up to you to contact the doctor, whose phone is answered by a machine, and then you get a call back later. The same doctor's office made two appointments and never notified me of those appointments, feeling that this was my primary carer's office's job. How is this efficient??? When your mammogram has to be rescheduled because "they were not informed that you had a history of breast cancer" (this happened on two occasions.) I said, "I didn't make the appointment. Isn't it in my records?" The response: "We don't go through your records." I mean, this seems to make it clear to me that maybe they should start. I'm not even sure what the problem is, but it seems clear that there's some problems which need sorted. Nothing works.
DeleteI can't tell you how many times my husband has had to chase appointments and results. Dealing with the animals is much more efficient.
ReplyDeleteI hope all goes well with you.
Sad that this is the case, isn't it?
DeleteI can lose track of my card within seconds both before and after a purchase.
ReplyDeleteWe have a doctor shortage here, so we hang on to one through thick and thin. OTOH it is all one hospital system really, so there is no switching there either.
As we are told here, that's classic with "Socialized Medicine" (insert dramatic and ominous background music here). I am not sure why so many people believe that our for profit system is better, but here we are.
DeleteA new word I learnt today was silos, where one department is in silo, and another department is in its own silo, and never do the two communicate. Th example I am talking about has cost taxpayers tens of thousands of wasted dollars.
ReplyDeleteIs your hospital a non profit, I bet not, or to make profits? Duh!
It seems like you are on the right path now.
All hospitals that I know of are now 'for profit'. It never works. Profit has become the goal, patient care secondary.
DeleteI doubt anyone is thrilled with the way their medical practices are run although some are obviously much better than others. Glad you switched over. I do the same thing with my debit card frequently and then have a small heart attack while I look in all the different places it might be. My brain does not seem to be involved at all when I stick that card in a pocket.
ReplyDeleteIt was cold. I think my brain short circuits in the cold. Not sure what you guys in Florida use for an excuse, but it works here.
DeleteI've heard our local hospital is very similar. It certainly gets trashed on social media quite frequently. Fortunately, I have not needed to go there for anything other than to visit others.
ReplyDeleteIf you are smart, you need to keep the status quo. I hit 50 and suddenly I began falling apart.
DeleteGreat ending to your post. You did the right thing to get out of that practice which is completely disorganized. I had a doctor one time and I thought he was wonderful if I wasn't sick but if I was sick he was dangerous.
ReplyDeleteYikes!!!! That would be terrifying!
DeleteWell, at least you HAD your card, so...disaster averted! I did like the way you brought the post full-circle, though. :)
ReplyDeleteI'm going to venture a guess that Lindsay needs a new office manager.
Ah...but Steve...I did not have my card. It was shoved into the pocket of my work jacket. I was wearing my dress coat.
DeleteI'm not sure whether to laugh or groan about that "one hand not knowing..." in reference to your OWN hands! I sometimes think mine are attached to different bodies, and my head is on a another one all together.
ReplyDeleteI groaned. I knew exactly what I had done. I stuffed it into the pocket of my work jacket. Unfortunately I was not wearing my work coat.
DeleteI have spent the year consolidating all my doctors to one hospital. I hate having all new doctors, but the logistics are great.
ReplyDeleteHere, virtually all doctors are associated with the medical group that is associated with the local hospital. I know of two practices that are not.
ReplyDeleteOne of the things we discovered (much to our dismay) when we moved to Spokane was the quality of the medical care available. Difficult to find a practice that would accept new patients, and when we did we found them (both PCPs and specialists) to be pretty terrible. Poor care, poorly run office staff, could not get prescriptions correct, etc, etc. Damn good thing we kept the relationships we had with the physicians here in Tucson. Telehealth is a wonderful thing!
ReplyDeleteOur medical fleet is in Tucson, AZ. They're all good; good communication, good medical acumen, good good good. We are residents (tax, voting) of Spokane, WA. Much of what we do in the winter is come to Tucson and get the year's worth of physicals, teeth, scans and etc. done. Spokane is the pits, hospitals own 99% of the doctors, once you're assigned a doctor, you can't see anyone else in the organization. Walk in clinics are so busy they won't answer the phone. So, eventually, when we're really old and rickety, we'll be moving here full time, hoping that none of the fleet ages out, and that it's not too hot to sustain life. It's really frightening when I think about it.
ReplyDeleteYour system over there is so very different to ours (although there are some who are doing their utmost to move it towards yours). I cannot imagine your Dr being able to influence your hospital decisions - your surgeon and where they have their list would influence, but again, your health fund and the hospitals in general work together. True, if you don't have health insurance you are somewhat limited, but anyone can use the public facilities - and even if you don't have insurance you can go private with out of pocket payments (which some do). That being said, living regionally we don't have everything available here, hence me going to a nearby regional centre for my BC operation (because the best BC surgeon was there) and V going to the state capital for his knees (because the best knee guy was there).
ReplyDeleteI hope everything goes well with the new practice. My mom is content with Kaiser Permanente. Art and I go to the military hospital which has been OK so far. If it goes downhill... we'll switch to Kaiser. Hawaii is really lacking in doctors so many people go to the mainland for certain procedures.
ReplyDelete