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Home » Thyroid Cancer

 

I Don’t Get No Respect

By Melissa Young, MD | July 26, 2010

As I sat here at 5 p.m. waiting for my 4:30 patient to arrive, I couldn’t help but think, al a Rodney Dangerfield: “I don’t get no respect.”

I pride myself on running on time. I am quite obsessive about it. I get very agitated if I am running even five minutes late. It is one of the things my former partner once taught me. My patients love it. They don’t even have time to sit down in the waiting room. It is probably more appropriately named the reception area, since there is almost no waiting going on out there. My patients know that they can come in, be placed in a room, and be seen in a timely manner. They can plan their day around their visit because they know they will on their way at a certain time.

Of course, to make this run smoothly, patients must arrive on time. Yes, of course, I understand, weather, traffic, flat tires, etc., etc. happen. So while we do have a policy that states that patient may have to be rescheduled if they are more than 10 minutes late, we often find ways to accommodate them.

So today, when Mr. 4:30 had his wife call at 4:30 (!) to say they would be about 10 minutes late, we said OK. At 4:45, I had my secretary call them and ask them how much longer they would be. Five minutes, 10 tops. Sigh. OK.

At 5 p.m. (closing time), I called. They were at the corner. I told them that it would have to be a quick visit because they were already 30 minutes late and we are supposed to close. So when he saunters in, and wants to tell me all his woes, I have to cut him off and tell him that due to time constraints he’s just going to have to answer my questions.

Good Lord, of course he had to be incapable of answering yes or no questions without a two paragraph story! And his major concern? That if he ran a marathon, that he would have a heart attack. Is he planning on running a marathon? No. Does he have any chest pain shortness of breath or other symptoms? No. No problems walking up stairs? No. I was ready to have a heart attack.

Now, bear with me. I was already agitated. I had a woman screaming at me over the phone that she is tired and can’t lose weight, but doesn’t want to take her thyroid medicine because it makes her tongue feel “like a sponge.” No, it wasn’t swollen, just spongy. Sigh. I tried to listen as respectfully as I could, but at one point I just had to tell her to stop yelling at me.

What ever happened to manners? To courtesy? Why do patients feel that our time is unimportant? That we should just sit there and take it when they yell? That they can call you at 11 p.m. to ask for a prescription? That they can not pay their share of their bill? It has been a long exasperating week.

 

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by Kimberly Spering | July 29, 2010 8:06 AM EDT

I completely agree with all of the posters, except Jeff Denning...whom I suspect may not even be a health care provider by his comments.  How rude.

Dr. Brown, I have read all of your blogs, and you have every right to feel that we should be treated with respect, and our time valued.  I had a patient call and tell our office manager, "I just got done screaming at your staff..."  She was immediately cut off and politely but firmly told that this is not tolerated.  Ever.  And if she did it again, she would be fired.  Our patients have a maximum of 15 minutes to be late...at the discretion of the provider.  Otherwise, they are rescheduled.  Period.

For all of the rude, inconsiderate, "entitled" patients out there, remember that there are others who will make your day as well.

by Kumkum Ahluwalia | July 27, 2010 5:04 PM EDT

I feel very strongly that you "train" people how to treat you-personally and professionally.  If a rule is bent once-it will be bent again.  In a group practice all need to be on the same page about tardiness and cell phone use in the office. As Dr. Phil would ask-what are you getting out of it? If you are allowing a certain behaviour in your office, you have to ask this question of yourself.  If the answer is nothing-then put a stop to it. Only you can.

by Melissa Young | July 27, 2010 5:03 PM EDT

Thank you, Drs. Sanchez and Rheaume.  I am hanging in, and most days my patients are friendly, considerate, well-mannered people.  It had been a rough week though.

 

Dr./Mr. Jenning (you don't say if you're a doc or not).  Yes, I do feel better, thank you very much. And yes, I do understand that I am not the center of the universe.  I have to take into consideration the lives of my family and my staff every day.  I have to listen to patients and their families, their referring physicians (and their staff), pharmacists, drug reps, insurance compnay employees, and hospital employees to name a few. And absolutely, give and take is necessary.  Which is why I waited for over half an hour for this man, instead of locking the door at 5pm.  And I don't believe God keeps a ledger.  He has already saved me despite my sins, because He loves His people.  Rants and all.

by Francisco Sanchez | July 27, 2010 1:55 PM EDT

I agree with Dr. Young.  Society is undergoing a distinct erosion in civility, respect and just plain manners.  This is further perpetuated by the efforts of Messrs Press and Gainey telling patients that it's okay to have unreasonable expectations, all the while making us feel inadequate for not meeting them.

I was brought up to believe that punctuality shows respect for the person with whom one is meeting.  Valid points (and not voices) should be raised in order to make an argument.  We are professionals. We trained very hard and sacrificed much to learn the healing arts.  What our profession is doing in abdicating that position of respect is tragic, but as a profession, we are reaping what we sow.

I require my patients to be prompt; their appointment time is shortened by the number of minutes that they are late.  Late policy is fairly and reasonably applied.  People who call ahead and arrive reasonably closely to their new ETA are thanked for their courtesy and accomodated within reason.  Just as our patients have a right to leave work and be with their families at a reasonable hour, so do we.  Abuse of any kind is an immediate firing from the practice unless there are extraordinary extenuating circumstances.

J Denning is either clearly not a grunt-in-the-trenches primary care physician or else does not have the need to leave the office at a reasonable hour.  Leave the Almighty out of it; I'm sure He has enough to do without keeping a patient-physician ledger to boot.

Dr. Young, hang in there.  I'm with you.  Set the expectations with your patients and stick to them.  no one will blame you for consistency

by Jeff Denning | July 27, 2010 12:52 PM EDT

Feel better after your little rant? You'll better keep your sanity if you recognize that a) you're not the center of the universe and b) you will from time to time have to allow for some give and take in life. In heaven, God keeps a ledger showing all the time patients wait for doctors on one side and all the time doctors wait for patients on the other. That ledger will never balance. Get real. Jeffrey J Denning, La Jolla, CA

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