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GBM's avatar

I am a retired pediatric specialist. I have several physicians at this point in my life but most have the same problem. They do minimal to zero physical examinations. For my urologist after six years post-prostatectomy and no fear of relapse, it made sense that he did not touch me. However, for each physician, I have the luxury of accessing their official office notes via MyChart. Every one of them filled out a full Physical Exam with phrases like: Lung exam: no visible breathing difficulty and skin: no evident lesions. This is pure and simple fraud. It is dishonest and is a cynical attempt to jack up the possible professional charge. Yes, Medicare screws them paying less than 50% of what they can get from commercial insurance. These doctors include an internist, who spent less than 30 seconds doing a superficial heart and lung exam and did not touch my abdomen but still included it in her documentation, the urologist aforementioned who did not touch me once, the Physical Medicine and Rehabilitation doctors who did not ENT or cardiopulmonary assessment, and the endocrinologist who confined herself to a sensory exam of my feet due to my type 2 diabetes. These physicians work in the Texas Medical Center or affiliated clinics. The insurers are complicit because this documentation is clearly and obviously copy and paste. I suspect that this is common in all of American medicine. When I was in practice, I did an ENT exam, heart exam, full lung exam (I am a pulmonologist), and a thorough abdominal exam on all patients. I got a good exam of the skin, gait, key aspects of neurologic exam, and a screening psychological exam. The standards have dramatically fallen. NO ONE IS TALKING ABOUT THIS!

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CindyArizona's avatar

I have always refused to wait. I’m guessing it was my mother’s absolute affinity for punctuality that gave me that bravery. I arrive at the proper time (ten minutes early) and inquire as to the wait. If it is more than fifteen minutes beyond my appointment I immediately cancel and leave. I have used the line, “What makes the doctors time more valuable than mine” when asked why I’m canceling. I now have a dentist, a GP and an orthopedic specialist where I walk in, register and within minutes am escorted to the inner sanctum. I let the doctor know each time

how appreciative I am of them being respectful of my time by not making me wait. Maybe if we all speak up more of them will change.

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