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Old 04-28-2010, 07:24 PM   #1
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Doctor Code Means Pain in the Rear

Did you know doctor offices can use private internal codes to signify a patient is difficult to treat and as a way to weed them out of the practice? I just read an article about this trend. They mark the chart with a rectal code or some other way to signify to staff that it's ok if they can't get THIS pain-in-the-tail patient an appointment very quickly or whatnot. I'm surprised my doctor hasn't done this to me with the years of problems I've had since an accident. I'm sure a patient who can be healed is a heck of lot more pleasant to deal with. According to the article, it's a doctor's market out there, especially for PCP's because there is a shortage of them. I want to be someone else.

 
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Old 04-29-2010, 08:07 AM   #2
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Re: Doctor Code Means Pain in the Rear

girlfriend they have been doing it for years. i remember it 35 years ago. i remember charting it! you don't strike me as one of those patients. i know what it takes to get that code. or used to anyway. time passes, methods change. glad someone told.
my solution is to call myself the doctors favorite pain in the arse. i tell the doc and the staff that every time i go. when i call i say, hi, it's your favorite pain in the butt, they laugh.
i know i am alot of work so i prepare them for it. that way we can all laugh as we do the best we can to help me. i know i am overwhelming at times with issues of the body. i know i wear my doc out. he gets special hugs for patience. he also has permission to tell me to slow down, overload. giggle. tho he says treating me has to be easier than being me. smart man!
so, what's going on? i know you started this for a reason.
peace,
blue

 
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Old 04-29-2010, 10:53 AM   #3
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Re: Doctor Code Means Pain in the Rear

Ah, to be you. I think I've lost my sense of humor. My husband has wanted me to fire my pcp for years. Maybe I just need to do it. I think he'd be thrilled to not have to be involved in the refills, let alone get rid of someone who doesn't respond to his marvel of medicine persona.

I felt like I needed to go to the emergency room last night--if it weren't for the $100 copay, I would have--I've just have had lots of medical bills these past four months. I called my insurance nurse's hotline and they said to call my pcp; if I did not hear from him within an hour, to go to the er. He called and acted like I had gas or something. My stomach swelled two full pants sizes in 20 minutes and started up the nauseousness and rib pain. I've not been right since the incisional hernia and major surgery--there is inflammation in my stomach and bile; there's a bone spur and dessication in the ribs. I can be ok one minute and then so nauseous and pain-filled that my only prayer is to be still as anything. I'm just messed up and trust no one and can't stand be vulnerable to anyone. Thanks for the shoulder.

 
Old 04-30-2010, 07:30 AM   #4
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Re: Doctor Code Means Pain in the Rear

anytime girlfriend. anytime. perhaps it is time to shop around for a new doc. hey, without my sense of humor i would be a mess. laughing reminds me to be cool. tho i would not have been nice to my doc if he blew me off. him i would fire.
it feels good to fire them. empowering.
how long ago was your surgery? any follow up mri's to make sure all is well inside?
wish i could share my doc with you. he's a peach.
sending hugs full of woman power.
peace,
blue

 
Old 04-30-2010, 08:34 AM   #5
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Re: Doctor Code Means Pain in the Rear

Hey, blue. Yeah, they did an MRI and it showed a bone spur/shallow disc at t8-9 and dessication in that area as well--so there is something there that could be aggravated by the swelling in my stomach. I see the pain guy today (he's really nice, but overworked) and the stomach guy on Monday (he's the beep beep roadrunner guy). The surgery was in January.

How are you doing? Is the weight loss stopped? The last time I heard, you were finally able to gain a couple of pounds after losing over 80 rapidly.

I will go back to being nice with the doctors instead of so distrustful and disgusted--it's a reflection on me when I let my hopes cave so completely sometimes. I do believe I will fire the pcp, but not out of disgust. It's just time.

 
Old 04-30-2010, 08:59 AM   #6
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Re: Doctor Code Means Pain in the Rear

hey girl,
now you sound like you again. yipeeee!!! get your "you" back girlfriend and you will do fine dealing with the good docs. maybe ask the docs you like to suggest someone they would go to if they needed a doc? my docs brother will be doing my next surgery. keeping it in the family. i asked him who he would let operate on him. he suggested 2 doctors, i chose his brother.
still trying to keep my weight up. lost those pounds and 1 more. now i tell myself as long as i stay above 110 i can be cool with it. changing the goals to go with the changing body, giggle. eating better but no weight gain yet. at least i am thinking about food sometimes instead of being reminded about it by my brother who cooks for me.
let me know what the docs say please. going for my massage today. my fanny is so happy it's friday and she gets a good rubbing. giggle.
peace,
blue
ps. my body has all this extra flesh now. giggle. look like an empty potato sack. giggle

 
Old 04-30-2010, 12:47 PM   #7
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Re: Doctor Code Means Pain in the Rear

baserockermom, this is sad, but kind of funny. Can you imagine some of the codes they put on peoples charts. I am sure I have had a few things said about me. I did know that docs offices can and I am sure do this. Now though with many systems becoming computerized, when you can sit right there and read what the doc is typing in your computer chart and read it after the nurse leaves if she doesn't clear the screen, I think they have to be a little more careful. Of course there is still the code word or symbol. My docs have a few treatment rooms where you can't get at a good angle to read what they are typing.....bummer.

Glojer

 
Old 05-02-2010, 10:56 AM   #8
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Re: Doctor Code Means Pain in the Rear

what is this code?

 
Old 05-05-2010, 05:22 PM   #9
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Re: Doctor Code Means Pain in the Rear

Chickamin, I don't know what the actual code is, but call me paranoid, it really puts a whole new meaning on a doctor's opinion if that opinion is now shared on computerized files. I go anywhere these days, and they can just pull up my medical records in an instant. I wonder if there is some universal code for pain-in-the-rear patient that can now poison all future relationships. I am a bit paranoid, just for the record.

Glojer, I've just gotten in the habit of asking for a copy of all reports from my last visit when I go in. Maybe that will earn me the p-i-t-r patient code for sure. I do that for specialists, not my pcp. My neck just got too sore looking!!!

Blue, my appt with the roadrunner guy went much better--I didn't even stand in his way at the door. I was sure to tell him one thing he did that helped before going on to what was left. That worked better.

Turns out my pcp's attitude toward my off-hours call (which I made after the insurance company insisted) was not in my best interest; and was somewhat dangerously indifferent. The endocronologist said I should have immediately gone to the emergency room and gotten an x-ray and told me to do so if it happens again.

I guess the moral to the story is... if your pcp thinks you are a pain in the rear, you may be treated like a pain in the rear. I'm sure chronic pain is an awful burden for a doctor's office. He's a good doctor for regular stuff, but not for chronic stuff. I'm still working on the search for a new one.

 
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