tag:blogger.com,1999:blog-2760353953251845523.post3461642508972884635..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: What are we doing?Jeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-2760353953251845523.post-62214481711403813672008-12-26T01:02:00.000-05:002008-12-26T01:02:00.000-05:00The primary care docs in a rural area near me don'...The primary care docs in a rural area near me don't even make 100K with seeing as many patients as possible on a given day. The Medi-care penetrance is so high that the docs can't make money. One of the NPs who used to be in private practice with one of these docs left to come to the city since he could make more (and nearly 150% what his former doc colleague is making an hour away).Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-15591046398048344702008-12-22T10:55:00.000-05:002008-12-22T10:55:00.000-05:00I think Dr. Glausers just upset because his Offici...I think Dr. Glausers just upset because his Official Cleveland Clinic Photo looks like a Sex Offenders Mug Shot, check my blog if you doubt me...And good on ya Annonymous, makin me feel guilty for the reasons I chose Anesthesia, gettin to wear Wcrubs 24-7 and goin home at 8am the day after bein on call....Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-31725240684428984832008-12-21T21:55:00.000-05:002008-12-21T21:55:00.000-05:00I think you are right. I'm a well trained family ...I think you are right. I'm a well trained family doc who graduated with honors from medical school. I remember beating the dermatologists and radiologists on most of the exams we had. I chose primary care out of interest, not because I'm a stupid jerk who couldn't do any better. I trained at two well known university hospitals and passed my boards in the 98th or 99th percentile. I am CAPABLE of taking care of way more medical problems my patients have than I actually do. Why? I don't have time. When the patient has three complex new problems, I have to refer out at least one of them. If I spend 45 minutes doing it right, I will have generated only slightly more than 1/3 the revenue of three 15 minute visits. That's the tyranny of primary care--patients present with multiple issues, and we get paid one low fee no matter how much work we do. I often do the work of a dermatologist, orthopedist, and gastroenterologist in one visit which pays $88, but would have cost Medicare $1000 or $2000 if the patient saw the three specialists who would then order multiple tests. Yet, because primary care is not valued to the point it's disappearing, this really inexpensive and pretty high quality care I can provide won't be around much longer. It's so absurd. I would LOVE to be paid enough so I could do a complete, thorough job with each issue, the way I was trained in medical school and residency. I would refer far less, and overall costs would go down. But as you say, that would put a lot of specialists out of business, so I doubt it will ever come close to reality.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-57038298801090565142008-12-21T21:10:00.000-05:002008-12-21T21:10:00.000-05:00Nice job doc.Nice job doc.The Happy Hospitalisthttps://www.blogger.com/profile/14392872203166584371noreply@blogger.com