I have a google voice number that I give out to patients that forwards to my cell phone. That way caller ID will come up with my GV number and I know it is either spam or a patient call.
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During covid peak we were very short staffed etc and I started giving my cell out bc I thought it was not safe for someone w covid to not be able to call the office and let me know they were feeling worse etc. calls were just not being answered by our front desk bc they had a line of 10-20 people trying to check for testing etc. now 2yrs later I’m getting texts on weekends for ear pain, pink eye, xanax…for these I won’t respond till next business day and I’ll have my staff call them. Patients are slowly getting the hint. I have asked a few repeat offenders to “please call the office for refills/appts during normal business hours.”
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Originally posted by Lordosis View Post
I have made it explicitly clear with my secretary that I should be interrupted when a physician calls looking to talk to me.
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Originally posted by gap55u View Post
One drug company found a frickin awesome way to get through to me: Dr Smith called asking for me. Patched through. Was Dr. Smith from India to tell me about a new drug. Jeez!
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Originally posted by Lordosis View Post
I would not prescribe it out of spite!
If there’s a different prescription drug with comparable efficacy, order that instead. If there’s a generic that’s just as effective, order that unless there’s some crazy reason not to.
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Originally posted by Hank View Post
If it’s the best or most warranted drug or product, prescribe it (begrudgingly) because you’re looking out for the patient’s best interest.
If there’s a different prescription drug with comparable efficacy, order that instead. If there’s a generic that’s just as effective, order that unless there’s some crazy reason not to.
But honestly I have not seen or talked to a drug rep in years. Even before the pandemic. I would not agree to attend any meeting unless it was a novel drug and something I am likely to prescribe over generic equivalents. I don't need panara bad enough to hear about eliquis for the seventh time.
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I gave mine out to select clinical trial subjects in the drug studies I ran; that way I could give directions as the study coordinator (with my PI’s blessing, of course).
For the monitoring studies, no way (we told them the symptoms to look for and those in monitoring had a family history of the condition in question).
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I'm a PCP and there was a time in the beginning of my career that I gave out my number to a few select patients. And guess what? They called me when they were sick or needed clarity on the plan of care. Patient's perceive the quality of care as spectacular when they have easy access to you and it felt good to me to provide that level of care. But, for me, I learned quickly that this level of care is sustainable only in a lower volume practice with less medically and psychiatrically ill patients (concierge, anyone?). It's a complete set up for burnout to do otherwise, IMO. I enjoy medicine but I also enjoy my time after hours and on the weekends. There are some physicians who don't mind being frequently accessible and some carry on into their 70's and 80's in this manner, which is amazing to me. But that's not me and I tend to think it's not most physicians, for the long haul at least.
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Originally posted by gap55u View Post
One drug company found a frickin awesome way to get through to me: Dr Smith called asking for me. Patched through. Was Dr. Smith from India to tell me about a new drug. Jeez!
Always silence or stuttering.
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