"A Doctor's & RT's WORST NIGHTMARE"

SelfSeeker · Post by **SelfSeeker** » Tue Jan 30, 2007 3:32 pm

Actually I agree with both Mile High Sleeper and Snoregirl.

Before you do anything to upset the balance with this doctor, make sure you get a prescription with bipap and two pressures written on it.

Insurance may not honour this Rx in a few years, but DMEs including online will. I am not sure if on your Drs file you are listed as CPAP or APAP.

Since you do have an appointment, maybe the Dr does want to see you. Do you think it is for a real follow up or for "money".

Rabid1 · Post by **Rabid1** » Tue Jan 30, 2007 4:36 pm

[quote="SelfSeeker"]Actually I agree with both Mile High Sleeper and Snoregirl.

Before you do anything to upset the balance with this doctor, make sure you get a prescription with bipap and two pressures written on it.

Insurance may not honour this Rx in a few years, but DMEs including online will. I am not sure if on your Drs file you are listed as CPAP or APAP.

Since you do have an appointment, maybe the Dr does want to see you. Do you think it is for a real follow up or for "money".

birdshell · Post by **birdshell** » Tue Jan 30, 2007 5:39 pm

My opinion is that you should go see the doctor. He might be one of the best doctors for you, but you won't know that until you see him.

The service to the entire outfit that will ensue when you report the behavior of the RT to his superior may be one of your missions in life! But, that is my opinion--I like to give people a chance or two before moving on, except if there are extreme circumstances indicating that I should move on with all possible speed.

I am moving on personally to a different sleep specialist, but I have given the current one several chances. Believe me, I'm not a high maintenance patient, but I expect to be treated reasonably well by everyone. I try to treat all of my medical care-givers well from the start.

I hope you will report your decision and its outcomes here so we may all learn from them. Best wishes in making your decision.

Rabid1 · Post by **Rabid1** » Tue Jan 30, 2007 5:49 pm

Birdshell,

At this point I'm planning to see him again. Yes, I've seen him for the initial consultation, and have spoken with him once on the phone. My impression of him is he is not for patients being heavily involved in their treatment. He totally pooh-poohs the APAP (they don't respond fast enough). He also is a DME.

I'd like to talk reason with him, but I'm not optimistic he'll be open to it.

_________________

CPAPopedia Keywords Contained In This Post (Click For Definition): DME, APAP

birdshell · Post by **birdshell** » Tue Jan 30, 2007 5:54 pm

It sounds as if this is a case of "power corrupts and absolute power corrupts absolutely," doesn't it?

Best of luck anyway.

Linda3032 · Post by **Linda3032** » Tue Jan 30, 2007 6:00 pm

If the doctor visit won't cost you too much out of pocket, then I think you should go. Not so much to educate him, or confront him (which you do), but because you wouldn't want to burn your bridges in case you ever have need of him. ..

Being called "the worst nightmare" is kind of a compliment (to me the glass is always half full).

And, in the future, the doctor (and maybe the DME eventually) will remember this one "pain in the rear" that was RIGHT. And perhaps think twice the next time a patient appears to know a thing or two.

Thank goodness my GP and Pulmo appreciate my involvement -- otherwise I would be called names too. Most definitely. ...

Rabid1 · Post by **Rabid1** » Tue Jan 30, 2007 6:11 pm

Doggone it Linda, why do you always talk sense to me

Ritap1965 · Post by **Ritap1965** » Tue Jan 30, 2007 6:18 pm

My text books say the following:"Now, client education has moved beyond the telling the client what to do. Instead, clients and their families are at the head of the health care team, working collaboratively with healthcare professionals to learn and to assisst in achieving their own healthcare goals." (Craven, 398)

Fundamentals of Nursing; human health and function / edited by Ruth F Craven, Constance J Hirnle; 49 contributors. ---5th ed. Publisher: Lippincott Williams & Wilkins.

So make sure you stay at the head of your health care team. Keep the appointment with the MD.

Rita
nursing student

Linda3032 · Post by **Linda3032** » Tue Jan 30, 2007 6:28 pm

Rabid1 wrote:Doggone it Linda, why do you always talk sense to me

Maybe because I'm an ex-Oregonian?

Did I ever tell you I have relatives in Bend?

Rabid1 · Post by **Rabid1** » Tue Jan 30, 2007 6:33 pm

Rita,

Are you sure the text book didn't read:

"Now, client education has moved beyond the telling the client what to do. Instead, clients and their families are at the head of the health care team, working collaboratively with healthcare professionals to learn and to assisst in achieving their own healthcare goals, unless you're a greedy sleep doctor who owns a DME"?

Rabid1 · Post by **Rabid1** » Tue Jan 30, 2007 6:36 pm

Linda3032 wrote: Did I ever tell you I have relatives in Bend?

Nope. Are they pappers?

Linda3032 · Post by **Linda3032** » Tue Jan 30, 2007 6:47 pm

Nope - at least not yet. But his mother and brother are.

Ritap1965 · Post by **Ritap1965** » Tue Jan 30, 2007 7:22 pm

Too funny Rabid 1.

Guest · Post by **Guest** » Wed Jan 31, 2007 11:22 am

Is it a conflict of interest for an MD to own a DME? Like an MD owning a pharmacy?

Rabid1 · Post by **Rabid1** » Wed Jan 31, 2007 11:51 am

[quote="Anonymous"]Is it a conflict of interest for an MD to own a DME? Like an MD owning a pharmacy?

"A Doctor's & RT's WORST NIGHTMARE"

Maybe the DME needs to go back to school