Pediatrician
Dr. Shapiro completed his undergraduate education at UC San Diego, earning a B.S. in Biochemistry and Cell Biology, and a B.A. in Political Science. He furthered his education at UCLA where he earned a Masters Degree in Public…
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Waiting at the Doctor's Office: A Physician's Perspective
Posted in DailyStrength M... by Dr. Jeremy F. Shapiro on Jul 27, 2011
Between emails and regular mail, I am inundated with medically related information on a daily (even hourly) basis. And while I must admit I don’t have enough time to read each and every article, I do enjoying skimming the titles just to see if anything intrigues me.

And one that caught my eye the other day revolved around patients billing their doctors for being late.

Now I’m sure my colleagues would prefer me not bringing this topic up in fear of me furthering any grassroots movement on behalf of patients, but since this is something I do think about on a daily basis, I’d love to share my thoughts on running late with my patients and their families.

You see, I do believe everyone’s time is valuable. Just because I am a doctor doesn’t give me the right to run an hour behind schedule and not feel bad about it. But does anyone really think doctors enjoy getting behind in their day?

Take, for instance, my specific profession where newborns need appointments at the last minute (for obvious reasons, one just can’t schedule these visit a month in advance), “emergency” walk-ins occur sometimes on a daily basis, or what was scheduled as a routine ill visit (e.g. cold symptoms x 3 days) actually evolves into the “and by the way, my son has had on and off chest pain for the past month”.

And as my goal is to answer and have a plan for each and every question that is asked of me, yes, there are some days where I am running behind. So when I walk into a regularly scheduled physical for a 5-year-old and I’m 40 minutes late, how best for me to handle?

Well, firstly, I apologize. No reference is made to why I ran late (although it would be easy enough to share I had to squeeze 2 newborns in back-to-back) as I’m a firm believer that making excuses is not the way to go. But I do recognize running late stuck in a patient room for ¾ of an hour with a child bouncing of the walls is not always an ideal thing.

Now most patients and their families are comfortable with a sincere apology realizing they also will get my full attention during their child’s visit…answering all questions no matter how long it takes.
For those who remain upset, well, I typically hope by the time they sit down at the end of the day, they realize that running late was not my goal of the day.

I am a patient from time to time as well. And waiting any extended period of time for my visit to begin is annoying to say the least. But the last thing I want my doctor to do is run so fast from room to room in order to maintain his schedule that I feel my questions have not been answered and my care has been compromised.

Dr. Jeremy


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Displaying comments 30-11 of 30
30
Over-scheduling is not the patient's doing. The onus for compromising care is on you. Your greed is not resolved with an apology. Doctors too often forget they work for the patient. Your article only confirms the arrogance of doctors.
By TheByzantine  Jan 26, 2013
29
I believe there should be some compensation for a very late visit. Maybe it would be incentive to be more organized with the schedule. These offices has no problem sending you a bill if you happen to forget your appointment. Even with offices that don't give you a call a day ahead of time as a reminder.
By lizgirl  Oct 06, 2011
28
YEAH, I've sat for 2 hours total, between the waiting room and the exam room ONLY TO HAVE A 15-MINUTE APPOINTMENT!!
By energylost  Aug 01, 2011
27
I had the worst of all worlds. Wait, wait and wait. Then his staff was so rude. He would always rush away from me...had to finally reach corporate headquarters. He cared more about his staff (extremely rude) than his patients. His licensed practical nurse was the pits. I gave him ten years which he did not deserve. FOUND A PRACTICE THAT IS HUNGRY...it's all about money...sad to say.
By JoanMack  Aug 01, 2011
26
There's NO EXCUSE for discourtesy from a dr. But it's unnecessary to hang around the doctor's office or sit for a long time in an exam room. Give the nurse your cell phone number and tell her something's come up, that you have to move your car or you forgot something, etc. and you'll be back, to call you when the dr is about ready to see you. Then go shop or go eat. Believe me, they don't want to miss their money. They'll work with you.
By han2loe  Jul 30, 2011
25
There's NO EXCUSE for discourtesy from a dr. But it's unnecessary to hang around the doctor's office or sit for a long time in an exam room. Give the nurse your cell phone number and tell her something's come up, that you have to move your car or you forgot something, etc. and you'll be back, to call you when the dr is about ready to see you. Then go shop or go eat. Believe me, they don't want to miss their money. They'll work with you.
By han2loe  Jul 30, 2011
24
IT TOOK 6 YRS & 6 DOCTORS TO FINALLY FIND ONE WHO USED HER EARS TO LISTEN TO ME. THAT AN ANTI-DEPRESSANT (WASN'T) THE ANSWER FOR MY HEALTH PROBLEMS!!
By energylost  Jul 30, 2011
23
15 MINUTES IS HARDLY ENOUGH TIME TO SPEND WITH A PATIENT, BUT THEY DO.

I've been "cut off" to let me know time is up and they start walking to the door. Their arrogant. No other business would get away with doing that.

Since 2008, the doctors have wanted to remedy MY HEALTH PROBLEMS WITH AN -- ANTI-DEPRESSANT.

IF THEY WOULD SPEND MORE TIME WITH ME TO KNOW AND REALIZE THE (REAL) PROBLEM
By energylost  Jul 30, 2011
22
I had one doctor, with a busy practice, who truly thought his patient's time was valuable. He scheduled "emergency" time slots each day, in the morning and afternoon. If he was running behind -- which seemed to happen rarely even though he was unhurried with each patient -- I would get a phone call from his staff letting me know this, so I could adjust my schedule accordingly.

He was the most caring, compassionate doctor I ever had. He helped me through a traumatic and difficult time in my life. His knowledge and skills were excellent. The way he ran his schedule reflected all this. Of all the doctors I've seen in my lifetime, this one stands head and shoulders above all the rest.
By StehtFest  Jul 30, 2011
21
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By adoption25  Jul 30, 2011
20
I concur with all those who say that doctors need to stop overbooking, that way there is less of a time problem should an emergency come up. I do understand emergencies, but they should not account for me waiting forever until it's my turn. And very rarely do I hear "I'm sorry", as a matter of fact, one time I dared to tell them I was not a happy camper after an hour in a freezing room (I stayed calm, just stated that I wasn't elated about being left in the cold) I was told that I could have left. What would THAT accomplish??? I guess we have to be happy some docs at least say "sorry"...
By NOTevil  Jul 30, 2011
19
I have a thyroid giving me problems -- 2 hormones, and they want to prescribe an anti-depressant for the symptoms.

OR

send me for an MRI scan of my brain, WHAT!!

OR

send me to a neuropsychologist, hell no!!

2 hormones to deal with that happen to be in a malfunctioning range, what's the problem, it's not a science project.

If someone comes in with a cold (virus), do you send them to an ear, nose, throat spiecialist, hell no!
By energylost  Jul 29, 2011
18
having this disease has made me SEE them a lot more than I like too. I've learned at how much they really don't know.

They don't go home and maybe read up on extra material so that when you come in next time -- they will know something!!
By energylost  Jul 29, 2011
17
SEE HOW SMART THEY ARE WITH COLLECTING THE "CUSHION" THEY COLLECT OUR MONEY (FIRST) THEN WE GO IN. AND, we may go in late, we can't turn around becuz they've already collected the "cushion"

can't turn around bcuz their "cushion" is they will collect from -- the medical insurance anyway.

That's their definintion of "cushion"
By energylost  Jul 29, 2011
16
CUSHION!! THEIR CUSHION IS COLLECTING THE MONEY!!
By energylost  Jul 29, 2011
15
For 7 yrs I have hardly been able to function in life, can't hold down a REAL job that pays a REAL income, BUT "THEY" HAVE ALL MANAGED TO MAKE THE APPOINTMENT END, ON THEIR TIME, ONLY TO HAVE ME WALK OUT FEELING, LIKE I DIDN'T GET HELP BECUZ IT CAN ONLY LAST 15 MIN!!
By energylost  Jul 29, 2011
14
I HAVE A DISEASE THAT i NEED TO DISCUSS AND GET SOME MUCH NEEDED HELP, BUT I'M STILL "CUT OFF" AND THEY START WALKING OUT THE DOOR WHEN THEY'VE HEARD ENOUGHT!!

I HAVE NEVER GOT THE MUCH NEEDED HELP BECUZ -- THEY CUT ME OFF AND WALK OUT.
By energylost  Jul 29, 2011
13
there should be a discount to us, the patient when they're LATE.
By energylost  Jul 29, 2011
12
THEY'RE ARROGANT, SELF-SERVING BUSINESSMEN THAT ONLY THINK OF THEIR TIME.

LIKE I SAID, "THEY CUT ME OFF" AND START WALKING OUT THE DOOR.

I DON'T JUST COME IN TO DISCUSS A COLD.

SINCE BEING STRUCK WITH A DISEASE, I'VE REALLY BEEN EXPOSED TO SEE DOCTORS, UNFORTUNATELY -- OFTEN!!
By energylost  Jul 29, 2011
11
I HAVE (NEVER EVER) RECEIVED ANY APOLOGY FOR A DOCTOR BEING LATE with me!
By energylost  Jul 29, 2011

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