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Well, the comparison to the specialist would be:
- sorry, I'm a divorce attorney, not a real estate attorney, not sure why you were referred to me, can't help
- sorry, we don't have any spicy chicken today, but here's your bill
Meh. Depending on what his symptoms are they start by checking the standard things, and rule out the most common. Which is what his doctor has done.
They don't share what the complaint is, so who knows. "my baby toe sometimes goes numb" vs "Every night after I eat I vomit bile for an hour and have a horrible pain"
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I had an appointment with a specialist. He came in a hour late; I asked a question about the meds he had prescribed a month before. He ask what the meds were (no, they don't all read your chart ahead of time), then noticed my labs weren't in my chart.
He went out in the hall and yelled at his assistant to update my chart. But he didn't come back, he went on to another patient--I could hear them talking in the other exam room. Ten minutes later, he comes in and asks if they had updated the chart. I shrugged, he left again. A few minutes later, I walked out and told the assistant there would be no bill. And there wasn't.
His staff was awful, nobody returned phone calls or emails, and they even forgot to tell the clinic about a scheduled procedure, so I had to wait two hours in my car (during covid, I didn't want to hang out in a waiting room) until they sorted it all out.
I still have the issues I saw him for, but I just can't bring myself to take a chance on another doctor.
Would you not pay your lawyer if you lost the case? Not pay the restaurant if you didn't like the food?
Unfortunately my legal clients do fight the bill, strongly when the result isn't great, apologetically when they love the result. If the restaurant food makes me return it to the toilet I do dispute the credit card charge.
Went to the primary physician. After the usual 20 minute consultation he referred me to a specialist. Went to the specialist and did the usual stuff, fill out papers, blood pressure, weight, temperature. Specialist comes into the room and asks "What can I do for you" ? (or something like that)
I tell him and he says "Sorry, you were referred to the wrong place, I don't do that". You'll need to go back to your PCP. Spoke to him for a total of 2-3 minutes for that conversation. So I leave. 2 weeks or so later I get a bill from his office for $235.00.
Who should pay this specialist ? or should he even request payment ?
That doctor probably has absolutely nothing to do with scheduling or billing. I would contact the clinic/hospital business office, explain the situation, and request that the bill be waived or reduced to the bare minimum, as you were incorrectly referred through no fault of your own.
As for the scenario in the original post, if it became apparent that my problem was beyond the scope of my PCP, rather than returning to them over and over again, I'd request a referral to specialist in the issue my complaint was about. Whether the PCP was providing poor care in the matter really can't be determined from the facts provided...I can think of scenarios where the doc would be blameless (e.g. if a patient came in with confabulated or invented symptoms, and there as no actual problem to find other than hypochondria) and scenarios where the doc is clearly incompetent or distracted (e.g. if a patient came in with a basic, clear complaint that had a readily identifiable common cause and this resulted in multiple unproductive visits rather than a treatment plan or a referral) and a ton of others in between.
When i go to my Doc he don't even see me or talk to me. He has his helpers see me. I don't have anything wrong really so i guess i can live with that.
You can live with that until you find out that you have something seriously wrong with you that any MD could have plainly seen and caught, months or even years before, but the bed-pan-getters who have been seeing you have overlooked it because they have no clue. Then you will not be happy, to say the least.
Just wanted to mention, many under-served regions of the United States have excellent doctors who are working off school debt by volunteering to be doctors in places no one else wants to go.
IMO anyone able to save your life should be given a chance to do so.
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