Outpatient Surgery Magazine - Subscribers

Fair and Equal Pay? - January 2016 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Why Do Patients Blow Off Their Surgeries? They don't have a ride home or maybe they're getting cold feet. N obody's ever that surprised when a patient cancels surgery. What's not expected are the panoply of reasons patients give for not showing up for their cases. Surgeon and staff are all too familiar with the stock reasons — "I got confused and got the dates mixed up" or "I was given the wrong instructions" or "The dog ate the keys." A few other unusual (and notable) excuses: 'Couldn't find a ride home' Patients usually book their cases weeks in advance. And they are fully informed of the need to establish transportation to their resi- dence. Yet, the evening before surgery they mysteriously are unable to find someone to take them home. Gimme a break. Ever hear of Uber? Don't you have any friends? Could you humble yourself to ask in-laws? I'll take you home! 'I am having second thoughts' It's amazing how often shoulder pain morphs from "It's killing me" to "I can live with it." Wait a second. Is this the same patient who literally couldn't sleep for 3 weeks? The same patient who need- ed oxycodone in order to watch Sports Center? The same patient who likened his shoulder pain to "an ice pick rotating slowly deep into my arm?" (Ugh!) Once I tried to console a patient who was about to undergo an ACL 1 2 1 5 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 1 6 Cutting Remarks John D. Kelly IV, MD One can never coerce someone into having elective surgery. I just wish the patient would give me more than 2 hours' notice that he's canceling!

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