Screening Patients, Part 3: Those Who Neglect Themselves

This is Part 3 of a multi-part post series on various types of potential new patients to screen for, the characteristics of these types, and the importance of screening for them, if for no other reason than to have prior notice regarding what you (as a doctor) could be facing when working with them.

In the previous post, I explored three of the personality disorders that are likely to cause the most significant upheaval and stress in one’s practice.  Originally, I was going to include these next two situations in that post, but then thought the better of it.  Truthfully, these two personality types should get their own post because these are not personality disorders, per se.  These people are generally not mentally ill–that is, unless they also have something else going on neurologically/psychologically.

Continue reading Screening Patients, Part 3: Those Who Neglect Themselves

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Screening Patients, Part 2: Personality Disorders

This is the second installment in a post series about screening potential new patients and the importance thereof.

As I stated in the first post of this series (but it’s an important enough statement that it bears repeating here), this isn’t meant to be judgmental, elitist, or exclusionary in any way.  What follows is strictly my personal opinion, which is an amalgam of my own clinical experience and my interpretation/opinions formed about the experiences of other doctors.  Nothing more, nothing less.

So if I’m not trying to pass judgment, cultivate elitism, or exclude anyone from getting care, what’s the point of this post series?  What’s the point of screening patients for various issues in the first place?  Why bother; why even consider it?

Continue reading Screening Patients, Part 2: Personality Disorders

First-year learning curve – Part 2

Wow, that last post started getting long – it didn’t feel like we’d learned that much in one year alone, but apparently we did–and more!  The rest follows below…

Learn to say no–fast.  This applies to salespeople requesting meetings, verifying those bogus “Yellow Pages” directory listings, and local vendors selling fruit out of the back of the pickup truck in your parking lot.

This also goes for patients who continually fail to show up, people who are repeatedly late, people who “forgot their wallet/credit card/checkbook”, or people who will “square up later” once their insurance is verified (many docs will tell a first-day patient not to worry about that day’s initial exam fees for now, we’ll just apply it to insurance – I say do not take this route!).

Continue reading First-year learning curve – Part 2