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Is a doctor allowed to do this?

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Chai77
Brighter days ahead

Member since 4/07

7364 total posts

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Re: Is a doctor allowed to do this?

Posted by LastLightGlow

Absolutely. He needs to see you to document that you are not having thyroid symptoms. If he does not see you as medically is recommended and you develop a hear arrhythmia from your condition unchecked he is liable. Thyroid conditions can have severe consequences unchecked so he absolutely needs to see you in person.

They probably called the initial script in without thinking much about it and when you called back they looked further into the dates and such as realized they should see you. Also, if someone says their levels fluctuate a lot based on brand/generic then that can indicate your levels fluctuate in general especially due to pregnancy. Postpartum alone is good enough reason for you to be seen. My thyroid went out of control postpartum. So this all raises more of a red flag for you to be seen in person.



ITA with this. I really doubt it's that the doctor just wants to collect your copay. I'm sure there was some miscommunication in their office for why they initially called it in and then they realized you need to come in. Maybe the receptionist got in trouble for it and that's why she's being snotty. I bet it is good practice for them to recheck you for symptoms themselves if it's been a year since your last office visit. More liability than collecting fees.

Posted 7/29/16 10:33 AM
 
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RainyDay
LIF Adult

Member since 6/15

3999 total posts

Name:

Is a doctor allowed to do this?

Maybe the doctor didn't realize how long it had been since your last visit. The doctor is doing the right thing by having you come in at least once a year for a visit. My doctor is the same way even if it's just to write a simple doctors note.

Posted 7/29/16 10:40 AM
 

LastLightGlow
Mystic.

Member since 4/07

2665 total posts

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Re: Is a doctor allowed to do this?

Posted by PhyllisNJoe

Posted by NervousNell

It's all about the money, money, money.

Typical doctor

Chat Icon



Exactly!!

Honestly, she wouldn't be blindly giving you the script. You went for the blood work. That's what they go off of to decide on new meds or if more testing is needed. If she said your blood shows you may need further testing, she may then had needed to see you for a physical exam (ya know, the whole swallow sips of water thing) but other than that... They were being difficult because they wanted a visit for the $$$. Guaranteed



Seriously? The thyroid levels are interpreted different during pregnancy and after so a normal level dosent mean someone is ok. They need to check your heart rate, psychiatric symptoms, gastrointestinal symptoms and other things they know to assess because they are doctors know what needs to be addressed. This is unreasonable to assume this is about $.

Posted 7/29/16 11:11 AM
 

jlm2008
LIF Adult

Member since 1/10

5092 total posts

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Re: Is a doctor allowed to do this?

Posted by Chai77

Posted by LastLightGlow

Absolutely. He needs to see you to document that you are not having thyroid symptoms. If he does not see you as medically is recommended and you develop a hear arrhythmia from your condition unchecked he is liable. Thyroid conditions can have severe consequences unchecked so he absolutely needs to see you in person.

They probably called the initial script in without thinking much about it and when you called back they looked further into the dates and such as realized they should see you. Also, if someone says their levels fluctuate a lot based on brand/generic then that can indicate your levels fluctuate in general especially due to pregnancy. Postpartum alone is good enough reason for you to be seen. My thyroid went out of control postpartum. So this all raises more of a red flag for you to be seen in person.



ITA with this. I really doubt it's that the doctor just wants to collect your copay. I'm sure there was some miscommunication in their office for why they initially called it in and then they realized you need to come in. Maybe the receptionist got in trouble for it and that's why she's being snotty. I bet it is good practice for them to recheck you for symptoms themselves if it's been a year since your last office visit. More liability than collecting fees.



ITA with the above. I doubt the Dr. needs your $10 copay.

Posted 7/29/16 11:12 AM
 

NervousNell
Just another chapter in life..

Member since 11/09

54921 total posts

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..being a mommy and being a wife!

Re: Is a doctor allowed to do this?

Posted by jlm2008

Posted by Chai77

Posted by LastLightGlow

Absolutely. He needs to see you to document that you are not having thyroid symptoms. If he does not see you as medically is recommended and you develop a hear arrhythmia from your condition unchecked he is liable. Thyroid conditions can have severe consequences unchecked so he absolutely needs to see you in person.

They probably called the initial script in without thinking much about it and when you called back they looked further into the dates and such as realized they should see you. Also, if someone says their levels fluctuate a lot based on brand/generic then that can indicate your levels fluctuate in general especially due to pregnancy. Postpartum alone is good enough reason for you to be seen. My thyroid went out of control postpartum. So this all raises more of a red flag for you to be seen in person.



ITA with this. I really doubt it's that the doctor just wants to collect your copay. I'm sure there was some miscommunication in their office for why they initially called it in and then they realized you need to come in. Maybe the receptionist got in trouble for it and that's why she's being snotty. I bet it is good practice for them to recheck you for symptoms themselves if it's been a year since your last office visit. More liability than collecting fees.



ITA with the above. I doubt the Dr. needs your $10 copay.



They get a lot more than your $10 copay for an office visit. And most people pay more than $10 copays these days anyway.
But regardless, my docs bill close to $200 for an office visit. Where most of the time they barely look at or touch you.
It's a business, no matter how you slice it



Message edited 7/29/2016 11:27:08 AM.

Posted 7/29/16 11:17 AM
 

LiveItUp
Love my babies!

Member since 8/11

4096 total posts

Name:

Re: Is a doctor allowed to do this?

Posted by NervousNell

Posted by jlm2008

Posted by Chai77

Posted by LastLightGlow

Absolutely. He needs to see you to document that you are not having thyroid symptoms. If he does not see you as medically is recommended and you develop a hear arrhythmia from your condition unchecked he is liable. Thyroid conditions can have severe consequences unchecked so he absolutely needs to see you in person.

They probably called the initial script in without thinking much about it and when you called back they looked further into the dates and such as realized they should see you. Also, if someone says their levels fluctuate a lot based on brand/generic then that can indicate your levels fluctuate in general especially due to pregnancy. Postpartum alone is good enough reason for you to be seen. My thyroid went out of control postpartum. So this all raises more of a red flag for you to be seen in person.



ITA with this. I really doubt it's that the doctor just wants to collect your copay. I'm sure there was some miscommunication in their office for why they initially called it in and then they realized you need to come in. Maybe the receptionist got in trouble for it and that's why she's being snotty. I bet it is good practice for them to recheck you for symptoms themselves if it's been a year since your last office visit. More liability than collecting fees.



ITA with the above. I doubt the Dr. needs your $10 copay.



They get a lot more than your $10 copay for an office visit. And most people pay more than $10 copays these days anyway.
But regardless, my docs bill close to $200 for an office visit. Where most of the time they barely look at or touch you.
It's a business, no matter how you slice it






Agreed. They usually make me wait at least an hour just to barely glance at me for 5 min.

Posted 7/29/16 11:35 AM
 

Katareen
5,000 Posts!

Member since 4/10

7180 total posts

Name:
Katherine

Re: Is a doctor allowed to do this?

Posted by NervousNell

Posted by jlm2008

Posted by Chai77

Posted by LastLightGlow

Absolutely. He needs to see you to document that you are not having thyroid symptoms. If he does not see you as medically is recommended and you develop a hear arrhythmia from your condition unchecked he is liable. Thyroid conditions can have severe consequences unchecked so he absolutely needs to see you in person.

They probably called the initial script in without thinking much about it and when you called back they looked further into the dates and such as realized they should see you. Also, if someone says their levels fluctuate a lot based on brand/generic then that can indicate your levels fluctuate in general especially due to pregnancy. Postpartum alone is good enough reason for you to be seen. My thyroid went out of control postpartum. So this all raises more of a red flag for you to be seen in person.



ITA with this. I really doubt it's that the doctor just wants to collect your copay. I'm sure there was some miscommunication in their office for why they initially called it in and then they realized you need to come in. Maybe the receptionist got in trouble for it and that's why she's being snotty. I bet it is good practice for them to recheck you for symptoms themselves if it's been a year since your last office visit. More liability than collecting fees.



ITA with the above. I doubt the Dr. needs your $10 copay.



They get a lot more than your $10 copay for an office visit. And most people pay more than $10 copays these days anyway.
But regardless, my docs bill close to $200 for an office visit. Where most of the time they barely look at or touch you.
It's a business, no matter how you slice it






Yes, but many patients take meds without being seen by a doctor, gain new symptoms that aren't addressed, and then will blame the doc for not seeing them. The doctor is (and should be) covering their ass.

Yes it's a business, but a business where health and lives are at stake. Bring your kids to the appt.

Posted 7/29/16 11:37 AM
 

JennZ
MY LIFE!!

Member since 8/05

25463 total posts

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Re: Is a doctor allowed to do this?

I see my endo, every 3 months and then I get a new script for the next three months. Normal

Posted 7/29/16 12:08 PM
 

TwinDani
We are complete <3

Member since 3/11

1750 total posts

Name:
Danielle

Is a doctor allowed to do this?

I think the problem she is having is the doctor said ok I will refill it, gave her the generic medicine and she is asking her to correct her mistake. She had spoke to the doctor and addressed the fact she has not been seen and is now doing this. I would make an appointment to see them and tell them you still need the correct script to hold you over. This has happened to my mom where they give her the generic and it causes other issues for her.

Message edited 7/29/2016 12:30:36 PM.

Posted 7/29/16 12:29 PM
 

LiveItUp
Love my babies!

Member since 8/11

4096 total posts

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Is a doctor allowed to do this?

Ok, an update. Got a call from a different receptionist saying the other Dr in the practice, who I like much better, said no problem to send in the prescription and I just need to check my blood again in 6 weeks. I was so confused after yesterday's back and forth w the other doctor. And I told the receptionist that, and she was confused too. She didn't even say I have to come in and be seen. Said it would be fine just to go and get bloodwork next month, as usual. But reading some of the responses on here encouraged me to make an appointment to be seen in 6 weeks (with the nice dr, not the mean one from yesterday, lol) I think there's some really bad miscommunication going on in that office Chat Icon

Thanks to all who weighed in on this. I kinda felt like I was in the twilight zone with the way it was being handled yesterday!

Message edited 7/29/2016 1:27:57 PM.

Posted 7/29/16 12:44 PM
 

ali120206
2 Boys

Member since 7/06

17796 total posts

Name:

Is a doctor allowed to do this?

My husband is on a maintenance drug for cholesterol and something changed recently that requires that the doctor has to see you before filling the prescription. It annoys the crap out of him because he makes an appointment, waits and hour in the waiting room and then 40 minutes to be seen for 2 minutes and goes on his merry way with the same prescription..

Posted 7/29/16 3:17 PM
 

LSP2005
Bunny kisses are so cute!

Member since 5/05

19461 total posts

Name:
L

Re: Is a doctor allowed to do this?

It really sounds like the receptionist made a mistake. But especially after pregnancy you need to be examined.

Posted 7/29/16 5:28 PM
 

MommaG
Yay Spring!

Member since 5/05

5133 total posts

Name:
Gloria

Is a doctor allowed to do this?

If I remember correctly, when the prescriptions were written and not digital, the box they checked said the prescription "could" be filled with generic, not that it HAD to be. It seemed like the doctor was giving the patient and the pharmacy the option (higher/lower out of pocket cost, availability, etc). I don't know if that has changed but I think you could ask the pharmacy to provide the brand and not the generic.

Posted 7/29/16 11:20 PM
 

LuckyStar
LIF Adult

Member since 7/14

7274 total posts

Name:

Is a doctor allowed to do this?

It may not be the case with this particular doctor, but anyone who thinks that most doctors don't make their patients come in unnecessarily to make $$ is fooling themselves.

Medicine is a business, and a lucrative one at that. The more patients they see, the more tests they order, the more money they make. I'm not saying doctors don't care about their patients or that they would harm anyone (hippocratic oath and all) but it is VERY common to ask patients to come in for ridiculous reasons or order tests that might be overkill.

Posted 7/29/16 11:45 PM
 

LuckyStar
LIF Adult

Member since 7/14

7274 total posts

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Re: Is a doctor allowed to do this?

Posted by MommaG

If I remember correctly, when the prescriptions were written and not digital, the box they checked said the prescription "could" be filled with generic, not that it HAD to be. It seemed like the doctor was giving the patient and the pharmacy the option (higher/lower out of pocket cost, availability, etc). I don't know if that has changed but I think you could ask the pharmacy to provide the brand and not the generic.



You can but the insurance might not cover it.

Posted 7/29/16 11:46 PM
 

Christine2
LIF Adult

Member since 2/09

1217 total posts

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Re: Is a doctor allowed to do this?

Posted by LuckyStar

It may not be the case with this particular doctor, but anyone who thinks that most doctors don't make their patients come in unnecessarily to make $$ is fooling themselves.

Medicine is a business, and a lucrative one at that. The more patients they see, the more tests they order, the more money they make. I'm not saying doctors don't care about their patients or that they would harm anyone (hippocratic oath and all) but it is VERY common to ask patients to come in for ridiculous reasons or order tests that might be overkill.



But if something that may have been picked up on a physical exam was missed, then the doctor is liable and could be (and likely would be) sued. If I were the doctor, I'd have the patient come in. It's commonly referred to in medicine as CYA (I'm sure you can figure that acronym on your own). You'd do EXACTLY the same if your license (that took years to achieve) were on the line.

Posted 7/31/16 11:58 PM
 

LiveItUp
Love my babies!

Member since 8/11

4096 total posts

Name:

Re: Is a doctor allowed to do this?

Posted by Christine2

Posted by LuckyStar

It may not be the case with this particular doctor, but anyone who thinks that most doctors don't make their patients come in unnecessarily to make $$ is fooling themselves.

Medicine is a business, and a lucrative one at that. The more patients they see, the more tests they order, the more money they make. I'm not saying doctors don't care about their patients or that they would harm anyone (hippocratic oath and all) but it is VERY common to ask patients to come in for ridiculous reasons or order tests that might be overkill.



But if something that may have been picked up on a physical exam was missed, then the doctor is liable and could be (and likely would be) sued. If I were the doctor, I'd have the patient come in. It's commonly referred to in medicine as CYA (I'm sure you can figure that acronym on your own). You'd do EXACTLY the same if your license (that took years to achieve) were on the line.



I get why they need to CYA, of course. That's why they always say they want us to come in for a "follow up" appt., even if we just have a cold. I never bother actually making the follow up appt usually since I can tell if I'm better from a cold or not Chat Icon , but for more serious things, like after my csection, I did go to the the follow up. And they never push for the follow up a for the simple thiibgs, because even they must know it's ridiculous and unecesary, but at least they can document that they suggested it.

Posted 8/1/16 12:37 AM
 
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