I had a doctor's appointment this morning. As a healthy, early-30s person with no dependents and a generally clean family medical history, doctor appointments are a rarity for me. The last time I went to a doctor other than for a routine eye exam was more than two years ago for what turned out to be an allergic reaction to the super-comfortable new mattress I bought. When I go to the doctor, it is because something is not right, and because it's such a red-letter day I pick out my best suit to wear. Or at least a clean shirt.
As this was to be my first doctor visit in Las Vegas, the first order of business was to find a doctor. I tried two different offices but neither was able to schedule me for an appointment prior to next Wednesday -- a problem since I am leaving for Macau on Tuesday. Office #3, with ten doctors on the roster, seemed more promising. After taking some basic information over the phone and asking about the nature of my visit (not an emergency but also not routine), I was offered "Wednesday the 16th" for my appointment.
The 16th should work, I thought to myself. That's before I leave for Macau. But wait... Wednesday? I asked the receptionist what month that was.
"Oh, you want August," she said. Yes, I know it may be hard for you to believe, Receptionist Lady, but for my non-routine doctor visit I would like an appointment sooner than five weeks from now. I believe Dawn Summers would use a #facepalm hash tag here (and that satisfies my monthly quota of linking to Dawn Summers). The receptionist did her thing with her scheduling software and came back with August 19th. No good.
"Wait," she said. "I do have one appointment tomorrow. But it's at 7:30am."
I'm no big fan of getting up early in the morning if I don't have to. One of the draws of my current occupation and lifestyle is that I never have to be anywhere prior to 11:30am. But if it's the difference between losing an hour of sleep and waiting five weeks for a necessary doctor's visit, I'll chuck the hour of sleep faster than I plan to chuck Dawn Summers overboard to the sharks in Key West next month. Give me the appointment tomorrow and, by the way, why wasn't that the first option offered? Would the doctor prefer to have that block of time go unfilled?
Regardless, the appointment was booked. I set my alarm for the ungodly hour of 6:30am, was out of bed by a respectable 6:35am (much to the bemusement of the cat), and made it to the office by 7:20am. As a new patient I was prepared for the reams of paperwork I would have to complete. It was all completed before 7:30am. Surely, I would soon see a doctor. After all, the office had only been open since 7am.
Instead I watched Justice Sotomayor's speech after her appointment as a new Supreme Court justice. Glancing around the waiting area I couldn't help but notice that all of the other patients in a similar spot as mine were 70+ years old. Who the hell gets up at 630am for a doctor's appointment? Old people. And me.
I waited. And waited. At 7:45am a nurse called me into an exam room. Progress! She did her basic pre-exam routine, asked me some questions about my medical background and why I was there and made some notes for the doctor. Then she told me to go back to the waiting area and take a seat.
Say what now?
Yes, after ten minutes with the nurse I was sent back to the waiting area where I was unable to escape those early morning pseudo-news television programs. Justice Sotomayor's speech was long over. I was subjected to "news" segments about zucchini and which Broadway shows 65-year-old Morris from Texas was planning to see while in New York City. (9 to 5 and Hair. Really Morris?)
I was beginning to remember why I don't go see doctors.
At 8:25am, I was called into an exam room and told that the doctor would be with me "shortly". Mind you, my appointment was scheduled for 7:30am. And I know the pre-exam inspection by the nurse takes some time but I was beginning to get a little peeved. After another ten minutes the doctor walked in, all bubbly and cheery because clearly she just arrived at the office fifteen minutes prior. Or maybe she had popped across the strip mall (yes, even doctor's offices are in strip malls in Vegas) to the Starbucks for a double espresso or five. Whatever it was, there was no excuse for any sane person to be that upbeat at that time of day.
Four minutes with the doctor. She gave her diagnosis to me and some notes to the attending nurse, then swept out of the exam room like Zeus in his chariot. I was left with the nurse, scratching my head and trying to figure out why it took 65 minutes for a four-minute doctor visit. The nurse handed me a prescription and lead me back to the waiting area so that I could schedule my next visit, pay and leave.
After being forced to wait (again!) for five more minutes, I found myself at my last stop in this dreadful place, the check-out window. We scheduled my next appointment and the cashier, without taking any money from me, told me that I was all set.
Now, I'm no dummy. I know damn well that my insurance deductible for this year has not been met because -- as you may recall -- I haven't been to a doctor in more than two years. I mention this fact to the cashier and tell her I am prepared to pay the charges then and there.
She responds that I'm better off to allow the doctor's office to submit the charges to my insurance company before I pay because, and this is more or less a direct quote, "We are one of their providers and they may write down some of the charges." I wish I even knew what this meant. Does it mean that if I were uninsured, they would be charging me more than what they may potentially charge me under my current insurance? That's sure what it sounds like.
I walked out of the office without paying a dime, more confused about our health care system than ever. I'm fully expecting a bill in the mail for the amount that I was quoted by the cashier -- in two months, when my insurance company gets around to rejecting the claim.
This is why I don't go to doctors.
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