I was furious. I went to the office on Sunday to see what work the electrician had done (and to discuss decor issues with my wife), and my office was deserted. The inspection was supposed to happen on Monday, allowing me to get furniture in the office and see patients on Tuesday. A text message back from my contractor said that the electrician would be in on Monday and the inspection would happen on Tuesday. Apparently he didn’t realize I was so ambitious (read: crazy) to see patients so soon after construction was completed. Apparently my panic wasn’t obvious to him.
On Sunday I broke with my usually placid demeanor (read: codependent) and expressed my emotions on the issue quite clearly. Many panicked calls from supervisors and electricians later (read: effusive apologies and promises to fix things), and the reality had not changed: inspectors would not be coming until Tuesday, and so my opening, already a month after I planned, would wait one more day. What a terrible way to start my new practice: canceling appointments on my first day.
Then I realized something: I don’t need an office to do my job. One of the things I am trying to overturn is the practice of requiring all care to be conducted in the exam room. Why can’t people talk to their doctor on the phone? Why can’t they email questions? Why not videoconferencing for visits? Why not texting me a picture of the rash (depending on the location, of course)? Why hold my expertise hostage to the ransom of an office visit? So then what’s the big deal of not having an office?
Filed Under: THCBTagged: Google Docs, home visits, Medicare, primary care, Rob Lamberts, videoconferencing Feb 8, 2013