tag:blogger.com,1999:blog-2760353953251845523.post3932122754073026961..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: ReferralsJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-2760353953251845523.post-63218843711178281682007-12-11T22:22:00.000-05:002007-12-11T22:22:00.000-05:00I would think in Cleveland it would be especially ...I would think in Cleveland it would be especially hard getting referrals while competing with CCF. I live in Lima and I have been referred to surgeons at CCF multiple times by our local doc's. Cleveland and Lima are not in close distance. It is about 3.5 hrs for me to drive to CCF and I knew no doc's there when I was first referred there. I could have just as easily been referred to you and I would have been seeing you instead of them. It is also referral on top of referral on top of referral. I initially had an appointment with the section head of thoracic surgery (Dr. T.R.) then it was off to a gastro specialist for a slew of tests, and then down to coronary for clearance from them which led to repeat visits and doubutamine stress tests, and then back up to rheumatology for yet more tests. A few stops at the lab and x-ray, on the way up or down and this made for alot of visits and alot of doctors to perform one surgery.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-15789680230905600182007-12-07T22:22:00.000-05:002007-12-07T22:22:00.000-05:00they will come. it just takes time. the primary ...they will come. it just takes time. the primary care docs were referring patients to someone before you got there. every patient you get referred would have gone to someone else if you had not been there. someone with a longer standing relationship with the primary who probably is worried that you are taking their business.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-53510473465556608352007-12-07T21:10:00.000-05:002007-12-07T21:10:00.000-05:00Jeffrey-This is strictly a suburban, private pract...Jeffrey-<BR/>This is strictly a suburban, private practice setting. The large tertiary referral centers and public/charity hospitals function much differently. In private practice youre competing for patients, whereas in public practice you're providing a service for the needy. The financial rewards for the former are much greater, but the professional satisfaction, so far ,seems higher in the latter.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-18031387632880962662007-12-07T20:18:00.000-05:002007-12-07T20:18:00.000-05:00im sorry i dont really understand entirely, are yo...im sorry i dont really understand entirely, are you referring to public vs private practice. <BR/><BR/>i get this idea that in the public service, e.g. in a major tertiary hospital u get the referrals straight from the internists and ED right off. and perhaps some primary care physicians from the nearby community. i thought it was more a geographical thing.. of cos thats assuming all board certified surgeons have a baseline level of competence.Jeffreyhttps://www.blogger.com/profile/06540388790434163301noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-86239699086603566502007-12-07T08:11:00.000-05:002007-12-07T08:11:00.000-05:00That it seems to me has just gotten more difficult...That it seems to me has just gotten more difficult over the years. Here we don't have the manditory hospital staff meetings anymore, so I find I don't know nearly as many of the other doctors, especially the newly graduated or new to the community. I, always, (half jokingly) said that I didn't play golf with the right general surgeons (never did establish the breast reconstr. referral base I thought would come). The gyns have been good with breast reduction referrals, but often because the patient asked for a woman. It is tough,....rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.com