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	<title>Comments for Shake Gently - advertising technology blog</title>
	<link>http://shakegently.com</link>
	<description>add business, marketing and technology together.  shake gently.</description>
	<pubDate>Sun, 16 Nov 2008 19:35:45 +0000</pubDate>
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		<title>Comment on New Pepsi logo: love it or hate it? by AdCreative</title>
		<link>http://shakegently.com/2008/10/27/new-pepsi-logo-love-it-or-hate-it/#comment-18378</link>
		<dc:creator>AdCreative</dc:creator>
		<pubDate>Sat, 01 Nov 2008 00:16:46 +0000</pubDate>
		<guid>http://shakegently.com/2008/10/27/new-pepsi-logo-love-it-or-hate-it/#comment-18378</guid>
		<description>Yuck! Hate it! That font and the new red, white and blue circle reminds me of something from the ’70s. And with the dotted “i” – the first time it’s been dotted – it doesn’t even read like Pepsi. With the logos from 1962 onward, I don’t even have to read the word to know it’s Pepsi. This new logo makes me read and that’s not good because I don’t have that instant recognition. But, of course, it is new. Perhaps in a few years once I get used to it, it won’t look so bad. But right now – hating it!</description>
		<content:encoded><![CDATA[<p>Yuck! Hate it! That font and the new red, white and blue circle reminds me of something from the ’70s. And with the dotted “i” – the first time it’s been dotted – it doesn’t even read like Pepsi. With the logos from 1962 onward, I don’t even have to read the word to know it’s Pepsi. This new logo makes me read and that’s not good because I don’t have that instant recognition. But, of course, it is new. Perhaps in a few years once I get used to it, it won’t look so bad. But right now – hating it!</p>
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		<title>Comment on Waiting at the doctors office… 1 hr and counting by Deborah Brewer</title>
		<link>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18275</link>
		<dc:creator>Deborah Brewer</dc:creator>
		<pubDate>Mon, 27 Oct 2008 19:40:11 +0000</pubDate>
		<guid>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18275</guid>
		<description>I have found the OB/GYN offices are the worst for long waits. Specialists in general are a pain that way, but when I was scheduled to go in for a yearly exam I made a special point of calling before I left my office to see how the doc's schedule was running. The staff were often a tad put off at the implication that they're not running a smooth ship, but after some probing questions I was generally able to ascertain how late the doc was running and advise them that I would be coming in closer to THAT time rather than my appointment time. (Asking for first appointment of the day won't even work in that case unless you're prepared to ask if your physician had call the night before.)  I have yet to find an office penalize me for that approach. My taking up room in their office getting irritated while my desk piled up served no purpose whatsoever.  

Also relevant. I have worked in the admin. side of medical offices for the last 19 years.  I was not allowed to give excuses to our patients, or more importantly our physicians, and as a patient, I won't accept them.</description>
		<content:encoded><![CDATA[<p>I have found the OB/GYN offices are the worst for long waits. Specialists in general are a pain that way, but when I was scheduled to go in for a yearly exam I made a special point of calling before I left my office to see how the doc&#8217;s schedule was running. The staff were often a tad put off at the implication that they&#8217;re not running a smooth ship, but after some probing questions I was generally able to ascertain how late the doc was running and advise them that I would be coming in closer to THAT time rather than my appointment time. (Asking for first appointment of the day won&#8217;t even work in that case unless you&#8217;re prepared to ask if your physician had call the night before.)  I have yet to find an office penalize me for that approach. My taking up room in their office getting irritated while my desk piled up served no purpose whatsoever.  </p>
<p>Also relevant. I have worked in the admin. side of medical offices for the last 19 years.  I was not allowed to give excuses to our patients, or more importantly our physicians, and as a patient, I won&#8217;t accept them.</p>
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		<title>Comment on Waiting at the doctors office… 1 hr and counting by WAITING FOR THE DOCTOR… | Raw Food Tip</title>
		<link>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18260</link>
		<dc:creator>WAITING FOR THE DOCTOR… | Raw Food Tip</dc:creator>
		<pubDate>Mon, 27 Oct 2008 05:27:06 +0000</pubDate>
		<guid>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18260</guid>
		<description>[...] One blogger even made a video while waiting and posted it on his website. [...]</description>
		<content:encoded><![CDATA[<p>[&#8230;] One blogger even made a video while waiting and posted it on his website. [&#8230;]</p>
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		<title>Comment on Waiting at the doctors office… 1 hr and counting by Kevin P</title>
		<link>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18159</link>
		<dc:creator>Kevin P</dc:creator>
		<pubDate>Fri, 24 Oct 2008 14:59:08 +0000</pubDate>
		<guid>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18159</guid>
		<description>Aarrgghhhhh .... waiting in the waiting room!  I sometimes feel like exploding in there.  I understand the reasons that doctors may need to, "handle an emergency", "take an extra few minutes with a really sick patient" or whatever.  I get that.  What I don't get is why the freaking receptionist or whoever can't come out to you and tell you that the doctor is running late, and we're sorry for the delay.  ANYTHING!  Instead of leaving you for 30, 60, 90 minutes and only responding to you when you go to them to complain, or ask what the delay is.  Then they treat you like you're the one with the freaking problem.  If anyone else ran a business like that, they'd be out of business.  It's like they don't give a rat's ass about anyone's time but their own.</description>
		<content:encoded><![CDATA[<p>Aarrgghhhhh &#8230;. waiting in the waiting room!  I sometimes feel like exploding in there.  I understand the reasons that doctors may need to, &#8220;handle an emergency&#8221;, &#8220;take an extra few minutes with a really sick patient&#8221; or whatever.  I get that.  What I don&#8217;t get is why the freaking receptionist or whoever can&#8217;t come out to you and tell you that the doctor is running late, and we&#8217;re sorry for the delay.  ANYTHING!  Instead of leaving you for 30, 60, 90 minutes and only responding to you when you go to them to complain, or ask what the delay is.  Then they treat you like you&#8217;re the one with the freaking problem.  If anyone else ran a business like that, they&#8217;d be out of business.  It&#8217;s like they don&#8217;t give a rat&#8217;s ass about anyone&#8217;s time but their own.</p>
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		<title>Comment on Vodka from Russia or Iceland? Just make it smooth. by Pages tagged "vodka mcgovern"</title>
		<link>http://shakegently.com/2007/06/25/vodka-from-russia-or-iceland-just-make-it-smooth/#comment-18144</link>
		<dc:creator>Pages tagged "vodka mcgovern"</dc:creator>
		<pubDate>Fri, 24 Oct 2008 08:32:32 +0000</pubDate>
		<guid>http://shakegently.com/2007/06/25/vodka-from-russia-or-iceland-just-make-it-smooth/#comment-18144</guid>
		<description>[...] bookmarks tagged vodka mcgovern Vodka from Russia or Iceland? Just make it smooth. saved by 2 others      Justmea bookmarked on 10/24/08 | [...]</description>
		<content:encoded><![CDATA[<p>[&#8230;] bookmarks tagged vodka mcgovern Vodka from Russia or Iceland? Just make it smooth.&nbsp;saved by 2 others  &nbsp;&nbsp;&nbsp;&nbsp;Justmea bookmarked on 10/24/08 | [&#8230;]</p>
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		<title>Comment on Waiting at the doctors office… 1 hr and counting by Elizabeth</title>
		<link>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18123</link>
		<dc:creator>Elizabeth</dc:creator>
		<pubDate>Thu, 23 Oct 2008 21:25:08 +0000</pubDate>
		<guid>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18123</guid>
		<description>Don't even get me started on waiting rooms. We had to go to the ER while I was about 5 or 6 months pregnant. The OB's office sent me down there when I called. I was having severe back and abdominal pain and I had kidney issues to begin with, so it was looking like I was having a really serious kidney infection. We sat in the ER waiting room for 3 hours. At the 3 hour mark a gentleman came in with an obviously broken foot. In fact he was carrying X-Rays from ANOTHER hospital. Another 2 hours went by, neither of us had been seen. By then I was in so much pain I was in tears and I was terrified it was hurting my baby. 5.5 hours later, I was seen. I sat there for ANOTHER hour waiting for the doctor to come in. He sent in a student, fine I don't care. They did a urine sample and took some blood. I did have an infection. I was so angry.

Second example. I was sitting in the ER early in the AM with severe abdominal pain. There were no other patients. First off I waited in the waiting room for about an hour. When I was called back all the curtains were pulled open and all the doors were open. No patients. I watched as the ER doctor had a bagel and cup of coffee, chatted with the nurses, then moseyed on into my room. It was everything I could do to keep from reaching across and strangling him. Gave me a shot of Demerol and some phenegren and then sent me home.</description>
		<content:encoded><![CDATA[<p>Don&#8217;t even get me started on waiting rooms. We had to go to the ER while I was about 5 or 6 months pregnant. The OB&#8217;s office sent me down there when I called. I was having severe back and abdominal pain and I had kidney issues to begin with, so it was looking like I was having a really serious kidney infection. We sat in the ER waiting room for 3 hours. At the 3 hour mark a gentleman came in with an obviously broken foot. In fact he was carrying X-Rays from ANOTHER hospital. Another 2 hours went by, neither of us had been seen. By then I was in so much pain I was in tears and I was terrified it was hurting my baby. 5.5 hours later, I was seen. I sat there for ANOTHER hour waiting for the doctor to come in. He sent in a student, fine I don&#8217;t care. They did a urine sample and took some blood. I did have an infection. I was so angry.</p>
<p>Second example. I was sitting in the ER early in the AM with severe abdominal pain. There were no other patients. First off I waited in the waiting room for about an hour. When I was called back all the curtains were pulled open and all the doors were open. No patients. I watched as the ER doctor had a bagel and cup of coffee, chatted with the nurses, then moseyed on into my room. It was everything I could do to keep from reaching across and strangling him. Gave me a shot of Demerol and some phenegren and then sent me home.</p>
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		<title>Comment on Waiting at the doctors office… 1 hr and counting by sam</title>
		<link>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18122</link>
		<dc:creator>sam</dc:creator>
		<pubDate>Thu, 23 Oct 2008 19:41:07 +0000</pubDate>
		<guid>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18122</guid>
		<description>this is nothing--with the increasing number of older pts, fewer drs, and loss of jobs and insurance it could be weeks of waiting to get an appt and then hours of waiting in the office</description>
		<content:encoded><![CDATA[<p>this is nothing&#8211;with the increasing number of older pts, fewer drs, and loss of jobs and insurance it could be weeks of waiting to get an appt and then hours of waiting in the office</p>
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		<title>Comment on Waiting at the doctors office… 1 hr and counting by Dustin Jacobsen</title>
		<link>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18118</link>
		<dc:creator>Dustin Jacobsen</dc:creator>
		<pubDate>Thu, 23 Oct 2008 17:05:01 +0000</pubDate>
		<guid>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18118</guid>
		<description>Mary,
Thanks for the comment. 

We all appreciate the hard work of the medical community, and having family and close friends in the industry has provided some insight into the broken system.  

I admit I don't have a solution, and if there was an easy one, it probably would have already been implemented.

Ultimately, it boils down to a cost and resource issue. We all want cheap insurance, but that's at odds with the medical community providing the kind of service that they want and we have come to demand.</description>
		<content:encoded><![CDATA[<p>Mary,<br />
Thanks for the comment. </p>
<p>We all appreciate the hard work of the medical community, and having family and close friends in the industry has provided some insight into the broken system.  </p>
<p>I admit I don&#8217;t have a solution, and if there was an easy one, it probably would have already been implemented.</p>
<p>Ultimately, it boils down to a cost and resource issue. We all want cheap insurance, but that&#8217;s at odds with the medical community providing the kind of service that they want and we have come to demand.</p>
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		<title>Comment on Waiting at the doctors office… 1 hr and counting by Mary Vicente</title>
		<link>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18116</link>
		<dc:creator>Mary Vicente</dc:creator>
		<pubDate>Thu, 23 Oct 2008 16:05:30 +0000</pubDate>
		<guid>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18116</guid>
		<description>As a lead nurse in a doctor's office, a few thoughts:

1.  If the physician spent just 15 mins/patient, that would equate to around 28-30 patients/day.  How would patients and families handle 15 mins? Consider:  conversation,exam, findings, discussion of findings, options, medications, new/established patient, family questions.
2.  Consider:  90 year old patient, in wheelchair, needs a procedure, can't walk, etc: converstaion, findings, etc.  Even a high risk/complicated pregnant patient...
3.  Patient shows up with unrelieved pain, vomiting, has a 10 mm kidney stone that needs to be removed...doctor has to emergently arrange surgery for that patient...conversation, etc.

These is just a fraction of what the MD and staff have to deal with...phone calls, other MDs calling in with info/consults, patients who just show up, no appointment,with a problem.
Drug reps should have appointments as well, not ahead of patients...but, they drop off free samples that get passed on to you.  This helps many patients with cost savings, especially if the med does not work and we have to try something else.
If we truly schedeuled according to the time patients think they should have with the MD, we might be able to see 10-12 patients a day and folks like you would have to wait weeks to get any appointment with the MD only there on certain days, etc.  
Many a night, we are in the office to 7 pm to accommodate folks who work...and we do it gladly.  We have nurse visits only where the MD does not need to be present for what the patient might need.  I have never said no to someone who called in with a worry or concern that needed to be seen right away.  If the MD was not in the office, I would have them come by to see me, and send them to the ER if necessary.  I live in Raleigh NC...a high population and growing area.  Sheer numbers of people needing medical care is incredible.  
So...we on the front lines are doing our very best in most places.  I would always keep patients informed of the time, what was going on with the MD, and if they needed to reschedule.  
Like they say..."Walk a mile in the other's shoes....".  
Thanks for writing your article..and allowing this input as well.
Many blessings to your family!
PS  Phone triage alone could be 50-100 calls a day; I'm sure in an OB/GYN office it was more than that.  MD has to be involved in most of those as well.</description>
		<content:encoded><![CDATA[<p>As a lead nurse in a doctor&#8217;s office, a few thoughts:</p>
<p>1.  If the physician spent just 15 mins/patient, that would equate to around 28-30 patients/day.  How would patients and families handle 15 mins? Consider:  conversation,exam, findings, discussion of findings, options, medications, new/established patient, family questions.<br />
2.  Consider:  90 year old patient, in wheelchair, needs a procedure, can&#8217;t walk, etc: converstaion, findings, etc.  Even a high risk/complicated pregnant patient&#8230;<br />
3.  Patient shows up with unrelieved pain, vomiting, has a 10 mm kidney stone that needs to be removed&#8230;doctor has to emergently arrange surgery for that patient&#8230;conversation, etc.</p>
<p>These is just a fraction of what the MD and staff have to deal with&#8230;phone calls, other MDs calling in with info/consults, patients who just show up, no appointment,with a problem.<br />
Drug reps should have appointments as well, not ahead of patients&#8230;but, they drop off free samples that get passed on to you.  This helps many patients with cost savings, especially if the med does not work and we have to try something else.<br />
If we truly schedeuled according to the time patients think they should have with the MD, we might be able to see 10-12 patients a day and folks like you would have to wait weeks to get any appointment with the MD only there on certain days, etc.<br />
Many a night, we are in the office to 7 pm to accommodate folks who work&#8230;and we do it gladly.  We have nurse visits only where the MD does not need to be present for what the patient might need.  I have never said no to someone who called in with a worry or concern that needed to be seen right away.  If the MD was not in the office, I would have them come by to see me, and send them to the ER if necessary.  I live in Raleigh NC&#8230;a high population and growing area.  Sheer numbers of people needing medical care is incredible.<br />
So&#8230;we on the front lines are doing our very best in most places.  I would always keep patients informed of the time, what was going on with the MD, and if they needed to reschedule.<br />
Like they say&#8230;&#8221;Walk a mile in the other&#8217;s shoes&#8230;.&#8221;.<br />
Thanks for writing your article..and allowing this input as well.<br />
Many blessings to your family!<br />
PS  Phone triage alone could be 50-100 calls a day; I&#8217;m sure in an OB/GYN office it was more than that.  MD has to be involved in most of those as well.</p>
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		<title>Comment on Waiting at the doctors office… 1 hr and counting by Tasha</title>
		<link>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18114</link>
		<dc:creator>Tasha</dc:creator>
		<pubDate>Thu, 23 Oct 2008 13:46:00 +0000</pubDate>
		<guid>http://shakegently.com/2007/09/12/waiting-at-the-doctors-office-1-hr-and-counting/#comment-18114</guid>
		<description>In that case, then wouldn't they send someone in? At the most, a PA or something to take a look at her, or in the least, a nurse to tell them what's going on.</description>
		<content:encoded><![CDATA[<p>In that case, then wouldn&#8217;t they send someone in? At the most, a PA or something to take a look at her, or in the least, a nurse to tell them what&#8217;s going on.</p>
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