Medliorate

Improving medical students

Archive for June 4th, 2007

Medical Errors

Posted by medliorator on June 4, 2007

Every attending has at least one or two areas where they have previously “gotten burned.” No matter how hard we try to be perfect, we will represent, and later resent, our humanity, our imperfection. We will do something that will greatly harm a patient. I’m sadly starting to learn something that may explain doctor behavior: trust nothing.

 

an intoxicated gentleman comes in, found down, complaining of generalized body weakness for which he has been seen on numerous occasions. Nurses know him by first name, and note that this is his typical course – he comes in, sobers up, leaves. Being astute medical student that I am, I want to rule out Other Badness. Sugar normal, exam normal. I draw labs. Just ’cause. Much later my attending decides we should also get an EKG. Just as it’s printing out and I’m noting the U waves and the long QT, the lab calls with his low potassium and calcium results. Ugh. Had I just decided to get the EKG to begin with, we could’ve caught this much quicker. But I decided, “No, he comes in like this all the time, the nurses see him like this all the time, he’s probably just drunk.” Now, nothing bad happened to the gentleman–we fixed him right up–but I can just barely see other versions of the story, and it’s scary.

Getting Burned [Over My Med Body]

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Get Bank Fees Waived

Posted by medliorator on June 4, 2007

This week, I deposited 2 separate checks. Unfortunately, the companies had put stop payments on them. A couple of days later, I got a notice from my bank indicating that they were going to charge me $7.00 for each check for “processing fees.”

 

I called Wells Fargo up and had a nice little chat with them. I pointed out that they had charged me a processing fee for a returned check and said, “I’d like to have that removed.” She said, “Of course. Let me just make a note in your file.” And she removed the first one just like that.

 

The second one was a little trickier. After removing the first one, she said, “Is there anything else I can do for you?” And I pointed out the second charge and asked to have it removed. At this point, she was very hesitant to remove it. She said “We ordinarily don’t remove more than 1 processing fee per 3 months,”

 

I pointed out that they had removed a $20.00 overdraft fee a while ago, and this would only be $14.00–the only difference was that this would be 2 charges as opposed to 1 larger one. She asked if she could put me on hold and check with her supervisor, which she did and then came back. “Ok, we can do that for you. Here you go!”

 

Remember, with a customer-acquisition cost of over $350, banks want to keep you as their customer.


Here’s how I negotiated out of bank fees
[I Will Teach you to be Rich]

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