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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by Deneb on September 29, 2005, at 10:31:48
I don't know what it means. I found out that my p-doc (the one on maternity leave) doesn't have any hospital privileges but that the replacement p-doc does has hospital privileges at this one hospital.
So, what exactly does that mean? What are the "privileges"?
Deneb
Posted by 10derHeart on September 29, 2005, at 11:34:32
In reply to What does it mean to have hospital privileges?, posted by Deneb on September 29, 2005, at 10:31:48
It means that doctor is allowed to admit patients into that particular hospital.
It's not automatic that any M.D. can have patients admitted to any hospital. They have to ask for and be granted that "privilege" by the hospital adminstration.
I don't know the precise mechanism, or why some doctors have privileges at one hospital, and not another, but someone reading here probably does...
Posted by JenStar on September 29, 2005, at 17:00:30
In reply to Re: What does it mean to have hospital privileges? » Deneb, posted by 10derHeart on September 29, 2005, at 11:34:32
Sometimes it has to do with the insurance they take and bill, or which group they belong to. Not all doctors accept the same insurance or bill the same way.
Usually, doctors affiliate themselves with a particular group or hospital (at least here in the US!) Sometimes it's for convenience; theirs and the hospital's. They become familiar with the routines and the tests & availability of services. And when they visit their patients in the hospital, they only need to go to one place.
Why the other pdoc doesn't have it - maybe she doesn't want it? Or maybe she's affiliated with a different hospital?
JenStar
Posted by Deneb on September 29, 2005, at 18:01:01
In reply to Re: What does it mean to have hospital privileges? » 10derHeart, posted by JenStar on September 29, 2005, at 17:00:30
Here in Ontario, everyone uses the same insurance plan, OHIP. Everyone who lives here is covered.
The reason I ask this question is because I'm afraid of being locked up again. I now know my other p-doc cannot lock me up, that's good. Does this mean that this p-doc I now see can lock me up at the hospital he has privileges at? That's not good. I've got to be extra careful.
Deneb
Posted by Toph on September 29, 2005, at 18:18:15
In reply to What does it mean to have hospital privileges?, posted by Deneb on September 29, 2005, at 10:31:48
Many psychiatrists choose not to have hospital priveledges Deneb because if they did they would be required to accept a certain number of new patients from assigned in-patient referrals. After a time, many psychiatrists limit their practice to out-patient therapy only. Having had psychotic breaks in the past, though a long time ago, I share your concern about whether I would get good treatment if I were hospitalized in the future. My shrink has no in-patient priviledges, so I would be treated based on an arbitrary assignment, not very reassuring when, in my experience, only a minority of in-patient psychiatrists are good. I can't remember if my shrink said that he would make a point of consulting with my assigned doctor if I were to be hospitalized. Come to think of it, I'll make a point of asking him the next time I see him.
Posted by Deneb on September 29, 2005, at 18:35:58
In reply to Re: What does it mean to have hospital privileges? » Deneb, posted by Toph on September 29, 2005, at 18:18:15
> Many psychiatrists choose not to have hospital privileges Deneb because if they did they would be required to accept a certain number of new patients from assigned in-patient referrals.
OK, this this new guy has been a p-doc for quite a while, much longer than my p-doc. Why in the world would he choose to keep hospital privileges then? Does this mean that he is a bad p-doc? He must be pretty bad then if he's been a p-doc for so long and is still bad. I don't trust this guy. I think I should stop taking the Risperdal immediately. That guy is definitely not to be trusted.
Deneb
Posted by Emily Elizabeth on September 29, 2005, at 18:44:04
In reply to Re: What does it mean to have hospital privileges?, posted by Deneb on September 29, 2005, at 18:35:58
You are at a university, right? It might just be the case that old pdoc didn't bother to get hospital privlidges b/c her colleague at the univeristy clinic has them. Maybe she figured that she didn't want to bother with the hassle b/c if she had a patient who needed to be hospitalized she could have her colleague do it. It is not a reflection on skill.
AND, if he were a bad pdoc, the hospital wouldn't want to be associated with him. ESPECIALLY if he kept sending patients who didn't need to be there. Don't over-think it. If there were reason to worry, p-babblers would tell you.
Best,
EE
Posted by Toph on September 29, 2005, at 18:50:07
In reply to Re: What does it mean to have hospital privileges?, posted by Deneb on September 29, 2005, at 18:35:58
There are some good doctors who prefer in-patient work. The best shrink I ever had I was one I was just lucky to be assigned to when hospitalized.
Posted by Deneb on September 29, 2005, at 19:06:58
In reply to Re: What does it mean to have hospital privileges?, posted by Emily Elizabeth on September 29, 2005, at 18:44:04
> Maybe she figured that she didn't want to bother with the hassle b/c if she had a patient who needed to be hospitalized she could have her colleague do it.
OK, that is very scary...but, I'm sure my pdoc would never do that to me. She knows me.
I'm just worried about this new guy, he doesn't know me. Just because he works in the same clinic doesn't mean that he can just read my pdoc's notes right? I'm pretty sure he read my chart though, cuz I heard him ask for it. What's written in a chart anyways? I'm curious. Anyone know?
Argh...stupid student counselling centre wouldn't see me and stuck me with a pdoc instead. I really don't trust this guy, but if I don't see him then I'm left all by myself again....stupid counselling centre deserting me like that...
Argh, I don't know what to do. I wish my real p-doc were here. She wouldn't give me an anti-psychotic. I'm afraid of the new guy.
Deneb
Posted by Phillipa on September 29, 2005, at 20:38:54
In reply to Re: What does it mean to have hospital privileges? » Emily Elizabeth, posted by Deneb on September 29, 2005, at 19:06:58
Deneb, worked in a psych hospital and ward for many years. Everything you say or do is watched by the staff. Each shift an RN or LPN or even psych tcch makes a note describing your converstion you had with staff along with how many groups you attended , appetite, activity level, ability to get along with others, and some doctors like my pdoc now refer their pts to another pdoc while in the hospital. When I told my pdoc I wanted to work in a hospital again she said why? They're all psychotic! Some are and today most are really sick. Because the system won't admit unless you're suicidal or homicidal. Fondly, Phillipa
Posted by Susan47 on October 2, 2005, at 13:08:22
In reply to Re: What does it mean to have hospital privileges?, posted by Deneb on September 29, 2005, at 18:01:01
This is sounding scary for you, don't stop taking a medication your physician's prescribed because you're trying to second-guess the situation, okay Deneb? I'm a bit worried for you, as for the "privileges", that's something the doctors pay for. Provided they're in good standing with the hospital they can have them. However, here where I live, a doctor can CHOOSE not to have "privileges". And in other cases his privileges can be taken away if he has them, but you at this point you don't know that, find out if you can before you decide what to do. Take care,
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