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MACRA penalized this doctor for going the extra mile for his patients

We’ve taken care of Jane and her son, Sam, for a long time (the names are fictitious, but the rest of the story is true, and the real patient approved this story, in case you were wondering). At first, the focus was Sam, with typical well and sick visits. He was one of the sweetest kids we knew.

Sam also had a very significant learning disability. At one point I asked Jane if she wanted any special evaluation or services for Sam beyond what his school was providing. She declined, saying she just loved him the way he was.

Unfortunately, as Sam got older, he got picked on viciously. He became quite depressed. We treated his depression, in addition to his increasingly frequent bouts of stomach and throat pain. Extensive evaluations revealed no significant cause of his complaints. He had developed a classic case of somatization — his very real symptoms were an expression of his emotional pain. It was a sad thing to see such a sweet and happy child become such a pained young man.

Continue reading …

Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.


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