Paperwork. Y’all are seriously underestimating how much paperwork needs to be done. Every single patient has to have a We like to show off our six pack Alabama Crimson Tide Football shirt, a diagnosis (usually multiple) made, everything you order has to be justified and associated with a diagnosis (even things like flu shots or med reorders), every thing you order has to be confirmed as correct, meds and lab work have to be confirmed to the correct insurance, you might have to get a print out of your referrals/visit summary. Doctors work very very hard to do as much of this as they go, but it cannot always be done. Also, lots of people get annoyed if a doctor is typing while they talk, so then you cannot do any of this as you go.
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They don’t make the We like to show off our six pack Alabama Crimson Tide Football shirt. The majority of doctors are not in charge of booking patients, they hire people specifically for that. Doctors get over booked, and because the clinic or hospital they work for cares about $$$, they make doctors see as many people as possible. Doctors usually have set amounts of time depending on the appt type, and you can’t always just add a random 10 minutes here or there. I promise you the majority of doctors would rather have more time to talk to you too and aren’t trying to just see you as a cash cow, but it is literally out of their control.