r/optometry • u/Easy_Echo2387 • 1h ago
How do you guys handle f/u no shows, and f/u visits that fall between the cracks?
As I’m sure many of you have experienced, a lot of times patients are not good at attending their medical follow ups. A lot of times it’s not a big deal, okay the hordeolum guy didn’t show up again, I’m sure he’s okay. Other times it’s some dude with a whopping corneal ulcer that doesn’t show for his 2 day f/u because he doesn’t want to pay for the visit.
Whenever it’s something vision threatening like that, I always call the patient to recommend they seek care and discuss the risks of ignoring their f/u as directed by the doc. But how often are you guys doing this? What about that dry eye patient you put on a soft steroid where you wanted to double check the IOP? Where do you guys draw the line?
I then wonder about all the ones I’m not even remembering. There are absolutely some medical cases I will schedule for a few months f/u that I know need to be watched closely, yet they never return. These patients obviously aren’t getting called about their missed visit because I simply can’t keep a mental record of every follow up that doesn’t show.
Is this something your office staff handles for you guys? How do you all handle missed follow ups? Is the initial note where you discussed the severity of the condition and scheduled a follow up exam enough to cover yourself legally?