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Re: Compassionate Scheduling
I love it! What a great idea!
The only problem I see it is how to convince the non-anxious patients to trade up appts with the anxious ones? For example, when airlines oversell their tickets they offer money to a passenger to give up a seat on the plane. What would be the incentive for the non-anxious patients? Perhaps the way to do it is to make the trading-up appts transparent to the non-anxious patients, or come up with some kind of incentive for them.
Another idea is to reserve a slot at the end of the day for the urgent cases, similar to what pediatricians do for kids. I always manage to get a same day appt for one of my children if they fall sick - we should be able to get same day mammograms too. Since it's almost always technicians that do the mammograms, I don't see how this can't be done.
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ER+ (30%)/PR-/HER-2+, stage 3
Diagnosed on 02/18/09 at 38 with a huge 12x10 cm tumor, after a 6 month delay. Told I was too young and had no risk factors. Found swollen node during breastfeeding.
March-August 09: neo-adjuvant chemo, part of a trial at Stanford (4 DD A/C, 4 Taxotere with daily Tykerb), loading dose of Herceptin
08/12/09 - bye bye boobies (bilateral mastectomy)
08/24/09 - path report shows 100 % success in breast tissue (no cancer there, yay!), 98 % success in lymphatic invasion, and even though 11/13 nodes were still positive, > 95 % of the tumor in them was killed. Hoping for the best!
September-October 09: rads with daily Xeloda
02/25/10 - Cholecystectomy
05/27/10 - Bone scan clear
06/14/10 - CT scan clear, ovarian cyst found
07/27/10 - Done with Herceptin!
02/15/11 - MVA-BN HER-2 vaccine trial
03/15/11 - First CA 15-3: 12.7 and normal, yay!
10/01/11 - Bone scan and CT scan clear, fatty liver found
now on Tamoxifen and Aspirin
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