A minute-by-minute account of Lund's day

Saturday, September 22, 2007 |
5:45 a.m. — Lund arrives at Bay Area Hospital.
7:25 a.m. — After checking on patients at the hospital, Lund arrives for work at Bay Clinic.
7:55 a.m. — Medical assistants Jodi Lockhart, Sarah Cornelison and Tami Carroll arrive.
8 a.m. — the phone begins ringing. On an average day, 60 calls are logged between 8 a.m. and noon.
8:05 a.m. — Lund meets with clinic administrator Daniel Walsh by the copy machine.
8:20 a.m. — Lund goes through the electronic medical records (EMR) and begins reading messages from other doctors at the clinic and his medical assistants.
8:30 a.m. — Lund’s 8:30 appointment is a no-show.
8:41 a.m. — Patient George Vaughn, 86, arrives.
8:50 a.m. — Vaughn leaves.
8:54 a.m. — Lund returns to his office to authorize prescriptions on the EMR computer system.
9:05 a.m. — Carroll mentions that Lund’s next patient is waiting.
9:10 a.m. — Lund sees his second patient.
9:14 a.m. — Lund finishes with his second patient.
9:15 a.m. — He meets with patient Elaine Maupin.
9:50 a.m. — Maupin leaves.
9:53 a.m. — Lund returns to his office. There is now a stack of papers, consisting of patient records and insurance forms on his desk.
9:58 a.m. — Patient No. 4, an 82-year-old retired nurse, is examined.
10:20 a.m. — After finishing with patient four, Lund crosses the hall to examine 61-year-old Linda King.
10:40 a.m. — King leaves.
10:41 a.m. — Lund sees a sixth patient.
10:50 a.m. — The seventh patient, Paula Conn, 61, meets with Lund.
11:05 a.m. — Conn leaves.
11:06 a.m. — Lund examines his eighth patient, J.B. Piper.
11:27 a.m. — Piper leaves.
11:28 a.m. — Lund examines his ninth patient.
11:35 a.m. — His ninth patient leaves.
11:51 a.m. — Lund examines his 10th patient, a 55-year old with back problems.
12:09 p.m. — Lunch.
12:26 p.m. — Meeting with systems analyst Debbie Wright. They discuss the merging of patient records on the EMR.
12:35 p.m. — Back in his office, Lund makes a phone call to Bay Area Hospital to check up on a patient. After getting off the phone, Lund works on prescription requests on the EMR.
1:10 p.m. — Still in his office filling out forms. He discusses the policy of big pharmaceutical companies buying lunches and gifts for doctors. “There’s no question it changes behavior,” he said. He continues filling out forms.
1:43 p.m. — Lockhart brings in some X-rays for Lund to look over.
1:46 p.m. — Lund meets with 76-year-old Morrene Kamph.
2:13 p.m. — A 70-year-old Air Force veteran Jack Watson is examined by Lund.
2:27 p.m. — Watson leaves.
2:32 p.m. — Lund’s wife Jane, visits.
2:35 p.m. — Karl Larsen, a 56-year-old retired Coos Bay Police officer is Lund’s 13th patient.
2:53 p.m. — Larsen leaves.
3:54 p.m. — Lund meets with his 14th patient, a corrections officer at Shutter Creek Correctional Institution.
3:06 p.m. — Patient No. 15 is Fred Paxton, 76. “I used to ride the ferry before they built the North Bend bridge,” Paxton said.
3:15 p.m. — Paxton leaves with a clean bill of health.
3:16 p.m. — Lund works on paperwork.
3:26 p.m. — Patient No. 16 arrives.
3:46 p.m. — Lund crosses the hall to meet with Penny King, patient No. 17.
4:05 p.m. — King leaves.
4:07 p.m. — Lund returns to his office to work on forms and authorize prescriptions.
4:25 p.m. — Carroll informs the doctor that a patient is waiting.
4:30 p.m. — Patient No. 18 continues to wait.
4:35 p.m. — Lund meets with patient number 18.
4:49 p.m. — Patient 18 leaves.
5 p.m. — Lund’s works on paperwork until he leaves around 6 p.m.
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