Why Do Doctors Overbook?

[Ocala Mike]

I took my wife, who is on Medicare AND private insurance, to her specialist this morning in a town about an hour away. We got there on time for a 10:00 am routinely scheduled appointment, only to find there were about 20 patients ahead of her (one doctor). When we were told that ALL of the patients had appointments between 9:00-10:00 am, and my wife would probably not be seen until after lunch, we just left in disgust.

Why do doctors do this? Is this just greed or poor office management? Does it have to do with reimbursement rates that he gets?

Anyway, I got her an appointment with another specialist in the same discipline in our home town, and we don't plan on using the original doctor again. Has anyone else run into this? I could see if we were going to the VA or a free clinic somewhere, but we weren't. This never happened to us at that doctor's office before, but I won't let it happen again if I can help it.


Ocala Mike

[Grits]

Mike, my son's primary physician is local, not at Duke, as his specialists are. She is notorious for keeping her patients waiting. Last Thursday we had a 9:30 am appointment, she walked into the exam room to greet us 2 hrs. and 45 mins. later. Almost noon. I was so livid, so exasperated, I started to cry, I kid you not. I was that mad, that weary, that tired of waiting. My son was as tired as well.

Had it been an appointment for me--I would have walked out so fast it would've made their heads swing. But for my son, no I can't. I'd feel terrible if he got sick, or anything changed about his heart condition and it was missed due to our walking out. This has happened often, there's always a minium 45 minute wait at least.

When she saw how upset I was, and I told her how wrong this was, she was visibly upset as well. She explained, they were going to electronic files, and everything was taking longer. Though I don't know what the excuse has been in the past.

She asked what she could do to help? I told her that as busy as Duke Medical Center is with thousands of patients going through their doors every day, every year--in 33 years we have never waited on one of my son's physicians as long as we have to wait on her.

They do overbook, no doubt. They don't care about your time, only their own. Plus, in my city, one corporation has a monopoly on all doctors, surgeons included. This is a HUGE problem.

My son's cardiologist at Duke is aware of the problems we've had for years, and states them as totally unacceptable. She's a Duke graduate and Dean of Admissions of the Medical School. She swears part of this has to do with the fact that my son's local--graduated Harvard Med. LOLOL

Our local is no where near the knowledgable and caring doctor that our cardiologist is. Duke keeps their best! Our local hasn't attained such heights as our cardiologist, she's simply "Your Time Is Not My Problem Queen" of her physician's group.

So much for Harvard physician's attitudes and their time.:rolleyes:

Maybe, she'll be better six months from now on our next visit. It is distressing.

[DRIVEWAY]

Mike, my son's primary physician is local, not at Duke, as his specialists are. She is notorious for keeping her patients waiting. Last Thursday we had a 9:30 am appointment, she walked into the exam room to greet us 2 hrs. and 45 mins. later. Almost noon. I was so livid, so exasperated, I started to cry, I kid you not. I was that mad, that weary, that tired of waiting. My son was as tired as well.

Had it been an appointment for me--I would have walked out so fast it would've made their heads swing. But for my son, no I can't. I'd feel terrible if he got sick, or anything changed about his heart condition and it was missed due to our walking out. This has happened often, there's always a minium 45 minute wait at least.

When she saw how upset I was, and I told her how wrong this was, she was visibly upset as well. She explained, they were going to electronic files, and everything was taking longer. Though I don't know what the excuse has been in the past.

She asked what she could do to help? I told her that as busy as Duke Medical Center is with thousands of patients going through their doors every day, every year--in 33 years we have never waited on one of my son's physicians as long as we have to wait on her.

They do overbook, no doubt. They don't care about your time, only their own. Plus, in my city, one corporation has a monopoly on all doctors, surgeons included. This is a HUGE problem.

My son's cardiologist at Duke is aware of the problems we've had for years, and states them as totally unacceptable. She's a Duke graduate and Dean of Admissions of the Medical School. She swears part of this has to do with the fact that my son's local--graduated Harvard Med. LOLOL

Our local is no where near the knowledgable and caring doctor that our cardiologist is. Duke keeps their best! Our local hasn't attained such heights as our cardiologist, she's simply "Your Time Is Not My Problem Queen" of her physician's group.

So much for Harvard physician's attitudes and their time.:rolleyes:

Maybe, she'll be better six months from now on our next visit. It is distressing.

If your appointment is for 9:30AM call them at 9:15AM to see what the waiting time is. Adjust your schedule accordingly.

[boxcar]

If your appointment is for 9:30AM call them at 9:15AM to see what the waiting time is. Adjust your schedule accordingly.

That may not help, as everyone has to sign in and is taken in order of the sign-in sheet. If the backlog is a few hours, for example, you'd have to be prepared to reorder your day and come in sometime in the P.M. And...the longer you wait, the more people will continue to sign in before you. So, if you think you'll show up at 1:30 and get to see the doc, chances are good you'll still have a long wait and probably won't get to see him until late P.M. One would have to plan to waste the entire day.

Boxcar

[johnhannibalsmith]

If someone insists on my making an appointment with them and then cannot or will not act as though they were the one that came up with the idea in the first place, then I leave. I know this isn't practical for everyone, but I do my damnedest to make it practical for me.

[nijinski]

Assisted both internests and specialists for over 20 years and there are
different reasons for each individual doctor and yes one of them is money.
It's like any other business right now , if you don;t have volume you don;t
profit. It's worse now then ever because many physicians offices have been bought by outside interests and they are expected to bring in a certain figure
each day.
I've worked for some who have even designated times they or would not see Seniors because of the amount of time it takes them and the amount medicare pays. It's not a pretty picture.

There are others who are well meant and don't like running late but they still
overbook because if a new patient or physical doesn't show up they have
have hour or so slots unfilled and they never tolerate that.

A few things to consider though , if your internist will see you the day you
call for an emergent matter. You then have to expect to wait.
With what I've seen hands on. If I had to have an appointment with a very good specialist , I would know there is a wait. Most do hospital consults as well so and
if they do procedures they will have less time to be in the office , so there is
no way around a long wait to get an appointment and a long time spend in the office.
Advice for the routine follow up visits. Try for the first visit , or the very last.

[Greyfox]

Occasionally emergencies keep a Doctor detained from making his/her planned appointments on time.
Occasionally a booked patient may turn out to be someone who has a more complicated problem that takes longer than the time the Doctor/Receptionist had budgeted for. That's true of Dentists as well.
However, for the most part it is criminal for Doctors to treat peoples valuable time as not being worth much. Absolutely criminal.
When a Doctor pulls that stunt on me without valid reason, I let him know and everyone in the waiting room know that he's treating me like a "condition" and not a person.
Part of the problem lies though in the fact that they have you literally and figuratively by the "balls." You may have waited weeks for the appointment that you got and to walk out puts you that much farther back.
On the other hand, maybe some type of system could be put in place where:

1. You punch a payment time card when your appointment is scheduled to start.
2. The Doctor loses money for every five minutes that he is late for that appointment.
(Exceptions might be allowed in the event of actual proof that the Doctor was detained by an emergency or some extra-ordinary event. Too many of those per month though and the Doctor's credibility should be examined by a licensing board.)

Until some type of penalty system is put in place, this crap will continue.

[nijinski]

Mike, my son's primary physician is local, not at Duke, as his specialists are. She is notorious for keeping her patients waiting. Last Thursday we had a 9:30 am appointment, she walked into the exam room to greet us 2 hrs. and 45 mins. later. Almost noon. I was so livid, so exasperated, I started to cry, I kid you not. I was that mad, that weary, that tired of waiting. My son was as tired as well.

Had it been an appointment for me--I would have walked out so fast it would've made their heads swing. But for my son, no I can't. I'd feel terrible if he got sick, or anything changed about his heart condition and it was missed due to our walking out. This has happened often, there's always a minium 45 minute wait at least.

When she saw how upset I was, and I told her how wrong this was, she was visibly upset as well. She explained, they were going to electronic files, and everything was taking longer. Though I don't know what the excuse has been in the past.

She asked what she could do to help? I told her that as busy as Duke Medical Center is with thousands of patients going through their doors every day, every year--in 33 years we have never waited on one of my son's physicians as long as we have to wait on her.

They do overbook, no doubt. They don't care about your time, only their own. Plus, in my city, one corporation has a monopoly on all doctors, surgeons included. This is a HUGE problem.

My son's cardiologist at Duke is aware of the problems we've had for years, and states them as totally unacceptable. She's a Duke graduate and Dean of Admissions of the Medical School. She swears part of this has to do with the fact that my son's local--graduated Harvard Med. LOLOL

Our local is no where near the knowledgable and caring doctor that our cardiologist is. Duke keeps their best! Our local hasn't attained such heights as our cardiologist, she's simply "Your Time Is Not My Problem Queen" of her physician's group.

So much for Harvard physician's attitudes and their time.:rolleyes:

Maybe, she'll be better six months from now on our next visit. It is distressing.
Sorry you have to go through this Grits , if you read my post , I mentioned several reasons.
There is no good excuse though , but unfortunately I don't see any improvementcoming anytime soon.

[NJ Stinks]

Last summer I took my 86 year old Mom to see a pulmonary doctor who specializes in senior care. (It was our second visit with him. The first time we waited 45 minutes in the waiting room to see him.) We got there on time and waited 110 minutes before we saw the doctor. After he examined Mom I told him it was totally unfair for Mom and the other seniors sitting in his waiting room to be subjected to such a long wait. After he offered a feeble excuse (complex issues with some patients that morning), he told me to tell the receptionist that he said Mom should get a prime appointment time next time.

There was no next time with him. My cousin recommended a great Indian pulmonologist who knows how to keep an appointment.

(I just saw your post, Nijinski. Maybe the excuse wasn't so feeble! :) )

[Native Texan III]

Interesting that the "Socialist" free at point of need medicine fiefdom of UK has set target times of seeing patients within 15 minutes of arrival and that is without any appointment. In the private sector they fine you for being a minute late for an appointment.

Electronic e-Triage, first introduced in Canada, is an integral process for many hospitals and clinics in the UK. Patients entering a hospital are assessed using various criteria to prioritize their treatment based on the severity of their condition. The triage process identifies special needs for a patient and guides towards a pathway of care.

Historically, triage has been a paper-based process but moving towards a computerized system can save money while keeping service levels high.

[FiveWide]

This irritates the heck outta me as well. Usually it doens't matter whether it's a specialist or not, there is always a significant amount of time waiting at the doctor office. If I have a doctor I know I'll have to wait a long time for I always always always make my appointment the first one of the day. Then they have no excuse for you waiting but even then I've had to wait but usually no more than 30 mins.

I do understand sometimes you don't have the luxury when you need to go visit the doctor. These are unfortunate times.


-Five

[DRIVEWAY]

That may not help, as everyone has to sign in and is taken in order of the sign-in sheet. If the backlog is a few hours, for example, you'd have to be prepared to reorder your day and come in sometime in the P.M. And...the longer you wait, the more people will continue to sign in before you. So, if you think you'll show up at 1:30 and get to see the doc, chances are good you'll still have a long wait and probably won't get to see him until late P.M. One would have to plan to waste the entire day.

Boxcar

They have to play golf or tennis sometime. They only book so many patients.

Slip the office clerk Annie $10 to sign you in or Go sign in and attend the matinee and return in time to see the Dr.

If office hours start at 9:00AM get there at 8:30AM and sign in first no matter when your appointment is.

Be an annoying pain in the ass like Boxcar and they'll see you ASAP to get your miserable keaster out of the office.

[boxcar]

They have to play golf or tennis sometime. They only book so many patients.

Slip the office clerk Annie $10 to sign you in or Go sign in and attend the matinee and return in time to see the Dr.

If office hours start at 9:00AM get there at 8:30AM and sign in first no matter when your appointment is.

Be an annoying pain in the ass like Boxcar and they'll see you ASAP to get your miserable keaster out of the office.

And you're a miserable speller. It's called keister. :rolleyes:

And wherever I go, I am loved, and that "buys" me the service I desire. I don't have to bribe people to give me good service. That modus operandi is for the Driveway losers of the world. It's no wonder you recommended it.

Boxcar

[DRIVEWAY]

And you're a miserable speller. It's called keister. :rolleyes:

And wherever I go, I am loved, and that "buys" me the service I desire. I don't have to bribe people to give me good service. That modus operandi is for the Driveway losers of the world. It's no wonder you recommended it.

Boxcar

The keister has spoken. :lol: :lol: :lol:

[bigmack]

Someone in a Dr's office had this to say:

1. First of all, no-shows are a big part of it.
2. Same day people--many people call up that day and are acutely ill & want to be seen right then & most Docs try to acomodate them & "work them in"; which gets things off kilter.
3. People arrive late to their appointments...then have to be "worked-in"
4. People lie about the reason they want to be seen so that the amount of time for the appointment can't be judged accordingly Or they add on multiple complaints or they bring their whole family with them to be seen (my favorite--one kid has the appointment and 4 siblings show up)--so you get behind.
5. You keep getting interrupted--people call with questions, the lab calls, the pharmacist calls, the parents call etc etc.
6. Someone turns out to be really sick and needs more time or needs to be hospitalized--that really gets you off kilter; or needs to be referred to a specialist and that takes time
7. Charting and paperwork for the records & the lawyers--takes forever.
8. Reimbursement is so bad that you only make $5/per patient, you need to see more people just to pay the office staff and the malpractice insurance.
9. Office staff may not be efficient, some days are just crazier than others.
10. Some days, nothing goes right. Always take a book with you or homework or something to do. There are some ways to help make this work better: Always state your problem clearly & accurately to the appointment taker. Write down your questions ahead of time. Bring all your meds with you (or their names--many patients tell me to "look up their meds for them" takes time). Don't try & wiggle in more complaints at the end of the visit--prioritize or ask for a longer appointment. Don't bring your whole family with you to be seen for 1 appointment--make multiple appointments. If you are asked to bring something with you--bring it! Try and get the earliest appointments you can--less likely to be off course.

[mostpost]

Several years ago my doctor, whom I had been seeing for over ten years, sent a letter to his patients. In this letter he described how he was tired of practicing medicine as he had in the past. He wanted to be able to spend more time with each patient. He wanted his patients to be able to make an appointment and come in for that appointment and be seen on time, every time. He wanted his patients to be able to come in, in an emergency, and be seen promptly. He wanted the time to discuss preventive medicine and lifestyle changes with his patients. Oh yeah, he also wanted us to pay $1500 a year for the privilege of being part of his noble plan. Not covered by insurance. I saw him four times a year. I didn't care if he didn't speak to me for an hour each time. I got a new doctor.

P.S. I heard recently that it was not going well and he was considering returning to normal practice.

[boxcar]

The keister has spoken. :lol: :lol: :lol:

And never forget that this "keister" is smarter than yours ;)

Boxcar

[witchdoctor]

I am on the other side as I am in private practice. Mike as for your doctor, I suspect he is a greedy SOB. I schedule 4 patients an hour and that is sometimes difficult to keep on schedule. I know some prima donnas that try to maximize production at the expense of doing good work. That said as Medicare(60% of my practice is Medicare) keeps cutting our reimbursements, we have to keep looking for ways to cut expenses.

[Pell Mell]

I had a doc in NJ that only saw about 10 patients a day. Most I ever waited was 10 minutes.
Moved to TN and figured I was going to really miss my NJ doc. Guess what, I found one even better. If I call in the morning with a problem he sees me that afternoon. He even gave me his cell phone # in case of a problem at night.

In NJ I couldn't find a dermatologist that was taking new patients. Finally found one an hour away and had to wait 3 months for an appointment. Got there and there were more than 50 people waiting. It was 2pm and people were still waiting for a 9am appt.

Got a dermatologist in TN and I'm in and out in a 1/2 hr.

Great docs down here and UT Medical Center is a fabulous hospital.

Had a doc buddy in NJ that went into a partnership with 4 other docs. He had to leave because they said he was spending too much time with patients and not earning enough for them.

Known too many over the years and it's all about the money. A bunch of greedy bastards who are more interested in real estate deals and boats.:bang:

[Tom]

1. You punch a payment time card when your appointment is scheduled to start.

How about 30 minutes after that you punch the DOCTOR in the nose?
Then tell him "Physician, heal thyself!"

Rat bastards - tell them to their face how irritated you are how let them know you are not satisfied with their service. There is no excuse for the way most treat their patients.

I have an appointment with a specialist tomorrow and looked him up on the web and found this:

"Avoid Dr. E. I waited an hour and 20 minutes, which is rediculous.Dr. E. has the beside manner of a buffoon. He walked in the office, never looked at me, never introduced himself, sat down, opened my folder and said gruffly, "What have we got?" Sheesh."‎ - Anonymous ‎ - Aug 27, 2010

Oh boy, I can't wait!

[Grits]

Sorry you have to go through this Grits , if you read my post , I mentioned several reasons.
There is no good excuse though , but unfortunately I don't see any improvementcoming anytime soon.

Nijinskie, yes, I did read your post, and I've read the others as well. And you're correct in your post, and in noting that this won't show any improvement anytime soon.

With this said, still I've been at all of this year end, year out for almost 34 years, I'm very close to the point of feeling there's not anything that I haven't seen, and too, any excuse that I've not heard, not only from doctors in regard to their "being behind/running late" but too, regarding problems that come about as a result of doctor or hospital error. They do happen, and probably with more frequency today due to overload--for my family, the most recent being the middle of October, when brought out of surgery, placed on the floor in a room with no monitoring whatsoever, and put on a morphine pump, her anesthesia during surgery combined with the morphine into the night caused my 80 year old mother to suffer an overdose and go into acute respiratory distress.

I was the only one with her, and knew what was happening as I was counting, watching her respiratory rate per minute. Her nurse, unfortunately, disagreed and questioned me. She took my mother's vital signs and went to get her charge nurse. I suggested they get anyone else in the room they needed and to get my mother's surgeon on the telephone immediately. They did so. Surrounded by nurses from other wings of the floor, it took two injections of Narcan to neutralize the narcotics in her system, saving my mother's life. The next day I was interviewed by, both, nursing supervisors, and a hospital administrator regarding "my mother's episode" as it was termed. Too, I was hugged, and thanked. I'm not sure whether this was for my benefit or theirs.

Doctors are overbooked, their time constraints are tremendous. They're on rounds to see their in-hospital patients, writing orders, then off to their office to see their daily patient load. The same goes for hospitals their demands are great to make profits, but there's less and less monies available in reimbursements. Still, our local hospital would rather add on to their facility to make room for a new heart center, more surgical suites, more outpatient procedures, more rehab for hip and knee replacements, yet, there are no monitors in patient's rooms that are directly tied to the nurse's station following patient's vital signs on surgical floors? These are only in the ICU. So they put a small 80 year old woman at risk with a nurse's aid with no education to come around every hour to see if she's still breathing or needs to get up to pee? The aid would have found my mother dead.

There's a lot wrong with doctors and hospitals--and yes, much of it is about money, corporate demand placed on them to produce, and too, competition, the race to have the best technology, when that same technology is in the next hospital only 15 miles away in the next county.

No, one doesn't see it getting better, and sadly, its all we have. Still, when all goes well--we are all extremely grateful for their knowledge and their quality of care. There is no greater feeling on earth than saying goodbye to those that have helped to heal us.

witchdoctor wrote: I am on the other side as I am in private practice. Mike as for your doctor, I suspect he is a greedy SOB. I schedule 4 patients an hour and that is sometimes difficult to keep on schedule. I know some prima donnas that try to maximize production at the expense of doing good work. That said as Medicare(60% of my practice is Medicare) keeps cutting our reimbursements, we have to keep looking for ways to cut expenses.

Witchdoctor, you should be greatly appreciated, your patients should have tremendous respect for you. My own doctor handled his patients in this same manner, four patients per hour, it was rare that his patients waited for more than 15 minutes, at most. Until his retirement from this same physicians group as my son's doctor is in, he was the most highly respected internist in the city. He retired early, at 62, having had all he could stand. It wasn't his patients that brought him to this point, it was bureaucracy. He volunteers at the hospital three days a week, still today.

[nijinski]

Last summer I took my 86 year old Mom to see a pulmonary doctor who specializes in senior care. (It was our second visit with him. The first time we waited 45 minutes in the waiting room to see him.) We got there on time and waited 110 minutes before we saw the doctor. After he examined Mom I told him it was totally unfair for Mom and the other seniors sitting in his waiting room to be subjected to such a long wait. After he offered a feeble excuse (complex issues with some patients that morning), he told me to tell the receptionist that he said Mom should get a prime appointment time next time.

There was no next time with him. My cousin recommended a great Indian pulmonologist who knows how to keep an appointment.

(I just saw your post, Nijinski. Maybe the excuse wasn't so feeble! :) )
Good luck with your Mom's new physician , I hope the experience is
better . Your prior doctor probably was telling you some truth. Those Docs
that see predominantly geriaratrics are definately going to run into this problem
alot and they are probably least likely to attract a PA or Nurse practitioner
to come on board with them to help move things along.

[bigmack]

P.S. I heard recently that it was not going well and he was considering returning to normal practice.
Abby Normal?

http://i165.photobucket.com/albums/u70/macktime/youngfrank.gif

[Ocala Mike]

Wow, I see my post really struck a nerve. Some great posts, everyone, and I have to say that I now see that what we experienced is probably more the rule than the exception. Just another facet of the gigantic mess that is the American health care system.


Ocala Mike

[prospector]

If someone insists on my making an appointment with them and then cannot or will not act as though they were the one that came up with the idea in the first place, then I leave. I know this isn't practical for everyone, but I do my damnedest to make it practical for me.
i just went one better than that with my dentist...tell me to come in 15 mins early and then make me wait for an additional 45 mins after they call the day before to remind ME to be on time..when i did get in i started complaining, raising my voice with every complaint..my last complaint was in the form of a question.."you charge me for your time..what makes you think MY time is not important?" i got $50 off my bill..i'd have rather been waited on on time..

[nijinski]

Grits it's shameful what happened to your Mom , Thank goodness you were with her . I share your frustration and as well I suffered a layoff wuth three
others when our large practice was purchased. The management there
are numbers people and have no medical backgrounds . Two weeks after my departure , the surgery center head nurse quit. None of us were replaced
so with twelve physicians , I hear it's chaos . The most experienced and higher paid were irrelevant to the "business".
Having all those years behind me I'm pretty much done with the field , that's
how bad it's gotten , but unfortumately it's where I have the most experience. Mostly I miss many of the patients , in years past the staff
and the patients had close relationships and they counted on us to help
them with so many matters. Alot of that has changed. It's sad.
I hope for you and your family that any future visits are less stressful.

[nijinski]

I had a doc in NJ that only saw about 10 patients a day. Most I ever waited was 10 minutes.
Moved to TN and figured I was going to really miss my NJ doc. Guess what, I found one even better. If I call in the morning with a problem he sees me that afternoon. He even gave me his cell phone # in case of a problem at night.

In NJ I couldn't find a dermatologist that was taking new patients. Finally found one an hour away and had to wait 3 months for an appointment. Got there and there were more than 50 people waiting. It was 2pm and people were still waiting for a 9am appt.

Got a dermatologist in TN and I'm in and out in a 1/2 hr.

Great docs down here and UT Medical Center is a fabulous hospital.

Had a doc buddy in NJ that went into a partnership with 4 other docs. He had to leave because they said he was spending too much time with patients and not earning enough for them.

Known too many over the years and it's all about the money. A bunch of greedy bastards who are more interested in real estate deals and boats.:bang:

The Dermatologists are the worst , I was assigned to one three ams a week. The computer templates for appointments were redesigned from one appt every 15 minutes to a double booked appt every 10 minutes.
Most are cutting back on the vital general derm in place of cosmetic procedures which are all cash.
If you call for Botox or a lip filler you may get in the next day.

[Grits]

Nijinski,there is so much loss here. So much. Not only that of your's, what was probably, for you, a calling, and a wonderful career. As well though, is the loss to your patients, which I imagine is equally as great, as deeply felt.

I can't tell you how important and how grateful I've been to nurses that have helped care for my son, my parents, my former spouse, and myself. Whether in the hospital, or with office visits, many have been so caring, so professional. And too, I've watched their relationships with the doctors they work with. Many times, I've witnessed a nurse know a physician's next order before he/she gives it, and too, finish his/her sentences. Its a fine thing to see such good working relationships.

Like horseracing, suits run things who often know nothing about the sport, suits and insurance companies run healthcare, both of which know how to make money, and know nothing about how to deliver quality medical care.

Fine nurses do not come easily, they're worth their weight in gold. Young, new, fresh out of school nurses do come easily, but most likely they don't come at as high a price though. The one taking care of my mother that night had been in nursing two years.

I hope you don't give up your career. Some of us are born to do certain things. ;)

[nijinski]

Thanks grits , thsat meamd alot to me.

[JustRalph]

local ER has a 4-5 hour wait for almost everything....up to 8 hours for some things.....it's the saddest place I have ever seen........

[nijinski]

[QUOTE=nijinski]Thanks grits , that means alot to me

[nijinski]

Thanks grits , thsat meamd alot to me.
I have to stop typing while watching Criminal Minds . above is what happens.
Reposted.