Surgery canceled: Where can patients *reliably* get a prompt PCR test? I failed.

Surgery canceled: Where can patients *reliably* get a prompt PCR test? I failed.

It's time for both patients and providers to step up and dig up an answer this question: Where can I *reliably* get a prompt PCR test?

Yesterday the lack of an answer forced my surgeon and me to postpone my scheduled eye surgery. It's a nuisance to me (the second postponement) but a massive waste of his time (and his team's, and it cost his practice money). Here's what happened:

  • Massachusetts regulations now require a negative PCR test within 72 hours of surgery. Fair enough.
  • I couldn't get tested Sunday (New Year's Day, 72 hours before surgery) so I got the test at Walgreen's Monday morning. Their results have always come within 30 hours, which would be Tuesday afternoon.
  • BUT Walgreen's ships its tests to the lab using Fedex, and Fedex was closed Monday.
  • And Fedex never showed up Tuesday. So when I insisted on answers from Walgreen's Wednesday afternoon, I learned that my test was still in-house at Walgreen's. Fifty+ hours after the sample was collected.

So the surgeon and I had to postpone.

We could talk all day about shoulda/coulda, the decline of Fedex, etc, but those are diversions. The reality is that when I asked the surgery where I could get one done promptly, they didn't know, and neither did I. (People are telling me "Hospitals can do them," but this place is affiliated with Mass General, and last month they said MGH has stopped doing COVID tests for outpatients.)

That's why I'm saying, let's find out how to get prompt PCR results, and publish a list.

For starters:

  • In my particular area (southern New Hampshire) there's a local company that will do PCR tests with results in three hours. It's totally self-pay, $250, no insurance accepted. If I were desperate I'd do it gratefully, but I'm looking for a more accessible solution for a much wider audience.
  • CVS Minute Clinic supposedly has self-pay PCR tests at some locations, with results in 3 hours for $208 (including a "pre-travel consultation"), or $129 with results in "typically" 1-2 days , which is not what I needed, but might be okay with advance planning. (Note: the first agent I talked to on their 800 number brusquely cut my questions short with "I don't want to go over my two minutes.")
  • WorkSite Labs has 20 locations around the US with results in 24 hours for $90. None is near me - the closest is Brooklyn NY, 7 hour round trip - but I might have done it.

Advice, all?

Update: the lab's website finally says they've received the sample, around 7 pm on January 5, 3+ days after Walgreens collected it.

Helene M. Epstein

Writer. Author. Advocate. Speaker. Board Member Pen Parentis. Steering Committee Patient-Partnered Diagnostic Center of Excellence. Author PATIENT NO MORE. Patients for Patient Safety Champion. Former Dx IQ Columnist.

11 个月

So frustrating. Testing delays lead to harm for all involved.

回复
Grace Cordovano, PhD, BCPA

Healthcare Navigating Grand Master | Patient Administrative Burden Hacker | De-Frictionizer| Knowledge Seeker | Clarity Provider | #UnblockHealth | #Techquity | #PatientsUseAI | #CancerX | Mom

1 年

The bottomline problem is "MGH has stopped doing COVID tests for outpatients." This is another example of the Patient Administrative Burden associated with getting the care a patient needs. Requiring a negative COVID test is pretty standard practice for any procedure. It is disappointing to continue to hear the fragmentation in patients' experiences of obtaining these tests. Many facilities and providers require the patient to specifically go to their in-house testing/lab. Shocking MGH doesn't have a more streamlined protocol in place. Another point, holidays wreck havoc on patients' care. I have dozens of patient cases that are ALL emergencies due to holiday closures, care coordination balls being dropped, prescriptions denied, some that have led to deterioration in patient health and ER hospitalizations. There's a big movement to "hospital to home"; what patients really need is access to seamless care 24/7, not only during business hours.

Steve Early

Independent Salesforce Consultant, and Owner at Steve Early Photography

1 年

I’ve had one surgery and another procedure that required a negative Covid test 2 days prior to each procedure. In both cases the test had to be done at the medical facility involved. They wouldn’t accept anyone else’s test results, probably for the very reason you mentioned: messes up the surgeon’s or hospital’s schedules and earnings. It was a bit of a pain to drive from NH to Boston for a Covid test, but things stay on schedule that way. Good luck with your surgery, Dave.

Stacy Hurt ??

Chief Patient Officer at Parexel

1 年

I hate asks without dependable infrastructure. Frustrating. Hugs, Dave deBronkart

Brad Einarsen

Strategic Futurist at Klick Health & Author of the Klick Wire

1 年

And WHY was FedEx involved? It's information, not a thing.

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