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Diane Detmer
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5.  Prescription Refills ~

When patients have need for Prescription Renewal needs there used to be a nurse that took care of this. 

Now, there is an option in the voice mail system for this purpose.   The message is reviewed and the necessary steps are taken to get prescriptions renewals sooner.


Please understand this is just a basic presentation of how things work in the Lung Transplant Office taken from a causal converation in clinic.  It is not provided by the Duke Lung Transplant Team or supported by them in any way.   It is intended by the author to help patients understand what goes on and lessen some of the frustrations many of us feel when we try to get answers and it seems nothing is happening.

The Transplant team continues to be understaffed.  If you have specific questions or concerns call the Lung Transplant office.

If you have found this article to be informative and helpful, please send an email and let us know.

Thank you.
3.  Lab Reports ~
When patients have outside lab work done and the results were faxed to the Lung Transplant Office patients were called within 24 hours with the results and any changes in medications that need to be made by their assigned Lung Transplant Coordinator.

Now, lab results that are faxed to the Lung Transplant Office are typed into the computer.  That information is checked by another person to make sure there are no errors.  Then the lab results are sent to a specific Coordinator for review.  After she reviews the results she contacts the appropriate Transplant Physician for evaluation.  Once decisions are made the patient is contacted with results and instructions.  This process could take as long as a week.  If there are urgent issues that show up from lab work, this author does not know how it is handled.

4.  Calling the Lung Transplant Office ~
The voice mail system is the key.  When patients call the Lung transplant office with questions or concerns you are to leave a message unless it is urgent.  If your conern/question is urgent you can press 0 and talk to the secretary.  She will either connect you to a Corrdinator OR send you to voice mail to leave a message.

Currently, when patients call the "on call" Coordniator they will talk to one of the Transplant Physicians instead of hearing from the "On Call" Corrdinator.  This will change to a Transplant Coordinator when they have enough staff.

When patients leave a voice mail, the messages are reviewed throughout the day and Tamisha returns these calls.  In certain circumstances, your call will be directed to a Transplant Corrdinator.  Tamisha returns calls, gets answers to questions and contacts Transplant Physicians of behalf of patients.
October, 2007
How the System Works
by Diane Detmer

In the last year as post lung transplant patients have settled in to a new life at home we have experienced the frustration of trying to get in touch with physicians about our problems and concerns or get results of our lab work etc. through the Lung Transplant office.

During a recent clinic visit  we were able to learn the most recent changes in how the system in the Lung Transplant office works.  This information is provided here as I receieved it and is no way provided from anyone in a  position of authority at Duke. Additionally this information is provided here to help patients have a better understanding of what is going on and lessen frustrations when things seem different.  Things are different.  As we receive information of changes, we will try to provide an update so that we all can be informed.  If after reading this article you have something to add here, just send an email and we will check it out and add it here.

1.  Physician Care ~
When patients are referred to Duke for a lung transplant, it is usually done by the patients Pulmonary Physician or Primary Care Physician.  Some patients, once in the Duke system receive all of their care through the Duke Transplant Team, others maintain their relationship with physicians at home after transplant.

Now, all Duke Lung Transplant patients are required to have a Primary Care Physician to over see their NON Pulmonary care.  If you have questions or concerns about this, call the Lung Transplant office.

2.  Transplant Coordinators ~
Previously every patient was assigned to a Lung Transplant Coordinator and all communication with the Lung Transplant Team went through each patient's assigned Lung Transplant Coordinator.

Now, patients are not assigned to a specific Lung Transplant Coordinator due to the lack of personnel.  When enough Coordinators are hired and trained the original system of each patient having an assigned Lung Transplant Coordinator will return.  Until that time you will hear from Tamisha, RN or any of the 4 Transplant Coordinators.
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