OK, this is going to be kind of a rant due to the absurd things that I see practically everyday. Feel free to add your personal pet peeves... I got an inpatient consult today for "blurred vision" no call, no explaination other than "blurred vision" on a 40ish diabetic patient in the hospital for observation for syncope. Va 20/20 ou at dist and near. Glasses are "fine". Complete eye examination completely normal. Charge $241 for inpatient consultation. She could have easily been seen the day afterwards as an outpatient for $130. Now, I'm no saint, I'll take the money, but damn. I hate wasting my time on these consults. It burns my butt because many patients are either medicaid or medicare and I think about how this is contributing to what I pay taxes for... grrr.