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The "come Back In Three Months" Coverage....


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#1 RememberingToSmile

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Posted 30 March 2007 - 02:00 PM

Please, allow me a moment to vent....

I am so tired of dealing with the md profession.

Over the last year, I've been pleased with my new primary care physician/rheumy combo.... I was also pleased with the gastoenterologist who performed the endoscopy and colonoscopy last year. He ended the last appointment with a request for me return in 3 months with any additional xrays or reports I have to discuss the Sclero diagnosis. I returned 6 months later because I was having additional gastro issues.

On this visit he acted as if I was an MD predator [what's the term for the hypochondriac patient who thinks he knows more than the doctor and will sue to make the point....] He asked who referred me - I reminded him he asked me to return, but the original referral was with my primary care physician.

He commented that the report I brought from my rheumatologist was long and asked what procedure I want him to do for me? I said I just wanted to consult on recent symptoms and ask his opinion/consult. I was quickly dismissed. How embarrassing. I only went back because he asked me to and I liked his previous work and enthusiasm. I wanted to keep the lines of communication open as things were progressing with the Sclero [and I am frightened , of course...].

What's the deal? Do all doctors say "return in 3 months for a check-up" to cover some malpractice angle? I am trying not to overreact but it is frustrating and I don't need this at this crisis time in my life...

Thanks for listening to my venting.

I feel better already. In fact, on the most recent visit to my rheumatologist we discussed the gastro involvement at length and he prescribed effective treatment. Although he knew I was going to revisit the gatro original MD... He didn't ask how it went, and I didn’t bring my frustrations up during the visit.



-RTS

#2 Heidi

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Posted 30 March 2007 - 03:54 PM

Hi RTS,

Wow! That really is amazing and frustrating! All of my doctors (rheumatologist, gastroenterologist, and opthamalogist) have me on a 6 month cycle (check in every 6 months) just to check on any progression and to make sure everything is o.k. I can't imagine one of them acting like I was taking up their valuable time because they had told me to come back in 6 months!! I am glad to hear that your rheumatologist appointment went well and that doctor seems willing and able to treat your GI issues!!

Warm wishes,
Heidi

#3 Sweet

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Posted 30 March 2007 - 03:57 PM

This is bizarre to say the least! All my doctors have me on a 4 month rotation to review my progression/symptoms etc. Sounds like this guy was having an off day or something. I'm really sorry you had to deal with this, it's the last thing any of us need.
Warm and gentle hugs,

Pamela
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International Scleroderma Network (ISN)

#4 Shelley Ensz

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Posted 30 March 2007 - 04:45 PM

Hi RTS,

I've had some doctors act strangely too, when all I was doing was simply following their instructions (like for a follow-up visit they requested.) My guess is that sometimes they don't log everything about a visit; they forget they asked us to return; they can't remember why they wanted us to return; they haven't read our chart before we get there; and sometimes there is so much data (other medical records for them to consider) that they become frustrated and then defensive and thus go on the offensive.

It's my theory, at least. And there's not much you can do with any doctor who "takes a bad turn" except get out of their office and avoid ever going back to them.

As much as some doctors have been great on a first visit for me and haphazard or worse on a second visit (maybe they put less effort into follow-up appointments?) -- I've also had some doctors that I thought were nearly completely worthless on a first visit who have turned out to be fabulous long term. All of us can have bad days, even our doctors. What's hard to figure out is whether that particular doctor always runs hot or cold, whether it was just an exceptionally bad day for them, or whether we said something that set them off, or what?

So I hope this helps you realize that most of us have had some unusual medical encounters, and that you are certainly not alone.The best plan of action I can recommend is to avoid that doctor in the future, if you possibly can. If you have to go back to them (like some people who are stuck in limited HMO's or small towns), then make an effort to try to improve the relationship on every visit. And it never hurts to bring along a spouse or friend who is inclined to be helpful -- sorry to say, I've seen astounding changes for the better in some doctors depending on whether or not there is another person in the room.

It's enough just to be ill, without having to recuperate from medical encounters. So try to absorb the idea that it's not you; it's the doctor, and attempt to refocus your energies on the ones who are pleasant and helpful, instead.
Warm Hugs,

Shelley Ensz
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International Scleroderma Network (ISN)
Hotline and Donations: 1-800-564-7099

The most important thing in the world to know about scleroderma is sclero.org.

#5 emmie

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Posted 30 March 2007 - 05:21 PM

Hi RTS,

I'm really sorry. I've done my share of venting about doctors this week. Sometimes you do just have to wonder. When I"m feeling generous, I can think ok, you're having a bad day. (I usually do not feel generous when it involves me.) How I usually react is, don't you realize that more stress is exactly what I do NOT need?? It makes me feel worse. Now I have to try twice as hard to unwind from a stressful doctor visit that I would have had to in the first place. Thank you very much!!!

I hope you get your gastro issues under control and can get a referral to someone you are happier with. I did read somewhere recently that med schools are going to be placing more emphasis on relating to the patient--long overdue, huh?

xoxo emmie

#6 debonair susie

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Posted 01 April 2007 - 01:06 PM

Hi RTS,
My rheumatologist wants me to be seen four times a year ... by at least one specialized doctor. This particular rheumatologist...I've been seeing since 1991... I notice, when starting out with a specialist... the charge is the "new doctor charge". Therefore, my rheumatologist, plus all of my other "regular doctors"...make sure I see them "within"a year" so I'm not charged as though I'm a new patient.
I will say this... I have several specialists...and each of them is seasoned ... to the point that they spend as much time with me as needed... Time just doesn't seem to dictate, in their cases. I appreciate that so much. I really feel fortunate.
Please, don't give up on your doctor... it may have just been a bad day for him/her.
Hugs, Susie
Special Hugs,

Susie Kraft
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