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Meds, Medical Conditions, and Treatment >> Meds, Medical Conditions, and Treatment

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lemongrass
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Reged: 09/23/03
Posts: 361
Loc: IL
Need to get this out in the open.
      #135740 - 02/10/04 05:21 AM

As most of you know, I was uninsured for a lengthy period of time. After I got married, I got what I call my "Gold Card" which is my medical insurance card. Yes, it's definitely a Gold Card to me! Or at least I thought it would be.

I set up my first appointment with a Family Practice doctor. My only intention for that visit was to get two referrals, one for my gastro and the other for a rhuematologist.

After a little history was discussed, this doctor flat out refused to give me my referrals! My gastro is on my plan and I was so comfortable with him and wanted to return to someone who already knew my history, and not to mention, I was well past-due in seeing him. I was supposed to see him this past November and it's now February! It's been well over a year since I was to see him again! This jerk tried telling me that all of my specialists were wrong and that he was absolutely right. Good Lord!

When I inquired why he wouldn't give me my referrals, he said in the most arrogant way, "What can they do for you that I can't?" Well, first of all, they didn't get their specialty degrees by chance! So this moron wants to play my allergist, my rhuemotologist, and my gastroenterologist all in one. Where in the heck does someone like this come off??

Oh, and he also asked if I brought in my medical records. Since when do you need to provide your medical records in order to obtain referrals? And if this was the case, why wasn't I informed this when I initially set up the appointment for the referrals??? I've never heard of such a thing! I worked for a doctor's office before and never heard of such a thing. Since when do people go walking around with their medical records? Well, I know some of us here do, but that's besides the point...we do it for differing reasons.

I also mentioned to the doctor that I had thrush. It had been bothering me for a couple of days and I've had this before. He says, "Where, in your mouth?" Well, duh! He told me he was testing me to see if I knew what I was talking about! Testing me??? Who the frick does he think he is to test me??? He gave me the tongue depressor and had me do all of the ahhh's and said it looked like I had some redness and inflamation in the back of my throat, probably viral. So why wasn't I given a culture to rule out if it was viral or bacterial? Why didn't he give me the routine RX that is administered for those with thrush just to err on the side of caution and help with some immediate results? He tried telling me that thrush is usually only on the sides and the roof of the mouth. Bull! My whole tongue was coated with it and I've had this before and with these same annoying symptoms, I was diagnosed with thrush. Oh, but not by Mr. Know-It-All. He was acting like he was God or something! I hated his demeanor and his arrogant, condescending attitude. His bedside manner was horrible. No compassion whatsoever.

Now, it's been speculated that I have RA, though it's never been clinically proven through the proper testing. All of my previous doctors have told me this. It's also associated with the Hep C. This jack-a$$ felt my knees and elbows and asked a couple of questions and his assumption was that I have osteo-arthritis.

The man witnessed just how much pain I was in and had to use a cane to be able to get around, and just prior to the end of our meeting, he advised me to take Tylenol ES 4 times a day. I told him I'd taken ever OTC medication there is and nothing is effective! I told him this yet he sent me on my way to continue to suffer! Sure, prescribing some norco of some sort would only be putting a band-aid on the wound, but at least give me some relief until the tests and diagnosis go through and we can get proper treatment started. WTF??? I'm sorry, but I'm livid. I'm simply beside myself right now.

Not only was he a complete waste of my time, energy, and effort, but a waste my hard-earned money.

As soon as I got home, I contacted my insurance company and told them of my experience and requested another doctor. They asked me what happened and I was all too willing to oblige at the time. I was in tears! Well, Mr. Know-It-All is getting written up and they said that his behavior was absolutely inexcusable. Good! Hope they take his undeserving license away. That pompous a$$!

So today is another day and I will try to see if I can get in to see someone on short notice, which I know will be very difficult to do. As it is, the few names the Health Insurance Provider gave me had already left for the day or they were clearly booked from 4-8 weeks!

Do tell me, how would any of you had acted in this situation? Would you have kept a cool head or would you have flipped right then and there? Because I wasn't able to keep a cool head. I was calling him on all of his contradictions and swearing before I left his office. He did absolutely nothing for me and I still hadn't gotten what I originally went there for. My husband said I never should have paid him, though now the routine practice is that they collect their co-payment BEFORE you even see the doctor now.

Input is always greatly appreciated. Thanks everyone!

lemongrass

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PrivateRealm
Threadhead


Reged: 03/18/03
Posts: 879
Loc: usa
Re: Need to get this out in the open. [Re: lemongrass]
      #135743 - 02/10/04 05:37 AM

I would have done exactly what you did and put a rush on finding another doctor. Dr's like this seeming to become the norm.

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KeriAnne~~~
"Life is not measured by the number of breaths we take - but by the moments that take our breath away."


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booker
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Reged: 08/15/03
Posts: 348
Loc: The Moon
Re: Need to get this out in the open. [Re: lemongrass]
      #135752 - 02/10/04 06:50 AM

What a nightmare! I, too, would have reacted the same way you did and I am glad you talked to your insurance company. Too many people don't do that and just stay quiet. When I moved to another state I asked a lot of people who their doctor was and if they liked them. The fellow employees at the company your husband works for would be a good source of people to question. Good luck.

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"would you like to swing on a star, carry moonbeams home in a jar, and be better off than you are, or would you rather be a ....."


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Winter
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Reged: 04/08/03
Posts: 105
Re: Need to get this out in the open. [Re: lemongrass]
      #135753 - 02/10/04 06:58 AM

yep I would have done just what you had done then went home & called to get a new DR. & turned him in What a JERK!!! You know health care seems to get worse & worse as time goes on, just makes me so sick.
I did this with a PM DR. once the guy wouldnt even give me my records & his nurse was the most UNCARING RUDE *B* i have ever met. Then the gal at the desk had the nerve to tell me you should have seen the other PM DR. we have here he is so caring & he is the best blah blah blah. well I CALLED first before making the appt. telling this same woman i have suffered 7 years in pain (this was in 2000) & have tried everything she should have put me with the "BEST" to begin with dont you think!!!
He had no reason to be so rude & non caring to you Sorry to hear how you were treated, i know we all go "HOPING" we will see a compasionate caring DR who wants to help only to be let down!!!


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Life is not measured by the number of breaths we take, but by the moments that take our breath away.


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Zowie
Newbie


Reged: 12/14/02
Posts: 35
Loc: Beautiful Atlantic Coast
Re: Need to get this out in the open. [Re: lemongrass]
      #135754 - 02/10/04 06:59 AM

Quote:

Oh, and he also asked if I brought in my medical records. Since when do you need to provide your medical records in order to obtain referrals?




The doctor sounds like a jerk with a God complex. But in all honestly, the only reason he asked for your medical records was for continuity of care which benefits you more so than him. This would allow him to know what your history was, what has been tried in the past and has not worked, etc. I think I would get a new Primary Care Physician and this is just me but I would definitely want my medical records with me anytime I am going to a new physician.

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There are people who have money and people who are rich.


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keystone
Veteran


Reged: 09/05/02
Posts: 586
Loc: Arizona, USA
Re: Need to get this out in the open. [Re: lemongrass]
      #135755 - 02/10/04 07:08 AM

Your doctor sounds absolutely rediculous. I would have hit him with my cane.

Just to let you know, I just got married and my wife (had no health insurance) would not get covered for her ailments because of "pre-existing conditions"

Apparently, MOST and I say MOST so this may not apply to you....will not cover a condition in the first 6 months of coverage. Now, you WILL be seen, you will pay your co-pay but the insurance co. could deny you the benefits.

I am sorry to add to your trouble but you may want to ask about this before you go and see 3 specialists. You can call their 1-800 number and NOT give your member ID, just ask about pre-existing conditions and their policy.

I could be wrong but this has happened to me before. I have United Healthcare.

About your Doc.....don't worry. You'll find one that is compassionate. I prefer the Doc's that are in their 50's and male. They seem to be the most generous.

Good luck!

KS

--------------------
The greatest trick the devil ever pulled was to convince the world he never existed.


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kayleighbear
Member


Reged: 12/01/03
Posts: 101
Re: Need to get this out in the open. [Re: lemongrass]
      #135758 - 02/10/04 07:11 AM

Lemongrass,

OMG~~ speechless, I am!! I can't believe he treated you like that. and with current HMOs when you HAVE to go the route of getting a referral, he felt he had you under his thumb. You did not deserve that and I'm so sorry you had to take that Best if kept off the board!

Unfortunately, I think most of us have stories like that. I am one to persist, but I don't usually blow up because I generally have my kids with me. I'm glad you spoke up for yourself. Too bad you have to start ALL OVER now. Good for you in persuing it... I definitely would! You are probably not the only one that has complained about his obnoxious behavior. Wonder if he has much "return business"?

I hope you find a new, more caring, doctor and soon!

Hugs,

Kayleighbear


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lemongrass
Board Addict


Reged: 09/23/03
Posts: 361
Loc: IL
Re: Need to get this out in the open. [Re: kayleighbear]
      #135782 - 02/10/04 09:12 AM

Thanks for all of your input everyone! You're all wonderful! But guess what??? I have an update for you!

I got right on the computer this morning and started looking for PCP's. Had I looked under Internal Medicine to begin with, I would have discovered my old doctor was under my plan! I called his office immediately, knowing full-well that the office wasn't even open, but hoping their hours would be announced so I could get right on the horn with them at the strike of the hour.

Well, his assistant gets the voice mail messages directly at her home and she called me right back because she remembered me and wanted to know how I was doing. I told her about my big saga and she said to come right in today and I will get my referrals. Oh, the joy! If my body would let me, I'd be doing a happy dance right now, but I am on the inside, I guarantee you that much!

The only hitch is that now that I've already seen the other doctor, my new/old doctor won't be in effect until March 1st. That means I have to pay more than my co-pay, but it will be well worth it. He also has no problems with payments and since I've been an established patient, it won't cost nearly as much as I thought.

Wow! What a relief. I can't wait to see my old doc! I'm so overwhelmed. What a blessing, what a blessing, what a blessing!

Just goes to show, folks, when things are looking bad, there really is light at the end of the tunnel.

Thanks again for your supportiveness.

Big hugs to all!

lemongrass

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night_shade
Threadhead


Reged: 08/26/03
Posts: 907
Loc: The State of Hockey
Re: Need to get this out in the open. [Re: lemongrass]
      #135838 - 02/10/04 11:28 AM

Lemongrass-

This is an all-too-familiar scenario. I found a doctor who treats me like a HUMAN BEING and I have stayed with him for 9 years even through multiple changes of insurance. If my insurance ever changed to something his office did not accept, I'd be in tears.

My doctor isn't a pushover. He even sometimes pisses me off. But when I need referrals, he gives them. He even goes out of his way to call me at home with information (even when I haven't been in for awhile) about my conditions as he comes across it. Yesterday, I even had a message from him asking me if I would want a referral to a specialty chiro and massge therapist for my back pain. MASSAGE THERAPY! Covered by my insurance because he referred me. I am very, very happy with my doctor (even though I feel like a hypochondriac for all the times I am in that office!)

If you lived up here, I'd cheerfully give you his name. So, my message is simply--KEEP TRYING! There are other doctors out there like mine. My doc and his brother (therefore we are all on a 1st name basis) practice medicine in a semi-rural suburb and they really do treat patients like small-town doctors. If you live in a big city, try a doctor on the outskirts of town.

Good luck and don't be cowed by megalomaniacal doctors!

OOPS! I got nailed not completely reading ALL the posts before I responded. Naughty Me!

Glad you found your old doc!

--------------------
Never underestimate the predictability of stupidity.


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sigmund
Member


Reged: 07/29/03
Posts: 181
Loc: Vienna
Re: Need to get this out in the open. [Re: lemongrass]
      #135905 - 02/10/04 02:22 PM

Lemongrass,
Good work in advocating for yourself and great news that you can use your good doc as a PCP. The most shocking thing about this "former" doctor was that you were starting a new relationship with him as PCP. He needed to schedule a complete physical with blood work (this is according to most policies) and started a new set of medical records for you. How could he expect you to bring records when you weren't insured previously. Additionally, the PCP in your type of plan is the gatekeeper for all your healthcare needs.

You do provide an excellent learning experience (so sorry you had to go through that) for others about the role of the PCP and how important that is for all of your needs. If anyone doesn't see a familiar name, it's good to ask around for recommendations - friends, aquaintances, the pharmacist (they often have good insight from a physcicians prescription patterns). Referrals can make all the difference between what you got and your new/old doc.

I would suggest that you call back the Insurance Company, as they already have your complaint documented on computer, and request beginning with the new/old as PCP immediately. Companies can bend rules in that way. The first doctor you saw did not even schedule a physical or evaluation in addition to his rude behavior. Why should you have to pay extra when you never had a legitimate first appointment. You're a great advocate. Go for it!
anna22

--------------------
how can you tell the Dreamer from the one who dreams the dream?


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lemongrass
Board Addict


Reged: 09/23/03
Posts: 361
Loc: IL
Re: Need to get this out in the open. [Re: sigmund]
      #136120 - 02/11/04 09:00 AM

Yet Another Update!

Went to old/new doc yesterday. Was so good to see him, especially now that he's sporting some facial hair. Love that manly look. (Ah, I should be ashamed of myself!) LOL

Anyway, get this...

Since I saw the "other" doctor once already, I have to wait an additional month for this old/new doc to be in effect on my insurance! I had to pay for this entire visit out of pocket as opposed to a simple $20 co-pay, which wasn't all as bad as I thought it would be.

But then, I can't get my referrals until March 1st either and none of my RX's are covered by my new doc either. Everything out of pocket until March. Doesn't that just blow???

These past couple of days have really been taking its toll. Lots of money flying out the window, too. It shouldn't have had to be at my expense like this, but alas, it is.

The only thing my GP would prescribe for pain is Ultram. He sort of has issues with my getting addicted to xanax in 2002 when I was on Peg-Intron / Rebetol treatments for my Hep C. If you all knew what that was, you'd have a better understanding as to how that "poison" affects your mind and body. It was one hellacious experience. But I met this very compassionate doctor in the ER when I was withdrawaling and he helped me with the battle. Other than his concern for me becoming addicted to narcotics, he's the best ever! And he truly is concerned about my health and well-being.

And where was I now...?

Oh, now I have to wait until March to get my referrals since my newest doctor will not take effect until then. But I have the doctor appointments in place for the first week of March, just need to get those referrals in hand before then, which will be no problem. I'm also going to get the x-ray I had done at the ER in 2003 on my back and neck, which show signs of arthritis. Boy, all of the leg work involved!

I figure, I've waited this long, another month isn't exactly going to kill me. Will it? Just kidding. That's my wry sense of humor emerging once again. Sorry.

I wish I could stay a little longer and check on some of the other posts here today, but unfortunately it seems me and my family got some bad Chinese food the other evening and we've all had tummy problems. We know it's the food because our littlest one doesn't eat it and she's the only one who wasn't afflicted with it. Just one more thing to add to this saga, eh? LOL

You all take care and once again, bless all of your hearts for your words of support and encouragement. I'd be lost without you guys, you know that?

lemongrass





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Sweetz
Diamond Mind


Reged: 05/11/02
Posts: 765
Loc: Texas!
Re: Need to get this out in the open. [Re: lemongrass]
      #136131 - 02/11/04 09:47 AM

I would've done the same thing you did hon. In fact, I've reported an old PCP before. She damned near killed me. She had me on Effexor XR 225mg, Wellbutrin, 300 mg (I think) and Sarafem. well, after about 10 days it was painfully obvious I couldn't keep my head up and I literally slept for days!!

I went back, she wasn't available and I saw her partner. Well, she told me what the problem was within 30 seconds of me listing the meds I take. My doctor that gave me that Best if kept off the board even put it all into her little calculator thing they carry around with them. I was so pissed! I almost got fired for falling asleep at work! I wrote her up online and demanded they change my PCP immediately. for some reason, they quit using her at that year...things that make you go hrmmmm....

Hope you find a more suitable PCP. What I do, is go to the insurance website, look up the docs online. I look at when they graduated from school and try to get a young one. My girls both like to see women, so their PCP is the nicest little doc, I love her. She will refer me to anybody I want. I do the research on who I want and let her know, that's it. I tried her recommendation (Dr. Know-It-All) and he gave up on me, so now she's a bit hesitant about his ability to help migraines. She knows I'm a hard case though. She wanted me to go to the unversity, but he said no. I told them both 'no more'. I now have a PCP that's also into PM. It's not the perfect situation, as the clinic is now 30 minutes away, but overall, it's cut down my ER trips and that's what counts to me, being able to function.

good luck in finding a new one. Try calling their office too and asking questions. I did that also, before I chose one. About afterhour calls, referrals, etc.... It's YOUR insurance, so it's YOUR choice, you and insurance are paying them. Insurance company doesn't know Best if kept off the board bout these docs. I had one neurologist I saw for my seizure and he never did ask me what meds I take. That's the first thing to come out of any doc's mouth EVERY visit. He never did ask. Keep us updated hon. Sorry to vent in your thread, just wanted to show you you're not alone and you're not being picky or going crazy!!

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"If you choose not to decide you still have made a choice."

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joyous
Newbie


Reged: 01/16/04
Posts: 48
Re: Need to get this out in the open. [Re: lemongrass]
      #137042 - 02/13/04 09:01 PM

Lemongrass,
You inspire me!! I'm sorry you had such a horrible experience. Doctors can be so exhausting. I've been in two car accidents, a head-on collision and and rollover and have been passed around from doctor to doctor with no adequate diagnosis to date. I have learned more from my own research and through this board than from any of my doctors thus far. It's so frustrating when you finally think you will get some validation, a proper diagnosis and maybe even a plan for recovery, but instead you are treated like a hysteric. I do admire the way you handled the situation. Sometimes I just feel so defeated that I do nothing at all. After reading your post, maybe next time, I'll handle myself differently.
I wish you the best of luck.
Joyous


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