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  • "Come back in two weeks and I might consider helping you then."

    This is a story about a friend of mine, S. Her husband told me and my husband about it over dinner last night.

    S and her husband want to have children. Unfortunately, S has had rheumatoid arthritis since she was about 6 months old. She takes a variety of medicines every day as treatment, which leave her unable to have children. And if she were to stop taking the medicine, she would be crippled and unable to walk.

    So, they have turned to adoption. To make a long story short and to avoid Fratching territory, I'll just say that the adoption process has been a long and difficult one for them so far. They are now at a point where they are filling out page after page of paperwork.

    One of the things they need to get are forms filled out and signed by their primary care providers indicating that they don't have any serious, life-threatening health conditions and that they are physically able to care for a child. S has (or had...keep reading) a primary care provider, who she sees once or twice a year, but she also has a rheumatologist who she sees much more often, every 2-3 months. So she asked the adoption agency if she could have her rheumatologist fill the forms out instead of her PCP.

    The adoption agency himmed and hawed about this and finally said, "Well, it probably would be good if you got your rheumatologist to fill the form out, since he knows your condition best. But we still need it from a PCP too, so you need to get the form filled out twice, once by your rheumatologist, and once by your PCP."

    This wasn't exactly the response she was looking for...but whatever. She got her rheumatologist to fill out the form without any problems. Then made an appointment with her PCP to get it filled out again.

    Her appointment was earlier this week. She got to the clinic, got checked in, was seen back to one of the little exam rooms, and was then told that her usual PCP no longer works there and that she would be seeing someone else instead. Nice way to start the appointment.

    So the new dr. comes in while reading S's file. The first thing she does is demand to know why it has been so long since S had been to see them (it's been less than a year.) S was taken aback and asked what the dr. meant. The dr. snapped that with S's condition, she should come in much more often for appointments. S replied that she has a rheumatologist who she goes to every couple of months, who knows her condition very well. The new dr. went off the handle and started yelling and berating S, telling her she was irresponsible for not coming in for appointments often enough and that seeing the rheumatologist alone wasn't good enough.

    S finally managed to explain that the only reason she was in at all was because she needed to get a form filled out for an adoption agency. She tried to show it to the dr. but the dr. wouldn't even take it or look at it, kept berating S, then told her that she needed to come back in 2 weeks and she would maybe consider filling out the form then. Then she walked out of the room, leaving S stunned.

    Needless to say, S is not going back to that doctor or that clinic. Now she has to scramble to find a new PCP who will fill out this form for her before the deadline. I'm not entirely sure when the deadline is but they only had a month from the time they got it to get it turned in, and I know they've had it at least a week or two now.

    The whole thing is just ridiculous! Without even getting into why the adoption agency needs the same form filled out by two different doctors -- why the hell would the new PCP S saw tell her to come back in 2 weeks? She did not tell S to do anything different, change any medication, or anything. What would change in 2 weeks that she would consider signing it then and not right away?

    It's ridiculous! And it makes me really angry for S and her husband.

  • #2
    Because the PCP is a . She's hoping that in two weeks it will no longer be an issue, most likely. Or it's her version of a "time out" to get S to come back sooner. I'd report her, that is NOT acceptable. One year isn't too long to see your GP if everything else is taken care of, I think. Just enough for yearly checkups. People Suck.

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    • #3
      I strongly, STRONGLY suggest that S report that asshat pronto. That kind of treatment is beyond the pale!
      The report button - not just for decoration

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      • #4
        Definately. She's supposed to do no harm, not throw a fit. You're not a diabetic who decides to sit there and eat five boxes of chocolate ice cream right in front of her. Your care is being managed by someone already. Report this power-tripper.
        Customers should always be served . . . to the nearest great white.

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        • #5
          I did tell S's husband that they should report the new dr. I hope they do.

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          • #6
            What changes in two weeks? He gets to bill for a second appointment. At a much higher rate than an initial consult.

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            • #7
              Yelling? Seriously? ... what? and a R. doctor is better than a general practitioner with R. stuff, yeah? Power. Trip.
              "Is it the lie that keeps you sane? Is this the lie that keeps you sane?What is it?Can it be?Ought it to exist?"
              "...and may it be that I cleave to the ugly truth, rather than the beautiful lie..."

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              • #8
                Trying to torpedo it entirely by stalling til the chance is gone. With a side order of Smug.
                "English is the result of Norman men-at-arms attempting to pick up Saxon barmaids and is no more legitimate than any of the other results."
                - H. Beam Piper

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                • #9
                  Quoth MaggieTheCat View Post
                  she was irresponsible for not coming in for appointments often enough and that seeing the rheumatologist alone wasn't good enough.
                  What?! Dude, first she has dealt with RA since she was a baby I'm guessing she would know how often to see her primary.
                  Second, my doctor didn't even send me to the rheumatologist, I called asking if I would need to see them first as the answer was, nope not unless the rheumatologist or the insurance needs you to. I also see my rheumatologist far more then my normal doctor, heck I don't even know what anyone at my primary's office looks like, including the doctor. I'm more likely to go to the walk in clinic in the same building as my rheumatologist then my primary doctor (not that I don't like them, it's just a busy office). Not one of my doctors takes issue with that, they are all perfectly fine with that. In fact it seems they would be worried if I did see them both often cause that would be a bad sign.

                  That new doctor just sounds like they need to be in charge of everything, ugh those are the kind that would argue with the rehumatologist about treatment cause they know everything and blah blah blah. We had that issue with one of my father's doctors too, had to have his nose in everything.

                  Give your friend a hug for me, I know some of her pain (I'm currently doing my heat treatment for my hands), as does my father who has full blown RA.
                  I'm the 5th horsemen of the apocalypse. Bringer of giggly bouncy doom, they don't talk about me much.

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                  • #10
                    Do a search for the old PCP's name. It's possible he's still practicing in the area, but simply moved his practice. I'd call to follow-up and see if there's an opening. One thing to consider is that transfer of medical files can take time, so that's going to add to the problem of the short time frame. Maybe ask the RA doc for a referral?
                    A lion however, will only devour your corpse, whereas an SC is not sated until they have destroyed your soul. (Quote per infinitemonkies)

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                    • #11
                      Go to the office and demand your files. You can do that, they're your files. They have no right to them. Then you can take them to the doctor of your choice.

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                      • #12
                        Quoth bainsidhe View Post
                        Do a search for the old PCP's name. It's possible he's still practicing in the area, but simply moved his practice. I'd call to follow-up and see if there's an opening. One thing to consider is that transfer of medical files can take time, so that's going to add to the problem of the short time frame. Maybe ask the RA doc for a referral?
                        My friend was told that her old PCP is now an emergency room doctor at a different clinic and no longer has regular clients, just the people she sees in the ER.

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                        • #13
                          When she made the appointment, she wasn't told of the change of doctors? In that case, I would have walked out right then. My doctor will sign away on those types of forms if it has been within 12 months of my last physical.

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                          • #14
                            Most doctors will fill out forms for a small fee (usually around $25).

                            This one seems to be some sort of control freak. Some doctors do like to follow patients with chronic, potentially life threatening problems more closely, say every 3-4 months, but that is the patient's choice to do this.

                            Yelling at the patient and refusing to assist her is unprofessional. A complaint to the manager of the group practice (if it is one) or the Medical Board (if she is a solo practitioner) is in order. All she'll get is a slap on the wrist (maybe), but it might improve her disposition a bit. Or not.

                            A new PCP is definitely in order, and a letter to explain why you are leaving the practice. Nothing gets attention like dollar signs, so if this bitch has a boss who realizes they've just lost money, she'll get a talking to.
                            They say that God only gives us what we can handle. Apparently, God thinks I'm a bad ass.

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                            • #15
                              I hope she can contact the adoption agency and explain that her PCP has moved, and as such the replacement *KNOWS SWEET F*A ABOUT HER CONDITION*.

                              Hopefully, they'll accept just the one form. *crosses fingers*

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