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  • Frustrated with my dr.

    I had my annual "well woman's" exam yesterday (as they call it.) I moved to Texas almost 2 years ago, so this is the second time I've seen this doctor. I didn't particularly like her the first time I went to her, but I don't know anyone else and I figured a familiar face is better than a stranger. I'm reconsidering that now.

    Besides a bunch of little things that annoyed me during the visit (making me wait 20 minutes after telling me to put the gown on, in a room set at about 75 degrees when I was already cold; doing the exam with icy hands; finding a giant cricket in the corner of the room while I was getting dressed) the prescription she wrote for me pretty much cinches it.

    I've been on birth control pills for about 4 years now. I really like the ones I'm one as I haven't had any noticeable side effects, but I do tend to get migraines and in the last year, they've always been more frequent and worse during my period. So, I asked if I could be switched to a pill that would only give me 4 periods a year, like Seasonique. She agreed that it was worth a try to help reduce my migraines, and wrote my a prescription. It wasn't for Seasonique, but she said it was for the same kind of pill, where I'd take it continually for 3 months, then be off it for a week to have my period.

    After the exam, I went to the pharmacy to get it filled. I brought it home and promptly crashed for a nap, since I'm sick and was doing a lot of running around yesterday and got really exhausted. Later in the evening when I got up, I opened up the new RX to take a look at it.

    It's for a pill called Microgestin, and from everything I can tell, it's exactly like my old BC pills in that I'll take it for 3 weeks and then get my period. Meaning I'll still be getting a period every month. There are no special instructions from the dr. indicating that I should take it continually and only stop once every three months.

    This is not at all what I asked for.

    So I called the clinic today and told the nurse/receptionist what was going on, and she took my number and said she'd have the dr. or her nurse call me back. That was this morning, around 10am. It's now 5pm and I haven't heard anything back. I'm wondering if I will at all.

    Thankfully, I'm not supposed to start the new pill until next week, so at least I have a little time to sort this out. But really? I asked for one thing and she gave me the opposite. I don't know if she just blanked and wrote the wrong RX, gave me someone else's RX with my name on it by mistake, or meant to write special instructions on it, or something else. Either way, I'm pretty pissed. I've had issues with this clinic before, and this is just the icing on the cake. I need to find a new primary care provider before next year.

  • #2
    *facepalm*

    Okay, so I just got a call back from one of the nurses. She said the instructions she sees from my dr. are to take the pills continually for 3 months (remember, this is not a 28-day pack, this is a 21-day pack so they're designed to be taken for 3 weeks, then off for a week...not 3 months) and then be off of them for 2 months.

    Uh...what?

    Then the nurse said that I'm supposed to come back in 3 months to have blood drawn and labs done. Again...what? The dr. never mentioned anything about that during the exam. The nurse said it's to make sure I'm not having any weird interactions with the pills, or something. But I'm still supposed to be off of them for 2 months after the first 3 months.

    I am beyond confused and pissed at this point. I told the nurse to have the dr. call me directly and she said she'd put in a message for her. I hope she does sometime this week so I know what the hell I'm doing starting next week.

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    • #3
      That...doesn't make any sense...

      You might try talking to the pharmacist..
      I don't go in for ancient wisdom
      I don't believe just 'cause ideas are tenacious
      It means that they're worthy - Tim Minchin, "White Wine in the Sun"

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      • #4
        I seem to recall, from when I used to work in pharmacy, that you can take some regular BC and just keep taking them without going off for that week and it has that effect that you are seeking. Definitely ask the pharmacist, and if you can get an answer out of the doctor I'd query about that as well.
        "Oh, the strawberries don't taste as they used to and the thighs of women have lost their clutch!"

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        • #5
          Oh, you can absolutely take the normal pill w/o any breaks. They say to stop every few months, but I went about 6 month w/o any side effects.
          Is it really SO hard to listen to the prompts?

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          • #6
            For the two months she's off them, though, she'd be very high risk for pregnancy!
            Seshat's self-help guide:
            1. Would you rather be right, or get the result you want?
            2. If you're consistently getting results you don't want, change what you do.
            3. Deal with the situation you have now, however it occurred.
            4. Accept the consequences of your decisions.

            "All I want is a pretty girl, a decent meal, and the right to shoot lightning at fools." - Anders, Dragon Age.

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            • #7
              I'm starting Lybrel on Friday, this pill has no placebos so you're never supposed to get a period.

              I thought about Seasonique, but that would have costed me $70 a pop!
              You really need to see a neurologist. - Wagegoth

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              • #8
                If you can, try a Planned Parenthood? They have an overall reputation as a very good womens' clinic, and they will do sliding-scale fees for less-well-off patients on a strict budget.

                In any case your doctor needs to be 'fired'. The ill treatment is bad enough, but giving you a possibly screwy prescription (and not the one you'd originally asked for, at that)? She wasn't paying attention to your needs.
                ~~ Every politician that opens their mouth on birth control only proves that we need more of it. ~~

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                • #9
                  Yeah, I'd switch doctors. Regardless of medical stuff, there seems to be a big communication gap here and how much more will it suck if you go in for something much more urgent than birth control just to have this happen again?

                  Planned Parenthood is a good option in the meantime. I'd look at Yelp, if it's active in your area, and check out the doctor reviews. Your usefulness may vary (if you're only getting one or two reviews per doctor, probably not that helpful).

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                  • #10
                    Thanks for the responses, everyone. What I'm mainly concerned about is 1) that they told me to go off the pill for 2 months with no suggestions for any kind of backup protection and 2) even if I take a 21-day pill continually, 3 packs of it is only 63 days, a little over 2 months, so I'd actually have to take closer to 4 packs to get 3 months of it. And I don't think my insurance is going to cover getting that many packs in that short of time; I know in the past when I've tried to get refills too soon (like more than a week in an advance) they've denied me. Plus, the script is only written for 12 packs in the next year, which won't be enough to get me thru 12 months if I take them continually.

                    I'll check into Planned Parenthood. I also found another dr. pretty close to us who isn't affiliated with the big clinic that I've had so many problems with (the problem is, this clinic that I've been going to is huge and basically dominates most of the medical business in town.) I'm just concerned that if I switch to a different dr. now, will they give me a script without doing a pelvic exam? 'cuz I just had the exam done, my insurance only covers one a year, and I really don't wanna have it done again until next year anyway.

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                    • #11
                      Usually when you're filling out your new patient history, it will ask you when your last pelvic was done, and whether or not it was normal. If it was, and it was less than a year ago, they won't do another one. I've had that with a couple of different doctors, with all the moving I've done.

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                      • #12
                        Ok, the cool thing about being in TX is that your medical file/records are just that - YOURS so when you switch Drs, you can have the new one request your records from your old dr - this means that they can review your charts and results from any tests done.

                        *** sorry not trying to thread jack ***
                        I once had a Dr that told me to find a different one - why? Cause I have asthma, and have since I was 6; I was... 22 or 23 when this happened - any way, I have gotten my asthma fairly well under control, and just need a "rescue" inhaler - but my triggers are many so my Dr wanted to put me back on steroids to get it even more under control - just one major issue with this - i stopped taking steroids and most of the other medications because they were either ineffective or I didn't like the side-effects, such as migraine headaches if i was late taking the med by 30 mins at 8 yrs old - She couldn't come up with a solution we would both be happy with, and I really just wanted my "rescue" inhaler Rx, and to be done - She may have been the one that decided i needed to see someone else , but i couldn't have agreed with her more!
                        I am well versed in the "gentle" art of verbal self-defense

                        Once is an accident; Twice is coincidence; Thrice is a pattern.

                        http://www.gofundme.com/treasurenathanwedding

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                        • #13
                          See now this is why I still go to my Dr. "back home" even though she now about 4 hours away (I just make a trip to visit my mom and/or friends so I'm not driving that much just for an appointment). She is the best doctor of any kind I have ever had, actually she was the first to determine that I have a slight heart murmur, and she is incredibly sensitive to her patients' physical and emotional comfort, she even has a warming tray for all of the instruments.

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                          • #14
                            Quoth Treasure View Post
                            Ok, the cool thing about being in TX is that your medical file/records are just that - YOURS
                            That's not just a TX thing, that's a US thing.

                            Maggie, your doctor is an idiot. Yes, you can take birth control continuously to avoid your period, but you're right, your insurance won't cover it like that unless you get a prescription written like that. I'm not even going to go into the idiocy that s/he showed by not explaining things to you.

                            I've had good luck with nurse practitioners, and it's usually faster to get an appointment with one (vs a doctor). If you find another practice, ask if there is a NP you can see.

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                            • #15
                              If you're in the US you are entitled to your medical records; you may have to pay a fee for copies but they have to give them to you, or you can probably just have them transferred to the new doctor's office. You might just need to fill out a form.
                              I don't go in for ancient wisdom
                              I don't believe just 'cause ideas are tenacious
                              It means that they're worthy - Tim Minchin, "White Wine in the Sun"

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