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PC Dr. Irate /Yelled..?

kyadog115kkyadog115 Posts: 266
edited 06/11/2012 - 8:42 AM in Back Surgery and Neck Surgery
Is it me? Am I wrong? Or, is he crazy? Yesterday,I got in to c him cuz I was concerned.the toe nail on my little toe was all black and i thought maybe my foot wasn't getting blood or something from the L-5 herniation. My foot's pulse is strong so he said its nothing but I brought him the disc from of the MRI. He started to yell at me because I went to a local orthopedist and I didn t call him or my neurosurgeon when i fell.I tried to explain that the reason is cuz I have 5 speed car,(they both r about 30mls away) cant drive well and cuz it takes forever to get appts. with those two Dr's. and i could get in right away to this ortho.He basically threw my records at me and said."go back and see him"..Is he crazy? I told him I could see whoever i wanted to and he said no I cant. He said if i was paying outta pocket, than yes, i could.I have medicare w/empire as a secondary insurer. I told him "I pay the premiums" ! This ortho is retiriing and no longer going to perform surgery so he sent me back to the neuro. This PC Dr said well.."go to someone else in his group" After screaming at me for about 10 mins, he finally called my neuro and got me in for today @ 3. When i called them and explained about the herniation the other day, they said the earliest they could see me would b 4-13. Anyaway, isnt it my right to c who I want to and when i want to? Is he right?He also said that of course since i let this ortho order the MRI,than of course the neuro is not gunna see me right away. Is this ethical? I dont think so !


  • I don't know what to say. Did he yell at you or is was he just blunt and abrupt? Is that his normal style?

    If he genuinely yelled at you, I'd be offended b/c you are an adult. It is certainly your right to see whoever you want.

    Now, after taking a deep breath...I hope you read further. You saw a retiring Ortho who doesn't do surgery. What did the Ortho tell you?

    From my vantage point, you have a PCP that cares despite his approach.

    My PCP will help me get an appointment with doctors he knows. Clearly, your PCP is the same. One of his patients has a worry and clearly had an accident. Now that he knows he has reason to worry too and is probably upset "for you" because he can get you in faster to what seems to be your regular NS.

    Sure it's good you went to get it checked out but you are clearly still hurting and from the sounds of it, you have a history with an existing doctor that may be able to give you better insight on the results. Maybe not.

    You have 2 choices - find a new PCP or overlook his attitude and trust he was just acting out of worry for you, knowing next time, you call him and leverage his connections to get you appointments faster.

    I hope the appointment goes well today and you can get some relief from any concerns.
  • ahh, hard ta say...it is kinda his style but i didnt like it.The retiring ortho just referred me back to my neurosurgeon, You're right, now I know and will use his "leverage" to secure quicker appts. Thanks for commenting.

  • Not knowing your Dr it hard to saywhy he was yelling.As for me if he was yelling and not helping me he would be gone.I have no time for Dr like that.I have fired a few in my days and will do again if they not there to help.
    I do hope you and your Dr can work out your problem. If not I would be looking for one that will help

  • Paul..I think Jim said it best.

    Yelling without helping = gone
    Yelling with help = take his advice and help

    but maybe you can call him after the appt with the NS and say "here's the update. Then tell him that while you didn't appreciate him yelling at you, thank you for helping secure an earlier appt".

    Good luck
  • dilaurodilauro ConnecticutPosts: 9,868
    had a major resentment for what you did. The doctor seemed to take it personally that you 'went' around them.

    Of course you have the right to see which ever doctor you wish to. (Assuming this is not a workman's compensation case of VA)

    I have eeen personally where a doctor flies off the handle and treats you improperly

    Just as you have the right to see any doctor, doctors have a right to determine how much they will 'work' with a patient.

    But, I can not see any rationale reason for the doctor to YELL at you. That is inappropriate.

    Perhaps at a later point in time, you can call this doctor and talk this over.
    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • SpineAZSpineAZ WiscPosts: 1,084
    Both my hubby and I use the same PCP.

    In some cases I have gone to see specialists and they, in good faith, always ask who my primary care doctor is. The next time at my PCP visit my PCP would nicely say "I got a report from Dr. X, is he meeting your needs?" and if I say yes, then discussion over. For Pain Management I liked my PM doc but wanted more treatment options so PCP highly recommended another PM practice, but left the decision up to me. I did change PM doctors after meeting with the new one.

    My PCP was not familiar at all with my new spine surgeon. Years ago PCP had referred me to an orthopedic spine surgeon he really liked. I used that doctor for both of my neck surgeries and it's true he did a great job. When I went back to that surgeon in 2009 he seemed disinterested. So I knew of a friend-of-a-friend who had great luck with another orth spine surgeon, and I ended up choosing the new surgeon. When I went in for my pre-op physical my PCP said "I hadn't heard of Dr. X before but I did some research and he is very highly regarded and seems to be a good choice". He did want to know why I chose not to go to prior surgeon and he was surprised at what I told him, but he was fine with me making my own choice.

    We often use our PCP for referrals though our insurance does not require a referral. Friday hubby went to PCP for a foot problem. PCP gave my hubby a list of podiatrists they know well and recommend, but he also told my hubby that if there's someone else he'd like to see that's fine as well.

    I guess what I'm saying, in a long winded way, that our PCP would only get "upset" if we chose someone who perhaps was known to be not highly skilled or if I chose a Pain Mgmt practice known as a pill pushing office.
    2 ACDFs, 2 PCDF, 3 LIFs; Rt TKR; Rt thumb fusion ; Lt thumb arthroplasty; Ehlers Danlos 
  • I agree, its just not professional for your doc to fly off the handle. Its Called Bedside manner. I think thats one thing that med schools need to teach more. This goes for all doctors and dentists. Like I know this one Endo dentist, does root canals, the guy is great at his profession, but has one of the worst bedside manners I have ever seen. But if I got yelled at, I would want a explanation, because I probably would not be going there much longer.

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