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The Good, The Bad and The Ugly

dilaurodilauro ConnecticutPosts: 10,760
How can we forget Clint Eastwood, Eli Wallach, Lee Van Cleef in that movie... Well, at least for folks around my age!

I dont want this to become a bashing session or trying to knock down a professional, but instead, I would like it to be one that is constructive. I was reading an article from Beer Advocate the other day. The ending sentence went as follows:

Constructive criticism is a collaborative process, one that should be encouraged and should hopefully leave both sides happier in the end

In all of my doctor's offices, in the Rehab centers, Diagnostic testing centers, there is a Patient questionnaire that allows the patient to rate the good, the bad and the ugly.

So here, I would love if you could identify:

1 - What are the things, the traits, the actions, etc that made you feel so good about a doctor or a center.

2 - What the same as above that made you feel that there was thing missing or bad

3 - And of course, what where those traits that had you leaving mad and never to return.

Its always easy to identify a problem or even a compliment, but what is much better, is to state the recommendations that you have to address those problems. Even if your experience was top notch, what things would you want to see always the same.


Of course, following forum rules, No specific names of doctors or institutes, etc. Also try to look at things for both sides.
What I mean, is dont just knock down a doctor because they are not giving you more pain medications. They could be a very good reason why they are not. So, here instead of saying that doctor didnt give me enough pain medication, part of your recommendation could be that the doctor needs to explain why and also to identify other options.

Lets all make this one constructive.
Ron DiLauro Veritas-Health Forums Manager
I am not a medical professional. I comment on personal experiences
You can email me at: rdilauro@veritashealth.com
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1

Comments

  • anelsen15anelsen15 Posts: 119
    edited 02/13/2014 - 3:18 AM
    1. It really makes me feel asurred when a doctor tells me we will get to the bottom of the problem and actually seems legitamitly concerned. Calls me at home to discuss results. Takes time to explain and show tests to me. Is verbally thourogh and asks me about all my symptoms because he said they could lead us down the right road. He is a detective, I actually had one dr say thats how he feels about practicing medicine and Ive respected him and really learned alot from him in a short time. I love patient portals. I love when a doctor says this appointment will take as long as it needs to. Above all is that when he has exhausted testing and his level of knowledge he admits cant figure out and refers me to someone else, I respect a doctor more for that situation than anything.

    2. Not taking time with me when no diagnosis is made yet. I want a dr to put his hands on me and probe around my spine for tender areas or other things. I dont like having to correct a doctor about my results of testing in that I mean remembering results or things, not actual diagnosis.

    3. Telling me I am to young to be in this pain, to young to prescribe narcotics, you are always going to have pain and walk out without telling me how I work to get out of pain.. Telling me my verified issues should or do not cause pain because studies show that alot of people will have herniations or tears and have no pain, without even asking my symptoms or discussing and then asking what exactly can I do for you. Making fun of other pain patients in front of me. Saying I cant help you and not offering advice about who can or a referral. Telling me its all in my head go back to work. Telling me I am the doctor you are the patient, keep relationship that way and let me tell you what it might be.


    Things I would like to see:

    More online stuff and ability to get appointments online like you can do for resurants. I just want to feel like the doctor is treating the symptoms and not just the scan/test and get back to basics a bit and touch and ask the patient about pain/symptoms. Promote patients to learn about their problems more. I wish there was a database that patients were asked to describe their surgury and rate their success etc and you could speak with them, even if its for a charge for their time. I would pay that if I was going under knife with same surgeon.
    Herniated T6-7, multiple herniations in cervical, tears in T5-T8. Stenois at levels and smorls nodes from thoracic thru lumbar
  • anelsen15anelsen15 Posts: 119
    edited 02/16/2014 - 5:48 AM
    Kinda suprised at lack of response. There is constant issues all over spine health with doctors and clinics both positive and negative and here is chance to voice them and compare notes but no one seems interested? I'm interested to see some of the things others have dealt with or liked.
    Herniated T6-7, multiple herniations in cervical, tears in T5-T8. Stenois at levels and smorls nodes from thoracic thru lumbar
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  • was a neuro who was notoriously late for appointments. i'm not talking an hour, i actually sat in the waiting room for this doc for like almost 4 hours. i got there a little early, because it was a decent trip from my house, and i had to drop my daughter at school. killed some time and went back. i checked with the desk a few times. i was told i was the next appointment at like 11:30. i think that was already well past my appt time. well hours later, i finally tell the desk that i have to leave in 30 minutes to get my daughter. even then, they couldn't get me in to see him. i ended wasting an entire day at the office, and never saw him. well, the next day i get a call from the office, saying he would talk to me on the phone. i sat on hold for 15 minutes and finally told the girl when she took me off hold for the 3rd time, that i wasn't waiting any more. i had someplace to be and was sitting in the car waiting for him AGAIN. well, i finally let my husband deal, all i wanted was to get off a medication he had put me on..... husband finally spoke to him, and no apology, nothing for the fact he wasted hours of my time, not once, but multiple times with the phone calls too. At least they refunded my copay that day, since i paid that upfront.

    needless to say, i will not go back to this doc. He's supposed to be one of the best in the area, but i'm not sitting like that again. it was beyond insane the amount of time they had you just sit there.
    Microdisectomy / hemi-laminectomy 6/2010 and revision 10/2010
    Cervical fusion C4-5 and C5-6 9/2011
    Lumbar Fusion L5-S1 6/2012
  • dilaurodilauro ConnecticutPosts: 10,760
    I am also really surprised. The amount of threads/posts that people discuss that their doctor doesnt listen, this doctor treats me like a drug addict, the pain mgt doctor doesnt believe me, etc
    anelesn15 said:

    Kinda suprised at lack of response. There is constant issues all over spine health with doctors and clinics both positive and negative and here is chance to voice them and compare notes but no one seems interested? I'm interested to see some of the things others have dealt with or liked.
    tran92 said:

    late for appointments. i'm not talking an hour, i actually sat in the waiting room for this doc for like almost 4 hours.

    .............. i ended wasting an entire day at the office, and never saw him. well, the next day i get a call from the office, saying he would talk to me on the phone.

    .....................I was really hoping for more comments, so that in general we can see what makes a good doctor and why were are annoyed at other doctors.

    ... husband finally spoke to him, and no apology, nothing for the fact he wasted hours of my time, not once, but multiple times with the phone calls too.


    These comments identify a type of doctor, I know I would not want to depend on.

    Come on, there has to be more of you out there that can answer about the Good the Bad and the Ugly.
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • SarahLindeauSarahLindeau Posts: 765
    edited 02/16/2014 - 8:48 AM
    Here's my take:

    1. A doctor who takes a genuine interest in you, your pain and is committed to finding a solution. He never leaves you hanging and spends a good amount of time with you at each visit. He doesn't get perturbed by my endless questions and stays in the room until I have the answers I need. A good surgeon will not guarantee anything, but will be honest about outcomes and not force you into surgery. His office will be available if I have concerns while at home and I will always get a call back for any messages I leave. He will shake my hand when he comes in and shake my hand at the end of the appointment. He will remember me even after a year and pick up where we left off. I'm not a patient, but a person to him. He says "no"'to most of the people coming to him asking for surgery and his cumulative outcomes are positive as a result.

    2. A bad doc/surgeon will be late and not apologize because his time is clearly more valuable than little old me. He'll have to spend a few minutes having me remind him who I am and what my issues are. He'll make me feel silly when I ask questions that he thinks are obvious. His staff is a reflection of this lack of compassion. I usually leave with more questions than answers.

    3. The terrible doc/surgeon in my eyes is one that only wants to operate and never see me again. He's driving an expensive, flashy car that his operations bought him and his practice is a revolving door of people who probably were not good candidates for surgery in the first place.
    2015: Thoracic protrusions C7-T1, T3-4, T6-8
    Dec'13: 360FusionL4-S1 w/bone graft
    2013: 3x2-level disc injections: 12mo surgery postponement
    Dec'12: DiscogramL4-S1
    Sep/Oct'12: Bi-lateral Rhizo AblationsL4- S1
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  • I agree with anelson about how frustrating it is to hear a doc say, "you are too young to feel this much pain and too young for a fusion." Yes, I was 28 when this all started but now having had my fusion I am very happy. I wish I had done it sooner. A good doctor will acknowledge the statistics, but won't be making a decision by them. Each case is unique.
    2015: Thoracic protrusions C7-T1, T3-4, T6-8
    Dec'13: 360FusionL4-S1 w/bone graft
    2013: 3x2-level disc injections: 12mo surgery postponement
    Dec'12: DiscogramL4-S1
    Sep/Oct'12: Bi-lateral Rhizo AblationsL4- S1
  • 1. the good. The doc that listens, gives me options, and doesn't push me into doing a 'procedure'.
    ACD&F c5/6; Lumbar DDD and bilat neuropathy..
  • ABurningPainAABurningPain Posts: 15
    edited 02/16/2014 - 3:15 PM
    The bad: the waiting. Waiting for the appointment. Waiting AT the appointment. Waiting for the 'tests'. Waiting for the results of the tests.
    ACD&F c5/6; Lumbar DDD and bilat neuropathy..
  • The ugly: I can say there are only two incidents that I feel would fit here. The first was after I had my ACD&F c5/6. I woke up from surgery with a new pain. Severe pain at about T5/6. The surgeon says "oh its just a muscle spasm, it'll go away." I was crying and twisting in agony. ( I think it surprised him). And the second incident just happened last week. I have had multiple tests for the awful neuropathy that is getting worse by the day and I am in mortal fear of losing my Job, my lifestyle, etc.. I called the Neuro doc to find out what the latest test result revealed. I am hoping for ANY sort of answer. The MA says to me "your bloodwork was normal. I don't usually call the pt if the results are normal." I felt dismissed. As if normal results would cure my pain.
    ACD&F c5/6; Lumbar DDD and bilat neuropathy..
  • Sorry I broke this up into parts.. but my first attempt I had a lengthy diatribe, and then (fortunately for everyone) I accidentally hit the 'back space' button and had to start over..
    ACD&F c5/6; Lumbar DDD and bilat neuropathy..
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