Doctors call them "new patient visits." I call them "new doctor visits." So, what happened with my doctor's appointment? Well, I was fantasizing that I was going to get everything resolved in one fell swoop, thus only having to take a minimum amount of time off from work. However, the real world doesn't work that way. I also had high hopes of finding a new doctor who is compatible with my personality close to home.
When I arrived for my appointment, I was met with an empty waiting room and a closed reception desk. I figured it was the end of the lunch hour. The reception desk had a mirrored window, so I couldn't tell if someone was behind it. I stood there and waited, but no one opened the window, so I sat down in the waiting area. Eventually, a medical saleswoman walked up and stood there, and the window opened for her. I got up to go talk to the receptionist, and had the window slammed in my face. So, I sat back down. Then a doctor in scrubs arrived and the window opened for him, but closed as soon as I approached. This was bizarre. After 15 minutes of waiting from the first time they slammed the window in my face, and no one calling me up, I knocked on the window.
A woman opened it, I told her my name and said I've been waiting for about half an hour. (I arrived 15 minutes before my appointment to give me time to fill out the new patient paperwork, but no one was in the office at the time, as far as I could tell.) She just handed me a clipboard filled with paperwork. It took me another half hour to fill it out. This appointment was not getting off to a good start.
The nurse called me in, got my weight and height, took my blood pressure, and asked why I was there. I started in on my list of health problems I've had over the past six weeks, and while I was right in the middle of explaining my symptoms, she just got up and walked out of the room, closing the door behind her. WTF!?!
At this point I was thinking, if this doctor does not listen to me, I'm just walking out of here and never coming back. I'll find another doctor. I'm tired of being cut off by hurried health care workers. I mean, do they want to help me or not? Even when I called to set up the appointment, the receptionist wouldn't let me explain why I was calling. Though I did tell her I was sick now, she set up the appointment for me 3 weeks later.
So, I was just hoping that this doctor wouldn't be a good looking young man, because I had some really personal, really disgusting stuff to discuss with him. He walked in, and he was this nice looking African American man with a very skeptical, intellectual personality. There was nothing cold about him, but nothing particularly warm either.
He asked me what's going on, and I started talking as fast as I could in hopes that I could get it all in before he cut me off or walked out of the room. Before I could finish my list, he rolled his eyes and sighed. I stopped dead in my tracks, because I knew there was no point continuing on. I purposefully left several symptoms off my list, because he clearly didn't have the patience to hear it all.
For one set of symptoms, he basically said he didn't want to deal with that and referred me to another doctor. Argh! I was purposefully trying to consolidate everything into one appointment. For another set of symptoms, he won't do anything until he's run a blood panel, so that's another appointment at the laboratory. Once the blood panel comes in, he wants me to come back to see him to discuss all my symptoms again, but he's betting they will all have gone away by the time that happens.
I explained that it is difficult for me to get a lot of time off from work, so he said he'd try to work with me on that, such as making the second appointment a phone call, but it all depended on the lab results. These are all lab tests I've had run before, and they always come back negative. I don't expect them to turn up anything other than high cholesterol.
He then said he wanted to be frank with me. He felt that all of my symptoms were a chain reaction from stress and anxiety. He said, "Just by looking at you, I can see that you probably have an anxiety disorder."
I was like, "WTF?" Then I realized that he was referring to my essential tremor. I explained to him that my head shakes all the time due to this neurological condition. He didn't even know what it was. I had to explain that it was hereditary. He also misheard the name of one of the medications that I was on, and thought I was referring to an anti-anxiety drug, when in fact I was referring to a blood pressure medication.
So, this whole time the guy was dismissing what I was saying, because he thought it was all in my head. I've been shaking for so long that I forget that people who meet me for the first time are a bit taken back by my appearance. They make all kinds of assumptions about me being anxious and nervous, not understanding that I shake all the time due to a hereditary condition.
Once I cleared up that misunderstanding, he wanted to run through my symptoms again from a different perspective. In analyzing my dizziness, he explained that there are two types. In one, the room spins and your eyes jerk off to the side. In another, you are light-headed and feel faint. I said I had both. He said that made no sense. The first one is a sign of an inner ear infection while the second is a sign of pulmonary problems. I said, "I don't know what to say. I get light-headed, feel faint, and the room spins."
He insisted it couldn't be both. Criminey! I'm not lying. Why would I lie? Does he think I get a kick out of wasting doctors' time? There must be a lot of hypochondriacs out there for so many doctors to be dismissing so easily what their patients say.
He tried one test, but couldn't get an accurate result due to my head shaking. He did another test that ruled out a blood pressure drop as the cause of my dizziness. He's thinking I may be anemic, and the blood work should tell us that. He then started asking me about my job and went back to his theory about stress and anxiety. He said that with the economy being as bad as it is, he's seeing a lot of health problems triggered by economic stress.
We had a long talk about both my job and his. He confessed some of his gripes about the medical industry and explained how he likes to run his office. It sounded to me like he was a bit of a control freak. However, one thing I did like about him was that when we both spoke at the same time, he always stopped and let me go first. That's a rare trait to find in people. Most people will just talk right over me.
When all was said and done, I got to my car and realized that we got sidetracked with all this stress and anxiety talk, and I never had him evaluate whether my hernia needs surgery! Argh! All he did was listen to my heart and lungs. He never examined my pelvis, though I have a hernia and stabbing pains in there. I explained to him that I once had a massive cystic terratoma removed along with an ovary, and had a 50% chance of getting another one growing off the other ovary. Many of these symptoms are the same as what I experienced when I had the terratoma. Swear to God -- he said, "What's a cystic terratoma? Is that a tumor?"
Uh, yeah. It's a really big one that grows quite fast and messes with your internal organs by putting pressure on them. Might explain why I have to pee every 15 minutes.
This is so typical of my doctor's visits. I even had a list in front of me and still forgot to check it before leaving. I think I was so taken back by the number of misunderstandings this doctor had with me that I forgot all about the hernia. I guess I'll have to cover that at my next freakin' visit or talk to the other doctor about it. I'm running out of options for doctors. There's only one other general practitioner in my area.
My husband suggested that I need to find myself a good female doctor, because his mother could never get a decent exam and diagnosis out of male doctors. In her case, they always prescribed anti-depressants for everything. She was labeled as a hypochondriac and treated for "hysteria" every time she saw a male doctor. The truth was that my mother-in-law has had some pretty serious health problems over the years that got brushed under the rug by doctors who judged her too quickly and were never willing to explore the physical aspects of her complaints.
My gynecologist is an excellent female doctor, but my insurance company will not allow me to use her as my primary physician anymore. I have to take all non-gynecological issues to a general practitioner or internist. Ironically, this internist just turned around and referred me to my gynecologist. It's so stupid how patients get bounced around among doctors, thus draining even more money out of the insurance system. It's almost as if the insurance companies are shooting themselves in the foot. It only costs me five bucks per doctor's visit, so money isn't the issue for me. The issue is time. I'm going to have to spend a good chunk of the next two weeks in doctor's offices and laboratories at a time when each employee's work hours are under close scrutiny, because company management has set its sights on trimming the fat.
P.S. Sorry for the non-horse-related post, but sometimes I find that we get some of the best discussions going when I get off topic. Any other medical horror stories out there?