Whats with the computer template at the doc's office?

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Sorry if this comes off as a doctor bashing thread but I just had a terrible appointment and really just must vent!! So, besides the sarc, it appears I have some endocrine issues as well, not sure if they are related or not.

After waiting two months to get into this highly recommend endocrinologist, I wait TWO hours in the waiting room before getting called back by nurse ratchet! No niceties, just where is your bag of medication. I handed her a nicely typed list with the drug name, dose, how often I took it and at what time, etc. She proceeded to tell me that office policy was to BRING all bottles of medications to your appointment. I asked her what the point of that was when I had a nice, handy 100% correct sheet typed up for her? She just growled.

Ok, off the the blood pressure and pulse and she asked me why my pulse was so high, I told her I have sarc which causes tachycardia and she responds saying well, its just too high for my age-I ask her just how high it was, 103, I told her that's not a big deal for me, could we just please move on or it was going to go higher!

Sit in exam room another 30 minutes. I'm good and cranky by now. Doc walks in, introduces himself and asks what can he do for me? I asked him if he read the nice, typed up, bullet point summary I had the nurse put in my file and he simple says no, well that was obvious. So, I tell him some past blood work has shown my thyroid to be low, parathyroid to be high, dhea and growth hormone to be almost non existent, and all my female hormones are out of whack.

He looks at me, pulls out a small lap top computer and says I have to pick one complaint. WHAT? One complaint so he can type it into his little computer and it will spit out a list of questions for him to ask me. Umm, I want to ask him if he can't think for himself but I just smile.

So, he starts asking me the computer generated questions. Go thorough the fatigue, lack of sex drive and a few others. Arrive at are you constipated or do you have diarrhea, I said YES. He said pick one, I said it depends on the day, I have IBS and he would have known that had he read my little medical history I so nicely put together for him. He asks again, I tell him again, depends on the day, he starts to get angry-so, I tell him in all glorious detail that for the last 36 hours, I have had painful, explosive diarrhea at least 40 times that has burned my ass raw, despite popping lomotil like pez but previous to that, I hadn't had a bowel movement in about 5 days-next question please!

Am I intolerant to heat or cold, yes, pick one, crap, here we go again. I told him I go from shivering cold to sweating hot in .2 seconds, he literally rolls his eyes. This goes on for almost an hour. Loads of fun, if I could answer with a yes or no, it would greatly help him-I guess I am a bad patient because my symptoms don't fall into yes or no answers.

Oh yeah, when he first walked in, he asked why my eyes were so red, I told him my uvieitis is flaring, he says it looks pretty bad, I say it is, he asks whats its from-again, could you have taken 1 minute to read my medical history??

He than says his girl is going to draw some blood and he will call me in a week or so to go over the results. Ok. The hospital will be calling me to schedule an adrenal function test in the next couple of days. Ok. Make an appointment for 2 months.

Hmm, that really could have gone a little better!

17 replies

Yikes! I'm so sorry that you had to endure this Micheleb! It makes you wonder why he's so recommended. I'd be wanting to ask that question to whomever (your PCP?) referred you to him.

My husband made an interesting comment yesterday. He's going through some issues as of yet undiagnosed by the medical community (not sarcoidosis thank God - one in the family is enough!). After feeling for years that chiropractors and "all the others" (Naturalpaths) aren't worth going to, he's going to both. He commented that both were so nice, genuinely caring and were really interested in trying to understand his pain and come up with possible solutions. He said it makes him realize what pr*$%s most of the doctors are. Why is it that so many people who work so hard to get medical degrees can't relate to people? They should have all become vets!

Thanks BJ2, I often wonder the same thing. Although I do not think I would have felt comfortable with this guy working on my doggies!!

I do see a chiropractor every 2 weeks or so and tried some alternative stuff from my old pain doctor, such as acupuncture, TENS type of machine, some weird supplements and massage therapy. I LOVED the massage therapy but her office politics and holier than thou attitude was more than I could take!

I too am so sorry you had to go through that. I posted today about my unpleasant experience with my first visit to a pulmonary spec and he was a saint compared to that doctor.

I have no reason to complain and reading your post has put that in perspective for me. I wish I could take your pain away. I pray that tomorrow is better for you.

God Bless,
Marlies

michele, i know you're really having a rough time, BUTT you have a way with words!!!!! LOL. you should have asked the doc if he wanted to check the rear region. those laptops have really taken away from the patient care part. i hope you get some relief soon............ there has got to be a better way. happy thoughts and prayers your way always!!!! xoxoxx eileen

Whew. Nightmare. There are so many good Doc, why stick with an office like this?

Okay most of it made me laugh. I think it was so funny, because it is real life stuff we deal with everyday. It was almost like he had you on trial and it could only be yes or no answers.

I have IBS too. I would have had to answer that same way. (I am peeing-poo, my butt hurts so bad I have to sit sideways and I am using those wet wipes cause toilet paper is aka sandpaper!...But days before I had a bowel movement, and it was like goat pellets.)

What is he doing using a magic 8 ball to figure out medical issues? Should have told him to shove his electronic toy up his butt.

Your not a terrible patient. I type up my medication list too and have it saved on my computer and revise that thing all the time and most offices are impressed. Never ever have I had to bring in my pills. I am not hauling that box around.

You deserve better than this, kick this one to the curb. There is good doctor's out there and this one is not doing his patients any good by not listening to them.

My pulse rate went up reading this story. It sounds like your primary medical complaint, the one you should have "picked" from his computer's list, should have been "MY DOCTOR IS AN INCONSIDERATE IDIOT."

great post! another candidate for the gardener's doctor's "hall of shame"!

i think you should find someone else - if this physician can't figure out which questions to ask, and doesn't care about your history...

The humor in this situation would be appropriate if you as an actual patient in need of medical attention were not real. I am so sorry that you had to endure such a physican. I pray that the succeeding professionals have not yet arrived at the computer generated template. As I work in a ob/gyn office, I very well understand the frustration of computerized templates. Who the heck thought of such a thing? Best of luck
Mom of Sarcoidman

WOW! What a horse's a**. I just went to a new rhematologist this week and she had one of those laptop things but she listened and asked real questions. I would change doctors also but since you put up with all of this I would go through the testing. This way you can take the results with you when you go to the Sarc Specialists you are seeing soon. Perhaps they will be able to suggest someone in your area you can use for your local care.

I also have a medication list and a medical history I bring with me. Like you most doctor's offices are impressed and thankful for the help. I wouldn't carry around my meds with me either. Too heavy, too important to potentially lose.

Sorry you had to go through this.
Sylvia

What a horror story!

By the way BJ2, this dope would never, ever, ever make a vet! As my step-daughter proudly says "Real doctors treat more than one species"! Yes, she's a vet and she's able to diagnose & treat without asking her patients ANY questions, let alone ones that limit you to yes or no answers.

Maybe this guy should go back to college and do the extra year of study that vets do. Then he might be safe to let loose on something. Let's just hope it's not one of us!

"He looks at me, pulls out a small lap top computer and says I have to pick one complaint. WHAT? One complaint so he can type it into his little computer and it will spit out a list of questions for him to ask me. Umm, I want to ask him if he can't think for himself but I just smile."

I recently had a similar experience. I went to renew my thyroid meds which was no problem but I got an e-mail telling me the jig was up and I now had to get a blood test before I could refill my next RX.
So I dutifully make an appointment with the nurse-practitioner Kaiser has so graciously assigned me. I get in there and the nurse proceeds to take my BP and ask why I am there. I politely tell her I was summoned. She laughed and told me my BP was fine (thanks to the herb supplement I take for it) and the NP would see me soon.
Well about 20 minutes later in comes the NP. Her first question "Why are you here?" I told her about the e-mail. She asked me how I was. Since my mother always told me to tell the truth I replied that I was no better than when she saw me last year.
She kind of acted surprised then laughed. I told her coming from a medical practitioner I did not think that a rhetorical question. She looked at me funny and then asked me what my biggest complaint was.
"You mean I only get one?" I replied.
She told me yes, she wanted only my chief complaint. I won't go into the rest of the visit which was equally non-productive and stupid. But she ordered some blood work done and sent me on my way.
As I left I couldn't help wondering if I had broken both legs would I only have been allowed to tell her about one of them?
And so it goes.

Plus a medico quam a morbo periculi.

http://audiolatinproverbs.blogspot.com/2007/04/plus-medico-quam-morbo-peric uli.html

Cave medico templatus (?)

Micheleb Did you ask him if he was a real Docter or just played one on TV? Unfortunately you we Sarc people seem to have wade through an ocean of crap Docs before getting hitting on the right one or ones. My wife called the Pulmonary Docter who was first introduced to us "Dr Death" because he was so grim all the time.
We were referred to Johns Hopkins in Baltimore because they were suppossed to be doing research and had a Sarc clinic. So made the whole day appointment for the earliest I could which was 3 months away. The day came gathered up all my paperwork test results scans xrays and proceeded to make the 3 hour drive from outside Philadelphia to Baltimore. Once there the check in process to over an hour alone. Then to the Sarc clinic. Then sat for over an hour in the waiting area. Ok back to the exam room. 45 minutes before anyone saw me. And then that was just to take vitals. Finally people in white coats. Still not the specialist but two Residents. They were pleasant and spent about 2 hours with me. They left for about 30 minutes and returned with the "Specialist". He was a miserable SOB. Who thought he was all that. Not concerned about the patient, didn't want to take the time to answer questions (those were for his lackies). When it was all said and done we had spent an exhausting 10 hours to this point to be told by this Ass that the only solution was to tale low dose 5 - 10 my of Prednisone everyday for the rest of my life. Basically I got up from the table told him how dissappointed I was with his suggestion, his arrogance and where he could put it and thanks for waisting my time. Oh and that he was an "AH".
Well this was a long way to get here but you need to take charge of your medical care. Take ownership of it. Learn as much ad you can so you can speak intelligently with the Docs. And last but not least don't settle. If you don't like you Docter(s) move on and find another. I have great Docters now but it took some time. Good luck and best wishes.

Tim From Tucker you are my new hero! I haven't laughed so hard since I was first diagnosed with this crazy disease. Even thought it really isn't funny, is it?

Thanks guys! I especially liked the magic 8 ball comment! Its so awful that we all have a story or two or three just like this!! I really don't have any intention of seeing this dude again but I did submit to his blood work and will get copies as soon as the are available. The hospital still hasn't called me about the adrenal gland testing but it was just before a holiday weekend so I will cut them some slack for now.

I knew the dude was going to be a dud at best as soon as he said he didn't even bother to read my history but as suggested, I will get his testing and go elsewhere. At least I can laugh about appointments like this now when before I would have left in tears.

I will be sure to tell my PCP about my experience and suggest to her NOT to refer anyone else there!

More Latin for Minerva:

http://audiolatinproverbs.blogspot.com/2008/05/post-nubila-phoebus.html

Post nubila.....

Grab your coat and get your hat
Leave your worries on the doorstep
Life can be so sweet
On the sunny side of the street

- Phoebus

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