Author Topic: Very disappointed in my Rheumy's office  (Read 220 times)

Deb 27

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Very disappointed in my Rheumy's office
« on: September 11, 2019, 03:31:08 PM »
So, I had a 1:30 appointment at the rheumy's today when we got into an unexpected traffic snarl. We were running a little early but the jam put us back. I called to tell them I would be 10-15 minutes late and they said "sorry" we can't see you.....

I drive an hour one way to see this doc and just don't think I can bring myself to see them again if that's how little they care.

I've been having a tough time with health care lately and I feel like firing my PCP as well...... But, I think this is the new face of health care here.

Sjogrens and RA,  Morphea (skin scleroderma), Hashimoto's, 
Nexium, synthroid, HRT, plaquenil,  Restasis, Maxi-tears supplement, L-glutathionne, CoQ10, folate, trintillex,  multi vitamin. lisinopril.

irish

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Re: Very disappointed in my Rheumy's office
« Reply #1 on: September 11, 2019, 08:10:34 PM »
You are right. This is the new look of health care. My immunologist told me a few months ago "just wait till this fall cause things are really going to change. Sooo, I imagine their are rules and regs with the medicare that will change life as we know it. This will probably drive more doctors to retire early.

Also, I think it was rather rude of the doc to refuse you care. I would call the office and talk to them about this appt. and tell them again why you didn't come in. The receptionist may have written you down as a no show and that could affect your ability too get an appointment again. I would be sure and document all this and save it. Watch to see if they bill you for this appointment also. Things are getting really tricky these days. Rheumy's are in short supply so they can sort of call the shots. Good luck. Irish

Deb 27

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Re: Very disappointed in my Rheumy's office
« Reply #2 on: September 12, 2019, 08:48:06 AM »
Thanks Irish. I did call back and they said it was not notated as a no show. It's just so disappointing when it's long distance and you struggle through traffic, stressing and they tell you they can't see you.
Sjogrens and RA,  Morphea (skin scleroderma), Hashimoto's, 
Nexium, synthroid, HRT, plaquenil,  Restasis, Maxi-tears supplement, L-glutathionne, CoQ10, folate, trintillex,  multi vitamin. lisinopril.

vrystaat

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Re: Very disappointed in my Rheumy's office
« Reply #3 on: September 12, 2019, 11:42:59 AM »
I also had this happen to me this week. After traveling 2½ hours to my Rheumy through heavy traffic, I was astounded to find that my appointment was for the next week. I didn't believe them, because I take a lot of care taking note of the times. In my medium sized town, two busy Rheumatologists relocated. We now have only two competent MD's for over 250,000 people. There is a huge shortage of Rheumatologists everywhere in California, and this together with a shortage of IVIG makes for an impossible situation. Unfortunately our local Academic Rheumatologists are not very good and fuss about asking for more & more tests, & never doing anything. Many are super-specialized and don't treat Myositis and/or or Sjögren's Syndrome.

We'll keep trying.
Good luck to all of you.
Sjogrens;Polymyositis;Polyneuropathy;Gastritis;GERD, Autonomic Neuropathy, Neurological complications, Trigeminal Neuralgia,Gamma 3 globulin low;Multiple infections;Brain fog; Ocular problems - blepharitis, scleritiis, dry eye,severe eye pain. Possible Inclusion body Myositis.Currently Endstage

irish

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Re: Very disappointed in my Rheumy's office
« Reply #4 on: September 12, 2019, 12:47:32 PM »
Do you have PACs in your doctors office? Many times the PAC's seem to take more time and listen better and people are happier.
Also, have you tried seeing internists in a college setting rather than rheumatologists. Rheumies are in short supply all over the country. Doctors are in short supply. I can't believe how the internists are decreasing ay my clinic. We have quite a few Family Practice and more and more Pacs.

From my perspective as an old patient and RN I think it is the government who is wearing the doctors out with so many rules and regs and tons of paperwork. If you have to document it once you have to do it 5 times.

Another thing that I can see......years ago back in 60's and up the regular practice docs staffed the ER 24/7 and the specialists took turns being on call for emergencies. These docs could end up going without sleep 36 hours as they had to work and see patients during the day. These guys still had their paperwork (not as much) plus they were husbands and fathers too. Also came the specialist groups like Spectrum , etc that hired doctors who were contracted all over the US to cover E. Rooms. Many of these groups cropped up. These docs spent a lot of time on planes traveling to their next job. Sort of a good job for docs if they liked it cause they could hire on for maybe so many hours a week and have more time at home.

It also took many docs away from a clinic practice, but many of these docs they hired were new grads without families so they could make good money covering ER. This also increased the cost for the hospitals and the rush was on to keep in the black. So you can see where this takes us. No more regular docs working ER which turned out good as the rules and regs were now taking up the regular docs (who used to cover ER) time. This also brought on the specialty of ER for docs plus the Hospitalists.

 All the regular clinic docs used to make rounds at the hospital twice a day besides clinic hours...that came to pass also. So the hospitals also have the increased cost for the hospitalists 24/7 who take care of the hospital patients.This also caused the hospital patient to not see a doctor who knows them during their entire hospital stay.  The practice of medicine just expands and our population gets bigger, the technology of medicine gets bigger and demands more specialties such as IVIG, Dialysis, etc.

It is like a big beast that is necessary but one that no one knows what to do with. And then, there is the government...needed at times but not the answer to all problems. I digress...and on and on. But maybe this helps explain a little of the way the fingers of medicine expand. A very simple homespun observation and by no means a political opinion.

Vrystaat, sorry I got off on a tangent...again. Hope you can get some resolution to your dilemma. Irish

Deb 27

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Re: Very disappointed in my Rheumy's office
« Reply #5 on: September 14, 2019, 02:55:29 PM »
Vrystat, I am sorry that happened to you! You drove even further than I did. They just don't care about patients anymore. What a shame that you have a shortage of MD's there. I think it's happening in quite a few areas. Makes it so difficult for the patients.
Sjogrens and RA,  Morphea (skin scleroderma), Hashimoto's, 
Nexium, synthroid, HRT, plaquenil,  Restasis, Maxi-tears supplement, L-glutathionne, CoQ10, folate, trintillex,  multi vitamin. lisinopril.

Kathy57

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Re: Very disappointed in my Rheumy's office
« Reply #6 on: September 15, 2019, 10:05:51 PM »
Deb,

It makes me angry the way you were treated when you couldn?t make your appointment on time!  Especially because you weren?t at fault, at all!  It just seems to be so uncaring😡.  They shouldn?t have done that.

My wonderful Rheumatologist has just gone part time and he?s been trying to find a partner since forever!  No one wants to come here or there just isn?t anyone to come here.  He does have an excellent Nurse Practitioner.  I worry about the future because my doctor is getting up there in age.

I am an hour away from the University of Iowa so I guess I?ll have to look there in the future.  Wish there was a cure for this damnable disease!!

Hang in there🤗

Kathy
Diagnosed Sjogrens Aug. 1st 2014.  Plaqinil, Evoxac, Prevacid, Lexapro, Hypothyroid, Esophagel Reflux, Gastritis, Barretts Esophagus, failed sinus surgery with 3 nasal septal perforations.  (Can't see it from the outside)  Asthma, albuterol, Dulera, Nebulizer, Osteoporosis.