July 2004

Well it seems the saga of my car accident just never ends. I was trying to justify how this column fits into a Humanist newsletter and I concluded that how the medical profession treats us IS a Humanist issue — from immunizing children to “death with dignity”. So I’d like to share some of my experiences.

In the past few weeks I have seen over a dozen different doctors and I continue to be astonished at how differently they all treat you for the same health problem. (I should say that the reason I have been forced to see so many doctors is that my regular doctor has been booked up, or out of the country teaching doctors in poor Eastern-European countries how to be better doctors. Now if only he could do the same with some of the doctors I have run into here at home!)

Things were going VERY well for me for about a month, but it seems the improvements were only due to the steroids I was taking for an outbreak of TMJ. When on the steroids, I was able to increase my Physical Therapy and decrease my pain pills. After a week off the steroids, I was in as much pain as the day of the accident.

So I called my doctor’s office and had to see the “Doctor on Call”. This was by far the worst experience I have ever had with a doctor in my entire life. He was rude, and just plain mean. He refused to give me any more pain medication and wanted me to stop taking all medications! When I asked him for a referral to a specialist, he brushed me off saying I was just too fat and that’s why I wasn’t healing. After about 10 minutes, he said he was a busy man and had other patients to see who were more important than I was and he’d “try” to get around to talking to my regular doctor about my case — he never did. (I could go on and on about him — and I did in a three page letter of complaint I sent to his supervisor!)

The doctor did nothing to relieve my pain, so Reed took me straight to the immediate care clinic. To give you an idea on how upset I had become, at the doctors’ office before I saw the jerk, my Blood Pressure (BP) was 122/70 and at the clinic it had skyrocketed to 184/110. The clinic doctor was much nicer and took the time to try to help me, but in the end what he gave me did not work and I went to the emergency room the next day.

The ER doctor I saw was GREAT! He wanted to get right on the case and get me out of pain. He was disgusted to hear that I was forced to go to the ER when my regular doctor was in his office (just too busy to see me, but my doctor did consult with the ER doc to formulate a plan). The ER doctor saw how much pain I was in and since the steroids worked before, he put me back on them until I could see some specialists who can find out what the heck is going on. He wasn’t afraid to issue me pain meds to get me through the week — he gave me what I needed and insisted I get an appointment ASAP with a Neurologist. So with my doctor out of the country we had to call Dr. Jerk and tell him he needed to write up the referral. I won’t go into the entire story, but in the end he wrote the referral and then ended up cancelling it and our Neurologist appointment for July 19th without even telling us he did this!! So I am now left waiting until the first week in August to see a Neurologist — but with all the errors made, the clinic has put me on the top of the cancellation list, so I might get lucky and see someone sooner!

When my doctor consulted with the ER doc, they both agreed I should see another type of specialist called a Physical Medicine Physician. From what I understand, this is a group of doctors who specialize in different areas of the body. They run all sorts of tests, discuss your case and try to come up with a solution. I’ll be seeing this doctor next week so I am hopeful they can help me!

After putting me back on the steroids, all the doctors tell me I am not to do ANYTHING that might hurt my back in any way. Until they know what’s wrong, they don’t want to take any chances. Well, as some of you might know, steroids cause you to swell up like a balloon if you don’t do physical activity and that’s just what happened to me. So, once again, I was back in the ER on Thursday swollen up and in extreme pain that seemed to be caused by the swelling. But alas, I was stuck with another doctor who was willing to take some Xray’s and give me a Demoral shot, but refused to do anything about the swelling or the fact that it had caused my BP to soar to 186/115. He said it wasn’t an “emergency situation”. I refused the Demoral shot — I already had a bottle full of morphine and Valium and didn’t see the point of putting more chemicals into my system that I knew wouldn’t help.

After leaving the ER, I called my doctor’s office and got the doctor on call. He was useless and said that since I wasn’t his patient he didn’t want to do anything for me and I would just have to “grin and bear it” until next week. This is when I finally decided that most doctors just don’t care or are so terrified that they will be sued, that they have shut off their compassion. So, after 3 months of this nonsense, I decided to take matters into my own hands. I have a “water pill” I was taking, and the doctor on call told me I was already at it’s maximum dosage. When I got home, I found out this was NOT the case (thanks to the good old Internet) and it turns out I could safely take 3-5 times the amount I was on. So I began to take a much higher dosage of these pills, and I changed the dosage of my pain pills and muscle relaxer. It’s now 48 hours later and my swelling is down 80% and my pain level has gone down at least 75% I can actually think and function again! I know there are good doctors out there — I have met some of them. But it seems the vast majority are not able to cope with anything that isn’t simple and easy to fix. An ear infection that takes a few minutes to diagnose and write a prescription for is what they want. Someone who isn’t an easy fix, someone who they can’t give an easy answer to, frustrates them and they don’t want to deal with them.

I realize some of this is due to all the HMO “streamlining”, that is forcing many doctors to convert to an assembly line process. HMO’s want to tell doctors you can’t spend more than 10 minutes per patient and you have to make a quick and “cost effective” diagnoses. So when patients like me keep coming back, I think they simply have no idea what they are supposed to do. They have stopped being doctors and have turned into robots on the medical assembly line. My only solace in this is that my regular doctor has told his co-workers and his patients in no uncertain terms, that he refuses to do this “assembly line” work. He will see each patient for as long as they need him, and do whatever is needed for them. This is why I stick with him. To avoid getting stuck with Dr. Jerk again, I have thought ahead and made a weekly appointment with my doctor for the next several weeks.

I only wish more doctors would take such a stand and I hope he continues to have the strength to fight this good fight and put his patients first and not on the bottom line of some HMO tally sheet. Doctors are supposed to help people, but not everyone is an “easy fix”. We need more doctors out there who are willing to understand this and treat each patient with the dignity and respect they deserve.

Back


Email comments to

Angela C. Byers

Copyright © 1996 - 2006 Angela C. Byers