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Bringing Your Emergency To The Emergency Room

, , , , | Healthy | May 2, 2019

A standard practice in the US is for pharmacies to call physicians for refills on prescriptions, not patients. If there are issues with getting refills, the physician’s office will contact the patient for a visit.

I’m currently seeing a new physician who I’m not happy with, but the waitlist is two months long to see a different doctor. I’ve found that this doctor doesn’t listen and doesn’t seem to take mental health issues seriously. She tried to switch my medications — without telling me — despite the fact that I’ve been stable on this medication for over five years. She also accused me of faking foot pain, despite evidence that I had an untreated break in my foot two years ago which didn’t heal well, and tried to convince me to get unnecessarily invasive tests at a specialist clinic for no reason. She also made me get tested for Hepatitis and HIV because I have tattoos — which are all over a year old — even though I just had those tests done two months prior as part of my regular checkup with my old doctor, which was in my medical record.

I’m on a mental health medication known for terrible withdrawal symptoms after just one missed dose. It’s very important that I take it every single day. I notice that I am out of refills, so I notify my pharmacy and they send out a refill request. It is denied because I still have a month left. I have the pharmacy send in another refill request two weeks later. The doctor doesn’t respond. The pharmacy contacts me, saying there were some issues and they can’t get a refill. I call my doctor’s office. They say they will have my doctor send in a refill that day. Still no refill and no request for an appointment. I call again two days later, still nothing. I now have less than a week left. I call every day for the rest of the week, still nothing. On Saturday morning, I’m tired and scared because I’m out of medication and don’t have any refills. I decide to go to the ER because it’s the closest place open on a weekend; there are two urgent care centers but one isn’t open on weekends and the other doesn’t have someone who can write prescriptions working that day.

I go into the ER and explain my issue. I’m clearly not having an emergency, but thankfully there are no other patients that morning and they’re able to write me a one-week prescription and send me on my way in under thirty minutes. While I’m at the ER, I’m clearly frustrated but grateful for the lovely doctor and nurse who are assisting me. The nurse gives me a giant hug and a chocolate muffin from the break room, and both the doctor and the nurse file a report against my doctor.

Monday morning at eight am, I get a call from my doctor’s boss. She saw on my chart that I had an ER visit for the sole purpose of getting a medication refill and wanted to know why. I explained the situation, and also mentioned being worried that I couldn’t afford an ER bill because emergency room visits aren’t covered under my insurance if they’re not considered an actual emergency, such as a broken limb.

A few days later, I check my insurance claims to see what my ER bill is going to be, expecting a bill of at least $2,000 out-of-pocket. My entire ER bill has been comped, as well as my past visits with the terrible doctor. I end up paying $0 for the entire debacle. I also get a three-month refill instead of one month, and it is also comped instead of the usual $45 per month.

I have since found a new physician, but at the same clinic because they went so far above and beyond to correct one doctor’s mistakes.

Has A Bad Ring(worm) To It

, , , , , | Healthy | May 2, 2019

CONTENT WARNING: This story contains content of a medical nature. It is not intended as medical advice.

When I was very young, my family lived in a rural area where we only had access to one clinic that took our health insurance. While we could have driven into the city — about three hours — if there had ever been a situation that the clinic couldn’t handle or if we’d needed a special consultation, for the most part, my parents stuck with the local clinic. The clinic was very small; I don’t believe that there were ever more than four doctors on staff, and most of them were not there full time. Although the clinic tried to hire doctors who practiced family medicine — so they could see all ages of patients — there was one pediatrician on staff, and because of this, my brother and I were just automatically sent to him, as were most kids in our area. He often rushed through appointments and was impatient when my parents had questions, although since my brother and I were generally healthy kids, our family didn’t have too many issues with him… until I was four.

When I was four, I developed a strange rash on my neck, back, and legs. My mom took me to the clinic, where the pediatrician took one look and said that I had ringworm. He prescribed a salve, an oral antifungal medication, and an antifungal shampoo, since the rash on my neck was near my hairline and ringworm can cause permanent hair loss if it develops on your scalp. I was on the medication for over a month before the symptoms subsided, and we thought that it was over… until I had another rash a few months after that. And a few months after that. The doctor kept prescribing the same regime every time. I was miserable because the oral medication messed up my stomach, and my parents were driving themselves crazy trying to sanitize anything that I ever came into contact with to hopefully prevent a recurrence and to avoid my brother getting infected.

This happened about four times over the course of two years; although my parents asked if there could possibly be something else going on, since ringworm is not supposed to be a chronic condition, the doctor blew them off every time and essentially told them not to question his authority, since he’d gone to school for this and they hadn’t. He was very condescending, and when my parents asked for advice, he’d just repeat stuff about hygiene and washing up. My parents had actually just decided to take me into the city for a second opinion if I had another rash when the usual doctor stepped down and we got a new one.

My parents brought my brother and me in for our flu shots, and the new doctor noticed the beginnings of the rash on my arm. He asked my parents about it, and they told him that they weren’t interested in putting me on the same antifungals since they clearly weren’t working and were just making me miserable. He was confused and asked why I’d be on antifungals for eczema. A couple of quick tests confirmed that he was correct, that I definitely didn’t have ringworm, and instead of multiple infections, I had one condition that flared up every few months. I got a prescription for an anti-inflammatory cream, and the doctor suggested that my mom change our laundry detergent, and then the rash was handled. But that wasn’t the end of the story.

The new doctor checked my file and confirmed that the old doctor hadn’t done any testing to diagnose me the first time — no black-light test, no biopsies or cultures, nothing — and had just marked that it visually presented as ringworm. Each subsequent time I came in, the old doctor stuck to that rather than reassess. After that, my parents requested a copy of my file, and then saw the notes that the old doctor had made, which basically amounted to him complaining about working with dirty, poor, uneducated families who couldn’t keep their kids clean. He hadn’t bothered to do any further testing when my parents told him that they’d complied with all his suggestions for how to make sure that I didn’t catch “ringworm” again, because he just assumed that anyone who lived in our rural area must be a dumb, ignorant hick who couldn’t really value hygiene.

My parents were furious. We later learned that he had been asked to step down from his position in the clinic precisely because he’d had this attitude with most of the families who came into the clinic, and had said as much to one of the nurses, not realizing that a patient had overheard. One of the things he must not have realized about smaller communities like ours is that word spreads like wildfire. Dozens of families were suddenly requesting records for their children, and people found multiple stories like mine where the pediatrician diagnosed without testing, or made assumptions about families that impacted the way he handled their treatment. There was a community-wide effort to send complaints to the state medical board. I know that there was at least one successful lawsuit against him, and last I heard, that pediatrician’s license to practice medicine was revoked.

Meanwhile, our new doctor treated my eczema, saved my brother’s life during an allergic reaction, became a hero in our community for doing house calls, and has received state-wide recognition for being willing to go above and beyond for his patients.

Your Strong Opinion Is Not Strong Enough

, , , , , , | Healthy | May 1, 2019

(My one-and-a-half-year-old needs a TB test — for the curious, it turns out negative. She’s always been very strong, and I know it’s going to be tricky to get her to hold still for the jab, so I offer to help the technician.)

Me: “She’s pretty strong; would you like me to help hold her?”

Tech: *eyes rolling and voice dripping with sarcasm* “I’m just sure she is. Every parent says that.”

Me: *stepping back* “Okay, have fun.”

(For the next few minutes, the tech finds himself unable to do the quick little jab because my daughter is able to fight him off. Finally, he admits defeat.)

Tech: “Could you hold her, please?”

Me: *sickly sweet* “I’d be happy to.”

(I wrapped my arms and legs around her tightly, and it was still a struggle, but the tech administered the test. If he’d just humored me instead of being condescending, it would have been much easier for him!)

Putting The Lying Into Lying Down

, , , , | Healthy | May 1, 2019

(I have epilepsy and have had several partial-complex seizures. I have been delivered by ambulance to the city hospital; unfortunately, the neurologist on call is one who I stopped seeing when he accused me of faking seizures in order to get attention, possibly because he is friendly with the neurologist who molested me when I was a teen.)

ER Nurse: “Her ID says she has epilepsy. We need to make sure she’s had her medication today.”

Neurologist: “There’s no need. She’s just being dramatic.” *to me* “[My Name]! Stop trying to make everyone feel sorry for you.” *to the nurse* “Give her some [anxiety medication]. She’ll tell you it gives her panic attacks; she’s a chronic liar. Just do it.”

(I am not sure what happens next, but I wake up in the darkened room alone. Confused and sick, I throw up in a trash bin and wander down an empty hall until I find an exit. I remember walking blankly until I find a street sign, then calling my sister and asking her to pick me up. About an hour later, I am home in bed when the phone rings and my mother answers.)

Caller: “This is [Caller] from [Hospital]. Your daughter was here earlier today. She isn’t currently in the room and hasn’t been seen in a few hours; would you like us to begin looking for her?”

Mother: “She’s with us now, and safe, no thanks to you.”

Caller: “Oh, okay. When can she come in to give us her billing information?”

(I did go back, with my parents… and a lawyer. He suggested that charging me for improper treatment that I had never consented to, and had been harmed by, might not be in their best interest. They dropped the bill. They also sent my mother flowers, which was weird.)

“Purely” Obnoxious

, , , , | Healthy | May 1, 2019

(I have been battling a lot of stomach pain and bloating. One day, it becomes unbearable. My regular doctor’s office is closed, so I go to Urgent Care. The doctor comes in and asks what my symptoms are. I’ve just finished describing them to her.)

Doctor: “And is there any chance you’re pregnant?”

Me: *laughs* “Nope. No chance.”

Doctor: “Don’t laugh, young lady. It’s a normal diagnosis for a young lady in her 20s.”

Me: “I understand that. But if I’m pregnant, you’d better start looking for a star, three wise men, and some shepherds.”

(I’ve used this joke with my regular doctor and my OBGYN, and they both laughed. This doctor, however, frowns and folds her arms.)

Doctor: “Uh-huh. Your chart says you’re on birth control. Tell me, what does a ‘virgin’ need birth control for?”

(Yes, she actually air-quotes “virgin” with her fingers. I explode.)

Me: “Because I have severe period problems, and I can’t afford to be in bed for two weeks a month with cramps and migraines! Not everyone who is on birth control does it so they can have sex! Way to assume things, though. Do you do this to all your female patients?”

Doctor: “Um… Let’s just check your stomach, shall we?”

Me: “Yes, please!”

(As she’s examining me:)

Doctor: “Ah… I think it’s really admirable to see a young lady in her 20s who is still… pure.”

Me: “Don’t try to make this better.”

Doctor: “Sorry.”

(She announced that she had no idea what I had, and sent me home with an antibiotic. I didn’t take it. I called my regular doctor when the office reopened. He ordered a bunch of tests. It was determined later that I had a nasty case of IBS.)