Bad doctors

Joemonkey

Diamond Member
Mar 3, 2001
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i've had some back issues for a long time now, like 7 years, even went to physical therapy a long time ago. It has always been diagnosed as muscular, pain was always on the far edges of my lower back, closer to kidneys than to spine. I even had a personal TENS unit for a while, and that was the best thing I've ever used for it.
A couple days ago I started getting a pulsing pain near my spine, and was shooting down my left leg, sometimes all the way to my foot. Most times it was pain, but sometimes like a heat sensation or a tingly feeling.

I Read up on the symptoms, found it could be bulging disc or sciatica most likely, so I go to my doctor's office, which is also a walk in clinic (comes in handy when you don't feel like waiting to make an appt.) Found out the doctor I've been seeing is not going to be there that day but another doc will be there in an hour.

so i wait

After getting called back to the room, the doc comes in and immediately comes off as really arrogant, which can be a good thing as far as doctors go. I start to tell him about my back pain history, and I know to a doctor time is money, so about the time I see his eyes glaze over, I say "long story short, this isn't a pain i've felt before, and my muscle relaxers don't effect the pain at all"
he shoots back with a smirk "well this isn't muscular, so why would you think muscle relaxers would help?"
I say "ok..."
Before even examining me, he says "sounds like a bulging disc, let me listen to you" and puts the stethoscope on my upper back. I figure it's the regular "let me listen to your lungs" thing so I start to take deep breaths. He says "DEEP breaths!" in a frustrated voice, so i breathe deeper, and he listens to like 3 spots at my upper back, not even where the pain is.

Then he says "ok show me where it hurts" and i point to the spot on the left side of my spine at my lower back. He feels around for like .02 seconds, pokes the spot exactly making me pull away, and says "ok we're going to give you a steroid injection and a prescription for anti inflammatories"
I say "ok, but every anti inflammatory i've ever taken screws up my stomach pretty bad" and he says "yeah they do that to everyone, and this one is particularly bad, but you need to be on this for 7 days for the inflammation to come down, just take it with food and watch for blood in your stool"

again "ok..." and he walks out after handing me the prescription.

Indomethacin http://www.nlm.nih.gov/medline...medmaster/a681027.html is the NSAID btw.

After a while, the nurse comes in, gives me a shot of kenalog http://www.netdoctor.co.uk/medicines/100001412.html
but gives it to me in my butt cheek instead of where the pain is, which i figure "ok it's not like a cortizone shot" and even after reading up on it I'm still not sure if it should have been at the pain site.

Go home, take one of the pills w/ lunch at 11:30am, and still haven't notice any difference in pain. About 4 pm i'm trying to lay down and the pain hasn't subsided at all. So, I call the doctor back, and say "should the pain have subsided by now?" and receptionist puts me on hold, comes back, says "i talked to the doctor and he said if the pain is really that bad just go to the ER"

one more time "ok..."

i figure i've dealt with it for a few days, and on a scale from 1 to 10 it's about an 8 when it actually throbs, about a 5 constantly, which to me isn't ER pain.

In any event, it's Thursday here and they have a doctor on site, so hopefully at 2pm I'll get a better diagnosis and something that actually helps with the pain. Wish me luck!
 

jandrews

Golden Member
Aug 3, 2007
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he did his job like most dr's do, ensure the patient gets no pain medication, gives medicine that is worthless yet expensive and also belittles you and makes you feel dumb, sounds about right. I bet doctors like him hate that the internet exists where patients can find out info for themselves nowadays.
 

Homerboy

Lifer
Mar 1, 2000
30,890
5,001
126
wait...

Topic Summary: went to one yesterday i'll never go to again

In any event, it's Thursday here and they have a doctor on site, so hopefully at 2pm I'll get a better diagnosis and something that actually helps with the pain. Wish me luck!

Liar.
 

SarcasticDwarf

Diamond Member
Jun 8, 2001
9,574
2
76
Just remember...it could be worse. The dumbass doctors employed by the Army were kind enough to permanently screw up my ankle through complete and utter incompetence.
 

moshquerade

No Lifer
Nov 1, 2001
61,504
12
56
Yeh, I would make sure not to see this guy again, specifically request not too. Enough people put in a bad word for him and it will effect his reputation. I hate when docs come off as you being a nuisance to them. hey buddy, without us you wouldn't be in practice. no patients = no job.

Good luck today @ 2:00. Don't badmouth the old doc to this doc, they don't want to hear it, but you can put a bug in the receptionist's ear. They like to talk afterwards about what the patient's have said to them.
 

moshquerade

No Lifer
Nov 1, 2001
61,504
12
56
Originally posted by: jandrews
he did his job like most dr's do, ensure the patient gets no pain medication, gives medicine that is worthless yet expensive and also belittles you and makes you feel dumb, sounds about right. I bet doctors like him hate that the internet exists where patients can find out info for themselves nowadays.

sure he did his job, but is it too hard to be even a little bit pleasant? going to the doctors isn't fun as it is, and it's even worse when the doc is stuck on himself.

bedside manner ftw
 

jandrews

Golden Member
Aug 3, 2007
1,313
0
0
Originally posted by: moshquerade
Originally posted by: jandrews
he did his job like most dr's do, ensure the patient gets no pain medication, gives medicine that is worthless yet expensive and also belittles you and makes you feel dumb, sounds about right. I bet doctors like him hate that the internet exists where patients can find out info for themselves nowadays.

sure he did his job, but is it too hard to be even a little bit pleasant? going to the doctors isn't fun as it is, and it's even worse when the doc is stuck on himself.

bedside manner ftw

what the hell did you even read my post?? I was being sarcastic!
 

waggy

No Lifer
Dec 14, 2000
68,143
10
81
Originally posted by: jandrews
he did his job like most dr's do, ensure the patient gets no pain medication, gives medicine that is worthless yet expensive and also belittles you and makes you feel dumb, sounds about right. I bet doctors like him hate that the internet exists where patients can find out info for themselves nowadays.

to be fair don't blame the doctor. the DEA is going after doctors who they think are prescribing to many pain pills.

So to avoid trouble they are cutting back. I used to be able to get pretty much anything i needed without problem (i have fibromylasa and Rheumatoid arthritis). then started to get harder. BUT luckily my pain clinic doctor will give me vicodin whenever i need it. Also the ER doctors know me and don't give me an attitude when i do need to go in (maybe once a year).

 

Joemonkey

Diamond Member
Mar 3, 2001
8,859
4
0
Originally posted by: moshquerade
Originally posted by: jandrews
he did his job like most dr's do, ensure the patient gets no pain medication, gives medicine that is worthless yet expensive and also belittles you and makes you feel dumb, sounds about right. I bet doctors like him hate that the internet exists where patients can find out info for themselves nowadays.

sure he did his job, but is it too hard to be even a little bit pleasant? going to the doctors isn't fun as it is, and it's even worse when the doc is stuck on himself.

bedside manner ftw

I guess I've been spoiled, had a GREAT primary care doctor before but he's now about a 1.5hr drive away. He at least seemed generally concerned to hear about your issues, would put down the chart and pull up his little rolling stool next to you, look you in the eye, and talk to you about everything and anything that could possibly effect your current situation.
 

Joemonkey

Diamond Member
Mar 3, 2001
8,859
4
0
Originally posted by: waggy
to be fair don't blame the doctor. the DEA is going after doctors who they think are prescribing to many pain pills.

So to avoid trouble they are cutting back.

Are you serious? I don't know why I never thought of this but it makes perfect sense. It pisses me off that yet again there is a BS reason for such a thing, just like requiring certain meds to now be behind the Rx counter because it is possible to make meth with them.

 

moshquerade

No Lifer
Nov 1, 2001
61,504
12
56
Originally posted by: jandrews
Originally posted by: moshquerade
Originally posted by: jandrews
he did his job like most dr's do, ensure the patient gets no pain medication, gives medicine that is worthless yet expensive and also belittles you and makes you feel dumb, sounds about right. I bet doctors like him hate that the internet exists where patients can find out info for themselves nowadays.

sure he did his job, but is it too hard to be even a little bit pleasant? going to the doctors isn't fun as it is, and it's even worse when the doc is stuck on himself.

bedside manner ftw

what the hell did you even read my post?? I was being sarcastic!
i was agreeing with you. :p
 

rudder

Lifer
Nov 9, 2000
19,441
86
91
Originally posted by: SarcasticDwarf
Just remember...it could be worse. The dumbass doctors employed by the Army were kind enough to permanently screw up my ankle through complete and utter incompetence.

Sounds familiar, except in my case it was Air Force doctors. I lived on a military base
(government employee dependent) overseas and hurt my knee playing football. The Air Force doctors refused to operate and said the injury would heal on its own. So after 6 months under thier care I made it back stateside to have surgery for a torn ACL. By then my knee was so messed up that when I went to enlistment processing with the Army, I received a permanent medical disqualification.
 

skace

Lifer
Jan 23, 2001
14,488
7
81
If it ends up that he diagnosed you properly then what is the issue? It seems you still don't know at this time and are hoping to get some miracle drug to make the problem disappear.
 

jandrews

Golden Member
Aug 3, 2007
1,313
0
0
Originally posted by: waggy
Originally posted by: jandrews
he did his job like most dr's do, ensure the patient gets no pain medication, gives medicine that is worthless yet expensive and also belittles you and makes you feel dumb, sounds about right. I bet doctors like him hate that the internet exists where patients can find out info for themselves nowadays.

to be fair don't blame the doctor. the DEA is going after doctors who they think are prescribing to many pain pills.

So to avoid trouble they are cutting back. I used to be able to get pretty much anything i needed without problem (i have fibromylasa and Rheumatoid arthritis). then started to get harder. BUT luckily my pain clinic doctor will give me vicodin whenever i need it. Also the ER doctors know me and don't give me an attitude when i do need to go in (maybe once a year).
oh yeah I know I know, I have IBS so my life is one bad trip to the dr after another until just gave up and do my own thing.
 

waggy

No Lifer
Dec 14, 2000
68,143
10
81
Originally posted by: Joemonkey
Originally posted by: waggy
to be fair don't blame the doctor. the DEA is going after doctors who they think are prescribing to many pain pills.

So to avoid trouble they are cutting back.

Are you serious? I don't know why I never thought of this but it makes perfect sense. It pisses me off that yet again there is a BS reason for such a thing, just like requiring certain meds to now be behind the Rx counter because it is possible to make meth with them.

you would be really amazed how bad it is getting. in some places you are only allowed a limit on pain pills UNLESS whatever you have is going to kill you (such as cancer). So people who need them just to get through the day are refused treatement.

take a few minutes and do a lookup on it. There are forums for people with chronic pain and many have problems with getting what they need because doctors are cutting back.

 

Joemonkey

Diamond Member
Mar 3, 2001
8,859
4
0
Originally posted by: skace
If it ends up that he diagnosed you properly then what is the issue? It seems you still don't know at this time and are hoping to get some miracle drug to make the problem disappear.

I'm not expecting a miracle drug, but something for pain would be nice.

And, just found out the doctor isn't coming today, we're expecting ice storms and he doesn't want to get stuck down here... yay for pain!
 

moshquerade

No Lifer
Nov 1, 2001
61,504
12
56
Originally posted by: Joemonkey
Originally posted by: skace
If it ends up that he diagnosed you properly then what is the issue? It seems you still don't know at this time and are hoping to get some miracle drug to make the problem disappear.

I'm not expecting a miracle drug, but something for pain would be nice.

And, just found out the doctor isn't coming today, we're expecting ice storms and he doesn't want to get stuck down here... yay for pain!

after you get this cleared up, and hopefully soon, you need to be on a strict exercise program designed for your back. that is the only thing that will keep the pain away.
 

waggy

No Lifer
Dec 14, 2000
68,143
10
81
Originally posted by: jandrews
Originally posted by: waggy
Originally posted by: jandrews
he did his job like most dr's do, ensure the patient gets no pain medication, gives medicine that is worthless yet expensive and also belittles you and makes you feel dumb, sounds about right. I bet doctors like him hate that the internet exists where patients can find out info for themselves nowadays.

to be fair don't blame the doctor. the DEA is going after doctors who they think are prescribing to many pain pills.

So to avoid trouble they are cutting back. I used to be able to get pretty much anything i needed without problem (i have fibromylasa and Rheumatoid arthritis). then started to get harder. BUT luckily my pain clinic doctor will give me vicodin whenever i need it. Also the ER doctors know me and don't give me an attitude when i do need to go in (maybe once a year).
oh yeah I know I know, I have IBS so my life is one bad trip to the dr after another until just gave up and do my own thing.

i belong to a chronic pain help group. and "giving up and doing my won thing" is getting to be heard more and more.

i count myself lucky that i have history with my doctor/pain clinic/ER. where is known that i have what problems i do. They all know that i have what i do and do not care for pain meds as it is. I can get vicoden or better with a phone call. but did sign a paper saying i would only fill those at 1 pharmacy so its easy to keep track of.
 

Pliablemoose

Lifer
Oct 11, 1999
25,195
0
56
Joemonky, you have to understand how frustrating it is to treat back pain, it's something the medical community isn't particularly good at.

Many physicians view back pain complaints as an excuse to ask for narcotics, and in his defense, you seem to have asked for a specific drug or class of drugs.

Don't know what you do for a living, but how do you like it when someone tells you how to do your job?

Some docs get real bent out of shape when they feel like all they do is write RX's on command.

Honestly if I ran across you at the hospital or in a work setting where I was involved with your care, I'd be VERY guarded with what I did & or told you because patients with chronic pain can be the patient that really makes your day suck because they're so demanding and manipulative.

One of the things I enjoy about my current job is that we pay attention to pt's pre op pain control methods and we do not attempt to "fix" what we suspect may be drug seeking behavior, I load my patients up with as much as I'm allowed to give, and unlike my co workers I call frequently & plead my case to the clinician with prescriptive authority to get more for them, and allow the patient to negotiate out of hospital pain control with their primary care physician or their pain docs...

FWIW...

and good luck with all that
 

interchange

Diamond Member
Oct 10, 1999
8,026
2,879
136
I feel your pain. Finding the right doctor is a very difficult thing to do. I say this from multiple perspectives. Firstly, I am a patient with chronic fatigue/fibromyalgia, and it's easy to get written off without any cooperative help. Secondly, I am someone who is going into medical school next year. I don't look forward to being disrespected by patients. It happens all the time. There is a serious divide in the doctor-patient relationship, and it takes an exceptional person to be able to bridge that gap very easily. Doctors have to work with drug addicts, hypochondriacs, and perhaps even worse people who can't advocate for themselves enough to get proper diagnosis/treatment. It's a frustrating environment, and very often the patient loses. They also are frequently restricted by insurance in only being able to spend a limited time, e.g. 15 minutes on each patient. That's simply not enough to do your job and explain treatment options, merits of particular drugs, etc. Still, there are doctors that are annoyed by patients, and worse those that have never suffered themselves. They tend to be arrogant and think that patients are frequently complaining about trivial things. It's a complex system, and time is never on anyone's side. They tell you to get there super early and squeeze patients in because no-shows cost them so much $. The end result is a poor experience for everyone.

Also, I would avoid those walk-in clinics in general. They are frequently staffed by underpaid residents (recent medical graduates undergoing training) who moonlight at places where quality of care is not of great concern. This is on top of an 80 hour work week at the hospital. I can understand exactly why your appointment was so crappy. I don't have a solution, but you do have my sympathy.
 

Joemonkey

Diamond Member
Mar 3, 2001
8,859
4
0
Pliablemoose, I do understand where you are coming from, but I am starting to think more like waggy and just grin and bear it. Like I said, I've had ongoing back issues for 7+ years and I know what works on it, and generally DO grin and bear it. I'm not trying to tell the doc how to treat me, I'm telling him how I've been treated in the past and what has worked and not worked...

However, this is something different than what I am used to, so I went to a doctor seeking help and feel like I got blown off. Sucks when your back REALLY hurts, and simply because of that type of pain being looked at as a narcotic seeker, I suffer.

My old primary care doc told me something that I still hold dear to this day, and that is narcotic pain meds don't help with pain, just make you not care about it any more, and I think very highly of what this doc says. However, I don't have the PTO to simply lay around in bed for the week or so it is estimated for the treatment to take, and being able to not care about this pain for a few hours or so sounds great right now.
 

interchange

Diamond Member
Oct 10, 1999
8,026
2,879
136
Sounds like the physician made a bad judgment about you then. This is why it's really important to have an ongoing relationship with a physician you trust. Sadly, this is becoming a thing of the past.
 

Joemonkey

Diamond Member
Mar 3, 2001
8,859
4
0
I still think it was retarded for the doctor to tell me to go to the ER since the pain hadn't subsided. Since the doctor we have come in on Thursdays isn't actually coming in, I called around local Dr. offices and did get an opening with a nurse practitioner at 2:30.

Since it is my first time seeing her, due to idiot pillheads out there and my eyes opening due to this thread, getting pain meds seems like a long shot, which is totally fine with me. I'm just hoping if she sees it necessary for me to get an MRI or CT scan, and it finds a fixable issue, having one scheduled vs. going to the ER will be much easier on the wallet. Now that I think of it, why couldn't that doctor I went to yesterday call and have one scheduled vs. telling me to go to the ER?

I miss my old primary care doctor :(