Hi all, thanks for writing... PLEASE READ and Respond. I want to know what you think! Patients are not restricted by HIPPA to disclose true experiences with physicians... I am, as a nurse required to document the truth. Here I go! I got a TRUE story to tell, and I DO think it will be helpful to all here! Read it like a short story, and share your thoughts ... thanking you in advance! On Monday, in writing, I asked for the Doc to call me back re: abnormal lab results. I was "put off" all week. Nothing on Monday. No call on Tuesday either. On Wednesday, still no call. So professionally, kind and calm, yet assertive and persistent, I called twice on Wednesday, and again on Thursday morning... The results of my persistence? On Thursday morning, the Office Manager hung up the phone on me after she yelled at me saying, "YOU ARE PANICKING! YOU ARE CAUSING THIS OFFICE TROUBLE!" I said, "Julia, I am not panicking... I want to speak with the doctor about these labs. I want to understand them -- I need her interpretation. I do not think it is unreasonable to have my doctor call me to discuss abnormal labs and to request her interpreta......" CLICK! I was SO mad! I was mad at her lack of professionalism, and her "office manager" dx of "panicicking" was out of line and due to her tone, may have better been fitted for herself? Nevertheless, I was relentless and persistence. And, on a heart-level, I want to communicate that I felt sad and upset and lonely... I wanted to call back and chew her out. I didn't. Instead, I gave her time to call me back -- she did not. So, about 15 minutes later I phone and said, "I am sorry, Julia, it appears we were disconnected..." She said, I put you on hold, and left a message on the doctor's cell phone telling her you wanted to talk to her." (I can only imagine the message she left...) Between 2 and 3 hours later, still no call from my doctor. So, I called again. I said, (knowing I needed to be) very controlled and calm: "It occurs to me that I still don't know if the doctor plans to call me back, if it would be easier on you all, I would be more than happy to come into the office and sit in the waiting room until she has a moment to talk to m....." CLICK. The next think I hear is my doctor. No "Hello Peacelearning, what can I do for you, what do you need?" OH NO! Instead, that woman started ranting and rebuking me, saying first (and I wrote it all down) "You are causing yourself a whole lot of trouble here! ...." I let her rant and rave for about 30 - 45 seconds, (I timed it) and wrote it all down, and then interrupted, and very calmly said, "Doctor Goodman-Wilson, may I interrupt? I do not think it is unreasonable to talk to you about these abnormal labs and ask you for interpretation and information..." She said, (I kid you not!) "I have 10,000 patients! I only call patients back who are acute!" I said, "...If you had communicated this as your policy on Monday, I would not have been so persistent, but you didn't." Silence. "However, now that I have you on the phone, can you please help me to understand these labs?" Short, curt, irritated, she said, "Your T cells are high -- that's it -- what more do you want to know?" "I want to know why." I said. With condescending, sharp tone she replied, "Because your immune system is fighting something -- I don't know what. It means it's working." I said, "Can you please then explain to me why my "immune system" is fighting something at the same time it's dropping out?" And then, very pissed off, the doctor said, "I DON'T KNOW!" Hummmmmmmmm. Might the "queen" have no clothes? Please tell me what you patients and professionals think. Might we speculate? Boundary issues? Problems at home, emotional outbursts mis-directed at the patient? Withdrawal from self medication? Possibly the emotional suffering of pride issues exposing a lack of experience and knowledge -- a lack of medical community networking? Maybe all the above? Remember here, I am the patient! I am sick, I pay her... Never, ever should a patient be treated the way I was treated! I am not her child, and will not accept what she said, did and did not do in my case as ethical, and keeping with professionaly patient management. I will not be mislead under the false illusion of what appears to be her own self centered doctor-god-like delusion of self. Such behavior is contrary to her oath as a physician! She has seen me for 18 months. Has taken copious notes, acts like she cares deeply and believes me... I believed her. But now? When push comes to shove, and she has to do a little work ... she has dropped the ball! While "chronic" it seems that I am her perfect cash cow... "Great, O great, A steady income for memememememmeeeeeee. I hope this one Doesn't cause me medical difficulteeeeee. Because that'll mean Less, less, and less monneeeeeeeeeeeeee For memememe..." * What is needed? A sincere apology backed by action! If and when she does, I will write a public post here. As of yet, she has not written a physician summary (though this was promised over 5 months ago ... plus, get this, she asked ME to do it for her and send it to her home email address.) I did ... Still nothing from her. * What is needed? A sincere apology backed by action!! Her lack of actions, and rebuking tone expressed nothing less than, "patient, get off my back!" She tried to keep be at bay by telling her nurse to tell me, "Doctor said she is still reviewing your case". HA! "Reviewing my case"??? Give me a break! The woman has seen me at least once a month, and sometimes twice a month, for almost 2 years. I am sick and getting sicker. She's at the point of "I don't know" and dropped the ball -- was frustrated and blamed me. She proved she is immature, emotionally unpredictable, unprofessional, and irresponsible... * What is needed? A sincere apology backed by action!! Here's one for the books! I was sitting in her office on the other side of her desk asking that she refer me if she can't come up with a dx. And she said, "I (It's all about her) am humbled as this is the first time in my practice where I have had to refer a patient". (big deal -- she's been in practice for only 5 years). Anyway, you know how this "professional" sought referral? She randomly opened a list of phone numbers in the Seattle area, closed her eyes, circled her finger round and round and pointed to the first number her finger landed on, saying, "Oh look, we got lucky, it is a woman Internist!" So, my physician, who claimed to be my "patient advocate" has exposed herself... (The "queen", through a mouth of smiles, deep eye contact, gentle touch, and "... I really like you" kinds of words, has blurred my vision. Once again, I am managing my own case! As for Doctor "Goodman-Wilson"? SHE owns me an apology evidenced by what she DOES, not by what she says and smiles and pretends to be. Sure, it's nice -- but let's remember, that's all it is. If a physician is not willing to do affective research and make contacts with colleagues to better understand her client's health status, she may as well be serving hamburgers with her four star name tag that reads, "service with a smile". I suggest that we do not forget WHY we go to the doctor. If we need a touch, a smile and compassion, it is nice coming from a doc sometimes, but we can get this too from places like Starbucks, McDonalds, and WalMart.... Family, friends, church... And the most real and the deepest touch is also invisible. The "Peace that passes understanding..." offered freely without time restaints, nor cost from The Comforter! Please learn from my experience all you out there. If your doctor is pretty and smiling, saying, "I'll be your support and advocate. Just tell me all about your problems and I'll write it down and give you some narcs". And you find that she is not doing any research, nor teaching or communicating; It MAY mean you need to take a closer look? Peace shaken... Still PeaceLearning PS I will write a public follow-up to this post if and when Doctor Goodman-Wilson and her "office manager" apologizes and DO what they are legally, ethically, and morally obligated to DO as part of an honorable health care community. Within the medical field, the chronic patient should never, ever, ever be respected less and/or considered less important than the acute patient! Chronic can become acute, and acute can become chronic -- but the patient is always the patient and a person who should be treated with dignity and respect.