He schedules 2 patients at the same time for office visit. Nurse says "We have 2 rooms, so we schedule 2 patients." Makes some sense to keep the next room full, ready to be seen, so OK. But I question scheduling them for the exact same time, plus a 3rd and 4th pt for just 15 minutes later.
Keeps a patient waiting for over an hour so he could conduct a personal problem phone call. Pt was not amused. Nurse tells pt that she has personally been kept waiting 4 or 5 hours in a doc's office and nurse is not empathetic/sympathetic to pt's upset. Seems to me that such a long wait could be understandable in an ER but can't think of anywhere else it would be, even OB's office. Personal biz should be done on his own time, not the patient's. :angryfire
Doc prescribes 1 oxycodone 5/325 q 12 - 24 hours for severe, severe leg nerve pain, (sciatica) documented by
x ray and MRI as being for real, i.e., there is plenty of spine pathology to readily see why pt is in pain.
Doc never brought up the issue of oral Rx. He only did SI joint injections (steroid? 'caine?) and pt had to bring up po RX issue. That's when the foregoing minimalist, IMHO, 'scrip was written.
Doc's exam consisted of him feeling the SI joints through the patient's sweatpants, while the pt's back was against a chair back. He also stuck his hand under the pt's butt without warning or permission. Pt was embarrassed.
He gave the first shot without warning, pt yelped, doctor said, "It's ok to yelp, I didn't give you any warning". Uh, why not give a heads-up so the pt would have known to be prepared? Is this guy a sadist? :angryfire
This guy provides no one to cover his practice while he goes on vacation. Is this acceptable? I think not.
He accused the patient of faking pain or of yelping aloud excessively "to impress me". Pt states that was absolutely not so, that the patient did experience severe pain that made him cry out, when getting up from the stretcher upon which he lain to get the SI joint shots. Doctor had stated on pt's previous visit that being very sore upon first arising, i.e., changing positions, was diagnostic of sciatica.
Doctor presented no plan of care to patient other than 2 - 4 shots. There was no mention of PT, TENS, oral meds (until patient asked), nothing. He also did not want to see the x rays patient had brought to the first visit. And he did not address the spondylolisthesis, facet join disease, Pars defect, and disc problems patient had. Reminds me of the saying that if the only tool you have is a hammer, every problem is a nail. Well, if your only tool is SI joint shots, every problem is SI joint itis, it would appear.
What do you think? Report to whoever owns the practice? Licensing authority? Shut up and vote with feet and just go find different doctor?
Would you go to a doctor like this or opt for someone else? Do you see things wrong with what he did or didn't do?
why not give a heads-up so the pt would have known to be prepared? Is this guy a sadist? :angryfire
I think not.