How to gracefully change doctors
The first doctor I went to when I was diagnosed is not a good fit for me. Always in a hurry. Doesn't explain things clearly. Hands me off to assistants who are semi-clueless. I've found a different group who I trust and feel will be a better fit.
So, here's my question: How do I communicate with the first doc that I'm transferring my care? There is a part of me that wants to do this directly but that means making and paying for an appointment.
Worrying about this is taking up too much of my emotional energy so I'm posting to you all to hope you'll help me get past this. Thank you.
Comments
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I am not sure how things work in your country...but...if it is the same as in Canada you just need to give your new doctor authorization to get your records from your previous doc. I don't think you need to explain anything to the old doc as he didn't seem to concerned about you as an individual in the first place.
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I've done this twice. Both were preceded by a serious change in direction with my breast cancer that the Onc did not pick up. I now see an Onc that only does breast cancer at a University Hospital. I don't remember all the details of the first change but the second one is fresh in my mind. I wrote a short professional letter stating my intention and ask that my records be sent to the new Onc in time for treatment specifying the treatment date. I hand delivered the letter to the Onc's office staff. The change went smoothly.
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I'd just write a letter. I wouldn't pay to tell him in person.
Good luck with your new doc.
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As pip57 said, you dont' even have to worry. Unless you have some points to bring up and then you do like Ann or Apple said.
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I changed MO's a few weeks ago. I made the appt and saw the new guy and liked him so told him he was my new guy. The next day I called my old MO's office and spoke to the PA and explained that I did not feel that we were a good fit personality wise and this was going to be a long term relationship and I thought it best that I change doctors. I made sure he knew I was not mad at the doctor and did not feel that I had been given bad care. He was very nice and said he understood and said if I ever felt the need to return that I would always be welcomed. I did not want to burn any bridges cause you just never know. The new guys explains everything in great detail to me, the old one did not just gave me short answers and that was it, so I felt frustrated all the time reasearching to find information. My new guy just gives it all to me.
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I'm kind of in the same boat. My BS was a general surgeon, had me in twice to go over the same crap (drawing pictures of where he was going to cut, which by the way showed me he had not looked my mammogram as it ended up under my arm) and sent an outrageous bill to my insurance company and I had to pay twice for the co-insurance. Not only that, he took 21 of my nodes knowing I had only use of that one arm and then sent my tissue samples to a hospital that would not take my insurance. Eventually had it written off but the hassle while under going treatment was a pain in the (you know where).'
I have to have another mammogram in June and a follow up visit. I am not happy with this surgeon but my DH suggests I go back to save another doctor having to go over everything again.
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Hi Lestwin - After all the mis-steps with the previous doctor, I think you deserve to start fresh. The new doc will be able to get up to speed quickly from your records/story. Just my 2-cents. All the best!
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I do have a couple of unanswered questions for doc #1. The nurse uses email so I guess I could send an email with them along with a note that I'm transferring. Any thoughts?
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pip57 - Now that you mention it...The last time I was there, the nurse was looking right at me and didn't recognize me when she came to get me from the (endless) waiting room.
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Gabby, I am in the process of doing this myself. I have an appt with the new MO on 3/24. I will sign the authorization letter this week and have my current MO send my records to the new one. I am going to tell my original doctor that I am seeking a second opinion. If I decide to stay with the new doctor, she'll already have all of my records. If I don't like her, I'll go back to my old MO (or possibly look for another second opinion/new MO). Good luck to both of us!
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Just call and let the office know and find out what you need to do to get your records sent over. Doctors are busy (and this one in particular) so really no need for you to take up any more of his time. Let him use the time for his current patients and you use your time for things you need to do for you.
People change doctors all the time. It's not as big of a deal as you think.
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As lago said, this is fairly normal for Dr.s. It feels weird to you, but for them, this kind of thing happens all the time.
If you feel you need to communicate further with Dr. #1, then e-mail as you mentioned or call. Otherwise call the office and ask them to transfer your records.
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I'm seeing a new doctor next week. I hope I like her. I really want to make a switch. My current oncologist and I are just not "clicking."
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Gabby - I also switched MOs - he was very good and very involved while I was in active treatment, but as soon as that was over I only saw PAs during my appointments, not him. When I questioned this, the PA stated that I would have to specifically request to see the doctor when I made my appointment, but otherwise their practice was for me to only see the PA.
This was only a year out of treatment! I wanted an MO to lay eyes on my and discuss things with me, not a PA, especially this PA who was young and inexperienced. When I wrote asking for a copy of my medical records, I included exactly why I was leaving in the letter. That way if he was concerned or had questions, or if the PA was taking things upon herself that were contrary to his practice, he could contact me. I never heard anything. I guess once patients were out of active treatment, they were no longer interesting enough for him to actually see and he didn't care if I left. I love my new onc, so it ended up he actually did me a favor by doing what he did.
Bottom line is that doctors are a lot more important personally to us than we are to them, so if you feel that another doctor is a better fit, go for it and don't over-trouble yourself about your current doc's feelings. Frankly, he has so many patients that he probably won't even notice if you never make another appointment.
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Hi NansFan -
I really appreciate hearing your story as it's very much in line with my experience (except I was handed off to assistants starting at the first appointment). My first doc actually did me a favor also as the new group is the exact opposite in every way.
I have over-troubled myself over this. (Thanks for introducing me to the term "over-troubled" - I'll be using that.) I always think it's the right thing to be open and honest with people and not hide from difficult conversations.
I have a short letter drafted which I may (or may not) send. Thanks for setting realistic expectations should I go ahead and send the letter.
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Gabby - I'm in agreement about being open and honest - that's why I sent the letter explaining exactly why I was leaving. I could have just gotten my records, cancelled my appointment and never made another appointment. But I thought I'd at least put on record why I was leaving, so my onc would be aware of the issue, and not just assume that I left because I was moving out of the area or somethign like that. I also wanted to make sure that he was aware of what the PA was telling patients. What my onc chose to do with that info is his business, and apparently he didn't care. But at least it's in my records about why I left.
Yes, we do tend to "over-trouble" ourselves sometimes!!!
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After all the issues I had with my Onc. I chose to go to a new one in the same group but another city. I like the new one so much more, the only thing that has me concerned is he is so worried about how I feel about the first. He keeps reminding me "all that has happend is a fluke, but really not her fault. I keep thinking he is afraid I will go after the company and her.
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