I Don't Trust My Oncologist
(Sorry, this is long):
I go to a cancer center where you can't call your doctor directly; you have to leave a message with a nurse. Everything is handled by unseen medical staff who input massive amounts of data into a computer system, so everything is supposed to be there when your doctor pulls you up on a screen.
My new oncologist, who I was assigned to after my first one left, always enters my orders wrong (blood labs, treatment, diagnostic imaging - he screws it all up.) His staff eventually figures it out and works to fix it.
In May, I found a new lump and panicked. I left a message, but he didn't call me back. I brought it up at our next appointment, after my PET scan, which looked good: only my original tumor and one lymph node lit up on the PET. (The mets on my sternum and lung were clear.)
Dr. New Guy said, well it looks good. Let's get a new mammogram and sonogram just to be sure.
Life was hectic (Mom had a stroke, and I was also helping my disabled sister, doddering 92 year old father, and brother suffering emotional trauma from his wife of 25 years leaving him at Christmas.) Life was hectic, so I forgot about my own mammogram. Two months later, his staff calls to ask me about the mammogram. I told them I never got a call from the imaging center to schedule it.
Finally had the mammo and it showed progression, under the original tumor, into the chest wall, which is why it didn't show on the PET.
I want a new oncologist, and I've been asking the schedulers to get me someone new, but they say they can't.
How can I get someone to listen to me, when my doctor is messing things up? I guess I need to call the Receptionist and ask who I can talk to about this.
Has anyone else had to change doctors because they think their present one isn't competent?
Comments
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Hmmmm... I'm wondering if maybe the imaging center dropped the ball this time, since your onc's staff knew you were supposed to get a mammo and I assume they would have noticed if it hadn't been ordered and done that, rather than calling you. But the bottom line is, if you're not happy with this onc, and especially if you don't trust him, absolutely look for someone else. I can't imagine putting up with an onc or any doctor you don't trust for any reason and who doesn't instill confidence. Why would you stay with him if you don't feel he's the best available and doing a fabulous job for you?
Edited to fix typo
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That's just it, Deanna - I can't seem to do anything else! I feel like I'm in that movie, Brazil, where I have no control over anything. I try to get a new doctor, and I get nowhere.
I suppose the next step is to visit them in person and ask if there is someone with some clout to help get my concerns addressed.
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Not sure I'm following, NineTwelve. Can you elaborate on what's not happening? Is it your insurance that's not cooperating, or knowing who to call or ?????? Is yours a self-referral insurance plan?
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Sorry for not being more clear. I like the cancer center that I'm going to. But I don't like the doctor that they gave me, and I can't seem to get anyone to schedule me with a different doctor. Maybe I just don't understand how that happens?
Do I need to pick one of the other doctors and ask the schedulers to put me on that person's appointment book? I asked the schedulers to give me ANY other oncologist, and they said they would try. Then they didn't do it. I asked them again. Still didn't happen. I'm not sure how to go about getting myself on someone else's schedule without them. So that's why I think I must be doing something wrong, and I'm under so much stress that it is hard for me to get my concerns across, without looking like a crazy person.
I appreciate the space to vent. Maybe the schedulers didn't understand me the first time, the way I explained it, either.
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You bet I have had docs who retired, left the center, and others I "fired" in my own cancer journey. Self-advocacy is an important part of my story and party of why I'm still alive. I'm worth it and so is everyone!
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I had an issue with my original oncologist. She made a big mistake and I no longer trusted her. I told the center that I was very unhappy with her and would no longer be seeing her. I picked my new oncologist and scheduled my first appointment with him. If your center isn't listening ask to speak to the office manager to get it straightened out. Best wishes to you.
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I could be wrong, but it sounds like they're reluctant to schedule you with someone else. Hopefully someone with experience in that kind of office can comment further, but my first question is... Are you sure it's your onc who's dropping the ball, or could it be his office staff, because, in that case, switching oncs won't help. If you're sure it's him, I would probably call the practice manager and explain what's happened (examples of him dropping the ball), and ask if you could be reassigned to someone else so that you don't have to leave their practice. Let them know you've asked about this already and aren't satisfied with the lack of response to your request. If that doesn't work, I'd look elsewhere. Just my two cents worth, but it's clearly adding to your stress, which is not good.
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Thanks, guys.
Just got off the phone with the schedulers, because I'm waiting to get in for a new treatment. First one was all, 'we mailed you a card.' They put me down for Wednesday morning without checking to see if I could come in on that day, and they mailed me a card. I pitched a mild fit, saying, Look I'm losing my mind with worry and you don't even call me to let me know I have an appointment? I'm supposed to guess that I'll have an appointment, and that I'll be notified by mail??
She apologized. I added that I wanted to switch doctors and she said she would send an email to the other oncologists to see if one of them could take me.
Part of the problem is my regular facility is in my town, and the new onc has his office at another facility (huge mega-hospital) in the next town over. I may not be the only patient of my former doctor's, who is unhappy with the new regime. I think anyone who has had to go from small, friendly cancer-only facility to impersonal Walmart-style hospital would wish to switch docs. (seriously, this place is so big, I get the Death Star theme from Star Wars playing in my head whenever I see it.)
Anyone who has read this far is a saint of compassion and patience. Thanks for letting me get this out of my system. I think I might be on track now for a new doc. (Or maybe they'll just cart me away to the funny farm. I've always loved animals, and could use the rest.)
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Hi,
I belong to a large self contained HMO, but when I wanted to change mo's, early on, my RO simply made an appointment for me with someone who he thought would be a better fit . Does your insurance, HMO or traditional, limit you in any way? Having an mo you trust is so very important, that if you need to stand in front of the reception desk and raise hell, thenthat's what you need to do. I am usually very easy going not nit picky about many things, but I can be very loud and demanding when it comes to my health care. After all, we're not talking about the common cold here!
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I would demand, not ask, in a very strong, assertive manner. Sometimes as woman we are reluctant to be as assertive as we need. If my onc doesn't call me back - I call him back, and continue to until I hear from him. I let the receptionist know how important I feel my question or message is to me. Mind you, I only call when I feel a level of importance that can not wait until an upcoming appt. So he knows if I am calling, it is something important to me. I understand they get busy, but I believe they need, and their office staff, need to understand our anxiety as well.
Also there must be someone at the facility who you can go to, an omnbudsman??
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If you are not getting the answers you are looking for, there should be a patient advocate service with the hospital. I would ask to speak with them.
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Patient advocate is a great idea. The political way to do this is to find a medical reason or a logistical reason. I need to see this doctor because it is a better fit medically. I can't make the trip to the DeathStar because, well, I have cancer and driving on heavy medication is not my thing (doesn't it say I shouldn't on the bottle?).
It's the same strategy you need to use to get your kid switched out of a lousy teacher... my child's reading "disability" requires this other teachers expertise ... That kind of thing. Patient advocates will be great at this type of maneuver.
The bottom line is that you have to get yourself a doctor that you want to see. This is the first rule of self care. And self care is the key to everything.
That said, I don't trust any oncologist. They are all human and therefore they are all limited by their experience, education and general human-ness. I've assembled a team. I respect them all and listen closely but every doctor and specialist I have knows they are on a team that I control.
>Z<
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You really aren't powerless in this situation. Stop dealing with the receptionist or whoever is answering the phone. Demand to speak to a supervisor, including that physician's supervisor, because there is one.
Keep in mind that these places are highly regulated. If they receive money from Medicare or Medicaid, they are under federal regulations. Which means you can file a complaint with the health department as well as the federal government.
If the cancer center has a customer service department, contact them. Keep making noise until someone with the authority to make a decision actually does something.
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I concur with Pwilmarth. It sounds like you're going to a big hospital. Places like that have patient advocates or ombudsmen. The breast oncology group has a chief. Reach out to one of them. The schedulers have no power to get you a new doctor.
Just explain (firmly) that it's not working out with you and your onc. You don't need to specify a reason. Tell them what type of person you WOULD like for an onc and expect them to match you up.
Another thing to think about is that big hospitals like that have "systems of care". What I like to call "institute rules." If you can get people to explain what those rules are, you can make them work for you. Does your onc have a clinical assistant rather than dealing with the schedulers (that's what I do -- I email her to get my appointments because the schedulers are clueless)? Can you simply see a nurse or an infusion nurse without visiting a doctor every time? What are the rules?
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I am on 4 th oncologist, different centers. My biggest regret was not going w/my gut when I wanted new MO when I felt 1st MO did not have my interest at heart. When she screwed up big time, I paid the price.
New center is only breast cancer patients, which I really like. Things not perfect, but much better. Go with your gut.
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I switched to a different onc within the same center. I had been talking to the social worker about being unhappy with my current onc so she went straight over to scheduling and got me an appointment with the new onc who she thought would be a better fit. Super easy. So, maybe a social worker could help you.
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Oh Hellloooooo! You are the patient..It is your money that pays Mr. incompetent doctor...You need someone NEW stat..
1. call the administrative office.
2. go to the executive office with papers and a friendly non confrontational office.
3. build your folio of evidence
4. Start being pushy and finally if nothing else go to their office that controls publicity...IF you do not make headway then call the doctors office daily to ask for a referral to someone else. If none of this works I would call the state insurance and health commissioner of your state.
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Here's the update on my situation. Saw my oncologist today and he was calm, reassuring and compassionate and took time to go through all my options. I told him about my family problems, and he commiserated (he is also looking after a senior parent). AND he had already heard through his staff about my request to go back to the friendly neighborhood cancer center, and said he had asked one of their M.O.'s to take me on, forever, or until the merge this Fall, after the remodel, and all the staff that's currently working out of the Death Star come back to the Friendly MidSized Center. He didn't seem at all ego-affected,
Further, he worked on an Ibrance trial, so he has been working with the drug for eight months, and it's not brand new to him.
I am thinking about what to do next, but I believe I will go on the Ibrance/Faslodex combo, which my insurance has approved. I am also re-reading Anti-Cancer and recommitting to healthy life changes (exercise, diet, meditation.) I also went back to my acupuncturist, and had a wonderfully effective and hope-inspiring session. I think I can do this.
Anyway, I am feeling better today. Thank you all for listening and advising.
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Yay! I'm glad your oncologist listened to you and is being a help. Also glad you are feeling better about this whole things.
Several of us on the Fas/Ibrance combo -- come on over to our thread.
The tips for how to take Faslodex without pain are on the top of the Faslodex Girls thread. Please, please read them to avoid having pains in the rear.
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So glad things are going better for you. It makes a world of difference when your voice is heard. I hope your new treatment goes well. Wishing you the b
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So glad you were able to resolve the problem! You sound like you're in a much better place. And kudos to you for recommitting to healthy lifestyle changes!
As far as Faslodex + Ibrance, I've been on it for a year, and I love it. Yes, there are some SEs, especially for Ibrance, and especially in the beginning. But if your body adjusts to it, it's a relatively easy regimen.
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