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  • Would you find a new doctor?

    Just had the goofiest conversation with my ophthalmologist's office. Involved 2 issues: A med and obtaining a certain health status with my employer.

    ~ I had asked Dr X to refill a prescription for an eye drop that I've been on for over a decade. His response via his support staffer was that he didn't prescribe the med, so he therefore wouldn't refill it, and that I should go to the Dr who prescribed it to refill it. Well, I said, that Dr is in the city I used live in - about 1,000 miles from here, but Dr X is the current expert on my eyes: Is he telling me that I should not be on Med X? I'll stop taking these drops, if that's his professional recommendation. No, was the response, he's just saying he won't refill someone else's prescription. Anyway, we went round and round like that. I finally asked the staffer to back to the Dr and get clarity about whether he wants me on or off this med.

    ~ I also had submitted a request to the Dr a couple of weeks ago asking if he would support my appeal to my employer for an eye health-related accommodation. Again, the answer was "no," but not because he believed that the status wasn't medically necessary - which, again, I could understand - but because it's "not his job" to do that sort of thing. So I called another specialist with the same request. Their immediate response, and I quote, "Sure, bring us the forms and we'll get 'em filled out for ya."

    It's taken me a while to build a relationship with this ophthalmologist. I'm finally, after months of craziness and bad regimens, on a decent "bridge regimen" for meds and treatments while I wait to hit maintenance level with immunotherapy. (My issues are severe allergies exacerbating chronic eye (bleph & MGD) and lung conditions. I've been in a health crisis mode the last few months.) I live in a small city with just a handful of ophthalmologists available, most of them in the same shop as this guy. On the other hand - see above - I want to work with someone who at least seems rational. And, with 3 weeks of Med X left, I really need some clear medical guidance about sticking with or stopping this med.

    Any advice, insights all y'all?

    Thanks.

  • #2
    He's a specialist and therefore you can have more than 1.

    I have a primary ophthalmologist who is well respected and very good technically but I still have a secondary that I use to keep the other one honest.

    Usually the second opinion doctor and staff will do more than the typical exam and work because they want to win you over as a patient full time. at least that's my experience.

    So if you really feel your primary opth. is technically very good don't discard him. consider going to a secondary and maybe making your current opth. your backup or secondary...

    shop around. it's your money, your eyes, your well being. be the CEO of your own body's health. And your opth. or most doctors don't do that kind of thing you're asking because the HMO or network they are with only provides that kind of "help" for a fee.

    To be blunt, when it comes to my health i'm an absolute pit bull. I don't simply accept the doctor's words or attitude as the status quo. I make it abundantly clear what I expect and if I don't get what is fair or not in my ULTIMATE best interest, I make it clear that I'm out, and I'm taking as many as I can through social media.

    Long gone are the days of just taking what they dish out because they've overbooked and crammed their schedules to maximize profit. I'm getting all the questions I have answered and leaving with a definitive plan/course of action. You have a lot of power with today's "weapons" at your disposal.

    This is provided you're not a lunatic. If it's my health at risk, you best believe I'm going to make it happen one way or another.

    Comment


    • #3
      not to make myself sound like that trouble patient...

      for example, if all is well, I go to my yearly physical, and that's it. I don't abuse going to the doctor. I am not a hypochondriac. If something is definitely wrong, as in when I developed dry eye syndrome, I had lined up 2 opth. visits, an immunologist (i.e. allergist) visit, and discussed nutrition with "experts" in that field.

      To be honest, this very website is what allowed me to guide my visits to a productive conclusion. The specialists' answers coincided with what I should expect based on people's experiences/posts on this site. I'm now feeling much much better and I only hope/pray that it gets better as time goes by.

      and in case anyone asks what I've done:
      1. Restasis
      2. Primarily a vegetarian diet w/ some meat (think greek diet w/ NO dairy).
      3. increased exercise.
      4. take time out (to relax and zone out).
      5. HydroEye supplement.
      6. Steam (I steam my face/eyes every morning and night).

      I'm aqueous deficient w/ no MGD.

      Comment


      • #4
        Dry in NY-What do you use for the steaming? Glad to hear you are doing better!

        Comment


        • #5
          Originally posted by DryInUpstateNY View Post
          He's a specialist and therefore you can have more than 1.

          I have a primary ophthalmologist who is well respected and very good technically but I still have a secondary that I use to keep the other one honest.

          Usually the second opinion doctor and staff will do more than the typical exam and work because they want to win you over as a patient full time. at least that's my experience.

          So if you really feel your primary opth. is technically very good don't discard him. consider going to a secondary and maybe making your current opth. your backup or secondary...

          shop around. it's your money, your eyes, your well being. be the CEO of your own body's health. And your opth. or most doctors don't do that kind of thing you're asking because the HMO or network they are with only provides that kind of "help" for a fee.

          To be blunt, when it comes to my health i'm an absolute pit bull. I don't simply accept the doctor's words or attitude as the status quo. I make it abundantly clear what I expect and if I don't get what is fair or not in my ULTIMATE best interest, I make it clear that I'm out, and I'm taking as many as I can through social media.

          Long gone are the days of just taking what they dish out because they've overbooked and crammed their schedules to maximize profit. I'm getting all the questions I have answered and leaving with a definitive plan/course of action. You have a lot of power with today's "weapons" at your disposal.

          This is provided you're not a lunatic. If it's my health at risk, you best believe I'm going to make it happen one way or another.
          Just curious do you live in a big city? Because in my medium sized city the eye doctors would tell me to take a hike if I acted that way, they dont need the business.

          Comment


          • #6
            My ophthalmologist's staffer left a voice-mail this morning recommending that I see another ophth specialist acoupla hours drive from my city. No clarity, guidance about Med X. In Sept, my primary physician had offered to put me in touch with other ophthalmologists. Am taking her up on the offer. Time for a change. Sigh.

            Comment


            • #7
              I had asked Dr X to refill a prescription for an eye drop that I've been on for over a decade. His response via his support staffer was that he didn't prescribe the med, so he therefore wouldn't refill it,
              Can you tell us what eyedrop you're talking about? Might help connect the dots of all the runaround you got

              I agree with DryInUpstate that it is reasonable to utilize multiple professionals. I do the same. Gone are the days of being patted on the head by the know-all... sometimes we have to be the big picture person ourselves. However also agree with matt357 that the commando consumer approach has limited usefulness & depends on places & people. In some situations gentle flattery may be the best or only way to maintain any useful relationships with even one doctor let alone the more 'promiscuous' type approach of seeing different ones for different issues.

              But matt,
              Because in my medium sized city the eye doctors would tell me to take a hike if I acted that way, they dont need the business.
              Are you really serious? I know plenty of patients who have been 'fired', but there are serious medical-ethical and legal risks in doing that... not that many clinics will let their doctors behave that way these days.
              Rebecca Petris
              The Dry Eye Foundation
              dryeyefoundation.org
              800-484-0244

              Comment


              • #8
                Yes I am serious I am going through something like that now, I made a thread about it.

                Comment


                • #9
                  Rebecca, Med X = Restasis. Looked back at my notes. I've been on it since 2003.

                  I called my ophthalmologist's staffer back hoping for clarity about continuing or stopping Restasis. She basically said the Dr feels I need to see someone with more experience with the kinds of allergies & eye issues that I've got. And that somebody with more specialized knowledge is better positioned to make a recommendation about Restasis. Maybe Restasis for 10 years is part of the problem. That, at least, makes sense vs "I don't refill someone else's prescriptions."

                  Comment

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