I am trying to get my nexplanon, a birth control arm implant, removed and no provider at my primary care clinic is able to do it, which is a simple outpatient procedure that takes less than 20 minutes to do. To go to my OBGYN clinic to see a provider that can perform the procedure, I need a referral from my primary care clinic, which should not be a big deal.
This morning I went to my appointment to get my referral and encountered a jerk of a doctor. He interrupted me several times as I tried to explain the reason for my visit and I had to correct him several times as he kept referring to my arm implant as an IUD, which is completely the wrong type of implant. He insisted that in order to get a referral I would have to get a pelvic ultrasound. I've had an arm implant removed before and didn't need a pelvic ultrasound previously, which I tried to explain to the doctor but he interrupted again to say that it's requirement and I wouldn't get a referral without one.
Trying to contain my rising frustration, I looked him straight in the eye and said "No". I explained once again that I have an arm implant and don't meet any criteria for a pelvic ultrasound. He tried to say that it was a general requirement so I had him pull up the criteria to go through it. Some of the criteria included diagnosed endometrial conditions, fibroids, abnormal bleeding, presence of an IUD, etc. None of which apply to me. After going through the criteria, the doctor was quiet for a second and said the OBGYN clinic would contact me to set up an appointment for an arm implant removal.
It was a frustrating experience for sure, but I am happy that I stuck up for myself and told a doctor "no". 18 year old me would have been too intimidated to speak up but thanks to others for talking about being their own advocate, like on this sub, I have learned a lot in taking control of my own medical care.
Tldr: A doctor said I needed to get an unnecessary procedure and I said no
Edit: for some common questions, 1) my insurance requires a referral for OBGYN & 2) I will be reporting this provider
I had a procedure done a few weeks ago. I came in for a check up today, and filled out a survey about how painful I would rate the procedure among other questions. The form specifically said “1 being hardly any pain, 10 being the worst pain you’ve ever felt.”
The doctor must have read my survey before coming in. He immediately was on the defense, and I answered the question on the form, but wasn’t going to talk to him about the pain at all. I expected pain. I wasn’t mad about it. I just had normal post op questions. He started off “an 8, huh? Well that can’t be right because giving birth without an epidural is a 5 or 6. Having your arm cut off would be a 7. So your procedure was probably a 2 or 3.”
I responded that the question was based on the worst pain I’d ever felt. This was some of the worst pain I’d ever felt. I also have never had my arm cut off or given birth, so I wouldn’t know about that. He said “well aren’t you privileged? Anyway, you can’t blame me for the pain. If it was that bad you should have asked for some more local anesthesia. You can’t put that on me.” I was never going to. I just responded “I knew it would be a painful procedure and it was, and that fine.” He had to have the last word and said “yeah, but that was no 8.”
This sort of thing pisses me off. Why does he feel the need to explain to me my own pain, when I never said anything about it? Obviously I will avoid him in the future if I can (I live in a small area and he was my only option). This isn’t even my first experience like this with a male doc (obviously, not all male docs). Like why is their bedside manner so, so horrible?
Edit to add: if anyone is really curious, here is a snippet of the recording I took. It goes on for a half hour, so I edited it down. And I promise I do a better job of defending myself later on when he brings it up AGAIN, I was just caught off guard at the beginning. In the recording here he says a subway ripping off your arm is an 8. Later in the appointment he says having your arm cleanly cut off would be a 7. 🤷🏼♀️
Edit to add: Thank you for those who posted REAL (or more logical) pain scales. I stand by my 8. I am 100% investigating how to report him, and many of you brought up he probably has been sued before. I will look into this! Can anyone give advice on how to see if he’s been sued before and how to report?
Because of some arbitrary rule I don't understand I have to go and see my therapist every month to have my anti-depressant refilled. Don't know why this doctor requires me to do that, my last doctor was allowed to write a three month 'scrip and I could call him if I needed help with anything. This doctor makes me come in for a whole damn therapy appointment, something I can't afford but I have to have my meds. I'm searching for a new doc. Anyway, rant over, sorry.
I was at the doctor waiting for my appointment. There was a woman in the waiting room, the only other person, she was probably the doctor's partner's patient, I don't know, don't care. She had two kids with her, one looked like it was 5 or 6, the other one was small and still in a stroller, so 2 or 3, I guess? The bigger kid was playing on an iPad and I guess the battery died or his game stopped working, something happened and the kid started throwing a fit, screaming and flinging his arms around. I was using my own device with headphone but I had them turned down so I could hear when the receptionist called my name for me to go back and I could hear the whole tantrum. Couple minutes into the kid throwing a fit the littler one started throwing one too, not sure why, I guess the older screaming made it angry? I don't know kids, I don't why they do things, don't like them, don't want them, never held a baby, never want to.
I tried to ignore them but they were loud as fuck. I could hear the older screaming, "she has an iPad, she has an iPad!" Over and over again, pointing at me. The mom gets my attention and asks me if the kid can watch what I'm watching or maybe he can play a game and she can give me, like, a dollar for every five minutes or something. I declined; number 1: I don't let anyone touch my devices, and number 2: I don't believe in rewarding bad behavior. The kid was screaming and acting like a fool; you don't give a kid a cookie when he throws his dinner on the wall, he'll just keep doing it.
The mom starts begging me saying that she can't calm the little one down if the older one is screaming and could I just help her out. I declined again, because the whole kid thing, I just can't with kids, they set me off. Frankly, kids give me anxiety. They always seem sticky and dirty and loud. The mom called me some choice names and ended up taking the kids outside. I got called back to my appointment like five minutes later and didn't see them when I got back out. The receptionist told me the... keep reading on reddit ➡
I lurk a lot and realized I had my own malicious compliance a few weeks ago.
My job is very mentally taxing. I also have my own mental health issues so I try my best to balance, but I just want to help so I get caught up taking more responsibilities than I am actually able to.
So a couple of weeks ago I realize my mental health is in steep decline, I was ignoring the signs to push through, but anyone with mental health issues knows that you can only ignore the signs for so long. I try to get ahead of a mental crash and talk to my supervisor to tell them that I need 3 days off (W, T, F) and as I had the weekend off after the days I requested I figured that might be enough to get a good rest and reset. I did tell my supervisor why I needed the days (burnout, mental health) and they said they understood and would get back to me.
They contact me back (I say they because right now I technically have 2 supervisors running my division) and say they can probably give me Wed., Thurs., but that they couldn’t give me Fri, I ask if we can do Tuesday, Wednesday, Thursday instead and I could work the Friday, have my long weekend and that should still be fine. They say they will get back to me, I get a text soon after to ask me to help cover other shifts. And I obviously can’t, so I decline.
They get back to me the next day.
“We can get your shifts covered for Wednesday and Thursday,but not Tuesday and you have to make up the hours”
That was the straw. I just broke, I was asking for a break because I was working too much because it was hard for me to say no. I even call them (they had me on speaker) in tears and explain even further why I need the days, I have been going through trauma therapy and my mental health has been declining. I had told them that I had spoken to my doctor and that my doctor said I was showing signs of burnout and recommended some days off (which is true, as I had talked to him the day before). All they heard was doctor and said “we need a doctor’s note”.
Okay fine, good thing I have another appointment. I had to work that day just defeated because they couldn’t find anyone to cover my shifts. I talk to my doctor and he says that he can tell I’m in distress and he puts me on 2 weeks of leave immediately.
They did not look pleased when I handed in my doctors note. That was 2 weeks ago, I went back to the doctor and he extended my leave for AT LEAST another month. Cause you know straw broke the camels back and my men... keep reading on reddit ➡
I'm gonna keep this short: I (16F) have felt very anxious all of the time, feel really depressed, and so on. I've mentioned this to my mom, but she just told me that it's in my head and that I'm fine. So my mom took me to the doctor yesterday with my sister for checkups - and when I got the chance I had asked if I could speak with the doctor alone. Mom said she wanted to hear, and I said no and told her to get out of the room. She told me she was my mother and needed to know what was going on, and I told her again to get out. She reluctantly left the room with my sister. After the appointment, my mom accused me of hiding things from her and told me I needed to tell her 'right now' what was wrong. I said no. She told my dad, who had a fit on me and said I was very rude and needed to apologize to my mother immediately. AITA?
I took my sister to the emergency last week and the doctor who looked after her was competent and polite. It was a good experience and nothing out of the ordinary happened until a few days later when I got a text from him asking me on a date.
The thing is, I never gave him my number. We didn’t even flirt, in fact our interactions were minimal. I don’t have my number available online anywhere, so the only reasonable explanation is that he looked through my private file in order to get my number.
I told my friends about it and got mixed opinions. Some of them, mainly the guys, told me to just say no and forget it, and that I shouldn’t over react and report said doctor for merely “shooting his shot”.
Thankfully, I decided to report him anyway. I made a formal complaint and told my parents about it. Since one of the hospital owners is a family friend, I also forwarded him my report along with a screenshot from the convo.
Well, Ive just been informed that he was fired. Turns out this doctor isn’t a first time offender and is constantly bothering the female staff. Had I chosen to ignore it, he would’ve carry on harassing his patients.
I feel silly for even contemplating the idea of not reporting him. Don’t let your friends gaslight you and speak up every time you feel uncomfortable with something.
EDIT: Thank you everyone for the awards and the encouraging messages!
Even though I knew that this doctor’s actions were ethically and legally wrong, I hesitated to report. Even though there would be no major consequences to my life if I filed a complaint, I hesitated. Even though I had a support system who would’ve believed in me, I hesitated. My heart aches for all the woman who sent me messages asking for advice on how to deal with harassment from coworkers, family friends, clients etc... whatever decision you girls make will have stronger consequences to your daily life than mine did. I hope you find the strength to make your voices heard.
As she takes off her blouse, the doctor notices a red 'H' on her chest.
"How did you get that mark on your chest?" asks the doctor.
"Oh, my boyfriend went to Harvard and he's so proud of it he never takes off his Harvard sweatshirt, even when we make love," she replies.
A couple of days later, another girl comes in for a checkup. As she takes off her blouse, he notices a blue 'Y' on her chest.
"How did you get that mark on your chest?" asks the doctor.
"Oh, my boyfriend went to Yale and he's so proud of it that he never takes off his Yale sweatshirt, even when we make love," she replies.
A couple of days later, another girl comes in for a checkup. As she takes off her blouse, he notices a green 'M' on her chest.
"Do you have a boyfriend at Michigan?" asks the doctor.
"No, but I have a girlfriend at Wisconsin, Why do you ask?"
I made a new account to post here. I needed to get this off my chest because I can’t take it.
I am a pulmonary and critical care medicine fellow, meaning that I am a board certified internal medicine physician further specializing in pulmonary (lungs) and ICU medicine. This means I have done 4 years of undergrad, I have done a 1 year masters, 4 years of medical school, 3 years of residency, and now am finishing up year 2 of 3 of further training. I explain this because I do not think many people in the general public realize the training that goes into becoming a sub specialty physician. As you can imagine, I have seen the worst that this pandemic can bring.
Also, not as a complaint, but as a clarification: physicians in training do not make “doctor money” like many think. For transparency sake, I make at most $60k/year, working 70-80 hours per week. I am also paying down $250K in student loans on this salary. I mention this because the pandemic HAS NOT lined my pockets with cash like many “Q” believe.
I stay up to date on the cutting edge changes and treatments for this disease—not because I am interested, but because I have to in order to try and save lives.
I have experience in critical review of scholarly articles, have access to studies and trials as they come out and read them regularly.
I have background in bench research with genetics so I also have peculiar interest in the mRNA vaccines that have come out and have been trying to explain and highlight the truly revolutionary medical breakthrough they are.
Through the course of this pandemic I have heard many things from my friends and family:
“Faith over fear”
“Stop being scared”
“But what comorbidities did they have?”
“It’s overblown, nothing more than the flu”
“Do you know what masks do to your body?”
“The vaccines will kill everyone who got them, but Trump was making sure that the tainted vaccines wouldn’t go out before losing the election”
“The vaccines cause infertility”
“The vaccines alter your DNA”
“But it’s our inner circle” (regarding gathering with neighbors to celebrate holidays)
I am not scared. I go into Covid patient rooms daily. I help flip them over so they can oxygenate. I do procedures where I go into the lungs of a covid patient with a camera (bronchoscopy), I intubate and code covid patients. I put tubes between patients ribs to decompress the chest when a lung drops from the ridiculous vent settings we have to use. I call families daily... keep reading on reddit ➡
I am 5'6, I was 210 lbs before and am now 135. It took me a year to lose it all, but what finally pushed me to lose the weight was because every single thing I went to a doctor for, it got blamed on my weight. Severe cramps? Weight. Feeling sleepy during the day? Weight. Numbness in my fingers, headaches, memory problems, balance problems? Weight.
I recently went back to my doctors, who of course applauded the weight loss and wrongly assumed all of my problems were gone. When I said no they hadn't, they immediately ordered an MRI, sleep study and lapro, which they hadn't done before the weight loss. The MRI found chiari malformation, the sleep study/physical found out I have an oversized uvula as well as Narcolepsy, and the lapro found so much endo I lost both of my ovaries and a portion of my colon and lower intestines. If it had been taken seriously a year ago, I might not have lost them.
So yea, fuck doctors. (Obviously not all of them)
I know this headline sounds like I'm the AH at first, but please hear me out.
So, as one can tell by my name I'm a Med Student. A couple months ago, my flatmate went abroad for a year. She had been tutoring a boy in English and German (we're German) and the boy's mother asked her if she knew anybody who could replace her while she's gone. As I've done some tutoring before and I'm fairly good at English and German my flatmate asked me and I agreed.
When I started, the mother asked me if I could also tutor her son in maths. They used to have another tutor for that, but she had moved cities recently. I'm not particularly good at maths, but the boy is only in 5th grade (10-11 years old in Germany) so I said I'd try.
However, it became frustrating very quickly. At first I was seriously wondering how he made it to 5th grade because he couldn't even do basic addition. I could tell fairly quickly that it definitely wasn't due to lack of will or laziness, he simply couldn't understand numbers at all, for example, they were learning about fractions at the time and he couldn't envision at all what the difference between 2/3 and 3/2 was.
I had heard about dyscalculia before, so I did some tests with him like asking him to tell time on an analog clock (he was unable to), making him solve a list of addition and subtraction problems in which each was repeated 3 or 4 times (different results for all of them), asking him to tell me which of two numbers is larger (mostly unable to), etc. I was honestly wondering how neither his parents, nor his teachers had never noticed anything. I didn't want to keep getting money for a job I couldn't do, so I sat his mother down after a tutoring session and explained to her that her son has such massive issues in maths that I'm in no way qualified to help him. I said that he shows a lot of signs of dyscalculia and while I'm not a professional and that doesn't mean he has it, I would suggest having him checked by a professional and organize a professional tutor and not some med student who knows nothing about teaching kids with more serious troubles in school.
And she got angry. She told me, and I quote, "get your fucking shoes and get the fuck out of my house". When I asked her what I did she almost screamed that she would not tolerate strangers telling her that her son was "dim-witted" or "stupid" and that this was a normal and honorable family. I tried to explain to her that I was saying the total opposite of that, because her... keep reading on reddit ➡
We’re a panel of Johns Hopkins faculty from the Schools of Public Health and Medicine, and we run the Novel Coronavirus Research Compendium (NCRC). We rapidly curate and review research preprints and articles about SARS-CoV-2 and COVID-19. We screen every article that comes through PubMed, SSRN, medRxiv, and bioRxiv. Our goal is to flag key evidence for frontline public health practitioners, clinicians, and policy makers so that they can respond to the pandemic effectively. Occasionally, we post reviews about controversial articles that are receiving a lot of media attention.
The NCRC has eight teams, each with a different expertise. We can answer your questions about anything in those topic areas: vaccines, diagnostics, disease modeling, epidemiology, pharmaceutical interventions, clinical presentation and risk factors that affect disease severity, ecology and spillover, and non-pharmaceutical interventions (e.g., contact tracing, masks, school closures, policy evaluations).
Science is constantly evolving, but we do have a firm understanding of some things. Today we want to take this opportunity to engage with the public and share what we’ve learned so far. We are pleased to be hosting this panel to talk about the COVID-19 pandemic and are glad that you’re here!
We'll be answering questions starting at 12:00 PM (US Eastern), with more panelists joining at 1:00 PM! EDIT: Our panelists had a little bit of a late start but as of 12:20 they're hard at work writing up answers and will be coming in any minute now :)
Emily S. Gurley, PhD (bio) co-leads the NCRC and is an associate scientist in the Department of Epidemiology at the Bloomberg School of Public Health (BSPH). She is a specialist in infectious disease epidemiology, disease surveillance and outbreaks, and One Health (which includes disease spillover from animals to humans). She co-leads the epidemiology and ecology teams.
Kate Grabowski, PhD (bio) co-leads the NCRC and is an assistant professor in the Division of Infectious at the School of Medicine (SOM) and BSPH Department of Epidemiology. She is a specialist in transmission dynamics, viral phylogenetics, and network epidemiology. She co-leads the non-pharmaceutical and pharmaceutical interventions teams.
Elizabeth A. Stuart, PhD ([bio](https://www.jhsph.e... keep reading on reddit ➡
I (F23) have a roommate (F25) that I consider a friend. She’s a plus size model/influencer/sex worker, and she’s very content with her beauty. Her appearance/weight is basically her job. She’s into the Health At Every Size movement. I don’t agree with the movement, but I’ve never told her that I disagree with it because a) I don’t think she cares what I think and b) it would be rude and unnecessarily awkward. As I said, she’s very proud of how she looks and of her weight. However, recently she’s been experiencing what I believe to be health issues that might be linked to her weight. She’s around 300 lbs now, and has issues sleeping. She suffers from sleep apnea. The elevator in our building was out of order for a few days and she could barely get up the stairs. She sees a doctor annually but never listens to them because she believes the medical industry is fatphobic. (I do agree that fat people are given worse medical treatment and that doctors think everything pertains to their weight, but some of her objections are just “they say obesity is a medical problem!”) The last time she saw a doctor, the doctor told her she was prediabetic. She hasn’t changed her diet or lifestyle habits at all. I’m worried for her. I don’t want to be the one who tells her to lose weight, because I’m thin. But I hate seeing her suffer. WIBTA if I told her to see a doctor?
EDIT: I’ve previously clarified this in the comments but initially failed to articulate it here. I don’t want to mention her weight, just to tell her to see a doctor. She also vents to me about her health issues a lot, and it’s weighing on my mental health.
EDIT: I think I’ve come to a decision. (Thank you everyone for your wonderful advice!) I’m going to talk to her about seeing a sleep specialist so she can get a CPAP machine for the apnea. I’ll tell her that, if she wants to see a doctor for the sleep apnea, I’m happy to accompany her to help her in a hostile space. If she wants to make a list of non-fatphobic doctors, I’ll be happy to help her with that too; that will appeal to her activism. If it makes her more comfortable I’ll go with her to the sleep specialist appointment. I repeat that I will never mention her weight or the term doctor. Just a sleep specialist, particularly in regards to the apnea.
Our dynamic is also kind of codependent and she tends to guilt me a lot. We have a lot of mutual friends so I don’t want things to end badly (also I don’t want her or her followers to dox me). I d... keep reading on reddit ➡
Obviously as more states legalize, this tip won't be super useful, and there are better ways of faking results, but I actually have the problem that gives me this prescription, and not being able to be tested for use is pretty nice.
Happened 2 weeks ago, been in the hospital for 6 days and still recovering.
It all started on Thursday with a sharp pain in my stomach. At first, I didn't think too much of it, maybe it was just something I ate. So I ignored it. The next day, my stomach still kinda hurt - However, not bad enough to skip work because of it. I have a pretty high pain tolerance and at this point it was pretty annoying and unpleasant, but I wouldn't say super painful.
"Eh, whatever... If it doesn't get better by Monday, I'll go see a doctor." I kept telling myself. Then the pain got worse, to a point where I couldn't properly sleep during the night. At first, I considered just waiting a bit more since the pain was still tolerable, and I didn't want to "waste my weekend" sitting in the hospital for several hours just to be told that it was a stomach ache, but a friend of mine urged me to go.
So I went to the hospital - But since I don't have a car, I walked there. It's only 2 miles after all. The pain was getting worse and once I finally got a chance to see the doctor it didn't take long for him to realize what was wrong - You probably already guessed it, it was the appendix. I was told that they have to remove it Immediately and that I'll get send to the operating room as soon as possible.
Well, as it turns out... By the time I've finally ignored my pride and went to the hospital, the appendix already ruptured. So instead of having a relatively "standard" appendicitis, I was now the proud owner of a fully fledged peritonitis and was rushed to the operating room shortly after.
I woke up several hours later and despite being under strong painkillers, I was still in extreme pain. And when I say extreme pain, I mean that I didn't even know you could feel so much pain, it was that fucking painful. It felt like a chunk of glowing red-hot metal was stuck in my stomach. So, operating room again. Apparently the inflammation spread further than anticipated and in addition to that, a 3-inch purulent hematoma formed that was causing the pain.
When I woke up the pain was still there, but it was tolerable again. Doctors told me that it was a pretty close call and that I got lucky and that if I had stuck with my original plan to wait until Monday, things would have turned out different.
It's been almost two weeks since the two operations and I still feel super weak - I'm tired all the time, I'm not allowed to lift anything heavier than 10 pounds, moving around & standing up... keep reading on reddit ➡
As the title says my doctor is a god and I'm so lucky to have him. Here are some tips he's gave me that have been extremely helpful in my treatment.
Disclaimer: I am not a doctor. This is second hand advice. My doctor is a primary care physician not a psych. These tips may not be true for all people with ADHD but they should be true for most. If any of these things don't apply to you your condition is still valid. Please see a mental health professional for further guidance
TLDR: Medication holidays are not... keep reading on reddit ➡
He failed to match 3 times as an IMG, and I just found out today he took his life on 3/20.
Call it a hypercompetitive field, call it systemic racism, call it whatever. He didn't deserve this. He had his whole life ahead of him. Fuck the American healthcare system.