Ever been kicked out of Doctor's practice?
Has anyone here ever been kicked out of a Doctor's practice for non compliance by refusing a statin drug?
I got a phone call today from the nurse at my doctor's office telling me that my lab appointment for tomorrow has been changed to a fasting appointment. The GP has ordered a diabetic labs including A1C and fasting cholesterol.
I asked why the cholesterol test when I am intolerant of statin drugs because of some side effects? The nurse reminded me of the fact that my LDL level was out of control and my A1C at 6.1 wasn't very good either.
She then insuinuated that when a patient's levels are out of control that it makes the doctor and the practice look bad. I was told that 'they' (whomever they are) are putting the pressure on the doctor for all patients, especially diabetic patients, to be under control, and perhaps if I wasn't under control that I would be kicked out of the practice.
So.......now in addition to worrying about managing my diabetes, blood pressure and cholesterol - I have to worry whether I will be kicked out of the doctor's practice too? I thought this was America, where we have freedom to choose what medicine we want to take? :(
Replies to This Discussion
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Permalink Reply by Mayumi on -
Does this perhaps mean that they only want patients who don't think for themselves, and only follow to the 'letter' the instructions of the doctor?
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Permalink Reply by Mike Ratrie on -
To which your reply could be, "Great! I am looking for a doctor who is willing to work with me, could you give me an example of what you think taking my "health seriously" means to the doctor?"
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Permalink Reply by Brian (bsc) on -
You will only be considered non-complaint and undesirable if you tell the new doctor. Only after contacting your old doctor or seeing a copy of your records will this "non-compliant" thing come up. So don't tell your new doctor, after all you take your health seriously and you are compliant, just not compliant with medical advice you don't accept.
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Permalink Reply by NatalieHodge on -
Strange empty threat from a probable nondecisionmaker in the practice, ask your doc about this at the next visit, I hope he (or she) will be appalled. I am a pediatrician and here is how we fire patients, after a series of visits in which it is clear that the patient is noncompliant( , your a1c is 6 ish??? How is that noncompliant?? )
Or lies, or exaggerates symptoms, or diverts narcotics, or a number of othe reasons, I send a letter stating discharge from the practice, with a 30 day window for the patient to find a new doc. I'm sorry someone is using these inappropriate and coercive tactics with you!! Perhaps you should explore your concerns about statins at your next visit, consider alternatives, is there a dietary approach? Other pharmaceuticals? Express your concern to a decision maker at your next visit, and be clear about this phone call and be specific about who it was and what they said. I fire staff for this kind of stuff!!
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Permalink Reply by NatalieHodge on
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Also everyone with Medicaid and Medicare watch out for being fired right now, we face a 27% rate cut starting a week from now, docs will be looking for the slightest excuse to drop these people... Welcome to obamacare!! If you have to drive a bit for a good doc, hold on to that relationship!! If you have a crummy doc, fire him!!
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Permalink Reply by Mayumi on
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I am scared "s------s" because of this fact that you've stated. I feel my doctor already has that 'excuse' to fire me! I am on Medicare because I am 67 years old.
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Permalink Reply by Biomuse on -
Mayumi, you do have some power in this. You cannot take the nurse's word as final. Talk to your doctor. Natalie is exactly right that they should be exploring other statins and other drugs that could help reduce or avoid side effects.
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Permalink Reply by Biomuse on
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Not to be political, but the Jan 1 2013 27% rate cut is part of the automatic provisions should Congress not reach a deal on the fiscal "cliff." It is not a provision of Obamacare. It was hoped that legislators would reach a consensus exactly in order to to avoid these steep automatic cuts.
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Permalink Reply by Chadd on -
You by all rights have the right to refuse to take any type of meds, even if the doctor wants you to take them. You as a patient have the right to refuse care and can't be dismissed. They can't not dismiss you from their practice on that basis. If they do or have issues with the nurse, talk to the "House Administrator" about the issue. Although, if you continuely miss appointments, then they can.
There are certain meds that I will not take and will right out refuse take them. Either I have had bad experiences with the drug or it's expensive. My doctors respect my decision. Although, recently my endro and diabetic educator wanted to put me back on U500 insulin, in which I'm utterly afriad of due to people are more familar with U100. I was on U500, it worked for awhile and later on it stopped working. I had fought to get off it, due to levels were always high. But doctors said it worked for awhile and I was having issues in missing work due to high blood sugars again. So I went back on humalog.
One thing, if your not happy with your doctors decisions / performance may need to switch doctors.
I work in the medical field, and listen to what my patients have to say, but also give them the alternatives. You as a patient always have the right to refuse care even if it's for the best. Hope that makes sense.
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Permalink Reply by S Woodward on -
No, but I have kicked multiple doctors out of practice of managing my own T1D over he last 40+ yrs. Sounds like it was not a good relationship an the dr knew little about T1D. 6.1 is nearly perfect.
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Permalink Reply by Herr Pumpernickel on -
That's dire not dude, lol. Darned phone.
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Permalink Reply by Herr Pumpernickel on
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Omg, that's appalling. My hba1 of near 8 is called good here. Statins are, well don't get me started; gave me a false positive for RA type infammation years ago. Cholesterol down from 6.4 to 4.5 using fish oil and niacin. Statins the side effects of which took years to recover from, got me to 6.1. I now eat butter instead of margarine etc - basically as nature provides where possible. The other thing I stopped was diet drinks. On the rare occasions I have a soft drink, I take more insulin. Good luck.
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