Department Administrator Interference in the Doctor-Patient Relationship

I actually contacted a resident doctor in Internal Medicine at a teaching hospital and asked if he would be considering becoming my primary care physician (PCP). My note briefly explained my background in health outcomes research and two of my prescription drugs. He wrote back that he would be privileged to be my PCP, and came across as professional, humble, and truthful. A brand new doctor-patient relationship was formed, and i also contacted my existing physician’s office to arrange for my medical records to be transferred, which immediately informed that office that I must be disappointed and going to a new doctor. I also shared with the resident in town doctor confidential information from my medical records and a copy of one of my professional delivering presentations at a health attention conference. david samadi wife

A department officer then contacted me to say the resident doctors are not available every day of the week for clinic and are not even here when they do their ICU rotation. Also, the home Medicine department protocol probably would not allow the resident doctor to publish me a medication prescription for off ingredients label use. Finally, she was concerned that in the past I have purchased and effectively interpreted my own blood tests. The administrator’s attitude reflects one of the primary complaints People in the usa have with the health care system: the device is arriving at them and needing them to get health services in some predetermined structure to which the facility is accustomed but which eliminate any potential for individualized treatment regarding to individual patients’ needs.

Apparently the administrator performed not spend enough “careful consideration” to get her facts straight. I really do not need to see my PCP daily or even monthly. My track record shows I saw my existing doctor once in a calendar year, and the last doctor before him I could see once in a 15-month period. So the manager based her decision on her own ignorance of the facts.

In addition, she misstated facts regarding off-label prescriptions for drugs by resident doctors. One particular of the drugs we are talking about is Clomiphene. Both a citizen doctor and an participating in faculty physician at the teaching hospital advised myself that they would be willing to publish me (off-label) prescriptions with this drug, and the attending physician performed indeed phone in a prescription for starters of the drugs inside my get. Similarly, the Dept. of Obstetrics and Gynecology (OB-GYN) advised me that their doctors, both resident and attending, have approved Clomiphene to patients. Consequently, residents in Family Medicine and OB-GYN (both primary treatment departments) can write medications for Clomiphene, but “protocol” prevents residents in Inner Medicine (also primary care) from writing off-label prescription medications. What kind of a cockamamie rule is that? What, the residents in Internal Medicine are too dumb or too trusting to understand off-label benefits associated with medicines?