Another doctor bites the dust. Jerk.
I don’t really have enough to say except to conclude that the dermatologist I saw on Monday is someone that I wouldn’t recommend to my worst enemy. Other than being called a drug seeker, there were other problems with that visit.
He has no idea what’s going on, did a punch to get a culture, got nothing in the aspirate, and used that to culture. Well, of course nothing’s going to come back…
Just that very morning, I had seen something white draining from that same cuticle.
Then, he takes me off the meds (monday) that were keeping me comfy and did some bloodwork, including an ANA and an ENA.
I can’t imagine how any lab would declare a “positive result” with an ANA of 1:8, as what I’ve read since then is that anything under a 1:40 should be negative. So, great, I paid for that.
But he wouldn’t give me the full lab tests, saying they hadn’t all come back yet.
He’s over his head, and wants to get rid of me to a rheumatologist. Meanwhile, my hands turned red by weds, and I was in pain, and they were tingly after stopping the steroid/antifungal that my internal med doc put me on.
I believe the dx of the internal med doc now, especially since his wife is a derm, and he asked her for a second opinion. Still, now I just want to get the records and move onto a new dermatologist.
He also asked me if I had been getting increased headaches.
Me: No, additional Migraines
Him: So that’s a yes.
Me: No. Migraines are a GENETIC NEUROLOGICAL DISEASE. A HEADACHE IS NOT. I don’t get headaches. I get MIGRAINES.
Him: Can you take tylenol or advil for this
I explained Rebound Headache, and said that I could only do NSAIDS 2 days in a row.
And then, I got another shocker.
Him: “I don’t give out pain meds.”
Me: “I don’t WANT pain meds. They make you sleep, not feel right, and besides, I have them at home if I wanted. I wouldn’t be coming down here to see you, and I hope that you don’t treat all of your patients like me that way. It’s insulting.
(this would have been a good time for him to say “I’m sorry.”)
Then, he said we’d do prednisone- (without giving me a chance to say a word) and I looked at him, eyes wide- and said “No. Not over my dead body, ‘cause that’s what you’re going to do to me with that crap. I don’t sleep on it, I go hyper manic, and I’m have depression, so that’s a neat trick. Not to mention the fact that it causes my head to go nuts ‘cause I’m up 24 hrs/ day.”
I said that I could ONLY do oral dexamethasone. He kept using the brand name (I swear, to confuse me.) and saying he wasn’t comfy with Decadron, for x, y, z, reason. I answered it with the medical knowledge about what he was concerned about- toxicity. He almost had a you know what fit. But, he wrote the Rx.
And concluded with -first- a- referral to rheumy. So much I could have said, but didn’t know yet on that front… and a restatement of “I don’t do pain meds, so this is it.”
Yes, dear sir. This is it. To Ratemydoctor, I go.