A Patient Filed A Complaint! | Wednesday Checkup | Doctor Mike

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  • Published on:  Wednesday, November 21, 2018
  • For this week's Wednesday Checkup, I wanted to share a story with you about how a patient encounter did not go as planned in my office. I thought I did everything right but the outcome was not what I expected.

    In life, there are many times when we have good intentions where the outcomes are bad. During those times we need to evaluate why that happened so that we can avoid repeating the same mistake over again.

    If you have an idea of something you want me to cover in depth, please let me know because I take your requests seriously. We will be back with more Medical Drama Review Series this Sunday so please submit more names of shows/episodes you'd like for me to watch. Love you all!

    - Doctor Mike Varshavski

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  • Source: https://youtu.be/KjTXvC2DfJI
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Comment

  • shinjig

    shinjig

     16 hours ago

    Kinda depends I guess. I can see the argument that you want to be conservative with beginning treatment. I can also see the idea that you may suspect him of wanting narcotics or file a bogus workman's comp claim.

    I also can see from my point of view were several years ago I suffered a major SLAP tear and my doctor wanted me to go through PT that ultimately did nothing before he would send me to a specialist where immediately the specialist recognized my SLAP tear and ordered an arthrogram.

    Basically, my PCP dicked around, wanted to cost me more money in pre-hab therapy when he didn't even want to see what was actually wrong with me.

    Now I can see that it was good that he didn't just blindly prescribe some C2 medications. But not listening to his patient, wasting my time for 6 months, and time and money for PT when he should have just ordered the MRI/Arthrogram put me 6 months behind in my recovery.

    Just a few weeks ago, I saw him wanting to get some blood work done. But I had an interest in getting my T levels checked. Once again, he gave me the same BS as you about how he doesn't think it's a good idea. So I schedule a T test myself at a clinic, low and behold, I'm 250ng/dl. For my age or almost any adult males age, that is low T. And should at least be in talks for TRT or HRT.

    This is the 2nd time he denied a simple test to address something that I actually had a problem with.

    Point is, patients know more than you think we do. So you should at least hear us out. We may not always be right, but we know our body better than you do.

  • jc Penny

    jc Penny

     20 hours ago +1

    I really appreciate doctors who will sit down with you and talk to you about your condition and go through the information with you. You are appreciated by many of your patients. I am sure:)

  • Oreo Cookies

    Oreo Cookies

     yesterday

    M - [ enter non-sense ]
    R - [ enter non-sense ]
    I - imaging

  • Oreo Cookies

    Oreo Cookies

     yesterday

    Anyone else hate big words. Just use smaller ones. Some words are fine but some words make no sense

  • Sophie Sykes

    Sophie Sykes

     yesterday

    If you were in the same state as me you would be my doctor

  • Free Press

    Free Press

     yesterday

    You speak unnecessarily......don't be oversmart doctor Mike....... patient comes because he is in pain...... you are confusing the patient you idiot

  • Alysia Mer David-Wasser

    Alysia Mer David-Wasser

     yesterday +1

    I completely understand the patient's pov. Dr. Mike is charming, but he talks out of both sides of his mouth: He believes in CHIROPRACTORS(?) but doesn't believe in essential oils AT ALL?? (I don't either, but I've read that the SCENT of lavender can be calming. ) He believes in GREEN TEA but "hasn't seen the data on the rec. use of marijuana"? And he's big on anti-depressants while talking about how drugs "mask" anxiety or pain..

    His behavioral therapist nailed this. Unless you have FREE healthcare, a doctor asking you to take time off from work to follow up in ONE WEEK would feel EXACTLY like "being SOLD to", and ppl don't have time for that.

  • Humaira Islam

    Humaira Islam

     yesterday

    You remind me of my doctor, and that’s a very good thing!

  • Keb Lee

    Keb Lee

     yesterday

    I can kind of understand the customer’s complaint... though I don’t agree with them, I know where they’re coming from. I had a job for a while that was at a call center. It was stressful, I had to sit for long periods... and eventually I started developing severe neck pain. At the time I couldn’t even see a doctor because it was part time and I had no insurance. But I tried going to the urgent care near me. I spent $100 to be seen and the doc looked at me and essentially said what he said... recommended stretches, a chiropractor... etc... I couldn’t afford anything really so I felt pretty discouraged thinking I spent that money just for the confirmation that I’m not dying I guess.
    I lived with that pain though for nearly a year I couldn’t even turn my head to the left or right. I was doing the stretches... I used to do yoga and I put that on hold since I was afraid it might be making it worse. I was taking 2 ibuprofen morning noon and night... and trust me I needed it at night to even sleep. I tried different pillows, I tried standing desks at work... sometimes all these things seemed to make things worse...

    Eventually I just gave in... I just though, well I guess this is my life now. Living with pain that had me some days nearly to tears with frustration because I couldn’t even move. But then the spring and summer came and I started doing some gardening.. it was painful, but I found that being outside, pulling weeds and tending the garden even sometimes helped with the pain. I developed a ritual of waking up early in the morning, getting my coffee, and sitting outside just watching nature and taking in the morning air. It was relaxing.

    And I don’t know exactly when it happened... but just one day, I realized that I hadn’t been in pain anymore. It happened so gradually I didn’t even realize it. I stopped taking meds, I stopped trying so hard to fix it and I was able to relax enough for the pain to kind of go away on it’s own.

    Truth is though, I still get tense muscled in my neck. I work a more active job now and I even saw a psychologist and got some mild anxiety meds, and that’s all helping... but I still have pretty tight neck muscles... it sucks how much emotional states mess with our bodies.... and it’s frustrating that there’s no quick fix especially when you’re already someone who thinks they’re being as healthy and active as they can. So I think that’s why the customer complained.... maybe he should have referred him to a psychologist.

  • alandunaway3000

    alandunaway3000

     yesterday

    In Brazil, where I live, doctors that take real time with patients like you did are viewed in a positive way by patients. I work on a Basic Health Unit(basic clinical care) and many patients always compliment the doctors that take time with patients.

  • RoxanneG

    RoxanneG

     yesterday

    "My" nurse? Is she/he your property? Sorry, it just sounds off to me. Maybe, that's bc English isn't my mother tongue

  • Zuza

    Zuza

     2 days ago

    Im my country you wait for MRI about 8 months so nobody even would think to ask for that 😂

  • Una Seckler

    Una Seckler

     2 days ago

    The guy either wanted pain pills or wanted to establish a history of back pain and procedures to set up a future disability claim. Making all those claims about calisthenics and hiking so that they go on the record makes it more dramatic when he claims he can longer walk without pain or do the things he formerly enjoyed. You did the right thing. The complaint was just irritation because your remarks on his record set him back.

  • abcd efdh

    abcd efdh

     2 days ago

    I think Dr. Mike missed the real complaint. The patient doesn't complain about the hiking. He complains about being on his feet for 12 hour days. That's way too many hours to be on your feet. The first two things I might ask about is the floor at work and the shoes he wears. There may be a way to mitigate some of the pain by making an improvement to the shoes. Physical therapy also helpful. But this patient might need to create a medical history regarding the pain, so that if he needs to reduce his hours, or quit the job, he's got something medical to back him up, to get unemployment if he gets fired for not being able to work those crazy long hours. Unfortunately, the patient provided information that someone could use against him if he tried to make a claim for unemployment or disability or whatever. 12 hours on my feet in retail? Oh no. No way. The worst of it is when you are standing around on hard floors. Hiking is easier on you.

  • Patricia Salud

    Patricia Salud

     2 days ago

    Sorry to say this but it seems like someone wants to take more leave from work

  • JaimeArt

    JaimeArt

     3 days ago

    Hé was just jealous because your the same age and way more successful than him and your probably cuter than him.

  • Nelly Vassileva

    Nelly Vassileva

     3 days ago +1

    Hi, can you share some reading materials about mind-body conditions. I am really interested in how our mental state influence our physical conditions! Thanks in advance :)

  • Abigail Davis

    Abigail Davis

     3 days ago +3

    Who would do that. Doctor Mike is one of the most unselfish person especially if he sit down and explains everything and makes everyone of his patients feel comfortable. He is also super smart so why would you complain?

  • Violet None Of Your Business

    Violet None Of Your Business

     3 days ago +4

    As a chronic pain sufferer I have had some doctors who have dismissive my pain as purely psychological so when a doctor starts going down that vein I'm immediately uncomfortable and anxious unless they reassure me that they know my pain is real but that also prolonged pain has negative effects on your mental health and that in turn can effect your pain. I was a young child when I got ill and one doctor basically said that it was psychological because I didn't have a father. Completely not their place to say and that along with many other bad experiences with doctors have me a deep founded mistrust of doctors. What I'm basically saying is it might not just be that that patient felt you were being manipulative it could be they felt invalidated by your wanting them to focus on mental health too or some other previous trauma from another doctor. I'm not saying you actually did anything wrong I just think that as lots of other chronically ill people especially with chronic pain have had similar experiences to me its something you need to be aware of when dealing with certain patients.

  • Manintheboxjunkie

    Manintheboxjunkie

     3 days ago +1

    What are your book recommendations for mindbody health?