In which I discover that there are worse things in life than Kaiser.
So after watching the afore mentioned documentary, I started looking up more info about Lap-band. One of the things I found was that the John Muir Weight Loss Surgery Center performs the surgery. This is great. My insurance allows me to pick my doctor, but based on the location of the doctor, I get assigned to a medical group. I happen to be assigned to the “John Muir/Mt Diablo” medical group, which seems like things should work out nicely.
I spent a lot of time reading their web site, and finally got up the nerve to fill out the online form requesting more information and a screening interview. The site informed me that it could take 3 – 5 business days for them to get back to me.
2 weeks later I still hadn’t heard from them.
They talk about the assorted support staff you can see there, but it’s by referral only. So I decided to make an appointment with my doctor.
Now, I’ve never actually met this doctor before. I had decided I wanted a woman doctor, and there were only three to pick from in the John Muir/Mt Diablo medical group. And one of them wasn’t accepting new patients. I flipped a coin and selected Dr. Teresa Rudlowski. Next time I’m picking tails on the coin toss.
Last time I tried to schedule an appointment with this doctor, I discovered that she works in Concord only 2 days a week, and the rest of her time is spent in Fairfield of all places. As I recall, her office was unable to give me a referral to a doctor that my insurance would cover. (They gave me several referrals. They just all turned out to be 1) retired or 2) not in my medical group.) Still, I’d never actually met the woman and decided to schedule an appointment anyway. HUGE mistake.
It took two weeks before they could see me. And some time between when I scheduled the appointment and actually had the appointment I managed to lose my Pacificare card. (oops.) I didn’t realize I didn’t have it until about an hour before the appointment. So I did the only thing I could think to on such short notice: called Pacificare and asked what my ID number was, and for any other information they thought my doctor’s office might need.
To illustrate how incredibly impressive this particular tactic was, let me just point out that I spent the entire damn day having panic attacks about this point. I didn’t go to work that day because I just couldn’t cope. So I don’t think the part where I forgot to write down the Pacificare phone number was a gigantic oversight. Except it was. When I got there, they needed to call Pacificare to request some info, and couldn’t because 1) they didn’t have a computer, and 2) they’d mislaid their Pacificare directory. Seriously. No computer. The doctor didn’t have one in her office either. I don’t know how a doctor’s office makes it into the 21st century in the bay area without a computer, but somehow they’d done it. The appointment went downhill from there.
I filled out obscene quantities of paperwork, dredging up all sorts of fun familial medical history. They then put me in the exam room, which had all the amenities you’d expect from a 1960’s East German medical exam room. The doctor, an older, white haired woman with a heavy German accent came in, and sat next to me, briefly perused my paperwork, ignored the page where I wrote down WHY I CAME TO THIS APPOINTMENT, and began muttering about how I needed a full panel of lab tests. None of this did a damn thing to make me relax.
Eventually I started ignoring her muttering and tried to tell her why I was there. (Including the fact that sometimes when I stress out, my heart does this weird thing where it can’t seem to beat for just a few seconds, before finally taking a beat and continuing normally. It happens once every few months, usually in stressful situations. It happened 3 or 4 times while I was in her office.) I mentioned that I wanted a referral to the Surgery Center. I mentioned that I wasn’t sleeping well at night. I mentioned the heart thing. I mentioned that I was *having* the heart thing right there in the office.
She then murmured something about knowing a woman who got an apartment next door to a gym and who worked out an hour a day. She ignored the heart thing. She mumbled something about a neat new drug that had just come out for sleep issues and mentioned something about me doing a sleep study to check for sleep apnea. She then started telling me that I had to lose 30 pounds to get the referral. (no, I need to lose 30 pounds to get the surgery. I know they make you lose weight before hand, to prove that you’re willing to work at this. The surgery helps, but you still have to be able to put in effort. That’s fine. But I should be able to talk to these people without having to lose 30 pounds to learn more about the fucking procedure.) The problem was, she didn’t have a scale that went up high enough to weigh me. And rather than tell me where I could go and get weighed, she suggested that maybe Mt Diablo would have a scale, and perhaps I could stop and ask them. Seriously.
By this point I’d been there more than an hour, and was SO stressed that my period, which had finished a few days before, started again. I think the proper term is hemorrhaging. The cramps were hellish, and the rest of the visit was spent in excruciating pain (for which they could give me NOTHING?!?), while I kept out pacing my damn tampons. I kept having to go to the bathroom again and again to deal with this problem, while the nurse, who conveniently forgot to mention that I’d need to be providing a urine sample when I asked to use the bathroom BEFORE my appointment, kept shoving urine sample collection cups at me and giving me dirty looks when I said I was sorry but that I didn’t need to go.
The only plus side to the period nightmare was that it stopped the irregular stress heartbeats. I’ve never done that twice in one day, let alone 4 or so times in 20 minutes.
In the end she couldn’t figure out how to refer me to, well, anything. She couldn’t give me a referral to the Surgery Center, she couldn’t give me a referral to the sleep study, she couldn’t give me a referral to the Cardiac center to check my heart. (Instead she had the nurse try to use an EKG machine they had, but the machine just kept complaining of a paper jam, so they asked me to come back another day to have a tech who was out try it. Yes, because I had SO MUCH FUN on my last visit.) She couldn’t even give me a referral to a fucking dietitian. The only “referral” she could give me was to an Ob/Gyn for a pap smear. Except I don’t actually need a referral from her to get a pap smear. I’m allowed to call and make that appointment on my own.
In the end, she gave me an extensive panel of lab tests, and a prescription for Ambien, and that was only because I refused to leave until she gave me something for the not sleeping, and since she can’t figure out referrals, it’ll have to be chemical.
I’m not going back. I canceled the appointment to return for the EKG, and I’ll be getting a new general practitioner. What a nightmare.
Mood : pissed off Music : Soundtrack to the Sam & Max Freelance Police games