Hurricane Harvey: Where to Give and How to Help »
In the wake of a disaster, communities outside the affected area want to know how to help. A variety of reputable organizations ha…
In the wake of a disaster, communities outside the affected area want to know how to help. A variety of reputable organizations ha…
One out of every seven Americans will face a substance addiction. Here are some resources to help you help a loved one, and notice…
The holiday festivities are over, but January doesn't have to be a drag. It's actually the best time to finish projects and organize your life – all while having a little fun.
I've been seeing Dr. Paulsen for a few years and it seems that she is more concerned about setting up as many individual appointments as possible and/or pushing off evaluating existing conditions to other appointments. This is so the business can charge you yet another copay and bill your insurance as many times as possible. I have been extremely patient and understanding but I feel like enough is enough. I have been given the run around about why I have to wait until another appointment to address/deal with certain conditions. Almost every single appointment that I have been to has been rushed. Dr. Paulsen seems to be more interested in getting onto the next patient rather than focusing on the patient she has now. Most of my appointments are over within 10 mins....I mean I spend four times that amount of time waiting in main office and waiting in the exam rooms. It's unbelievable. I am in no way wishing for her to spend a ridiculous amount of time with me, and I completely understand that she has other patients, but I am a patient too. A patient that took time off of work and set up and appointment to be seen....not merely rushed out. On top of being "rushed out" of appointments, I have either been insulted by Dr. Paulsen for not "manning" up when it came to surgical procedures or having her not believe me about a condition I did not have. It took her almost a year and several appointments to finally agree with what I had been trying to explain to her the entire time. Time that I feel was wasted and unnecessary appointments scheduled but obviously not in her eyes, because those were visits that she was able to bill to my insurance and I paid copays for. The bottom line is that I understand doctors are busy and have tons of patients to see, but it doesn't do anyone any good if you can't properly focus on the one patient you have in the room at that one time. When a doctor's focus is "the next patient" or when a doctor doesn't care to really listen to their patient or insults them.....then no one wins. Patients will not get the proper care and will leave and that will be one less insurance policy that can be billed for a visit. I've learned my lesson and now I will be another patient that will no longer be seeing Dr. Paulsen.
Shame had to give Dr. Hartline just 3 stars for professionalism. He personally gets 5! However if you ever have to call into his phone staff you'll understand. They're rude, unlike any medical scheduler I've dealt with. Hardline and physical staff 5, phone operators 1 = average of 3. Hartline is a great compassionate doctor.
Really irritated with poor care from this office (Virginia Center for Women 1101 Madison Plaza, Chesapeake, VA). The staff, nurses and doctors are nice for the most part. However, politeness doesn't fix medical issues nor pay the insurance bill for in-office triplicated (and more) testing, 2nd opinions and ER visits.1. I'm told ultrasounds are normal in the office then learn in a phone conversation the results aren't normal. 2.I'm scheduled for special testing, come in and told I shouldn't of been scheduled in the first place b/c I'm not a good candidate for the procedure. 3. I sometimes wait 30 min to an hour before being seen despite arriving early or on-time. 4. The ER doctor discovers abnormalities with their ultrasound done despite having the exact same one completed by this OBGYN less than 48 hours prior and told it was normal.5. My concerns are taken lightly until something severe happens.6. It takes another doctor (unrelated to this practice) advising supplement needed to quickly improve iron deficiency when the dramatic drop was discovered by the OBGYN practice.7. My doctor's assigned nurse makes little to no effort to seriously address valid issues.8. I was advised by the ER to follow-up with my OBGYN so followed this instruction. I called the OBGYN and that doctor's nurse just says I'm scheduled for surgery already (in a month) so just need to wait...with no intent to assist controlling the medical issue until surgery despite physically getting worse.9. I found it necessary to be respectfully blunt w/the OBGYN doc's nurse so she seriously attempts to address the issue (after just released from the ER that morning). She stated the doctor is in surgery at the moment and promised a return call later that day..........just to never call me back!!!10. I called my insurance company's Ask-A-Nurse for advisement over concerns listed above with this OBGYN. The nurse strongly advised to get a 2nd opinion because this OBGYN seems to not fully disclose information, doesn't seem to have an organized plan leading up to the point of surgery and I'm not receiving an important (and promised) return call by anyone at the practice to address the ER-related issue.I went to this business with legitimate concerns to attempt resolving. Their trial-and-error tactics failed and now I have a month to enjoy the results of these failed resolutions until surgery occurs...if it occurs. Can't have surgery with a severe iron deficit and the nurse thinks nothing is needed to be addressed until then despite increased bleeding and severe pain! Maybe that's why she never returned my call today? Guess the ER visit isn't valid in her view either. I understand Dr. Geary is busy, as the staff DO double and triple-book her all the time. However, if she can't call or see me then I'm trusting her nurse to provide the professional courtesy of a return call and seriously address the matter instead of shuffling it off. Her nor Dr. Geary are the ones experiencing the aftermath of their failed attempts to fix my problem. They don't have to deal with being terminated for having to leave work on multiple occasions due to excessive bleeding that damages the office chairs or the humiliation trying to carefully walk to the bathroom with blood going down your legs. I do not recommend this practice at all.
It's never an easy decision to have surgery. But then a transvaginal ultrasound revealed I had an 8-9 cm pedunculated subserosal fibroid on the fundus of my uterus & I knew something had to be done. My OBGYN recommended a myomectomy & sent me to meet with Dr. Groves that same week. We discussed my options & he advised me of the da Vinci procedure. Dr. Groves assured me of his competence in removal of fibroids via this method & his confidence in its ability to preserve fertility, which is extremely important to me because I’m 29 & looking to start a family soon. We scheduled a laparoscopic myomectomy; however, my partner & I felt it wise to get a second opinion. That doctor also agreed the fibroid should be removed so I continued my research into the da Vinci procedure & myomectomies via the internet as I awaited my surgery. My pre-op visit was mainly a Q&A session with Dr. Groves, urine test & blood draw to make sure I was healthy. Everything came back normal & I worried myself to “death” in the following 4 weeks. The day before surgery, I did a light prep with Miralax instead of their standard bowel prep because I have ulcerative colitis & did not want to induce a flare but also wanted to comply with all requirements to reduce infection risk. On the day of surgery, my mother & I arrived at the hospital at 6:30AM. I was admitted & we were escorted to outpatient surgery. A nurse called me back, took my weight & provided me with a cup for a urine sample to do a pregnancy test, a hospital gown & compression stockings, then started my IV. My mother was brought back into the room and after a short period of time, Dr. Groves came in along with the Anesthesiologist. Dr. Groves made me feel calm about the procedure & the entire medical team was very confident. About 15 minutes after their departure, a CRNA & surgical assistant came in, started antibiotics and a sedative in my IV, and wheeled me off to the OR. I barely remember anything after coming into that room except there were a lot of people & I was assisted in moving from my bed to another table. The general anesthesia I was given was Propofol & I was in surgery for about 1.5 hours. I woke up in the post op area with 4 incisions (2 on the right, 1 navel & 1 larger exit on the left). As I regained full consciousness, a nurse administered Morphine by IV & graduated me from ice chips to water & saltines to induce belly sounds. I was there for a few hours before my discharge nurse took me to my post OP room. I was given gram crackers and ginger ale (I was so hungry!), a Percocet (which reduced my pain to about a 4) & my mom came back into the room. We were given discharge instructions & after some time, I went by wheelchair to the car at about 3 PM. Overall, I was in much less pain than I ever expected & I am healing at a remarkable rate, which I attribute not only to the expertise of my surgical team but also da Vinci robotics. Of course, for the first few days I had to take Percocet on a regular schedule (I started my period 2 days post OP & caught a cold from my mom at 3 days post OP), but after I began taking extra strength Tylenol. It was difficult to move and walk but today, I had my two week post op visit & I feel GREAT. My incisions are healing beautifully; I no longer require pain meds & can gradually move back into my normal routine. Best of all, no more FIBROID! All thanks to da Vinci & Dr. Groves. I am eternally grateful & looking forward to continuing my journey to motherhood.
Physicians and surgeons help to keep people - from infants to the elderly - as healthy as possible. These individuals provide diagnoses and treatments for a wide variety of ailments, and preventative care and early detection for more serious illnesses. Whether you love or hate going to the doctor, the fact is your physician is there to listen to your health concerns, take preventative measures against diseases and advise you on your options for staying in tip-top shape.
In 2013, there were more than 1 million doctors of medicine in the U.S., over 854,000 of which were active. Additionally, in 2012, there were about 18,000 active general surgeons in the country. It's important to know which type of physician or surgeon you need, how to choose the best one, and account for other considerations in order to stay healthy.
Patients can choose from a wide variety of physicians depending on doctor specialty and what problems they are experiencing. Here are a few of the most common types of physicians that you may see in your lifetime:
Your GP is the doctor that you go to for regular checkups, vaccines and to identify health issues. GPs can treat many different illnesses and injuries, from the common cold to a broken arm. If your health requires a second opinion or expert care, the GP will refer you to a specialist who has the skills to focus in on the issue.
Heart attacks and heart disease are some of the most common afflictions seen across the country, making cardiologists important to your long-term health. These physicians specialize in studying and treating the heart and related diseases.
Other than a GP, the dentist is likely the most common physician you'll ever see. These professionals work with the human mouth, ensuring that your teeth and gum health are up to par. Patients typically go to the dentist twice a year.
Dermatologists are focused on skin-related issues and diseases, from skin cancers, to acute acne, eczema, psoriasis, and general cosmetic concerns like aging and scars. Most will also perform annual or semi-annual mole checks to screen for any signs of melanoma, the most serious form of skin cancer.
If you have a number of sinus infections or have had your tonsils taken out, you've likely seen an ENT specialist. ENTs handle ailments related to the ear, nose and throat, often related to taking out tonsils and treating hearing issues.
For many women, their gynecologist and obstetrician are the same person. These professionals work with the female reproductive system to focus on reproductive health, fertility issues, prenatal care, options for new and expectant mothers, neonatal care and childbirth. OB/GYNs can also help in the early detection of breast or cervical cancer.
There are obviously a number of physicians that you can choose from, but how do you know if they're the best choice for you? Here are a few considerations to help you pick a physician:
Look at Your Insurance
Before you get down to the details, you need to verify which doctors are covered by your insurance and whether they are in or out of your carrier's network. Rates may be cheaper if the doc is in network – a doctor can be covered by your insurance but not necessarily in network. Out of network is typically more expensive. Doctors often add and drop plans, so it's important to ensure that your options are compatible with your insurance plan. Doing your homework will help you avoid unexpected expenses.
Check for Board Certification
Your physician should be certified through the American Board of Medical Specialties. Doctors must earn a medical degree from a qualified school, complete three to seven years of residency training, be licensed by a state medical board and pass one or more ABMS exams to be certified.
Examine the Reviews
Reviews of a doctor can reveal a lot about what your experience may be like. People may grade on staff friendliness, availability and effectiveness of treatment. Looking at these evaluations and getting recommendations from family and friends can direct you toward a physician for your needs.
Surgeons can literally hold your life in their hands, and it's important to find the best one that can put you at ease and treat you effectively
You need to feel comfortable with your surgeon. It's important to communicate your concerns and that your surgeon can respond adequately. Surgeons should be willing to go over the details of your procedure and answer any questions that you may have. They must take the time to discuss and address your worries.
If you're going in for surgery, you want someone that knows what they're doing and has a high success rate. Ask how often the surgeon performs this surgery and try to find one that regularly does it. This will give you peace of mind that you're in capable hands.
Your decision on a physician or surgeon can be majorly affected by the insurance plan you have. You may have insurance through employment, your spouse, your parents if you're under 26, or the marketplace if the previous options don't apply to you. It's important to understand how your insurance works to have the full picture of what you'll need to pay for.
Your insurance will have a deductible, which is the amount that you're responsible to pay for covered medical expenses. Some plans have coinsurances, where you must pay a certain percentage of the bill, and insurance will cover the rest. Co-pays state a flat rate for certain services, like paying $20 when you visit your GP or a $100 co-pay for an emergency room visit. Once you reach your out-of-pocket maximum, which will differ if you're an individual or within a family plan, your insurance may pay for 100 percent of covered medical expenses for the rest of the plan year.
If you plan to go to the doctor, need medication or have been recommended for surgery, call your insurance provider or go online to see what your plan covers. You can choose the best doctor for your needs, understand your options and prevent yourself from being blindsided by medical expenses.
Most doctors require a phone call for an appointment, although some may provide online scheduling as well. Be sure to have your insurance card with you when you set an appointment, and to bring it with you to the actual appointment. They need the ID numbers to verify your coverage, and will usually make a copy of the card for their files so you don't have to show it again unless your insurance changes.
When you call, let them know if you're a new patient, as this will require you to complete some paperwork for your first visit. Tell them the reason for your visit, such as your symptoms if you're feeling sick. It's also important to inform them if you have Medicaid and to find out if you need to bring anything to the visit, like current medications or medical records.
From here, the receptionist will likely ask what dates and times work best for you. During your call, it's important to be honest about your symptoms and the reason for your visit. This information will help the doctor treat you and give him or her an idea of what to expect. Your appointment may progress faster as a result, and the doctor can come prepared with a list of options to better care for you.
Doctors see a number of patients in a day, sometimes in 15-minute increments in areas where the physicians are in high demand. This can leave little time for doctors to perform thorough examinations, and they can end up missing certain problem indicators. While some problems, like a cold or flu, can be diagnosed in this time, more complex ailments require attention, which takes up time. Reviews can illuminate which doctors actively spend the necessary time with their patients and which ones are pressed against the clock to meet demand.
Surgery has some more dire risks attached to it, so be sure to talk to your surgeon about the potential issues that can come up as a result of your procedure. If a patient has a reaction to anesthesia, it can cause very serious complications, but this is an uncommon occurrence. Blood clots can be a significant problem after surgery, often caused by inactivity during recovery. Infections, numbness, scarring, swelling and death are all possible, but the likelihood of these issues will vary depending on the type of surgery you're undergoing. Talk to your doctor about your concerns and your risk potential.
Surgery affects people in different ways, but as you begin to emerge from anesthesia, you'll want to alert your nurse to any issues you may have. The nurse will tell you how the procedure went, what effect it will have on your condition, what to expect when you get home and how long it will take to get back to normal. If you start feeling pain, the nurse may give you medication to stop it from getting worse. When possible, it's also advised to move around to avoid blood clots from developing in your legs. This can be as simple as occasionally flexing your knee or rotating your foot.
Some surgeries are outpatient procedures, where people are released the same day. For major surgeries, patients may stay at the hospital for a few days to be monitored and address any concerns before being sent home. Discuss with your surgeon the projected length of the hospital stay and what you need to bring.
Your recovery time and follow-up expectations will vary depending on your procedure. For example, you can be expected to be on your feet within a few days of having your wisdom teeth taken out, but it may be weeks before you have fully recovered from a broken foot or heart-valve surgery. Your surgeon will give you a list of things that you'll need to do during this time, including what medications to take and when you'll be able to get back to work and other activities.
Every surgery will have a follow-up call or appointment to discuss your recovery and allow you to ask any questions about unusual symptoms or changes in your overall health. If you have a major operation, like heart surgery, it's important to make regular checkups with your doctor or a specialist to ensure that everything is normal. Visiting a doctor will help deter infection and verify that everything is healing as expected. These appointments will give you peace of mind about your state of health and ensure that any issues are caught early on.