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What an :censored2: psychiatrist! I am fuming!
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<blockquote data-quote="Marguerite" data-source="post: 47006" data-attributes="member: 1991"><p>I admit I haven't read other posts in detail, but some points jump out at me, that others have suggested:</p><p></p><p>1) Talk to your insurance provider. Let them know how unsettled you found this and how you're concerned that continuing to see this psychiatrist could not only mean inappropriate treatment (due to the doctor failing to take a proper history) but subsequent problems from this, PLUS failure to treat appropriately, leading to longer treatment and higher overall costs. Always use the relevant selling point, depending on who you're talking to. For an insurance company, it's costs of A vs costs of B.</p><p></p><p>2) Go elsewhere. This guy was running an hour late and didn't want to be slowed down by the usual rigmarole needed for an initial consult (ie take a careful history; take the time needed). Out of curiosity, how long was the actual appointment? An initial specialist consult is usually an hour, for us in Australia.</p><p>If you go elsewhere and have to pay privately, it still could be a better option if your son is treated appropriately and with consideration. Surely it's better to pay more for a doctor who gets it right, than to waste time and insurance money on a doctor who is not only not getting it right, but who is causing damage?</p><p></p><p>3) Write it down in detail. Copy what you posted here and add in everything you can remember. Where you are certain you can remember what he said verbatim, put it in quote marks. You may never need this; but on the other hand, you might. And having it written down in detail while it's fresh in your mind is the absolute best thing you can do.</p><p></p><p>4) If you want to give this guy another go (and maybe make absolutely sure he's a "richard cranium") then write a summary of difficult child's history. Do one anyway, it's a good idea to have this on record, it saves you having to dredge your memory every time you see a new doctor. Have the long, detailed hx and also a shortened, one-page version. For a dolt like this, I'd hand him both and tell him the short one is for now, the longer one is to make sure he has access to the detailed info.</p><p>And for now - send him the short version, with an added note, "I was left with the clear impression that you misunderstood some aspects of difficult child's history and I would like this rectified on his file. it is most important that information is complete and correct, which I do not feel is currently the case." Say no more than this and be careful to not hint that you feel he didn't take the time needed, or the care needed. Just indicate that information is still lacking and don't say whose fault it is.</p><p>Then see how he responds. If you indicated absolutely no fault, but he comes back with a "how dare you!" then you know he's too touchy on the subject, probably knows darned well that he's slack and has a revolving door approach to pediatric psychiatry. The guilty conscience, attacking when he feels threatened. If you get this response, get away from him as fast as you can and consider you had a lucky escape.</p><p>on the other hand, you might get a considered reply (or none) and next appointment an effort to give you more time and straighten out misunderstandings. In which case, you saw him on a really off day and it could work out. I would still be wary, though - such doctors do have other off days too, it will happen again. There have to be a lot of really good reasons to stay with a doctor like that.</p><p></p><p>Good luck with this one. I have a lot of Aussie adjectives I'm working hard to not use, about this bloke. References to his mother's marital status, for one.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 47006, member: 1991"] I admit I haven't read other posts in detail, but some points jump out at me, that others have suggested: 1) Talk to your insurance provider. Let them know how unsettled you found this and how you're concerned that continuing to see this psychiatrist could not only mean inappropriate treatment (due to the doctor failing to take a proper history) but subsequent problems from this, PLUS failure to treat appropriately, leading to longer treatment and higher overall costs. Always use the relevant selling point, depending on who you're talking to. For an insurance company, it's costs of A vs costs of B. 2) Go elsewhere. This guy was running an hour late and didn't want to be slowed down by the usual rigmarole needed for an initial consult (ie take a careful history; take the time needed). Out of curiosity, how long was the actual appointment? An initial specialist consult is usually an hour, for us in Australia. If you go elsewhere and have to pay privately, it still could be a better option if your son is treated appropriately and with consideration. Surely it's better to pay more for a doctor who gets it right, than to waste time and insurance money on a doctor who is not only not getting it right, but who is causing damage? 3) Write it down in detail. Copy what you posted here and add in everything you can remember. Where you are certain you can remember what he said verbatim, put it in quote marks. You may never need this; but on the other hand, you might. And having it written down in detail while it's fresh in your mind is the absolute best thing you can do. 4) If you want to give this guy another go (and maybe make absolutely sure he's a "richard cranium") then write a summary of difficult child's history. Do one anyway, it's a good idea to have this on record, it saves you having to dredge your memory every time you see a new doctor. Have the long, detailed hx and also a shortened, one-page version. For a dolt like this, I'd hand him both and tell him the short one is for now, the longer one is to make sure he has access to the detailed info. And for now - send him the short version, with an added note, "I was left with the clear impression that you misunderstood some aspects of difficult child's history and I would like this rectified on his file. it is most important that information is complete and correct, which I do not feel is currently the case." Say no more than this and be careful to not hint that you feel he didn't take the time needed, or the care needed. Just indicate that information is still lacking and don't say whose fault it is. Then see how he responds. If you indicated absolutely no fault, but he comes back with a "how dare you!" then you know he's too touchy on the subject, probably knows darned well that he's slack and has a revolving door approach to pediatric psychiatry. The guilty conscience, attacking when he feels threatened. If you get this response, get away from him as fast as you can and consider you had a lucky escape. on the other hand, you might get a considered reply (or none) and next appointment an effort to give you more time and straighten out misunderstandings. In which case, you saw him on a really off day and it could work out. I would still be wary, though - such doctors do have other off days too, it will happen again. There have to be a lot of really good reasons to stay with a doctor like that. Good luck with this one. I have a lot of Aussie adjectives I'm working hard to not use, about this bloke. References to his mother's marital status, for one. Marg [/QUOTE]
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What an :censored2: psychiatrist! I am fuming!
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