Why Should You Fire Your Doctor?

Today's post from health.usnews.com (see link below) looks at a subject that  is almost taboo in many societies and that is changing doctor when you're not satisfied that he or she doesn't have your best interests at heart. In this day and age when patients are being expected to pay more for their treatment and insurance companies are making key decisions on our behalf, you can reasonably expect that your doctor will do his or her best to keep you on their books and give optimum advice concerning your health. The problem is that most of us are brought up to respect the doctor as being an all-knowing being who can't be wrong. However, in the age of internet where patients can find out a considerable amount about their problem on-line, the best doctors will try to establish a partnership that will result in the best treatment and best results for both parties. The days of the arrogant doctor who resents any input from the patient are long gone and maybe it's time to shop around as you would do for any service provider. That said, the vast majority of doctors are fantastic people who will only do their best for you and it is often the patient who is arrogant, demanding and aggressive. The patient has a responsibility in the relationship too!

When to Fire Your Doctor
A doctor you're unhappy with could be bad for your health. Here's how to know when to look elsewhere. 
By Angela Haupt April 18, 2014

Staying with a doctor you're not happy with is as harmful as staying in a relationship you know is bad because it's easier than making a change. But parting ways may be the healthiest move. Here are nine signs it's time to fire your doctor. (For simplicity, the references below are to male doctors, but men don't have a monopoly on unacceptable behavior.)

You and your doctor don't need to see eye to eye on everything, but it's helpful if you work well together. If you want a partnership, for example, a doctor who spouts commands is not the best fit; if you value warmth, consider ditching a formal, distant physician. "Some patients like doctors who are very direct and blunt," says Washington, D.C.-based family physician Kenny Lin. "And some patients can't stand that type of doctor because they think he or she isn't empathetic enough.”

He doesn't respect your time.

Do you routinely wait an hour to see your physician only to feel like he's speed-doctoring through the visit? You should never feel like you're being rushed. If your doctor doesn't take the time to answer your questions or address your concerns, there's a problem. The medical community is becoming increasingly sensitive to patients' precious time. When they're late for an appointment, some habitually tardy doctors have even begun compensating patients with money or gifts.

He keeps you in the dark.
 
A doctor should be open and thorough about why he recommends a certain treatment or orders a specific test, and he should share all results with you. "If a doctor doesn't explain himself, or at least not to your satisfaction, at that point a doctor is bad," Lin says. It's also important he uses terms you understand, rather than complicated medical jargon; otherwise, explanations are meaningless. Your health is too important to feel confused or uninformed.

He doesn't listen.

Does your doctor hear you out without interrupting? "It all comes down to communication and whether you feel like you're asking questions and they're not being answered," says Carolyn Clancy, former director of the Agency for Healthcare Research and Quality. She recalls visiting a doctor for a second opinion on whether she should go through with a procedure recommended by her dentist. He made false assumptions about her concerns, and she didn’t go back.

The office staff is unprofessional.

The receptionists are the link between you and the doctor. If they blow you off – or neglect to give your message to the physician, say, about side effects of a new medication – your health could be at risk. Even if you like your doctor, a bad office staff could signal it's time to look elsewhere.

You don't feel comfortable with him.

Doctors need to know intimate details you may not even share with friends or family members. If you're unable to disclose such facts, you and your doctor may not be the right match. A sense of unease about his decisions and recommendations, even if you can't say exactly why, is also a perfectly legitimate reason for cutting the cord, says Don Powell, president and CEO of the American Institute for Preventive Medicine, a nonprofit that promotes healthy behavior through wellness programs and publications.

He doesn't coordinate with other doctors.

Your primary care physician should be the quarterback of your health care team, managing each step of the medical process. That means keeping track of specialists' reports and instructions and talking with you about their recommendations. If he's slacking, an important piece of your care could slip through the cracks.

He's unreachable.

A good doctor is available for follow-up questions and concerns. Patient advocate Trisha Torrey, author of "You Bet Your Life! The 10 Mistakes Every Patient Makes," recalls the time her husband developed severe tooth pain on a weekend – and couldn’t reach his dentist. A growing number of doctors are making themselves available to patients via email, text message and Skype, and at the very least, you need to know that in an emergency, you won't be left hanging.

He's rude or condescending.
 
Time to part ways. Same goes if he trivializes your concerns as though they're not valid. One of the clearest signs you should move on is if he walks out of the room while you're still talking, Clancy says. If you don’t move on, chances are you’ll end up regretting it.

http://health.usnews.com/health-news/health-wellness/slideshows/when-to-fire-your-doctor