Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Dealing with physicians who have lost empathy and compassion

Val Jones, MD
Physician
August 22, 2014
Share
Tweet
Share

I am a regular reader of patient blogs, and I find myself frequently gasping at the mistreatment they experience at the hands of my peers. I recently had the “pleasure” of being a patient myself, and found that my professional ties did not protect me from outrageously poor bedside manners. I suppose I’m writing this partly to vent, but also to remind health care professionals what not to do to patients waking up from anesthesia. I also think my experience may serve as a reminder that it’s ok to fire your doctor when conditions warrant.

I chose my gastroenterologist based on his credentials and the quality of training and experience listed on Healthgrades.com I had no personal recommendations to rely upon — so I used what I thought was a reasonable method for finding a good local doctor. When I met him for our initial office consultation he seemed rushed and distracted, without genuine curiosity about my complaints, complicated history, or how to help me find the correct diagnosis. I brushed my instincts aside, presuming he was just having a “bad day” and hoping for more time to discuss things fully once a battery of blood tests had been completed.

Sadly, I didn’t have the chance to review the results with him – instead he instructed his nurse to read me the results over the phone and to schedule me for a colonoscopy. I wanted to discuss the pros and cons of the procedure and what he thought he might be able to rule out with the test. He did not provide me with basic informed consent information, nor was he able to articulate medical necessity for the scope. I decided not to have the test, and I didn’t hear another word from him or his office.

Months later my symptoms had worsened and so I decided that a colonoscopy might help to further elucidate the potential cause. I was not able to get through to my doctor via phone, so I scheduled the test via his nursing staff. I planned to be the first patient of the day, so that we would have time to discuss my symptoms and concerns.

On the day of the procedure my physician stormed into my surgical bay and began reading my medical history to me from the computer screen, without exchanging basic niceties or introducing himself to my husband. I confirmed the information and tried to offer some nuance since our last office meeting. He cut me off, and made me feel as if my observations were completely unhelpful and were getting in the way of our scope time. He left in a rush before I felt that he had any clear sense of what we were trying to accomplish or rule out with the procedure.

A jovial anesthesiologist then entered my curtained cubicle, and made genuine human contact with me. He inquired about the reasons for the procedure and expressed appropriate glee regarding my Mallampati grade I airway. I asked him if he would be so kind as to not position me directly on my left shoulder during the procedure as it was exquisitely tender from a recent orthopedic injury. He promised to do his best to protect the injury while I was sedated.

Cut to the endoscopy suite where the gastroenterologist enters with a grumble as the techs bustle around the scope equipment and the anesthesiologist explains the slightly altered positioning for my comfort. As the propofol anesthetic goes into my vein I feel the gastroenterologist push me fully onto my injury as I lose the ability to protest.

After the procedure I’m back in my bay with my husband, groggy but with more pain in my shoulder than anywhere else. The curtain is drawn back with a yank and in marches the GI doc, relaying the unanticipated abnormal findings. I ask (in a slightly slurred tone) for more information, to which he responds in a loud voice, “You’re not going to remember any of this so just be quiet and listen!”

I persist in my attempts to understand the details to which he shouts “shut up and listen” with increasing decibels. When I say that the findings still don’t explain my symptoms and that I remain perplexed he says that I should “try probiotics.”  Finally he leaves the room, not offering any reassurance about the possibility of bowel perforation and stating that we’ll “Just have to wait for the pathology report, and it will take a while because of the July 4th weekend.”

I was dumbfounded, and not just because of my post-anesthetic stupor, but because of the open hostility showed to me by one of my peers. I asked my husband if I was out of line in my questioning and he said that I sounded “like a drunk person” but that the doctor was definitely being “an a**hole.”

As the nurses untangled me from the IV and EKG stickers and rushed me into a wheelchair and out to my husband’s waiting vehicle, all I could say was “Wow, my gastroenterologist was really mean to me.”

The nurses just nodded and suggested that I wasn’t the first to notice that.

As I recover from the whirlwind interaction with the health care system, I feel relief and anger. I’m relieved that my GI doc didn’t perforate my bowel and that we accidentally caught some very bad stuff early on, but I’m angry about how I was treated and feel no closer to an explanation for my symptoms than when I started investigating a year ago. My experience was probably fairly typical for many patients dealing with physicians who have lost empathy and compassion. I am sad that there are so many like that out there and I promise to do my best not to follow suit.

ADVERTISEMENT

My bottom line on gastroenterologists (sorry for the horrible pun): Go with your gut. If your doctor displays jerk-like tendencies during your office visit, rest assured that they can bloom in time. Have the courage to find another doctor before you put your life in their hands and/or they get the chance to verbally abuse you in a post-anesthetic stupor. I am firing my doctor a little bit on the late side, but doing it nonetheless. I just hope that my orthopedist is a good egg (like my anesthesiologist) — because I’ve got one heck of a sore shoulder coming his way!

Val Jones is founder and CEO, Better Health.

Prev

4 things I learned in medical training that still apply today

August 22, 2014 Kevin 0
…
Next

Delivering bad news: Don't pass the buck

August 22, 2014 Kevin 6
…

Tagged as: Gastroenterology

Post navigation

< Previous Post
4 things I learned in medical training that still apply today
Next Post >
Delivering bad news: Don't pass the buck

ADVERTISEMENT

More by Val Jones, MD

  • To solve the overmedication problem, follow the physiatrists

    Val Jones, MD
  • Interested in being a locum tenens physician? Read this first.

    Val Jones, MD
  • Why physicians should not complain about school debt

    Val Jones, MD

More in Physician

  • Are medical malpractice lawsuits cherry-picked data?

    Howard Smith, MD
  • The Chief Poisoner: a chemotherapy poem

    Ron Louie, MD
  • Whole-body MRI screening: political privilege or future of care?

    Michael Brant-Zawadzki, MD
  • Why doctors must stop waiting and reclaim their lives

    Jessie Mahoney, MD
  • The hidden link between circadian rhythm and physician burnout

    Shiv K. Goel, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Why addiction is no longer just a clinical category

    Farid Sabet-Sharghi, MD
  • Most Popular

  • Past Week

    • Why doctors struggle with treating friends and family

      Rebecca Margolis, DO and Alyson Axelrod, DO | Physician
    • Whole-body MRI screening: political privilege or future of care?

      Michael Brant-Zawadzki, MD | Physician
    • Physician attrition rates rise: the hidden crisis in health care

      Arthur Lazarus, MD, MBA | Physician
    • Personalized scientific communication: the patient experience

      Dr. Vivek Podder | Physician
    • Scrotal pain in young men: When to seek urgent care

      Martina Ambardjieva, MD, PhD | Conditions
    • The role of operations research in health care crisis management

      Gerald Kuo | Conditions
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • Why feeling unlike yourself is a sign of physician emotional overload

      Stephanie Wellington, MD | Physician
    • The loss of community pharmacy expertise

      Muhammad Abdullah Khan | Conditions
  • Recent Posts

    • Scrotal pain in young men: When to seek urgent care

      Martina Ambardjieva, MD, PhD | Conditions
    • Mobile dentistry: a structural redesign for public health

      Rida Ghani | Policy
    • How physicians can preserve trust after medical errors [PODCAST]

      The Podcast by KevinMD | Podcast, Sponsored
    • Technology for older adults: Why messaging apps are a lifeline

      Gerald Kuo | Conditions
    • Are medical malpractice lawsuits cherry-picked data?

      Howard Smith, MD | Physician
    • Accountable care cooperatives: a 2026 vision for U.S. health care

      David K. Cundiff, MD | Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 36 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why doctors struggle with treating friends and family

      Rebecca Margolis, DO and Alyson Axelrod, DO | Physician
    • Whole-body MRI screening: political privilege or future of care?

      Michael Brant-Zawadzki, MD | Physician
    • Physician attrition rates rise: the hidden crisis in health care

      Arthur Lazarus, MD, MBA | Physician
    • Personalized scientific communication: the patient experience

      Dr. Vivek Podder | Physician
    • Scrotal pain in young men: When to seek urgent care

      Martina Ambardjieva, MD, PhD | Conditions
    • The role of operations research in health care crisis management

      Gerald Kuo | Conditions
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • Why feeling unlike yourself is a sign of physician emotional overload

      Stephanie Wellington, MD | Physician
    • The loss of community pharmacy expertise

      Muhammad Abdullah Khan | Conditions
  • Recent Posts

    • Scrotal pain in young men: When to seek urgent care

      Martina Ambardjieva, MD, PhD | Conditions
    • Mobile dentistry: a structural redesign for public health

      Rida Ghani | Policy
    • How physicians can preserve trust after medical errors [PODCAST]

      The Podcast by KevinMD | Podcast, Sponsored
    • Technology for older adults: Why messaging apps are a lifeline

      Gerald Kuo | Conditions
    • Are medical malpractice lawsuits cherry-picked data?

      Howard Smith, MD | Physician
    • Accountable care cooperatives: a 2026 vision for U.S. health care

      David K. Cundiff, MD | Policy

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Dealing with physicians who have lost empathy and compassion
36 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...