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I really am thinking hard about filing a formal complaint about her reading email that was not intended for her.. That's like opening someone elses mail.

tERESA, I'm not saying this is right for her to do that-- but I think I know how it happens.

When we send emails to our MD's- those become part of our "computerized" medical records-- and since it's part of your medical record-- all the MD's in the group can read it.

Your real complaint here is that #1: Pretty MD thinks that sarcoidosis is not a health issue. #2: Pretty MD thinks that if she handles ie. your anemia- then she's done with you. #3: She is a graduate (bottom of the class) MD- and has yet to realize that all the crap that happens to us is inter-related, and she's the GP (General Practicioner) and she needs to be replaced. #4. If her partners are only going to cover her 'emergencies'-- then you need to find the energy to get the hell out of this group. They are all idiots.

Tell her if she is offended by your email, that you would love to send a glowing one- provided she provide you with excellant care.

This problem with the email is not a problem-- and if she makes it one-- it's her issue. If she was paying attention- she'd at least have you on some B vitamin regime to get that blood count up. BTW--are you on Folic Acid?

The drugs we take all deplete our system of FA-- and it is essential to replace that.

T- with you having Medicare as your Primary coverage, you have many MD's to choose from. They aren't going to turn down patients that have Medicare--as 80% of most practices are dependent on the 'retired'--over 65 crowd. Those of us that end up on Medicare (Federal insurance) as compared to straight Medicaid (State welfare insurance)-- constituent a huge part of their income. And it pays ok. So don't let the insurance thing stop you from changing MD's.

This woman has no interest in treating anything other than high cholestrol, ear aches and being a "mom." Get out from under her idiocy.

Love ya,

Tracie

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Thanks Tracie, you're probably right about the medical record thing.. and I know you're are right that I need to get out and away from her and her group, but Vanderbilt is such a huge place and I don't know where to turn. I'm sure they have plenty to choose from, I just need to find the list. It really pissed her off that I said she wasn't gonna treat my blood transfusion low anemia. That made her look bad, but you know with my blood count of 26 I am white as a ghost, I can't even stand without my heart beat pounding... I say its probably a good thing that she thinks it makes her look bad... Tell me again the line you told me in the chat room so I can write it down. The one that Rose used...

Thanks Tracie,

Love ya kiddo,

-- Re: md EMAILS & PRIVACY

I really am thinking hard about filing a formal complaint about her reading email that was not intended for her.. That's like opening someone elses mail.tERESA, I'm not saying this is right for her to do that-- but I think I know how it happens.When we send emails to our MD's- those become part of our "computerized" medical records-- and since it's part of your medical record-- all the MD's in the group can read it. Your real complaint here is that #1: Pretty MD thinks that sarcoidosis is not a health issue. #2: Pretty MD thinks that if she handles ie. your anemia- then she's done with you. #3: She is a graduate (bottom of the class) MD- and has yet to realize that all the crap that happens to us is inter-related, and she's the GP (General Practicioner) and she needs to be replaced. #4. If her partners are only going to cover her 'emergencies'-- then you need to find the energy to get the hell out of this group. They are all idiots. Tell her if she is offended by your email, that you would love to send a glowing one- provided she provide you with excellant care. This problem with the email is not a problem-- and if she makes it one-- it's her issue. If she was paying attention- she'd at least have you on some B vitamin regime to get that blood count up. BTW--are you on Folic Acid? The drugs we take all deplete our system of FA-- and it is essential to replace that. T- with you having Medicare as your Primary coverage, you have many MD's to choose from. They aren't going to turn down patients that have Medicare--as 80% of most practices are dependent on the 'retired'--over 65 crowd. Those of us that end up on Medicare (Federal insurance) as compared to straight Medicaid (State welfare insurance)-- constituent a huge part of their income. And it pays ok. So don't let the insurance thing stop you from changing MD's.This woman has no interest in treating anything other than high cholestrol, ear aches and being a "mom." Get out from under her idiocy.Love ya,Tracie

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Thanks Tracie, you're probably right about the medical record thing.. and I know you're are right that I need to get out and away from her and her group, but Vanderbilt is such a huge place and I don't know where to turn. I'm sure they have plenty to choose from, I just need to find the list. It really pissed her off that I said she wasn't gonna treat my blood transfusion low anemia. That made her look bad, but you know with my blood count of 26 I am white as a ghost, I can't even stand without my heart beat pounding... I say its probably a good thing that she thinks it makes her look bad... Tell me again the line you told me in the chat room so I can write it down. The one that Rose used...

Thanks Tracie,

Love ya kiddo,

-- Re: md EMAILS & PRIVACY

I really am thinking hard about filing a formal complaint about her reading email that was not intended for her.. That's like opening someone elses mail.tERESA, I'm not saying this is right for her to do that-- but I think I know how it happens.When we send emails to our MD's- those become part of our "computerized" medical records-- and since it's part of your medical record-- all the MD's in the group can read it. Your real complaint here is that #1: Pretty MD thinks that sarcoidosis is not a health issue. #2: Pretty MD thinks that if she handles ie. your anemia- then she's done with you. #3: She is a graduate (bottom of the class) MD- and has yet to realize that all the crap that happens to us is inter-related, and she's the GP (General Practicioner) and she needs to be replaced. #4. If her partners are only going to cover her 'emergencies'-- then you need to find the energy to get the hell out of this group. They are all idiots. Tell her if she is offended by your email, that you would love to send a glowing one- provided she provide you with excellant care. This problem with the email is not a problem-- and if she makes it one-- it's her issue. If she was paying attention- she'd at least have you on some B vitamin regime to get that blood count up. BTW--are you on Folic Acid? The drugs we take all deplete our system of FA-- and it is essential to replace that. T- with you having Medicare as your Primary coverage, you have many MD's to choose from. They aren't going to turn down patients that have Medicare--as 80% of most practices are dependent on the 'retired'--over 65 crowd. Those of us that end up on Medicare (Federal insurance) as compared to straight Medicaid (State welfare insurance)-- constituent a huge part of their income. And it pays ok. So don't let the insurance thing stop you from changing MD's.This woman has no interest in treating anything other than high cholestrol, ear aches and being a "mom." Get out from under her idiocy.Love ya,Tracie

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FYI,

my doctor told me never to send health information on email, he said he didn’t

feel it was secure, he said you should always call me, I thought he just

didn’t want to check his emails, but after reading all this email privacy

issue I guess he’s right, my other doctor doesn’t like to deal with

my health issues on email either, you know with all this HIPPA, privacy act

thing going on, you would think the emails would be secure, but I guess there

not.

Just my 2

cents,

Marla

From:

Neurosarcoidosis [mailto:Neurosarcoidosis ] On Behalf Of tiodaat@...

Sent: Friday, June 30, 2006 9:25

PM

To:

Neurosarcoidosis

Subject: Re: md

EMAILS & PRIVACY

In

a message dated 6/30/06 9:05:18 PM Pacific Daylight Time, topdat@...

writes:

I really am thinking hard

about filing a formal complaint about her reading email that was not intended

for her.. That's like opening someone elses mail.

tERESA, I'm not saying this is right for her to do

that-- but I think I know how it happens.

When we send emails to our MD's- those become part of our

" computerized " medical records-- and since it's part of your medical

record-- all the MD's in the group can read it.

Your real complaint here is that #1: Pretty MD thinks that sarcoidosis is

not a health issue. #2: Pretty MD thinks that if she handles ie.

your anemia- then she's done with you. #3: She is a graduate (bottom of

the class) MD-

and has yet to realize that all the crap that happens to us is inter-related,

and she's the GP (General Practicioner) and she needs to be replaced. #4.

If her partners are only going to cover her 'emergencies'-- then you need to

find the energy to get the hell out of this group. They are all idiots.

Tell her if she is offended by your email, that you would love to send a

glowing one- provided she provide you with excellant care.

This problem with the email is not a problem-- and if she makes it one-- it's

her issue. If she was paying attention- she'd at least have you on some B

vitamin regime to get that blood count up. BTW--are you on Folic Acid?

The drugs we take all deplete our system of FA-- and it is essential to replace

that.

T- with you having Medicare as your Primary coverage, you have many MD's to

choose from. They aren't going to turn down patients that have

Medicare--as 80% of most practices are dependent on the 'retired'--over 65

crowd. Those of us that end up on Medicare (Federal insurance) as

compared to straight Medicaid (State welfare insurance)-- constituent a huge

part of their income. And it pays ok. So don't let the insurance

thing stop you from changing MD's.

This woman has no interest in treating anything other than high cholestrol, ear

aches and being a " mom. " Get out from under her idiocy.

Love ya,

Tracie

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Theresa, My doctor's clinic has a President who is responsible for the clinic and all of the employees. I think if I were you I would report the "Pretty MD" to that person in your Doctor's practice for # 1 the quality of care she has provided and # 2 the lack of professionalism she has shown you. Also in the clinic where I go they have the following policy (and it is a good one I think) Because of privacy issues, we do not engage in email conversations on personal matters or specific individual situations involving care Tracie is absolutely right anything written down like that becomes part of your record. Any quality of care issue not to be in the record must be addressed outside of the patient care area. If they have a patient advocate, call her/him or go straight to the top. Do it over the phone and then in person if necessary but do it in an

area outside of the doctor's office unless it is so small that is not possible. Do you get surveys or phone calls from the clinic (??) about how the care was provided? I go to a clinic that has 125 physicians of all specialities. It has over 1200 employees, 12 different office sites, that includes an outpatient surgery, 3 walk in care clinics, etc. After each visit to any department you get a survey to complete on how the care was provided. About every 10 visits you get a phone call asking you if the visit went well and if anything could have been done to improve the care you received. There is a website where you can ask a patient advocate to call you if you have a problem and it lists a phone number wher you can reach that person. You need to find the energy somehow to locate a quality medical practice in your area. I hate to say it but in this day of managed care it is sometimes hard to find

really good care after you are already sick. If you have a good doctor beforehand they continue to care for you but if you are trying to find someone to provide good care when you already have a chronic illness it can be hard. And, this illness is an expensive one to treat with all the MRI's and other tests they do for us. I wish you well, I wish I could be there to go with you to the doctor, I kick some pretty good butt, just ask any of my kids. Barb J. tiodaat@... wrote: I really am thinking hard about filing a formal complaint about her reading email that was not intended for her.. That's like opening someone elses mail.tERESA, I'm not saying this is right for her to do that-- but I think I know how it happens.When we send emails to our MD's- those become part of our

"computerized" medical records-- and since it's part of your medical record-- all the MD's in the group can read it. Your real complaint here is that #1: Pretty MD thinks that sarcoidosis is not a health issue. #2: Pretty MD thinks that if she handles ie. your anemia- then she's done with you. #3: She is a graduate (bottom of the class) MD- and has yet to realize that all the crap that happens to us is inter-related, and she's the GP (General Practicioner) and she needs to be replaced. #4. If her partners are only going to cover her 'emergencies'-- then you need to find the energy to get the hell out of this group. They are all idiots. Tell her if she is offended by your email, that you would love to send a glowing one- provided she provide you with excellant care. This problem with the email is not a problem-- and if she makes it one-- it's her issue. If she was paying attention- she'd at least have

you on some B vitamin regime to get that blood count up. BTW--are you on Folic Acid? The drugs we take all deplete our system of FA-- and it is essential to replace that. T- with you having Medicare as your Primary coverage, you have many MD's to choose from. They aren't going to turn down patients that have Medicare--as 80% of most practices are dependent on the 'retired'--over 65 crowd. Those of us that end up on Medicare (Federal insurance) as compared to straight Medicaid (State welfare insurance)-- constituent a huge part of their income. And it pays ok. So don't let the insurance thing stop you from changing MD's.This woman has no interest in treating anything other than high cholestrol, ear aches and being a "mom." Get out from under her idiocy.Love ya,Tracie

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I never thought of it that way, but I guess you are right. I tried to convey messages to my doctor via email at one time thinking it would be easier for both him and I. But he never returned them. Now I understand why he didn't. Thanks for the heads up. DebbieMarla wrote:

FYI, my doctor told me never to send health information on email, he said he

didn’t feel it was secure, he said you should always call me, I thought he just didn’t want to check his emails, but after reading all this email privacy issue I guess he’s right, my other doctor doesn’t like to deal with my health issues on email either, you know with all this HIPPA, privacy act thing going on, you would think the emails would be secure, but I guess there not. Just my 2 cents, Marla From: Neurosarcoidosis [mailto:Neurosarcoidosis ] On Behalf Of tiodaat@... Sent: Friday, June 30, 2006 9:25 PM To: Neurosarcoidosis Subject: Re: md EMAILS & PRIVACY I really am thinking hard about filing a formal complaint about her reading email that was not intended for her.. That's like opening someone elses mail. tERESA, I'm not saying this is right for her to do that-- but I think I know how it happens. When we send emails to our MD's- those become part of our

"computerized" medical records-- and since it's part of your medical record-- all the MD's in the group can read it. Your real complaint here is that #1: Pretty MD thinks that sarcoidosis is not a health issue. #2: Pretty MD thinks that if she handles ie. your anemia- then she's done with you. #3: She is a graduate (bottom of the class) MD- and has yet to realize that all the crap that happens to us is inter-related, and she's the GP (General Practicioner) and she needs to be replaced. #4. If her partners are only going to cover her 'emergencies'-- then you need to find the energy to get the hell out of this group. They are all idiots. Tell her if she is offended by your email, that you would love to send a glowing one- provided she provide you with excellant care. This problem with the email is not a problem-- and if she makes it one--

it's her issue. If she was paying attention- she'd at least have you on some B vitamin regime to get that blood count up. BTW--are you on Folic Acid? The drugs we take all deplete our system of FA-- and it is essential to replace that. T- with you having Medicare as your Primary coverage, you have many MD's to choose from. They aren't going to turn down patients that have Medicare--as 80% of most practices are dependent on the 'retired'--over 65 crowd. Those of us that end up on Medicare (Federal insurance) as compared to straight Medicaid (State welfare insurance)-- constituent a huge part of their income. And it pays ok. So don't let the insurance thing stop you from changing MD's. This woman has no interest in treating anything other than high cholestrol, ear aches and being a "mom." Get out from under her idiocy. Love ya, Tracie

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I never thought of it that way, but I guess you are right. I tried to convey messages to my doctor via email at one time thinking it would be easier for both him and I. But he never returned them. Now I understand why he didn't. Thanks for the heads up. DebbieMarla wrote:

FYI, my doctor told me never to send health information on email, he said he

didn’t feel it was secure, he said you should always call me, I thought he just didn’t want to check his emails, but after reading all this email privacy issue I guess he’s right, my other doctor doesn’t like to deal with my health issues on email either, you know with all this HIPPA, privacy act thing going on, you would think the emails would be secure, but I guess there not. Just my 2 cents, Marla From: Neurosarcoidosis [mailto:Neurosarcoidosis ] On Behalf Of tiodaat@... Sent: Friday, June 30, 2006 9:25 PM To: Neurosarcoidosis Subject: Re: md EMAILS & PRIVACY I really am thinking hard about filing a formal complaint about her reading email that was not intended for her.. That's like opening someone elses mail. tERESA, I'm not saying this is right for her to do that-- but I think I know how it happens. When we send emails to our MD's- those become part of our

"computerized" medical records-- and since it's part of your medical record-- all the MD's in the group can read it. Your real complaint here is that #1: Pretty MD thinks that sarcoidosis is not a health issue. #2: Pretty MD thinks that if she handles ie. your anemia- then she's done with you. #3: She is a graduate (bottom of the class) MD- and has yet to realize that all the crap that happens to us is inter-related, and she's the GP (General Practicioner) and she needs to be replaced. #4. If her partners are only going to cover her 'emergencies'-- then you need to find the energy to get the hell out of this group. They are all idiots. Tell her if she is offended by your email, that you would love to send a glowing one- provided she provide you with excellant care. This problem with the email is not a problem-- and if she makes it one--

it's her issue. If she was paying attention- she'd at least have you on some B vitamin regime to get that blood count up. BTW--are you on Folic Acid? The drugs we take all deplete our system of FA-- and it is essential to replace that. T- with you having Medicare as your Primary coverage, you have many MD's to choose from. They aren't going to turn down patients that have Medicare--as 80% of most practices are dependent on the 'retired'--over 65 crowd. Those of us that end up on Medicare (Federal insurance) as compared to straight Medicaid (State welfare insurance)-- constituent a huge part of their income. And it pays ok. So don't let the insurance thing stop you from changing MD's. This woman has no interest in treating anything other than high cholestrol, ear aches and being a "mom." Get out from under her idiocy. Love ya, Tracie

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I never thought of it that way, but I guess you are right. I tried to convey messages to my doctor via email at one time thinking it would be easier for both him and I. But he never returned them. Now I understand why he didn't. Thanks for the heads up. DebbieMarla wrote:

FYI, my doctor told me never to send health information on email, he said he

didn’t feel it was secure, he said you should always call me, I thought he just didn’t want to check his emails, but after reading all this email privacy issue I guess he’s right, my other doctor doesn’t like to deal with my health issues on email either, you know with all this HIPPA, privacy act thing going on, you would think the emails would be secure, but I guess there not. Just my 2 cents, Marla From: Neurosarcoidosis [mailto:Neurosarcoidosis ] On Behalf Of tiodaat@... Sent: Friday, June 30, 2006 9:25 PM To: Neurosarcoidosis Subject: Re: md EMAILS & PRIVACY I really am thinking hard about filing a formal complaint about her reading email that was not intended for her.. That's like opening someone elses mail. tERESA, I'm not saying this is right for her to do that-- but I think I know how it happens. When we send emails to our MD's- those become part of our

"computerized" medical records-- and since it's part of your medical record-- all the MD's in the group can read it. Your real complaint here is that #1: Pretty MD thinks that sarcoidosis is not a health issue. #2: Pretty MD thinks that if she handles ie. your anemia- then she's done with you. #3: She is a graduate (bottom of the class) MD- and has yet to realize that all the crap that happens to us is inter-related, and she's the GP (General Practicioner) and she needs to be replaced. #4. If her partners are only going to cover her 'emergencies'-- then you need to find the energy to get the hell out of this group. They are all idiots. Tell her if she is offended by your email, that you would love to send a glowing one- provided she provide you with excellant care. This problem with the email is not a problem-- and if she makes it one--

it's her issue. If she was paying attention- she'd at least have you on some B vitamin regime to get that blood count up. BTW--are you on Folic Acid? The drugs we take all deplete our system of FA-- and it is essential to replace that. T- with you having Medicare as your Primary coverage, you have many MD's to choose from. They aren't going to turn down patients that have Medicare--as 80% of most practices are dependent on the 'retired'--over 65 crowd. Those of us that end up on Medicare (Federal insurance) as compared to straight Medicaid (State welfare insurance)-- constituent a huge part of their income. And it pays ok. So don't let the insurance thing stop you from changing MD's. This woman has no interest in treating anything other than high cholestrol, ear aches and being a "mom." Get out from under her idiocy. Love ya, Tracie

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You guys are killing me with the "pretty MD" thing.. You can tell she was brought up with a silver spoon..

You get and the others to work on the "whooop ass" and I'll come slap the bitch.

Love ya,

Tracie

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You guys are killing me with the "pretty MD" thing.. You can tell she was brought up with a silver spoon..The thing with emails, the hospital and clinic where I go is Vanderbilt in Nashville, they have set up a specific program where you can talk to your doctors, the office to request appointments, it keeps up with all your appointments, etc. It wasn't a surprise to me that all the doctors could read what I had written, and I think she is pretty niave to suggest that I didn't. Onstar panel is a program, where instead of having a paper chart, everything is entered on the computer, it keeps your medications updated, plus allows all of your physicians to keep in touch with what is going on. I am no privy to that here at home. So I'm not really sure what she was speaking of when she referenced that. Other than I have a really good nurse practicioner in the neurological office and about a week ago I saw her and she found a new heart murmur, she called my "pretty MD" and she wouldn't see me, she told her to send me to the ER, which is what happened... Nothing that I remember was said by me about that.

Then my diabetic doctor sent me to the "pretty MD's" office this week because my feet and legs were so swollen very badly, and I was short of breath. They were in the same building, her nurse came out once again she couldn't see me, I was told to go to the ER once again if I needed medical care.

When it came down to the nitty gritty of her nastyness, it was when got my lab done here at my local clinic and they faxed the results to them, and so I had them fax me a copy as well, when I found my PVC which is the results that tells you the amount of blood flowing through your veins Normal is 37-40 something, I wrote my neuro NP, and asked her for advise, since "pretty MD" wasn't gonna do anything. Which according to her made her look incompetent, well I hate that, but that certainly got her ball moving. I totally expect her to fire me from being her patient on Monday, the only thing I hate about that is that it will be hard for me to find a new Medical Doctor within that system when she enters that into the computer.

It worries me, but I may have to line you and up to open a big can of whoop A^^ as she has me almost to where I can barely even raise my arms.. I can even tell her my symptoms of anemia, sarcoidosis, as she takes each symptom as a complaint. I've looked around the Vanderbilt site and their is a patient advocate I may call her after monday's visit.. we'll see. Everyone, please keep your fingers crossed and send up a prayer for me.. I'll fill you all in when I get home..

Hugs to all,

-- Re: md EMAILS & PRIVACY

Theresa,

My doctor's clinic has a President who is responsible for the clinic and all of the employees. I think if I were you I would report the "Pretty MD" to that person in your Doctor's practice for # 1 the quality of care she has provided and # 2 the lack of professionalism she has shown you. Also in the clinic where I go they have the following policy (and it is a good one I think)

Because of privacy issues, we do not engage in email conversations on personal matters or specific individual situations involving care

Tracie is absolutely right anything written down like that becomes part of your record. Any quality of care issue not to be in the record must be addressed outside of the patient care area. If they have a patient advocate, call her/him or go straight to the top. Do it over the phone and then in person if necessary but do it in an area outside of the doctor's office unless it is so small that is not possible.

Do you get surveys or phone calls from the clinic (??) about how the care was provided? I go to a clinic that has 125 physicians of all specialities. It has over 1200 employees, 12 different office sites, that includes an outpatient surgery, 3 walk in care clinics, etc. After each visit to any department you get a survey to complete on how the care was provided. About every 10 visits you get a phone call asking you if the visit went well and if anything could have been done to improve the care you received. There is a website where you can ask a patient advocate to call you if you have a problem and it lists a phone number wher you can reach that person. You need to find the energy somehow to locate a quality medical practice in your area.

I hate to say it but in this day of managed care it is sometimes hard to find really good care after you are already sick. If you have a good doctor beforehand they continue to care for you but if you are trying to find someone to provide good care when you already have a chronic illness it can be hard. And, this illness is an expensive one to treat with all the MRI's and other tests they do for us. I wish you well, I wish I could be there to go with you to the doctor, I kick some pretty good butt, just ask any of my kids.

Barb J.

tiodaat@... wrote:

I really am thinking hard about filing a formal complaint about her reading email that was not intended for her.. That's like opening someone elses mail.tERESA, I'm not saying this is right for her to do that-- but I think I know how it happens.When we send emails to our MD's- those become part of our "computerized" medical records-- and since it's part of your medical record-- all the MD's in the group can read it. Your real complaint here is that #1: Pretty MD thinks that sarcoidosis is not a health issue. #2: Pretty MD thinks that if she handles ie. your anemia- then she's done with you. #3: She is a graduate (bottom of the class) MD- and has yet to realize that all the crap that happens to us is inter-related, and she's the GP (General Practicioner) and she needs to be replaced. #4. If her partners are only going to cover her 'emergencies'-- then you need to find the energy to get the hell out of this group. They are all idiots. Tell her if she is offended by your email, that you would love to send a glowing one- provided she provide you with excellant care. This problem with the email is not a problem-- and if she makes it one-- it's her issue. If she was paying attention- she'd at least have you on some B vitamin regime to get that blood count up. BTW--are you on Folic Acid? The drugs we take all deplete our system of FA-- and it is essential to replace that. T- with you having Medicare as your Primary coverage, you have many MD's to choose from. They aren't going to turn down patients that have Medicare--as 80% of most practices are dependent on the 'retired'--over 65 crowd. Those of us that end up on Medicare (Federal insurance) as compared to straight Medicaid (State welfare insurance)-- constituent a huge part of their income. And it pays ok. So don't let the insurance thing stop you from changing MD's.This woman has no interest in treating anything other than high cholestrol, ear aches and being a "mom." Get out from under her idiocy.Love ya,Tracie

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You guys are killing me with the "pretty MD" thing.. You can tell she was brought up with a silver spoon..The thing with emails, the hospital and clinic where I go is Vanderbilt in Nashville, they have set up a specific program where you can talk to your doctors, the office to request appointments, it keeps up with all your appointments, etc. It wasn't a surprise to me that all the doctors could read what I had written, and I think she is pretty niave to suggest that I didn't. Onstar panel is a program, where instead of having a paper chart, everything is entered on the computer, it keeps your medications updated, plus allows all of your physicians to keep in touch with what is going on. I am no privy to that here at home. So I'm not really sure what she was speaking of when she referenced that. Other than I have a really good nurse practicioner in the neurological office and about a week ago I saw her and she found a new heart murmur, she called my "pretty MD" and she wouldn't see me, she told her to send me to the ER, which is what happened... Nothing that I remember was said by me about that.

Then my diabetic doctor sent me to the "pretty MD's" office this week because my feet and legs were so swollen very badly, and I was short of breath. They were in the same building, her nurse came out once again she couldn't see me, I was told to go to the ER once again if I needed medical care.

When it came down to the nitty gritty of her nastyness, it was when got my lab done here at my local clinic and they faxed the results to them, and so I had them fax me a copy as well, when I found my PVC which is the results that tells you the amount of blood flowing through your veins Normal is 37-40 something, I wrote my neuro NP, and asked her for advise, since "pretty MD" wasn't gonna do anything. Which according to her made her look incompetent, well I hate that, but that certainly got her ball moving. I totally expect her to fire me from being her patient on Monday, the only thing I hate about that is that it will be hard for me to find a new Medical Doctor within that system when she enters that into the computer.

It worries me, but I may have to line you and up to open a big can of whoop A^^ as she has me almost to where I can barely even raise my arms.. I can even tell her my symptoms of anemia, sarcoidosis, as she takes each symptom as a complaint. I've looked around the Vanderbilt site and their is a patient advocate I may call her after monday's visit.. we'll see. Everyone, please keep your fingers crossed and send up a prayer for me.. I'll fill you all in when I get home..

Hugs to all,

-- Re: md EMAILS & PRIVACY

Theresa,

My doctor's clinic has a President who is responsible for the clinic and all of the employees. I think if I were you I would report the "Pretty MD" to that person in your Doctor's practice for # 1 the quality of care she has provided and # 2 the lack of professionalism she has shown you. Also in the clinic where I go they have the following policy (and it is a good one I think)

Because of privacy issues, we do not engage in email conversations on personal matters or specific individual situations involving care

Tracie is absolutely right anything written down like that becomes part of your record. Any quality of care issue not to be in the record must be addressed outside of the patient care area. If they have a patient advocate, call her/him or go straight to the top. Do it over the phone and then in person if necessary but do it in an area outside of the doctor's office unless it is so small that is not possible.

Do you get surveys or phone calls from the clinic (??) about how the care was provided? I go to a clinic that has 125 physicians of all specialities. It has over 1200 employees, 12 different office sites, that includes an outpatient surgery, 3 walk in care clinics, etc. After each visit to any department you get a survey to complete on how the care was provided. About every 10 visits you get a phone call asking you if the visit went well and if anything could have been done to improve the care you received. There is a website where you can ask a patient advocate to call you if you have a problem and it lists a phone number wher you can reach that person. You need to find the energy somehow to locate a quality medical practice in your area.

I hate to say it but in this day of managed care it is sometimes hard to find really good care after you are already sick. If you have a good doctor beforehand they continue to care for you but if you are trying to find someone to provide good care when you already have a chronic illness it can be hard. And, this illness is an expensive one to treat with all the MRI's and other tests they do for us. I wish you well, I wish I could be there to go with you to the doctor, I kick some pretty good butt, just ask any of my kids.

Barb J.

tiodaat@... wrote:

I really am thinking hard about filing a formal complaint about her reading email that was not intended for her.. That's like opening someone elses mail.tERESA, I'm not saying this is right for her to do that-- but I think I know how it happens.When we send emails to our MD's- those become part of our "computerized" medical records-- and since it's part of your medical record-- all the MD's in the group can read it. Your real complaint here is that #1: Pretty MD thinks that sarcoidosis is not a health issue. #2: Pretty MD thinks that if she handles ie. your anemia- then she's done with you. #3: She is a graduate (bottom of the class) MD- and has yet to realize that all the crap that happens to us is inter-related, and she's the GP (General Practicioner) and she needs to be replaced. #4. If her partners are only going to cover her 'emergencies'-- then you need to find the energy to get the hell out of this group. They are all idiots. Tell her if she is offended by your email, that you would love to send a glowing one- provided she provide you with excellant care. This problem with the email is not a problem-- and if she makes it one-- it's her issue. If she was paying attention- she'd at least have you on some B vitamin regime to get that blood count up. BTW--are you on Folic Acid? The drugs we take all deplete our system of FA-- and it is essential to replace that. T- with you having Medicare as your Primary coverage, you have many MD's to choose from. They aren't going to turn down patients that have Medicare--as 80% of most practices are dependent on the 'retired'--over 65 crowd. Those of us that end up on Medicare (Federal insurance) as compared to straight Medicaid (State welfare insurance)-- constituent a huge part of their income. And it pays ok. So don't let the insurance thing stop you from changing MD's.This woman has no interest in treating anything other than high cholestrol, ear aches and being a "mom." Get out from under her idiocy.Love ya,Tracie

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Dang Tracie, I couldn't ask for anything more.. lol

-- Re: md EMAILS & PRIVACY

You guys are killing me with the "pretty MD" thing.. You can tell she was brought up with a silver spoon..You get and the others to work on the "whooop ass" and I'll come slap the bitch.Love ya,Tracie

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,

My prayers

are with you.

Marla

From: Neurosarcoidosis [mailto:Neurosarcoidosis ] On Behalf Of

Sent: Saturday, July 01, 2006 5:00

PM

To: Neurosarcoidosis

Subject: Re: md

EMAILS & PRIVACY

You guys are killing me with the " pretty

MD " thing.. You can tell she was brought up with a silver

spoon..The thing with emails, the hospital and clinic where I go is

Vanderbilt in Nashville,

they have set up a specific program where you can talk to your doctors,

the office to request appointments, it keeps up with all your appointments,

etc. It wasn't a surprise to me that all the doctors could

read what I had written, and I think she is pretty niave to suggest

that I didn't. Onstar panel is a program, where instead of

having a paper chart, everything is entered on the computer, it keeps your

medications updated, plus allows all of your physicians to keep in touch

with what is going on. I am no privy to that here at home. So I'm not

really sure what she was speaking of when she referenced

that. Other than I have a really good nurse practicioner in the

neurological office and about a week ago I saw her and she found a new heart

murmur, she called my " pretty MD " and she wouldn't see me, she

told her to send me to the ER, which is what happened... Nothing that I

remember was said by me about that.

Then my diabetic doctor sent me to the " pretty

MD's " office this week because my feet and legs were so swollen very

badly, and I was short of breath. They were in the same building, her

nurse came out once again she couldn't see me, I was told to go to the ER

once again if I needed medical care.

When it came down to the nitty gritty of her

nastyness, it was when got my lab done here at my local clinic and

they faxed the results to them, and so I had them fax me a copy as well,

when I found my PVC which is the results that tells you the amount of blood

flowing through your veins Normal is 37-40 something, I wrote my neuro NP,

and asked her for advise, since " pretty MD " wasn't gonna

do anything. Which according to her made her look incompetent, well I hate

that, but that certainly got her ball moving. I totally expect her to

fire me from being her patient on Monday, the only thing I hate about

that is that it will be hard for me to find a new Medical Doctor within that

system when she enters that into the computer.

It worries me, but I may have to line you and

up to open a big can of whoop A^^ as she has me almost to where I can barely

even raise my arms.. I can even tell her my symptoms of anemia, sarcoidosis,

as she takes each symptom as a complaint. I've looked around the

Vanderbilt site and their is a patient advocate I may call her after monday's

visit.. we'll see. Everyone, please keep your fingers crossed and send

up a prayer for me.. I'll fill you all in when I get home..

Hugs to all,

-- Re: md EMAILS &

PRIVACY

Theresa,

My doctor's clinic has a President who is

responsible for the clinic and all of the employees. I think if I were you I

would report the " Pretty MD " to that person in your Doctor's

practice for # 1 the quality of care she has provided and # 2 the

lack of professionalism she has shown you. Also in the clinic where I go they

have the following policy (and it is a good one I think)

Because of privacy issues, we do not engage in email conversations on

personal matters or specific individual situations involving care

Tracie is absolutely right anything written down

like that becomes part of your record. Any quality of care issue not to be in

the record must be addressed outside of the patient care area. If they have a

patient advocate, call her/him or go straight to the top. Do it over the

phone and then in person if necessary but do it in an area outside of the doctor's office

unless it is so small that is not possible.

Do you get surveys or phone calls from the

clinic (??) about how the care was provided? I go to a clinic that has

125 physicians of all specialities. It has over 1200 employees, 12 different

office sites, that includes an outpatient surgery, 3 walk in care clinics,

etc. After each visit to any department you get a survey to complete on how

the care was provided. About every 10 visits you get a phone call asking

you if the visit went well and if anything could have been done to improve

the care you received. There is a website where you can ask a patient advocate

to call you if you have a problem and it lists a phone number wher you

can reach that person. You need to find the energy somehow to locate a

quality medical practice in your area.

I hate to say it but in

this day of managed care it is sometimes hard to find really good care after

you are already sick. If you have a good doctor beforehand they continue to

care for you but if you are trying to find someone to provide good care when

you already have a chronic illness it can be hard. And, this illness is an

expensive one to treat with all the MRI's and other tests they do for us. I

wish you well, I wish I could be there to go with you to the doctor, I kick

some pretty good butt, just ask any of my kids.

Barb J.

tiodaat@...

wrote:

In a message dated 6/30/06 9:05:18

PM Pacific Daylight Time, topdat@... writes:

I really am thinking

hard about filing a formal complaint about her reading email that was not

intended for her.. That's like opening someone elses mail.

tERESA, I'm not saying this is right for her to do

that-- but I think I know how it happens.

When we send emails to our MD's- those become part of our

" computerized " medical records-- and since it's part of your

medical record-- all the MD's in the group can read it.

Your real complaint here is that #1: Pretty MD thinks that sarcoidosis

is not a health issue. #2: Pretty MD thinks that if she handles

ie. your anemia- then she's done with you. #3: She is a graduate

(bottom of the class) MD-

and has yet to realize that all the crap that happens to us is inter-related,

and she's the GP (General Practicioner) and she needs to be replaced.

#4. If her partners are only going to cover her 'emergencies'-- then you need

to find the energy to get the hell out of this group. They are all

idiots.

Tell her if she is offended by your email, that you would love to send a

glowing one- provided she provide you with excellant care.

This problem with the email is not a problem-- and if she makes it one-- it's

her issue. If she was paying attention- she'd at least have you on some

B vitamin regime to get that blood count up. BTW--are you on Folic

Acid?

The drugs we take all deplete our system of FA-- and it is essential to

replace that.

T- with you having Medicare as your Primary coverage, you have many MD's to

choose from. They aren't going to turn down patients that have

Medicare--as 80% of most practices are dependent on the 'retired'--over 65

crowd. Those of us that end up on Medicare (Federal insurance) as

compared to straight Medicaid (State welfare insurance)-- constituent a huge

part of their income. And it pays ok. So don't let the insurance

thing stop you from changing MD's.

This woman has no interest in treating anything other than high cholestrol,

ear aches and being a " mom. " Get out from under her idiocy.

Love ya,

Tracie

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Hi everyone! Friends of mine work for a third party insurer and include a privacy rider on all of their email. We adopted one for the foundation, too. Perhaps it would help to protect all of us if we include a similar rider when e-corresponding concerning private, medical information? This is how ours reads: "PRIVACY POLICY The information contained in this e-mail message is confidential and legally privileged information protected under the law, including, but not limited to, the Health Insurance Portability and Accountability Act (HIPAA). This message is intended solely for the use of the individual(s) or entity to which it was addressed. If you are not the intended recipient of this email, you are hereby notified that copying, distributing, or otherwise using this email is strictly forbidden and may subject you to civil and criminal penalties. If you

received this e-mail in error, please contact the sender immediately and delete the material from any computer to which it has been copied. Thank you for your cooperation." At least this gives us some sort of "protection," if you will. It's a shame it has come down to this, but we have to cover our bases when it comes to private information. Just because someone has access to read it, it doesn't mean they should OR that they should discuss it with others OR use it against us. Around here, you mention HIPPA and people take it very seriously - it's not something to take lightly or fool around with. Even without this statement attached, I am sure that there has to be some sort of legal recourse to ensure this won't happen again! I'm so sorry to hear that this happened! Hugs,Jeannie Marla

wrote: FYI, my doctor told me never to send health information on email, he said he didn’t feel it was secure, he said you should always call me, I thought he just didn’t want to check his emails, but after reading all this email privacy issue I guess he’s right, my other doctor doesn’t like to deal with my health issues on email either,

you know with all this HIPPA, privacy act thing going on, you would think the emails would be secure, but I guess there not. Just my 2 cents, Marla From: Neurosarcoidosis [mailto:Neurosarcoidosis ] On Behalf Of tiodaat@...Sent: Friday, June 30, 2006 9:25 PMTo: Neurosarcoidosis Subject: Re: md EMAILS & PRIVACY I really am thinking hard about filing a formal complaint about her reading email that was not intended for her.. That's like opening someone elses mail. tERESA, I'm not saying this is right for her to do that-- but I think I know how it happens.When we send emails to our MD's- those become part of our "computerized" medical records-- and since it's part of your medical record-- all the MD's in the group can read it. Your real complaint here is that #1: Pretty MD thinks that sarcoidosis is not a health issue. #2: Pretty MD thinks that if she handles ie. your anemia- then she's done with you. #3: She is a graduate (bottom of the class) MD- and has yet to realize that all the crap that happens to us is inter-related, and she's the GP (General Practicioner)

and she needs to be replaced. #4. If her partners are only going to cover her 'emergencies'-- then you need to find the energy to get the hell out of this group. They are all idiots. Tell her if she is offended by your email, that you would love to send a glowing one- provided she provide you with excellant care. This problem with the email is not a problem-- and if she makes it one-- it's her issue. If she was paying attention- she'd at least have you on some B vitamin regime to get that blood count up. BTW--are you on Folic Acid? The drugs we take all deplete our system of FA-- and it is essential to replace that. T- with you having Medicare as your Primary coverage, you have many MD's to choose from. They aren't going to turn down patients that have Medicare--as 80% of most practices are dependent on the 'retired'--over 65 crowd. Those of us that end up on Medicare (Federal insurance) as compared to

straight Medicaid (State welfare insurance)-- constituent a huge part of their income. And it pays ok. So don't let the insurance thing stop you from changing MD's.This woman has no interest in treating anything other than high cholestrol, ear aches and being a "mom." Get out from under her idiocy.Love ya,Tracie

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I know you two, this was my profession too. She's been my medical doctor for 2 years, and now suddenly she thinks I need to go to a pain clinic, because I take 1 Lortab at bedtime, because my bones in my hips and legs ache and throb.. I'm glad my mom with me on Monday or else one of us would have ended up firing the other, I just hope I get to fire her before she does me.. plus my pulmonary doctor is in her office. I have two appointments on Friday, I may go looking for that patient advocate.

Thanks everyone for your support,

-- Re: md EMAILS & PRIVACY

Theresa,

My doctor's clinic has a President who is responsible for the clinic and all of the employees. I think if I were you I would report the "Pretty MD" to that person in your Doctor's practice for # 1 the quality of care she has provided and # 2 the lack of professionalism she has shown you. Also in the clinic where I go they have the following policy (and it is a good one I think)

Because of privacy issues, we do not engage in email conversations on personal matters or specific individual situations involving care

Tracie is absolutely right anything written down like that becomes part of your record. Any quality of care issue not to be in the record must be addressed outside of the patient care area. If they have a patient advocate, call her/him or go straight to the top. Do it over the phone and then in person if necessary but do it in an area outside of the doctor's office unless it is so small that is not possible.

Do you get surveys or phone calls from the clinic (??) about how the care was provided? I go to a clinic that has 125 physicians of all specialities. It has over 1200 employees, 12 different office sites, that includes an outpatient surgery, 3 walk in care clinics, etc. After each visit to any department you get a survey to complete on how the care was provided. About every 10 visits you get a phone call asking you if the visit went well and if anything could have been done to improve the care you received. There is a website where you can ask a patient advocate to call you if you have a problem and it lists a phone number wher you can reach that person. You need to find the energy somehow to locate a quality medical practice in your area.

I hate to say it but in this day of managed care it is sometimes hard to find really good care after you are already sick. If you have a good doctor beforehand they continue to care for you but if you are trying to find someone to provide good care when you already have a chronic illness it can be hard. And, this illness is an expensive one to treat with all the MRI's and other tests they do for us. I wish you well, I wish I could be there to go with you to the doctor, I kick some pretty good butt, just ask any of my kids.

Barb J.

tiodaat@... wrote:

I really am thinking hard about filing a formal complaint about her reading email that was not intended for her.. That's like opening someone elses mail.tERESA, I'm not saying this is right for her to do that-- but I think I know how it happens.When we send emails to our MD's- those become part of our "computerized" medical records-- and since it's part of your medical record-- all the MD's in the group can read it. Your real complaint here is that #1: Pretty MD thinks that sarcoidosis is not a health issue. #2: Pretty MD thinks that if she handles ie. your anemia- then she's done with you. #3: She is a graduate (bottom of the class) MD- and has yet to realize that all the crap that happens to us is inter-related, and she's the GP (General Practicioner) and she needs to be replaced. #4. If her partners are only going to cover her 'emergencies'-- then you need to find the energy to get the hell out of this group. They are all idiots. Tell her if she is offended by your email, that you would love to send a glowing one- provided she provide you with excellant care. This problem with the email is not a problem-- and if she makes it one-- it's her issue. If she was paying attention- she'd at least have you on some B vitamin regime to get that blood count up. BTW--are you on Folic Acid? The drugs we take all deplete our system of FA-- and it is essential to replace that. T- with you having Medicare as your Primary coverage, you have many MD's to choose from. They aren't going to turn down patients that have Medicare--as 80% of most practices are dependent on the 'retired'--over 65 crowd. Those of us that end up on Medicare (Federal insurance) as compared to straight Medicaid (State welfare insurance)-- constituent a huge part of their income. And it pays ok. So don't let the insurance thing stop you from changing MD's.This woman has no interest in treating anything other than high cholestrol, ear aches and being a "mom." Get out from under her idiocy.Love ya,Tracie

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I know you two, this was my profession too. She's been my medical doctor for 2 years, and now suddenly she thinks I need to go to a pain clinic, because I take 1 Lortab at bedtime, because my bones in my hips and legs ache and throb.. I'm glad my mom with me on Monday or else one of us would have ended up firing the other, I just hope I get to fire her before she does me.. plus my pulmonary doctor is in her office. I have two appointments on Friday, I may go looking for that patient advocate.

Thanks everyone for your support,

-- Re: md EMAILS & PRIVACY

Theresa,

My doctor's clinic has a President who is responsible for the clinic and all of the employees. I think if I were you I would report the "Pretty MD" to that person in your Doctor's practice for # 1 the quality of care she has provided and # 2 the lack of professionalism she has shown you. Also in the clinic where I go they have the following policy (and it is a good one I think)

Because of privacy issues, we do not engage in email conversations on personal matters or specific individual situations involving care

Tracie is absolutely right anything written down like that becomes part of your record. Any quality of care issue not to be in the record must be addressed outside of the patient care area. If they have a patient advocate, call her/him or go straight to the top. Do it over the phone and then in person if necessary but do it in an area outside of the doctor's office unless it is so small that is not possible.

Do you get surveys or phone calls from the clinic (??) about how the care was provided? I go to a clinic that has 125 physicians of all specialities. It has over 1200 employees, 12 different office sites, that includes an outpatient surgery, 3 walk in care clinics, etc. After each visit to any department you get a survey to complete on how the care was provided. About every 10 visits you get a phone call asking you if the visit went well and if anything could have been done to improve the care you received. There is a website where you can ask a patient advocate to call you if you have a problem and it lists a phone number wher you can reach that person. You need to find the energy somehow to locate a quality medical practice in your area.

I hate to say it but in this day of managed care it is sometimes hard to find really good care after you are already sick. If you have a good doctor beforehand they continue to care for you but if you are trying to find someone to provide good care when you already have a chronic illness it can be hard. And, this illness is an expensive one to treat with all the MRI's and other tests they do for us. I wish you well, I wish I could be there to go with you to the doctor, I kick some pretty good butt, just ask any of my kids.

Barb J.

tiodaat@... wrote:

I really am thinking hard about filing a formal complaint about her reading email that was not intended for her.. That's like opening someone elses mail.tERESA, I'm not saying this is right for her to do that-- but I think I know how it happens.When we send emails to our MD's- those become part of our "computerized" medical records-- and since it's part of your medical record-- all the MD's in the group can read it. Your real complaint here is that #1: Pretty MD thinks that sarcoidosis is not a health issue. #2: Pretty MD thinks that if she handles ie. your anemia- then she's done with you. #3: She is a graduate (bottom of the class) MD- and has yet to realize that all the crap that happens to us is inter-related, and she's the GP (General Practicioner) and she needs to be replaced. #4. If her partners are only going to cover her 'emergencies'-- then you need to find the energy to get the hell out of this group. They are all idiots. Tell her if she is offended by your email, that you would love to send a glowing one- provided she provide you with excellant care. This problem with the email is not a problem-- and if she makes it one-- it's her issue. If she was paying attention- she'd at least have you on some B vitamin regime to get that blood count up. BTW--are you on Folic Acid? The drugs we take all deplete our system of FA-- and it is essential to replace that. T- with you having Medicare as your Primary coverage, you have many MD's to choose from. They aren't going to turn down patients that have Medicare--as 80% of most practices are dependent on the 'retired'--over 65 crowd. Those of us that end up on Medicare (Federal insurance) as compared to straight Medicaid (State welfare insurance)-- constituent a huge part of their income. And it pays ok. So don't let the insurance thing stop you from changing MD's.This woman has no interest in treating anything other than high cholestrol, ear aches and being a "mom." Get out from under her idiocy.Love ya,Tracie

Want to be your own boss? Learn how on Yahoo! Small Business.

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I know you two, this was my profession too. She's been my medical doctor for 2 years, and now suddenly she thinks I need to go to a pain clinic, because I take 1 Lortab at bedtime, because my bones in my hips and legs ache and throb.. I'm glad my mom with me on Monday or else one of us would have ended up firing the other, I just hope I get to fire her before she does me.. plus my pulmonary doctor is in her office. I have two appointments on Friday, I may go looking for that patient advocate.

Thanks everyone for your support,

-- Re: md EMAILS & PRIVACY

Theresa,

My doctor's clinic has a President who is responsible for the clinic and all of the employees. I think if I were you I would report the "Pretty MD" to that person in your Doctor's practice for # 1 the quality of care she has provided and # 2 the lack of professionalism she has shown you. Also in the clinic where I go they have the following policy (and it is a good one I think)

Because of privacy issues, we do not engage in email conversations on personal matters or specific individual situations involving care

Tracie is absolutely right anything written down like that becomes part of your record. Any quality of care issue not to be in the record must be addressed outside of the patient care area. If they have a patient advocate, call her/him or go straight to the top. Do it over the phone and then in person if necessary but do it in an area outside of the doctor's office unless it is so small that is not possible.

Do you get surveys or phone calls from the clinic (??) about how the care was provided? I go to a clinic that has 125 physicians of all specialities. It has over 1200 employees, 12 different office sites, that includes an outpatient surgery, 3 walk in care clinics, etc. After each visit to any department you get a survey to complete on how the care was provided. About every 10 visits you get a phone call asking you if the visit went well and if anything could have been done to improve the care you received. There is a website where you can ask a patient advocate to call you if you have a problem and it lists a phone number wher you can reach that person. You need to find the energy somehow to locate a quality medical practice in your area.

I hate to say it but in this day of managed care it is sometimes hard to find really good care after you are already sick. If you have a good doctor beforehand they continue to care for you but if you are trying to find someone to provide good care when you already have a chronic illness it can be hard. And, this illness is an expensive one to treat with all the MRI's and other tests they do for us. I wish you well, I wish I could be there to go with you to the doctor, I kick some pretty good butt, just ask any of my kids.

Barb J.

tiodaat@... wrote:

I really am thinking hard about filing a formal complaint about her reading email that was not intended for her.. That's like opening someone elses mail.tERESA, I'm not saying this is right for her to do that-- but I think I know how it happens.When we send emails to our MD's- those become part of our "computerized" medical records-- and since it's part of your medical record-- all the MD's in the group can read it. Your real complaint here is that #1: Pretty MD thinks that sarcoidosis is not a health issue. #2: Pretty MD thinks that if she handles ie. your anemia- then she's done with you. #3: She is a graduate (bottom of the class) MD- and has yet to realize that all the crap that happens to us is inter-related, and she's the GP (General Practicioner) and she needs to be replaced. #4. If her partners are only going to cover her 'emergencies'-- then you need to find the energy to get the hell out of this group. They are all idiots. Tell her if she is offended by your email, that you would love to send a glowing one- provided she provide you with excellant care. This problem with the email is not a problem-- and if she makes it one-- it's her issue. If she was paying attention- she'd at least have you on some B vitamin regime to get that blood count up. BTW--are you on Folic Acid? The drugs we take all deplete our system of FA-- and it is essential to replace that. T- with you having Medicare as your Primary coverage, you have many MD's to choose from. They aren't going to turn down patients that have Medicare--as 80% of most practices are dependent on the 'retired'--over 65 crowd. Those of us that end up on Medicare (Federal insurance) as compared to straight Medicaid (State welfare insurance)-- constituent a huge part of their income. And it pays ok. So don't let the insurance thing stop you from changing MD's.This woman has no interest in treating anything other than high cholestrol, ear aches and being a "mom." Get out from under her idiocy.Love ya,Tracie

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