Wednesday, March 23, 2011

medical professionals

As I mentioned previously, my husband and I started seeing a Reproductive Endocrinologist in January.  What I haven't mentioned are my growing concerns that the doctor's office is staffed with people that are completely incompetent.  Here's a brief history of the issues I've encountered over the past three months:
  • I've been to the clinic three times, and all three times involved some sort of scheduling mishap on the part of the clinic.  They pushed back my first appointment because the doctor was on vacation.  I almost missed my blood test appointment because the nurse told me to come at 8pm (not 8am, the actual time of the appointment).  The worst mishap occurred on my third appointment, when they told me my appointment was on the "first Friday in March".  When I arrived on March 4th, they said "oh, sorry... your appointment is on March 11th".  As a result of these mishaps, I won't have access to treatment until April when I could have started in February if everything had gone smoothly.
  • At my first appointment in January, the doctor told me I had to take several tests, including HIV and Rubella tests.  I told him that I took those tests in August per my OBGYN's order.  He looked at my folder, flipped through the paperwork, and said "oh, well... I haven't reviewed your test results yet".  He then proceeded to write an order that included HIV and Rubella tests.
  • At my March 11th appointment, the doctor recommended IUI (artificial insemination) with Clomid.  This was the least invasive procedure, and I would be able to start the Clomid that day.  Perfect, I said, let's do that.  He said I should meet with his nurse to work out the details.  The nurse told me that I couldn't start Clomid today, because a) I'm on the 4th day of my cycle, and Clomid has to start on CD 3, and b) my insurance company hasn't approved this course of action yet.
  • Today I received an invoice for the blood work that occurred in February.  I was charged the full amount for the blood work because the doctor's office gave the lab the wrong insurance information.  Now I have to call the lab to get this straightened out.
I'm completely puzzled by this entire situation.  The doctor keeps telling me that I need help with stress management, and yet his office is creating some of my stress.  

Regardless, the doctor gave me somewhat good news.  He said my test results are completely normal, and that I should have no problem getting pregnant.  He would have known that sooner, though, if he had read my OBGYN's notes back in January.

UPDATE:  I tried calling the lab to fix the insurance mistake, but the phone number included on the bill was out of service.  I eventually found another phone number via Google, and fixed the error.