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Medical Forum / General / Vision / May 2007

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My Cat-Doc Fired Me

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Ms.Brainy - 15 May 2007 22:12 GMT
I was scheduled for a cataract surgery nest week.  I sent in the
signed consent form a few days ago, with some added notes.  The doc
called me today and "fired" me, cancelling my scheduled surgery
because I "don't trust him".

The Form states the following:  "You have the right to ask any
questions you might have before agreeing to have the operation."  I
added:  "I reserve the right to ask additional questions."  The Form
states further:  "The doctor has answered all my questions to my
satisfaction".  I added:  "I request prior information about the type,
brand & Rx of the IOL to be implanted."

In addition, I chose the option of intermediate vision to be
supplemented by glasses, and rejected the multifocal and accommodating
options.

Obviously, the doc didn't like my attitude.  Well, I didn't like his
either.  He tried hard to push the crystalens implants and when I said
that I had some questions he was already at the door and said:
"What's your last question?"  Needless to say, I have no idea what he
was planning to give me.

It seems that cataract surgery is so common and profitable and done in
the assembly line method.  It's unacceptable to me, especially given
the history of my affected eye.  I presume doctors are subject to some
ethical guidelines and requirements, and I don't know whether
rejecting a patient who needs treatment is appropriate.

He said that I should find somebody else to do the operation and that
he would send me by email some recommendations.  So far I received
nothing.

Any advice of how to handle this?  I tried to call others from the
phone directory, but they have a long waiting list and I don't even
know anything about them.
spammer - 15 May 2007 22:40 GMT
Sorry you're back at square one in regard to looking for another doc,
but this may be a good thing. You want a surgeon who can handle tough
questions, after all they are your eyes, not his.
Gather up your records from him and don't look back, there are other
(better) docs out there.
Jane - 16 May 2007 02:38 GMT
Why don't you ask your retinal specialist for recommendations.  He/she
is probably savvy about who's good.  And I'll bet these referrals
won't push the Crystalens, which is made of silicone.  (Many retinal
surgeons abhor the use of silicone IOLs for their patients, because
the silicone can fog up during surgery and obstruct their view of the
retina.  The size of the Crystalens is also a problem for some retinal
surgeons, who complain that it blocks their view of the periphery of
the retina.  All things considered, the Crystalens may well be the
worst IOL for someone with a history of retinal pathology.)

You have every right to know about the type, brand and power of the
IOL to be implanted.  These issues should be discussed before the day
of surgery.  In 2007 few people perceive their doctor as an "all-
knowing" figure whom they blindly trust.
Don W - 16 May 2007 05:21 GMT
In 2007 few people perceive their doctor as an "all-
> knowing" figure whom they blindly trust.

 Could we skip the "blindly trust" in the last sentence.

Don W.
Ms.Brainy - 16 May 2007 06:00 GMT
>   In 2007 few people perceive their doctor as an "all-
>
[quoted text clipped - 3 lines]
>
> Don W.

It's a new age, Don -- the age of the Internet.  More and nore people
research their issues, seek and find information, and are no longer
puppets in the hands of the know-all doctor.  Not all doctors like
it.  For one, it's an obstacle in their pursuit for profit.  I receive
in my Inbox newletters for eye doctors on a regular basis and I read
the advice they share with each other on how to make more money.

Often we are offered procedures that are designed to increase their
income, and we should not trust them blindly.

I can assure you that I did not misbehave with my cat-doc.  He
rejected me only because I wanted to ask questions, which his consent
form expressly state that I have a right to, and apparently because I
refused the money-making Crystalens implants -- a reason that he did
not state, but is not hard to figure out.  I am a patient with a need
of treatment (the cataract is getting worse and my vision in the
affected eye is very poor), and IMO his action is unethical.

Unfortunately I don't know if all of them are not this way.  I "fired"
the first cat-doc who did not want to hear any of my concerns or
answer any of my questions.  Even if I was a horrible person (which I
am not), it's not a reason to deny me needed medical treatment.  I am
now in search for the next cataract surgeon.  I have now less
questions (thanks to the kind help I got from this group and other
information that I gathered on the internet), but I am not sure that
my next find will be any better.
Don W - 16 May 2007 17:26 GMT
I think you are being very wise in being cautious in initiating this
surgery.  The relationship between you and the "cat-doc" has to
psychologically fit.  If not, it's time to move on.  Although common,
I personally don't consider cataract surgery necessarily simple.
(Pick up any cat-surgery book).  And I am of the school, if receiving
an implant, I would like it as simple as possible.  I.E., no clap-trap
multifocal ones (with intermediate non focus areas (really!)).

 As far as the consent form, I did like "even death" as a possible
side effect/outcome.

Don W.
Mike Ruskai - 16 May 2007 10:06 GMT
>  In 2007 few people perceive their doctor as an "all-
>> knowing" figure whom they blindly trust.
>
>  Could we skip the "blindly trust" in the last sentence.

Why?  I think the above comment is wrong.  I think way too many people
still blindly trust professionals of all trades.  It's an atrocious
attitude.

Any professional, in any field, who doesn't explain the relevant
issues to a client when asked is merely a paid amateur.

Any person who simply calls in a professional for any task, and has no
interaction beyond accepting the bill when it's done, is asking for
trouble eventually.

Those conclusions apply tenfold when considering professional
healthcare, in my opinion.
Signature

- Mike

Ignore the Python in me to send e-mail.

Don W - 16 May 2007 17:31 GMT
On May 16, 2:06 am, Mike Ruskai
<BUTthann...@DONTearthlinkLIKE.netSPAM> wrote:

> >  In 2007 few people perceive their doctor as an "all-
> >> knowing" figure whom they blindly trust.
[quoted text clipped - 4 lines]
> still blindly trust professionals of all trades.  It's an atrocious
> attitude.

Mike, Lighten up, I was only trying to inject (outject?) a little
humor.

Don W.
Kazekage - 16 May 2007 19:40 GMT
"Mike, Lighten up, I was only trying to inject (outject?) a little
humor.

Don W."

No doubt, a select few participants among our group are plagued by the 'loss
of humor' disease. Symptoms often include 'inability to take a joke'. It has
been scientifically proven that humans have six senses, but are often
mistaken to have five due to the commonness of sufferers of this disorder
(I'm a sufferer myself at times). The cure: Start using your sixth sense, the
sense of humor. One is sure to be cured within a day.

Lighten up, fellas.

Let's put the HUMOR back into sci.med.vision, shall we?
Kazekage - 16 May 2007 13:03 GMT
Yeah, I agree with Mike, Don.

Ms Brainy,

I sympathize with your difficulties. But I'll give you some advice that may
help.

Most likely you've heard this countless times, but it is impossible to
exaggerate the importance of the following words;

Drink plenty of water.

Without hesitation I can attribute so many health problems that I have been
cured of since I started doing this. I commend you to drink a minimum of 12
glasses a day, or 2 liters a day, roughly a glass an hour. Of course, sip it
and don't try to take it all in one gulp, else you may well end up damaging
your liver.

My grandfather, who also has cataract like you, was told to do this by a
Japanese doctor. He tried it out - in fact he drowned himself in the stuff -
and believe it or not, the formation halted; the cataract disappeared within
a week. Left with not even a trace of the disease, he was completely cured,
and now sees near perfectly. I don't expect you to believe my story, in fact
I would be surprised if you aren't somewhat skeptical, but I ask you, please
follow that advice. Your body will thank you. Then you could give us feedback
in a week to tell us if your cataract got any better! =)

In fact, speaking of water, I recently found an article about the stuff.
(came with the newspaper 'The Guardian' today.)  I found it interesting, so
I'll type some of it out for you;

"WATER

THE MIRACLE DRINK THAT CAN CHANGE YOUR LIFE

*Next to the air we breathe, water intake is our most vital need. Giving
yourself a steady supply of water does your whole body a big favor.

Your body is 70% water, 80% in newborn babies.
Water makes up 80% of our blood.

It transports body waste, lubricates our joints, stabilizes our body
temperature and is a vital part of cells.

It is important that your body gets enough water. Water is necessary for our
body to operate efficiently. Water is vital to the body in temperature
regulation, nerve impulse conduction, circulation, metabolism, the immune
system, eliminative processes, sensory awareness and perceptive thinking.

On average people drink onnly eight ounces (one cup) of water per day. The
rest of the water the body needs must be extracted from other liquids or
foods that we eat. Not enough water is a real threat to the system. Many
chemical reactions inside the body will not occur without the right amount of
water.

It only takes a one percent of fluid loss in the body to become dehydrated,
which generally happens prior to any conscious sensation of being thirsty.
Very small shortages of water can dramatically change and disrupt
biochemistry. Exercise physiologists consider water as the single most
important variable in peak performance. Your muscles can lose up to ten
percent of their contractile strength and eight percent of speed from only
three percent dehydration.

The average amount of water loss per day is two cups through breathing, two
cups through invisible perspiration, and six cups through urination and bowel
movements. This is a total of ten cups lost per day without taking into
account perspiration from exercise or hard work, excessively dry air, or
alcohol and caffeine consumption.

Benefits of drinking water:

1. Water is vital to digestion and metabolism.

2. Water flushes out toxins and impurities.

3. Water helps to transport disease-fighting cells through the bloodstream.

4. Water in its pure form replenishes natural fluids depleted by caffeine,
alcohol and other diuretics.

5. Water is a key part of the body's cooling system.

6. Water enhances the human senses, and is known as the 'eye-restoration
drink' in the east for its curative properties which affect the eyes. It has
been known to fight against, or even cure, cataract.

How much water should we drink?

Drink plenty of water - *Try and drink 2 litres a day*. By the time you feel
thirsty you are already dehydrated and are more prone to physical stress as a
result, especially if you work in a dry, centrally-heated atmosphere.

OTHER BENEFITS OF DRINKING WATER

Water is thee all round miracle drink that can do wonders for your health.

Name any body part and you will find water is essential to keep it ticking
over.

Here are ten reasons to switch to water, whether it's bottled or from the tap.
"

*The article then gives some reasons to drink water, which might take me some
time to type out.*

Hope you get better, Ms. Brainy, or at least manage to find a good Doctor,

Best of luck,

-Kaze
Neil Brooks - 16 May 2007 19:10 GMT
[snip]

> Drink plenty of water.
>
> Without hesitation I can attribute so many health problems that I have been
> cured of since I started doing this.

[snip]

> My grandfather, who also has cataract like you, was told to do this by a
> Japanese doctor. He tried it out - in fact he drowned himself in the stuff -
> and believe it or not, the formation halted; the cataract disappeared within
> a week. Left with not even a trace of the disease, he was completely cured,
> and now sees near perfectly.

[snip]

Sadly, your fervent and unwavering belief just doesn't make it so.

Post hoc ergo propter hoc

 http://en.wikipedia.org/wiki/Post_hoc_ergo_propter_hoc

Ask Mike Tyner about the effectiveness of the elephant repellent spray
he has used steadily for many years.  Elephant-free since, I'm told.

Let's put the SCIENCE back into SCI.med.vision, shall we?
Ms.Brainy - 16 May 2007 20:02 GMT
> Ms Brainy,
>
[quoted text clipped - 5 lines]
> and don't try to take it all in one gulp, else you may well end up damaging
> your liver.

I like the idea of getting rid of a cataract by drinking water!
I also heard that sugar pills can do the job.
But where can I get this anti-elephant powder?

Kaze dear, for an outdoor kinda girl you do too much Internet
research, which may not be good for your deteriotrating vision, unless
you use the plus lenses, drink a lot of water WITH sugar and well
protect yourself from invading elephants.  How about flying lessons
instead of all this readin & ritin'?  You may chew your carrots while
in the air.
William Stacy - 16 May 2007 21:58 GMT
>I was scheduled for a cataract surgery nest week.  I sent in the
>signed consent form a few days ago, with some added notes.  The doc
>called me today and "fired" me, cancelling my scheduled surgery
>because I "don't trust him".
>
>  

I say good riddance.  Start by requesting your entire file.  You might
have to pay a few bucks for the copying, but get the whole file copied
and take it to your next doc.  Tell him/her the situation and see what
you get.  You might even make several copies of the file and send it to
several prospective docs.  I like the idea of calling your friendly
retina specialist and asking him/her whom they would choose for cataract
surgery on themselves, or to whom would they refer the most challenging
case...

w.stacy, o.d.
 
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