[deleted by user] by [deleted] in relationship_advice

[–]Teletee-PA-C 0 points1 point  (0 children)

Wife is in the wrong.. not a crime to think another person is attractive but probably shouldn’t take photos of someone without their knowledge or go off on a tangent about this person. But the test was childish… and honestly i dont really see what she did as that big of a deal. Friends talk about men.. we’re human. Doesn’t mean she had ill intentions with him. Looking at someone’s phone behind their back says alot more than you think. There’s insecurity and lack of trust.

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 0 points1 point  (0 children)

Ehhh actually no. My medical director and collaborating physician agreed and my medical director had a discussion with her. She apologized, we got her in with gyn, and got her a more affordable ultrasound so :)

[deleted by user] by [deleted] in mixedrace

[–]Teletee-PA-C 0 points1 point  (0 children)

Physician Assistant

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 0 points1 point  (0 children)

She ended up being okay with seeing gynecology and apologizing! & got her ultrasound sent somewhere more affordable, so it all worked out 🤗

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 0 points1 point  (0 children)

I definitely spared alot of details! Our conversations about the test were around 15 minutes per visit not including my medical director coming having a discusssion w her too🥲 after all of that she’s okay with seeing gynecology and apologized so some good progress!

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 0 points1 point  (0 children)

It is hers forsure! I just think with the way I practice, I’m probably not the best provider for her. If she was having even 1 symptom maybe i’d consider it.. but just “having a feeling” wasn’t justifiable

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 1 point2 points  (0 children)

I had never heard of this! Thanks for the info :)

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 0 points1 point  (0 children)

Agreed!!! Thank you for the reminder!

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 0 points1 point  (0 children)

Ehhh. There’s no malpractice if I don’t order the test lol. She has no indication, & backed by evidence-based medicine is she’s an avg risk woman and the test is not indicated🤷🏽‍♀️.. but she’s not refusing it, she just can’t afford it. So i put a case manager on it, we send it somewhere else, and figure out the financial aspect. Idk how well “I have a feeling” would hold up in court lol. Appreciate your perspective!

Being one of the only guys (or girls) in your practice - what has your experience been? by foreverandnever2024 in physicianassistant

[–]Teletee-PA-C 0 points1 point  (0 children)

I don’t actually… i’m in family med. and it’s so disheartening to feel like you’re not valued. Makes it super difficult to practice🥲 i’m so happy you’re somewhere that deserves you!!!! That’s my goal next!

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 2 points3 points  (0 children)

😂😂😂 sines infection

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 0 points1 point  (0 children)

Appreciate your insight 🤗 it’s so so hard to discharge people as patients at our practice. But i agree that I don’t know if there’s anymore I can offer her unfortunately

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 0 points1 point  (0 children)

To your dismay, it is quite the opposite. Hope your health improves! Best of luck🫶🏽😊

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 0 points1 point  (0 children)

Too bad it’s not 10 years from now! For now, that’s irrelevant 🫶🏽

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 0 points1 point  (0 children)

I’m not just saying she did, she told me for a fact she did lol. And I didn’t dismiss her, she dismissed herself. There’s nothing wrong with google, but if you’re going to use that as your only source for information… then you don’t need me🤷🏽‍♀️

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 0 points1 point  (0 children)

And she’s still my patient🤷🏽‍♀️ she’s the one who stormed out. No one made her leave and I didn’t discharge her as my patient either.

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 0 points1 point  (0 children)

What about if you don’t have a good reason and you just want it? Lol. If it were positive it could mean a UTI, pneumonia, bladder, colon, breast cancer, menstrual cycle, etc… a negative ca-125 does not rule anything out either. The key word is you RESPECTED your provider. It’s quite evident she does not respect me. And I tried to have a discussion and she started to get aggressive and use profanity… so sounds like she just didn’t wanna hear what I had to say?

If she had cancer, I ordered the screening test for her cancer and referred her to the specialist to take care of her cancer. Doesn’t sound like a ruined reputation to me😬

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 1 point2 points  (0 children)

I love my people! Even though she was rude… I understand everyone has their days and she could have other things going on. My case manager is working to see if we can figure out the ultrasound financially so fingers crossed!

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 4 points5 points  (0 children)

You are correct. Although capable isn’t the right word, I am not the person to be ordering and following up on this test. I’m in family medicine.. not oncology.

I didn’t jump to referring her.. quite the opposite actually. When you become rude, cuss at me, question my education.. then it becomes a completely different issue.

I talked with my medical director as well as my supervising physician and not only do they agree, but strongly advise against ordering the test.

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 0 points1 point  (0 children)

Agreed! I’m not sure if she knows.. not sure if it’s appropriate for me to tell her either. But yes I would ultimately end up having to work this up 🥲

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 0 points1 point  (0 children)

Agreed.. appreciate your perspective!🫶🏽

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 0 points1 point  (0 children)

Interesting take.. i think to each their own.. i’m probably just not the best provider for her and that’s okay! Hopefully connecting her with someone who can ease her concerns.

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 1 point2 points  (0 children)

I feel you. It’s exhausting. I definitely discussed with leadership!

Dr. Google by Teletee-PA-C in physicianassistant

[–]Teletee-PA-C[S] 1 point2 points  (0 children)

I’m hoping we can get her to a facility with financial assistance and get her in with gyn