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Author Topic: Seeing Dr.'s w/ in the same group?  (Read 1442 times)

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Offline dorsia

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Seeing Dr.'s w/ in the same group?
« on: July 28, 2008, 06:44:16 PM »
I live in Austin been going through some knee issues for 9 months. Early on in the process I saw a Dr. who I did not like and only went once. Since then, about 9 months later I have gained more knowledge and also been referred by multiple people to another Dr. who happens to be in thr same group with this first Dr. Now the new Dr. refuses to see me because he says I saw a dr. in thr group already.

Its very frustrastion because this new guy seems to get really good reviews and he seems to specialize on the knee and specifically cartilage issues which I think I have. The other guy is just a general ortho.

Is this common? Has anyone else experienced this?

Thanks
10/08:
Right knee Scope. Medial plica removal, partial fat pad removal. Smoothed bump on kneecap.

1/09: still doing rehab but can't get quad to fire well. Pain up and down stairs and long walks.

Offline Skinnycatz

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Re: Seeing Dr.'s w/ in the same group?
« Reply #1 on: July 29, 2008, 04:32:14 PM »
That's ridiculous...I saw a different doctor in the same group before.  It actually happened because the first doctor didn't have an opening when I could go and I needed to get in at a certain time.  Your reasoning is even better because the new doctor specializes in the type of knee problem you have!  I would call again and explain this reasoning if you haven't already.  Maybe contact the first doctor and see if he might be reasonable and refer you to the second doctor.  Are there any other knee specialists you could see?  Ratemds.com is a good site for finding out what other think of doctors.  Also on about.com there is a section on how to find an orthopedic surgeon with an area to seach for all of the doctors with a certain distance from your home.  Also, some of the doctors that come up on the search are linked to websites with more information such as their speciaties.  Hope this helps!

Francine
Diagnosis: CMP, torn lateral meniscus.
Meniscus trimming, chrondroplasty 2/14/03.
Meniscus trimming (lateral again) chrondoplasty 8/3/07
Grade III/IV Chrondomalacia kneecap
Meniscus trimming (tear in front of lateral) 4/18/08
Left TKR 7/15/10

Offline Carolyn2112

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Re: Seeing Dr.'s w/ in the same group?
« Reply #2 on: July 29, 2008, 05:10:40 PM »
I couldn't agree more with Francine, that is NUTS.  I have seen two Dr.s in the same practice before, for exactly the reason you stated! The first Dr told me to make an appointment with his collegue because he was much better versed in my issues.   :P

I would try to explain again.  Even flatter them a bit and tell them how highly recommended the second Dr is.   ;)

Good luck and don't give up!

Carolyn
2/94 - Modified Hauser, Lat. release
10/96 - Removed surgical pin
9/03 - Debridement
5/05 - Fulkerson's
7/08 - Debridement, Scar tissue removal
2 rounds Synvisc - No help
PJFR Upcoming

Offline jathib

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Re: Seeing Dr.'s w/ in the same group?
« Reply #3 on: July 30, 2008, 12:10:14 AM »
Some practices have a policy about seeing other doctors in the group. It sucks but that's the way it is. The one I go to has several doctors and some specialize in certain things like joint replacements so they will often refer you to someone else. If you push the issue they will usually let you see someone else. You need to call and talk to the office manager instead of the person answering the phone. They often just do what they're told and don't have any authority to do otherwise.

Offline dorsia

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Re: Seeing Dr.'s w/ in the same group?
« Reply #4 on: August 05, 2008, 05:48:48 PM »
Thanks for the feedback. Yeah everyone I talk to says its crazy. I have pressed them several times but they won't change their mind. Its to teh pt where I am concernced even if I get the new guy I am not sure how well he will treat me becuase they seem so paranoid about office politics.

10/08:
Right knee Scope. Medial plica removal, partial fat pad removal. Smoothed bump on kneecap.

1/09: still doing rehab but can't get quad to fire well. Pain up and down stairs and long walks.

Offline K Johnson

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Re: Seeing Dr.'s w/ in the same group?
« Reply #5 on: August 05, 2008, 06:01:02 PM »
Hi Dorsia. I'm not sure how things work in the States but cant you just go to another practice?
4 x Athroscopy
Lateral Release
TTT
Microfracture
Patella Femoral Replacement.                                                TKR 31/05/2016

Offline dorsia

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Re: Seeing Dr.'s w/ in the same group?
« Reply #6 on: August 05, 2008, 06:43:35 PM »
Yeah I can. Just been to 3 different guys here in Austin and the knee docs don't seem great here. During this whole process I have repeatdley heard good things about this new guy, so its frustrating that I can't go there.

I have been super diligent on rehab, stretching, stregth, everything under teh sun. I am a very fit person. I think I need someone to take a look inside. I just want to get teh best guy possible. Don't want some hack to take a look and just start cutting stuff out and be in worse shape.

I think I have some cartilidge problems. Articular cartilidge behind teh knee cap and potentially elswhere. Teh stuff I have read doesn't make things sound so great but I guess things could always be worse.

I have probbaly spent $5k on Dr. appts, mri's, rehab, massage, rehab equipment, books, chiropractor care, ART sessions, Its amazing sometimes I am talking to these Dr.'s and I feel like I know more about some of this stuff than they do. A lot of them still talk about articular cartalidge and meniscus like they are the same. They just seem to refer me to PT after talking for 5 mins. Just seems like teh current ortho world has deferred everyhting to PT. And there is no communication bectween teh PT and Dr.s. Oh well I will get off teh soapbox now.


Just would be amazingly frustrating if I resign myself to not being active for the rest of my life (33 now) if it turns out a little scope would help. My parents are 62 and still run almost everyday. I havn't run in 9 months or biked much. Oh well I know there are people much worse off than me.
10/08:
Right knee Scope. Medial plica removal, partial fat pad removal. Smoothed bump on kneecap.

1/09: still doing rehab but can't get quad to fire well. Pain up and down stairs and long walks.

Offline Skinnycatz

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Re: Seeing Dr.'s w/ in the same group?
« Reply #7 on: August 05, 2008, 11:05:27 PM »
What does your MRI show?  What are your symptoms? 

I agree that being cautious about surgery is important.  I had the first scope thinking it would enable me to run again...but never could.  Things got less painful eventually and I went back to step classes and overdid things there.  Since March of 2007 it has been all downhill.  My advice is not to get a scope thinking it will make you more active, just do it if it will reduce pain and restore function.

Francine
Diagnosis: CMP, torn lateral meniscus.
Meniscus trimming, chrondroplasty 2/14/03.
Meniscus trimming (lateral again) chrondoplasty 8/3/07
Grade III/IV Chrondomalacia kneecap
Meniscus trimming (tear in front of lateral) 4/18/08
Left TKR 7/15/10

Offline dorsia

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Re: Seeing Dr.'s w/ in the same group?
« Reply #8 on: August 06, 2008, 02:03:11 AM »
Thanks for the response. Its been a real journey.

I was training for mu first marathon and my knees were a bit achy but nothing too bad. Then I was swimming deep into my training program and kick to hard when my leg was stiff and ever since its never been the same.

I was actually able to get back to biking a lot but that has even gone away in teh the past 3-4 months.

My first MRI was negative on everything except slightly thinckended plica, which the dr. didn't think was a big deal. So i did teh whole rehab routine and then shot which I wish I didn't get.

I think things really got wrose when I went to see a new PT person and she did this stupid "core test" on me where she pushed my hips and my body rotated while i stodd on one leg. Really mad they did that.

Well I had basically given up when I went to a Chiro / ART guy here in AUstin that is really respcted. He thought since my sysmptoms were basically stiffness and weight bearing pain after 20+ minutes of standing and walking that it was probably articular cartilage issues. He presribed an arthrogram and MRI w/ dye injection.

The mri w/ dye said I had a full thicknes fissure of the cartalidge behind my patella. While this probably explains the tingling feeling i get on my kneecaps every now then I am not sure that explains my weight bearing pain when just standing still for more than 20 mins. Basically I am ok for everyday stuff but once I try to walk for more than 20 mins or long day of walking, satdning around my leg gets really achy and sore. So basically since I can't walk much or stand for more than 20 mins I havn't thought it makes much sense to start running.

The thing that is frustrating is that I told myself to just focus on biking and I actually got up to doing 2-3 hr rides w minimal pain or stiffness. But ever since that 'core test' never been able to do much more than  alight 30 - 40 mins.

Just wondering if maybe somehting else is going on there like  a small tear somewhere that could maybe be sowed up. The dr. 's always say everyhting doesn't show up on teh MRI's. I wonder how often this happens.

SO you think it dangerous to get a scope if teh MRI doesn't show much?

Thanks

10/08:
Right knee Scope. Medial plica removal, partial fat pad removal. Smoothed bump on kneecap.

1/09: still doing rehab but can't get quad to fire well. Pain up and down stairs and long walks.

Offline Skinnycatz

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Re: Seeing Dr.'s w/ in the same group?
« Reply #9 on: August 06, 2008, 04:40:21 PM »
Hi...

Geez...it sounds like this "core test" really could have torn something that was "weak" and ready to tear.  If your patella issue was there before and not after the "core test" then something else might be torn like the meniscus.  The patella issue (I know because I have grade III/IV behind mine) would cause you to not like standing in one place and walking around too much.  I have a lot of problems with this...it makes longer shopping outings really difficult.  I also have inflammation issues too which make things even worse. 

If you were strong enough to be training for a marathon, your quads would probably be OK for a diagnostic scope.  Would your OS do one?  What does he think needs to be done?  What kind of shot did he give you?  If you got a cortisone shot, it shouldn't have messed you up or anything.  All it would do is not help! LOL
Before you go under the knife though, I would make sure you got a real expert to do it.  At my PT, they have seen people who had scopes by OSs who were not very good surgeons and they told me I was lucky that my OS is a good surgeon because a bad one can really mess you up...you can be swollen up like a balloon for months.  I didn't have very much swelling at all but too bad the scopes didn't solve my problems! 

What about going to another city to find someone good?  It might be worth the trip.  Houston or Dallas might be better...how far is Houston from you?  I am a CA girl but I used to live in Lousiana (my mom and sister are still there) and have been to Houston and Dallas several times.  I think Houston is more "modern" and you might have a better chance findng a real expert there.

Francine
Diagnosis: CMP, torn lateral meniscus.
Meniscus trimming, chrondroplasty 2/14/03.
Meniscus trimming (lateral again) chrondoplasty 8/3/07
Grade III/IV Chrondomalacia kneecap
Meniscus trimming (tear in front of lateral) 4/18/08
Left TKR 7/15/10

Offline dorsia

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Re: Seeing Dr.'s w/ in the same group?
« Reply #10 on: August 06, 2008, 04:50:03 PM »
Thanks, yeah i need to look for a new OS.

I have not find one i like. I was going to Dr. Spears here in Austin that seems respected but he just seems to busy and always tells me to do more PT. I think he would have me doing PT at his place til I am broke.

I may look at Houston or Dallas.

Thanks

Chris
10/08:
Right knee Scope. Medial plica removal, partial fat pad removal. Smoothed bump on kneecap.

1/09: still doing rehab but can't get quad to fire well. Pain up and down stairs and long walks.

Offline JustMeInNC

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Re: Seeing Dr.'s w/ in the same group?
« Reply #11 on: August 06, 2008, 09:39:46 PM »
Nope i have not run into this. In fact I started with the OS that my husband uses and he referred me to another one in the same group who didnt know what to do with me and he sent me to another doc in the same group who so far i have been happy with
I'm so busy that I'm not sure if I lost my horse or just found my lead rope.

1989 - Right Knee - don't rember what they did
1997 - Right Knee - Orthoscopic clean up again
2000 - LR on left knee
2001 - LR on right knee
2008 -LR on right knee (again)
9-18-2009 - Maquet osteotomy right knee