Okay, Jennifer, now it's time to play guts baseball (if you don't know the idiom, ask some kid, a boy).
If everything you tell me is factual (I don't care about paraphrasing), I smell incompetance and negligence.
Your consent for the ultrsound was not informed. In many states this is battery and malpractice. You should not have been given choices since you have not the knowledge to know the value and usefulness of, or the indications for, each. Did your doctor tell you what she would be looking for with each modality? Did she explain the costs of each and dicuss the cost effectiveness? Did she tell you what plan she had for followup of each if the result were positive or if negative?
Ask her the name of the gastroenterologist and for a copy of the consultation report. If she says it was oral, call the specialist's office to confirm that indeed a consultation occurred. Were you charged for a consultation?
Ask her office staff for a copy of the ultrasound request. What did she tell the radiologist? What did she give as the indication for the study? Request your entire file.
If your request is refused, present the staff with a written request for your file. They must give it to you. The patient's file is the patient's property, not that of the doctor or the practice. This has been upheld by judges in every state in which I have practiced or consulted in health care malpractice cases.
If you are told that they will forward it to the office of the doctor of your choice, get back to me.
We will work together to evaluate your care to this point and to have you undergo a complete and thorough evaluation at a center of excellence. You might end up traveling to Columbia. (I do understand the financial constraint. Ours is a state-owned organization. The hospital must be self-supporting, but about half of our patients have no insurance and have limited funds; they are cared for under special arrangements.)
I never claimed to work miracles, but I've never walked away from someone in need. (I just received a message from a lady, thanking me for "forcing" her mother to call an ambulance.)
By the way, I don't charge for this kind of activity. However, if you were Bill Gates' wife, no, Steve Jobs' (I'm a Mac man and hate Windows), I'd ask for a new MacBook (joking, I have one).
Feel free to show this to your doctor.
To contact me away from JA, [email protected] [email protected]
The web site is http:/web.mac.com/wisenash/
Teaching Doc (retired professor)
aka / Frank Nash