Friday, September 18, 2009

personality and bedside manner

So Jeff's urologist appointment was less than stellar in my opinion... and the bedside manner needs a bit of work as well. After waiting over an hour to be called in, the doctor decided that even though he has struggled with chronic intermittent pain for 20 year now... there is little he is comfortable doing right now in fear it will make his situation worse rather than improve it. Since the pain usually is tolerable and he can usually go through an average day as usual, doing anything invasive to correct the problem is not advisable. (as long as he can "rise to the occasion" successfully, we should leave well enough alone) Not to mention that he thinks Jeff is a medical anomaly with several issues at play that are hard to diagnose in one visit. An invasive prostate check later, the doctor believes it may be an infection in his prostate causing the frequency of the pain to increase lately. So he is to take antibiotics for 30 days and have a follow up appointment to see if it made any difference with the pain.

After all, he has dealt with it for twenty years... what is another month? Doctor's words-not mine.

No need to address the varicocele or the hydrocele as it is minor, no blood drawn.... nothing. He got his temp and blood pressure from the nurse and a five minute exam with the doctor.

When asked about fertility issues, the doctor promptly stated that not only is he not interested in the fertility aspects of the problem, but he does not believe any medical intervention on his part will improve his morph/motility. "You should consider artificial insemination at this point," he said. Artificial insemination? Obviously he has no interest in it. I haven't heard it referred to as artificial insemination by a medical professional in... well ever. But I nodded my head like a good girl and mentioned we are already in the process of pursuing it. He mention he will be happy to refer us to a male fertility specialist if we would like, but he cannot help us there.

So here we are, another specialist appointment under our belts, half a day lost and we are nowhere closer than before. His numbers are not likely to get better, his pain will be chronic and we will need IUI. Although I appreciate to good doctor's opinion and have no reason to think he is not trying to help, but wow... the personality needs a little work. Perhaps some compassion even is in order.

Who do I make the check out to?

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