Does my doctor not know how to read?

@TheHorse (205716)
Walnut Creek, California
November 12, 2016 1:56pm CST
Years ago, I had an excellent doctor at Kaiser, here in California. She treated me like I was intelligent, explained everything she was doing, and made me feel well cared for, both personally and medically. Then she retired. Since then, it's been a struggle to find a decent general practitioner at Kaiser. Maybe I've just had bad luck. My latest doctor has the bedside manner of a marmot, and I don't get a sense that he would care that much if I fell off a cliff and turned into a turkey vulture buffet. Recently, my 93-year-old Aunt, my best friend right now, started taking Neurontin for the burning pain in her head. She's a retired psychologist, but not a physiologist, and had no idea how the stuff worked. She doesn't use the internet. I told her I'd research it for her. When I discovered that its real name is Gabapentin, and that it blocks neural pathways in the brain, I became curious about how similar it is to anxiety-reducing benzodiazepines like Valium and Xanax. I know from teaching psychology classes that Valium and Xanax increase the neurotransmitter GABA, which itself is an inhibitor, meaning that Valium and Xanax basically "quiet the brain down" a bit. So I emailed my doctor, telling him about my Aunt and asking him very clearly (y'all knows I rights pretty good) if Gabapentin was chemically similar to Valium. He wrote me back with a one sentence e-mail saying something like, "Call for office visit and we will discuss Neurontin for your lower back pain." I wasn't asking about Neurontin for my lower back pain! Does this guy not know how to read? How did he get through college and medical school? I did get an answer to my question, but it was from a pharmacist I called after tearing most of my hair out, smoking five cigarettes, drinking half a bottle of Scotch, and eating a small child, which I rarely do. Is your general practitioner better than mine?
28 people like this
29 responses
@marlina (154166)
• Canada
12 Nov 16
I had one doctor misdiagnosed my problem and that cost me dearly. It seems that a lot of doctors these days are only interested in their "investments".
2 people like this
@TheHorse (205716)
• Walnut Creek, California
12 Nov 16
Investments as in money? I had a "specialist" misdiagnose my torn ACL, causing me to miss an entire softball season. The Donald Trump in me (OK, The Horse in me) is ticked off that the specialist was Chinese and couldn't understand me when I explained the symptoms to her. Guess who told me to go get an MRI immediately: my (good, now retired) general practitioner, who HAD been a specialist in sports medicine!
1 person likes this
@nanette64 (20364)
• Fairfield, Texas
13 Nov 16
Not to mention that the pharmaceutical companies give FREE cruises and vacations to doctors who will prescribe their medications @marlina .
3 people like this
@TheHorse (205716)
• Walnut Creek, California
13 Nov 16
@nanette64 Oh, that is true. And the "hire" doctors to do studies, testing the efficacy of their meds on patients.
1 person likes this
@NJChicaa (115992)
• United States
12 Nov 16
I take Gabapentin for anxiety. My psychiatrist put me on it a couple of years ago and it has been wonderful. No more panic attacks.
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
12 Nov 16
Interesting! Had you already tried SSRIs and benzodiazepines? Does it make you sleepy? That's my Aunt's biggest complaint.
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
12 Nov 16
@NJChicaa SSRIs can work for anxiety as well. Thanks for adding to my store of information. I hadn't realized that Gabapentin could be used for anxiety.
1 person likes this
@NJChicaa (115992)
• United States
12 Nov 16
@TheHorse I am on an SSRI for depression. The gabapentin is for anxiety. It doesn't make me sleepy at all but, again, I've been on it for almost 2 years now.
1 person likes this
• United States
12 Nov 16
Nowadays it seems like doctors are lazy no offensive.. I went in for 'hives' with a different doctor because mine wasn't available , she said it's okay and printed me a paper about hives. The paper about hives wasn't even a document she wrote it was just a summary from internet. I mind as well self diagnosis myself. I am trying to find a doctor at the moment because I have a new insurance company.. My most recent visit, I asked the nurse about the new patient form - she said she didn't know. She didn't bother looking.. Then she asked me questions as if I was dumb... are you depressed? you know the one where you are alone? by yourself... Each question she asked, she explained it when I clearly understood.
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
12 Nov 16
Did you...um...say: Yes, ma'am, I am not developmentally delayed and I *do* speak English?
1 person likes this
• United States
12 Nov 16
@TheHorse More like she couldn't speak English properly thats why she kept having to give ME examples so she can understand the question..
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
13 Nov 16
@infatuatedbby Many of our doctors are from another country. But most speak English well enough. However, the lady who misdiagnosed my ACL tear, causing my to miss an entire softball season, spoke mostly Chinese and did understand what I was saying as I described my symptoms.
@Jessicalynnt (50525)
• Centralia, Missouri
14 Nov 16
I find that pharmacists are really good for these types of discussions and not atm no, my good one retired
1 person likes this
• Centralia, Missouri
14 Nov 16
@TheHorse prob best
@TheHorse (205716)
• Walnut Creek, California
14 Nov 16
I think I'll continue to call pharmacists when I have "intellectual" questions about medicines related to psychology.
1 person likes this
@pgntwo (22408)
• Derry, Northern Ireland
12 Nov 16
A good GP is worth their weight in bedside manner...
1 person likes this
@pgntwo (22408)
• Derry, Northern Ireland
12 Nov 16
@TheHorse Hopefully not!
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
12 Nov 16
@pgntwo They seem to be.
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
12 Nov 16
Why are doctors with good bedside manner a dying breed?
1 person likes this
@JudyEv (325759)
• Rockingham, Australia
13 Nov 16
Vince's is great but I've yet to find a really good one. Luckily (touch wood) I rarely need to go to a doctor. I'm sure many people don't really read emails. They might start to but then imagine where it's going and reply with that in mind.
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
13 Nov 16
Sigh. That doesn't seem very responsible!
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
13 Nov 16
@JudyEv If my Dr. had just said, "I'm not sure. Check with a pharmacist," I would have been happy.
1 person likes this
@JudyEv (325759)
• Rockingham, Australia
13 Nov 16
@TheHorse Government departments and places that you should be able to rely on go off at tangents and rarely answer your questions, no matter how specific they are.
1 person likes this
@snowy22315 (169941)
• United States
13 Nov 16
I haven't been too impressed with the last two medical practitioners I have seen,,,but you kind of take what you can get here in the boonies!
1 person likes this
@snowy22315 (169941)
• United States
16 Nov 16
@TheHorse Virginia
@TheHorse (205716)
• Walnut Creek, California
16 Nov 16
Where are you again?
@celticeagle (159008)
• Boise, Idaho
13 Nov 16
That is a shame. I would be infuriated. I have been rather lucky to find good doctors here. I would keep looking. Can you research online? You might have to go to another city hopefully nearby. So, I take it you don't have friends around that you could ask who they see......?
1 person likes this
@celticeagle (159008)
• Boise, Idaho
13 Nov 16
@TheHorse .....If you aren't happy with what you have I certainly would. Gotta be a good one in the bunch somewhere.
@TheHorse (205716)
• Walnut Creek, California
13 Nov 16
Oh, I've done that. But only some have Kaiser. I think I may start looking again.
1 person likes this
@LadyDuck (458085)
• Switzerland
13 Nov 16
Yes, our general practitioner is definitely better than yours. He did not want to reply, because I wanted to charge you if you went there for a "visit".
1 person likes this
@LadyDuck (458085)
• Switzerland
13 Nov 16
@TheHorse No, I do not want to charge you, I think your doctor wanted to charge you. I know that they usually do not reply to the emails but ask to go to see them. Cheaters!
@TheHorse (205716)
• Walnut Creek, California
13 Nov 16
You wanted to charge me? Can I pay in coasters?
1 person likes this
@Tampa_girl7 (48929)
• United States
16 Nov 16
We are blessed to have had the same doctor for twenty years and he is only one year older then me. He shouldn't be retiring for awhile
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
16 Nov 16
I'd like to find someone truly concerned with my health. Consider yourself blessed in that way.
@nanette64 (20364)
• Fairfield, Texas
13 Nov 16
I think I'd have made the appointment just so I could have smacked him in the head @TheHorse . I had a doc like that one time and by the time I got done with him he was crawling out of the room. You did right by going to the RPH; they are the ONLY ones who know about meds and their affects. The doc that I have now knows that from our very 1st sit down that #1, I'm not stupid and #2, he better listen to me OR ELSE.
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
13 Nov 16
So you...um..."reamed him another one," to put it politely? I'm tempted to do the same to my Dr. In an appropriate and soft-spoken manner, of course.
1 person likes this
@HazySue (39264)
• Gouverneur, New York
15 Nov 16
He seems to be. It does make you wonder if he actually did read what you wrote.
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
16 Nov 16
He must have at least seen the word Neurontin.
1 person likes this
@teamfreak16 (43421)
• Denver, Colorado
12 Nov 16
I go through the VA when needed. No problems so far.
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
12 Nov 16
Glad to hear that. I hear stories of the VA being slow...
1 person likes this
@teamfreak16 (43421)
• Denver, Colorado
12 Nov 16
@TheHorse - Me too. But never had a problem so far.
1 person likes this
@ms1864 (6886)
• Bangalore, India
13 Nov 16
Doctors here are good..they would answer any questions we have.. But I have had this experience when communicating with other businesses online....they just blank out ignore the question and answer something that is irrelevant to what i was asking.
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
16 Nov 16
I wonder if they just send you a canned response.
1 person likes this
@ms1864 (6886)
• Bangalore, India
16 Nov 16
very possible. ...
@vandana7 (98826)
• India
13 Nov 16
I always go to a lady doctor who is a homeopath. Been with her for over 20 years now. Homeopaths listen patiently. They also have some knowledge about allopathic medications. May be you want to try them for a change. They don't cost much and they sure know how to admit when they don't have any more help for you.
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
13 Nov 16
Interesting that homeopathic doctors are better listeners. If I were better at self-marketing, I'd love to do trainings for Mc Doctors (a McDonalds reference) in "active listening." It's not that hard to do.
1 person likes this
@mythociate (21437)
• Oklahoma City, Oklahoma
3 Apr 17
Yes. My doctor--Dr. Mercer--is an osteopath. I'm getting a new doctor tomorrow, because Dr. Mercer retired or can't treat me anymore or something ... but I'm sure this one'll be okay (I think Dr. Mercer suggested them). The deal with most doctors--which I feel I kinda have to tell each new one --is that 'their money' isn't "treating patients well"; it's (and here's where I sound like a conspiracy theorist) 'pushing the products of the pharmaceutical companies."
@Jackalyn (7559)
• Oxford, England
12 Nov 16
I definitely think my doctor is better than yours.
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
12 Nov 16
Glad to hear that.
@yukimori (10144)
• United States
12 Nov 16
I've found that in general my pharmacists are much more informed about the composition of the medications I'm on than the doctors that prescribe them. I think gabapentin affects the release of glutamate rather than its uptake, and if I remember correctly it inhibits the release of it rather than increasing it. It's actually been the only thing that really, 100% worked to help my fibromyalgia pain, but I can't take it because of side effects. Hopefully owning up to eating the small child won't get you into too much trouble...
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
12 Nov 16
I just got this from Wikipedia: "Gabapentin affects the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) but how it works is otherwise unclear." Apparently it was manufactured to mimic GABA, but actually works more on other pathways. They're not sure which! I do recall seeing something about glutamate as I was doing my research, but I can't remember what the tie-in was. I find young children to be poorly marbled, and will try to avoid eating them in the future.
1 person likes this
@MALUSE (69413)
• Germany
13 Nov 16
Yes. The physicians I've had contact with behave well. If I don't understand what they're saying, I tell them so. I stress that medicine is not my field. I don't want them to think that everyone who doesn't understand their gobbledegook is intellectually challenged.
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
13 Nov 16
I wonder if I intimidate my (not so good) doctor because I know some things (from teaching psychology) that he (apparently) doesn't know. With my old doctor, she knew a lot, and if I threw her a "curve ball," I'm sure she would have wanted to look it up together.
• Jacksonville, Florida
13 Nov 16
I have trouble trusting doctors more and more, as each year passes.
1 person likes this
@TheHorse (205716)
• Walnut Creek, California
16 Nov 16
I do too. I don't like it when I know more than they do about their field.