This is my 1st post on this (or any) weight loss surgery forum. I am a labor/delivery nurse with years of experience in the medical field. I had struggles with weight issues my entire life due to fighting the often misunderstood issues of insulin resistance, Hashimotos thyroiditis, adult ADHD, and PCOS. I believe the main reason these problems are under-treated is due to the fact that none of them cause pain or morbitiy. However, they cause MAJOR quality of life issues as anyone with ANY of these problems can attest to. Its often difficult to find a doctor who will listen and try to help with "quality of life" issues. October of 2010 I got gastric bypass with Dr. Christopher Evanson from Meridian Surgical group with a startiing weight of 212 in hopes of curing my hyperinsulinemia and the quality of life issues that come with it. 4 months later I am 172 pounds.
I did not have any problems with my surgery and was released 23 hours later. As a nurse, I know what to do for a successful post-op period, and the group is very sufficient with pre-op education on dietary reccomendations and vitamin supplementation. I have been following the reccomendations to a "T." My 1st follow up with Dr. Evanson went well. He answered questions and did not rush me. He remembered me personally despite a huge practice and educated without hesitance. My opinion of Dr. Evanson and his office has always been a positive one...until yesterday
Yesterday I had myeavily anticipated 4 month follow up appointment. Being that I scheduled an appointment with my Doctor, Dr. Evanson, I was surprised after driving 90 minutes to get there I was informed I would be seeing his Physicians Assistant, Kami Shaw. Ms. Shaw was the rudest, most intolerable, unaware "physician" I have ever met in my entire life. I am honestly shocked to my core a group of their prestige would hire such a hot head. This woman is the EPITOME of "because I'm the doctor" when you ask a question. I am very proactive in my healthcare. I do not call their office for every little concern I have. In fact, I have not called their office ONCE post-op. I am couteous of their time and write down my questions in between office visits (every FOUR MONTHS) so I can get them all out in one visit instead of taking up all their time.
However, Kami Shaw tries to answer your questions without rationale, and without knowing your history. Her 1st question to me when I walked in was "what kind of surgery did you have." This alerted me she was not familiar with anything but my name-much less some major metabolic issues I have. My questions were geared toward malabsorption of medications. She was not prepared, unaware of my history, and mad that I (god forbid) tried to give her some of my history so we could work on a treatment plan. After less than 7 minutes TRYING to talk to this close-minded PA, she litterally slammed her laptop shut mid-sentence (no joke), shuffled her papers all over the desk, and very rudley said "your paperwork will be at the desk." She then STOMPED out of the room and SLAMMED her magnent against the doorframe, leaving me, her patient, sitting in the room in absoulte stunned silence. As my eyes filled up with tears she comes to the door frame and yells "you can leave now."
Really Kami???? Really???? Was the litteral temper tantrum really worth it???? I felt like a piece of trash the entire rest of the day. A surgery of this nature is only as successful as its after-care. And while they have a fantastic pre-care program, they rely HEAVILY on their dietiicians for the after care. I know how to read and follow instructions. The dietary and vitamin recommendations are ridiculously easy to understand and you are either compliant or not. I needed help from a premiere bariatric medical doctor to help me understand medicine mal-absorption and what we could do with my current medications to treat my thyroid and ADHD disorder with minimal malabsorption and the symptoms are coming back and it is causing some major issues. Kami was not concerned one bit with helping me. She was much more interested in blowing off symptoms as something else knowing NOTHING about me and getting me right out of the office.
Disappointed does not begin to describe how I felt about her "care." This was classic patient abandonment. She litterally walked out of the room while I was explaining my history and current symptoms. I am embarassed, humiliated, and very hurt by how she treated me. She really put a very negative light on a previous positive experience. I am so early out I feel I have no medical help now. I'm scared with aftercare being so important if I run across an issue later on, I will be doomed to fail. I dont know how I can ever go back to that office. Being a nurse I know how medical offices work and whatever is down on the progress note is what happened-whether true or not. Im sure she will not note her incredibly rude actions and abandonment. Not to mention not a single second of physical assessment. Not once did she place a stethascope on my or assess any part of me.
I do not know what to do other than warn future patients when making their appointments to let the schedular know you want to meet with ONLY your surgeon who is familiar with your and your case if you are going for ANYthing other than routine post-op consultations. I seriously hope no other bariatric patient is subjected to her abusive "treatment" AFTER spending over $40,000 on surgery.