Really considering changing doctors who does this or suggests this?

I am having my RNY March 5th. My surgeon sent a letter to my doctors about it and letting them know i need a new RX for a wellbutrin that can be mixed in food or crushed. I am currently on Wellbutrin SR which is a fast acting. Can't take it ever again from what i hear. So the RN nurse calls around pharmacies "so she says" and she persists to tell me she cannot find any wellbutrin i can crush so she suggests this?

She says to me hey, what antidepressant have you used that relatively worked for you in the past i state zoloft. She said okay because i am going to ask your doctor and see if we can switch you over to that. I said so i won't be on the wellbutrin anymore? She responds.... READY? We will put you on zoloft for 2 weeks until you can take pills, then take you off of it and back on the Wellbutrin WTHHH is she serious?? Now i am not a medical professional or anything but isn't it completely stupid to suggest something like this especially before a huge surgery like this.. i mean messing with my psych meds really?

So i called around pharmacies and turns out they have a regular wellbutrin i can take that CAN be crushed i called her and told her and she said okay that sounds like a good idea i will write a note to your doctor BTW she is on vacation this week.. its cool my surgery is only 2 weeks away @@@

Then i proceed to ask her last time i had my thyroid labs done she says last Feb 2012 so she says i am due. I check my EChart online which states it was checked in July 2012 and they were normal.. i have them checked 1x year. I tell her this once i talked to her later... she says i am still due though because i am on my last refill for my synthroid and my doctor will want it double checked before giving a new RX. I just checked my recent script pill bottle i JUST FILLED want to know how many refills SIX MONTHS WORTH where the heck is this lady getting her information?? Guess who just prescribed this recent script for 6 more months my primary care doctor. This office is really ******g me off and has been for quite some time time for a new DOCTOR! What a freakin nightmare already. I would love to know what nursing school this lady went to they should be ashamed seriously she has no idea about her facts or suggested advice anyway sorry to ramble someone especially in the nursing field please tell me if i am wrong for feeling this way?

If I'm following you, the only issue is with this one particular nurse, right?  Before changing doctors, I would talk to this doctor and let him or her know about the problems with this nurse.

No more than that unfortunately. When i call i get put on hold off the bat for more than 5 minutes at a time. One doctor told me i had to wait 2 weeks to have a pre-cancerous mole removed... i have anxiety bad.. so i did freak when she told me it didn't look good... well she finally removed it that day after serious rudeness when i had a panic attack right there... turns out the sample was sent to Boston from New Hampshire for a 2nd opinion it was SEVERE pre-cancerous.

The other doctor is just weird.. he comes in the office and washes his hands, shakes my hand, then stares at me until i start talking kind of creeps me out..

My primary care is nice i can deal with her.

The medical assistants are amazing!

Otherwise i could leave no problem. At the time i was uninsured and because this office is through a hospital network they had to take me uninsured so i didn't have much of a choice of selection really.

i second kelly. if you're having issues with the nurse other patients probably are too. if you're having issues with the doctor too then i would switch

I already have spoken to management of the office regarding her.. it got so bad at one point where i simply didn't call the office anymore for fear of her calling me back.. she is rude too! I ask her a question and usually get a sarcastic response. Lets just say i was a frequent visitor of my doctors office last June.. now i avoid it at all costs i haven't been to my primary cares offixe since last June. She also decided to remind me i am due for a physical oh my goodness really...... i just didn't know if this information was okay that she gave me or complete non-sense?

I am not sure what they are talking about with Well Turin. You need the immediate release and not the extended release. Most people can swallow pills within days of surgery. I don't really understand why they are messing with your antidepressants. That should be up to the dr who prescribed them.

I don't know....please don't shoot me...but as a Medical Assistant, I'm not reading anything that stands out as poor nursing. (Well, she did tell a bit of a fib about calling around about your wellbutrin...that would cause me to call her to the mat.)  It's difficult for a nurse from a specialty, to follow a complex record, especially if the primary care and other physicians are "out of network".  What I mean by that is, they don't have computer access to your primary care physician and other physician records.  

As far as the synthroid, I would completely expect the surgeon to check levels again before operating whether levels were checked less than a year ago or not.  A lot can change in  6 months and RNY is not advisable while levels are off.  

The nurse may have bad bedside manner, but from what you described I don't see a big "What a horrible nurse" problem here.  What it sounds like to me is this:  They have an extremely busy practice and aren't staffed adequately.  When there isn't adequate staffing, then the support staff just doesn't have the time to do a superior job.  (like when your nurse "said" she called around to pharmacies...she actually would have had time to check her drug reference if she wasn't overwhelmed with dozens of other patients calls and concerns.)  This is just a guess, but in my travels as a Medical Assistant (I float from practice to practice where I'm needed) this is generally the reason for "sub-standard" follow up.

Best wishes for a smooth operation and recovery :)  

 

This nurse works at my doctors office so I mean she should have the same info in the computer as my physician does. The whole thing of suggesting messing with my psych meds makes me unhappy. Also my surgeon didn't think it was a big deal to recheck thyroid levels otherwise they would have done it kwim? I already had lots of pre op, labs. I don't know my thoughts anyway

I think I misread your original post...sorry for any confusion

I am in a small town in northern lower Michigan and I have the most wonderful medical system ever.  I am able to have most of my procedures done at one hospital (that is also tied in with a huge regional hospital) and they all have all of my records available on their computer.  I rarely see my PCP as his nurse is the most wonderful person.  All I have to do is call her directly, she speaks with the doctor as he has my chart in front of him on his tablet and she takes care of everything promptly.

My WLS is at Barix, 3 hours south of me and this is all they do.  I am going there because they originally put in my band.  I do have a surgeon that has an office about halfway between, so I will have a shorter drive for follow-ups.

I was scheduled for 1/4.  I had PAT on 12/26.  My dog had been going downhill for awhlle and because of this my meds got all messed up, especially the thyroid.  If not taken properly, it is useless and I take a fairly high dose of 250 mcg every morning.  Anyway, they cancelled the surgery.  It took me a month to get it back to normal and I am now having PAT on 2/25 with surgery on 3/13.

Thyroid testing is important to have done before surgery.

Good luck in the future with your medical staff issues!