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Most eye surgery does not even involve deep sedation.
For both my cataract surgeries they put an IV in and never used it. There was an anesthesiologist who stood next to me for 15 minutes but didn't do anything. $816 x2 to put in an IV and not use it.
They were there "in case" I guess.
One of the office girls, maybe she was a CNA, gave me a Xanax pill when I got there. I guess that's all they do nowadays if the vitals are good. The numbing eye drops work well. It was still uncomfortable, but better than going to the dentist.
I felt like I could have driven home. Probably good that I didn't though.
Why on earth are you getting caught up on what an EP thinks? Since when do EP determine if surgery is indicated or not? You should discuss any heart concerns with your GP, and if there are still questions then on to questions for the Surgeon and the Anethesiologist. Surgeon and gas passer know how to deal with rhythm disorders. You did tell them about it, right?
the EP is not making a determination of the indication but merely clearing the patient for the surgery from a medical standpoint.
a relationship between a doctor and patient takes time to develop. if trust and mutual respect are not there after a certain period of time, there is no common goal for our health in my opinion.
I have the ubiquitous 'fast food' family practice doctor, 5 minutes in and out, but she trusts me and listens to me about my health concerns when i see her. I also listen to her and follow her treatments as prescribed or let her know when i disagree. we have maintained our good relationship for a few years.
patients deserve partnership, mutual trust, and mutual respect with our health care providers. after all, it is our body!
Last edited by texan2yankee; 01-30-2021 at 04:26 PM..
Because that's the way it works. Couldn't tell you the number of times I've played messenger between a doctor's office/hospital and my insurance, or between two doctors' offices, or whatever... sometimes would have to spend at least an hour or two on the phone, sometimes more than once... usually to correct a mistake that was theirs to begin with. You would think the doctor's office would put in an effort since they were the ones who wanted to get paid, but nope-- they knew they were getting their money either way; if the insurance didn't pay, they'd just bill me, so if I wanted to not pay for it myself, I'd do what it took to get the insurance on board. In this case, OP wants the surgery, so OP gets to take the time to work it out. Sure it sucks, but the world often does.
Yes, I will be calling back on Monday and prepared to help things along more, if necessary on Tuesday. I am now wondering why the people at the retinal surgeon’s even told me about this. I didn’t ask them. I just assumed everything was fine. They told me there was as issue almost as if they were expecting me to jump in and more or less do their work for them. Why tell me? Why couldn’t they just call the electrophysiologist’s office themselves (and getting no response to their faxes). After all, there was still plenty of time before the surgery.
Faxing! I don’t know why they do this anymore. They should just send emails with scans or photos. They told me they weren’t allowed to email and it was easier to fake something in an email. But a fax is even easier to fake something. Makes no sense. I’ve had to hand carry the fax that was supposedly sent to the next doctor several times. Either they are misdialing the number or the receiver is not tuned on to get it, or in one case they never bothered to look in the fax tray for days. There it sat.
Chances are the electrophysiologist reported to the anesthesiologist and the anesthesiologist has reservations about you getting put under. An electrophysiologist is a tech and doesn't make those decisions. This is best discussed in a calm manner with the ophthalmologist, who is the one making the final decision.
I'd be the first to say that too many doctors today are nothing more than overcredentialed physician assistants, but anesthesiologists and ophthalmologists are NOT in that category.
Chances are the electrophysiologist reported to the anesthesiologist and the anesthesiologist has reservations about you getting put under. An electrophysiologist is a tech and doesn't make those decisions. This is best discussed in a calm manner with the ophthalmologist, who is the one making the final decision.
I'd be the first to say that too many doctors today are nothing more than overcredentialed physician assistants, but anesthesiologists and ophthalmologists are NOT in that category.
So back off.
I learned that I had gotten the approval. There was simply a miscommunication between the offices. Good theory though!
That's why you need to go there yourself to get the approval then deliver it to the surgeons office.
If you want it done before surgery, do it yourself.
Given that I have a gazillion and one things to do in the remaining few days before the surgery, including driving 5 hours to and from another city (where my cancer center is) for my quarterly follow-up cancer scans, emotionally dealing with the results if they are not great, assembling, preparing and gathering various pieces of equipment, necessities, food, entertainment, etc. for the 7 day post-eye surgery period when I will have to remain face down basically 24/7, cleaning and organizing the house to minimize the occasion for tripping and falling after the surgery, and yet find a way to go into surgery feeling calm and rested, I simply do not have the time to also drive all over the place hand delivering documents (and exposing myself to more Covid-19 in the process). So, I will have to find a way of communicating urgency and coaching the office staff over the phone, if need be.
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