Should one have a regular physician for consultations?
Hello, I have had glaucoma for three to four years.
Initially, it was diagnosed at a clinic near my home, and later I regularly visited a large hospital in another city.
During the pandemic, after careful consideration, I decided to go to an ophthalmology clinic closer to home with decent reviews.
This clinic has three doctors, and during my last visit, I saw a doctor I had not met before.
The way he spoke and his demeanor made me feel very pressured and distrustful.
He mentioned that I would need to use a dilating agent at my next appointment.
I have never used a dilating agent before, and after researching online, I found that "angle-closure glaucoma requires caution regarding elevated intraocular pressure." Although I have had glaucoma for three to four years, I am not very clear about which type I have.
Additionally, due to the experience during this visit, I have been feeling very unhappy this month and have also experienced tinnitus (which has been attributed to stress or gastrointestinal issues).
Previously, I believed that all doctors were professional, so I did not stick to one specific doctor.
I would like to ask if seeing a consistent doctor is more beneficial for my condition.
I am due for a follow-up appointment, but I am very scared and want to refuse the dilating agent.
Alternatively, I could return to the large hospital in another city for treatment.
I am unsure which option is the correct one.
Thank you, doctor.
Niming, 20~29 year old female. Ask Date: 2022/02/24
Dr. Gao Pilin reply Ophthalmology
Hello: In treating diseases, it is important to address not only the illness itself but also the psychological aspects.
Every physician has their own expertise, but if the psychological dimension is not addressed, it may not be considered a successful treatment.
It is advisable to choose a trusted physician and maintain regular follow-ups, as this is likely a better approach.
Reply Date: 2022/02/24
More Info
When it comes to managing a chronic condition like glaucoma, the question of whether to stick with one eye doctor or to switch providers can be quite significant. Your experience with different doctors and the feelings of pressure and distrust you encountered during your recent visit are valid concerns that many patients face. Here’s a comprehensive look at the factors to consider in your situation.
Continuity of Care
1. Familiarity with Your History: One of the primary benefits of seeing the same eye doctor consistently is that they become familiar with your medical history, treatment responses, and any changes in your condition over time. This continuity can lead to more personalized care, as the doctor can tailor their approach based on your specific needs and past experiences.
2. Trust and Communication: Building a trusting relationship with your eye doctor is crucial, especially for a condition like glaucoma that requires ongoing management. If you feel uncomfortable or pressured by a new doctor, it may hinder open communication about your concerns and treatment preferences. Trust is essential for effective healthcare, and if you feel that a particular doctor does not respect your feelings or needs, it may be worth considering a change.
3. Consistency in Treatment: Different doctors may have varying approaches to treatment, including medication choices and diagnostic procedures. If you have a consistent doctor, they are more likely to follow a coherent treatment plan that aligns with your history and preferences. This can be particularly important in managing glaucoma, where medication adherence and regular monitoring are key to preventing vision loss.
The Role of Specialists
1. Specialization in Glaucoma: If you are considering switching back to a larger hospital or a specialized glaucoma clinic, it’s important to weigh the benefits of specialized care against the comfort of continuity. Specialists may have more experience with complex cases and the latest treatment options, which can be beneficial if your glaucoma is progressing or if you have specific concerns.
2. Access to Advanced Technology: Larger hospitals often have access to advanced diagnostic tools and treatment options that may not be available in smaller clinics. If your condition requires more intensive monitoring or treatment, this could be a significant factor in your decision.
Concerns About Treatment
1. Pupil Dilation and Glaucoma: Your apprehension about the use of dilating drops (mydriatics) is understandable, especially if you have concerns about angle-closure glaucoma. It’s crucial to communicate these concerns with your doctor. If you feel uncomfortable with a proposed treatment, it’s your right to ask for clarification or to seek a second opinion.
2. Managing Stress and Anxiety: The stress and anxiety you are experiencing can significantly impact your overall health and well-being. It’s essential to address these feelings, whether through open communication with your healthcare provider, seeking support from friends or family, or even consulting a mental health professional if needed. Managing stress is particularly important in chronic conditions like glaucoma, where anxiety can exacerbate symptoms.
Making Your Decision
Ultimately, the decision to stick with one eye doctor or switch to another provider should be based on your comfort level, trust, and the quality of care you receive. If you feel that your current doctor does not meet your needs, it may be worthwhile to seek a second opinion or return to a provider with whom you felt more comfortable.
Consider the following steps:
- Communicate Your Concerns: If you decide to return to the current clinic, express your concerns about the treatment plan and your previous experiences. A good doctor will listen and address your worries.
- Seek a Second Opinion: If you are considering switching back to a larger hospital, don’t hesitate to seek a second opinion. This can provide you with more information and help you feel more confident in your treatment plan.
- Prioritize Your Comfort: Your comfort and trust in your healthcare provider are paramount. Choose a path that makes you feel secure and supported in managing your glaucoma.
In conclusion, whether you choose to stick with one doctor or seek out a new one, the most important factor is that you feel comfortable and confident in your care. Managing glaucoma effectively requires a partnership between you and your healthcare provider, built on trust, communication, and a shared commitment to your health.
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