Review confrontation

[Cholula]

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In my experience
1. you will never get a false bad review removed. You are not the customer of the online review website and they don't care if the review is accurate.
2. any attempt to have the patient change the review will make the problem worse. There will me more bad reviews place under different names in various other online review site.
3. never encourage your patients to give you a review, once they give you 5 stars, they can easily change their review if they are not satisfied.
4. make a list of names of bad reviewers from other pain docs and referring physicians in your area. avoid them as much as possible.

 

[Matthew9Thirtyfive]

There was a pretty hard dogpile. My response must have quoted theirs because it’s now gone. Admittedly I’m biased but I thought I was pretty reasonable

having had to work around many open racists in the past, i agree that a direct conversation works better (anecdotally)

To be clear, the other posts were removed because they quoted the post that violated the TOS, not because there was anything wrong with them per se. We just decided we didn’t want that comment visible at all and it was easier to delete all the posts than go through and edit every one of them.

Back to your regularly scheduled thread.

 

[Laryngospasm]

My younger brother is gay. My wife's younger brother is gay.

I do not harbor any ill feelings towards gays at all. The points I made (which is 100% factual):

1. is that gays tend to have a higher incidence of psychiatric and affective disorders. One would assume that this comes with the internal struggles they faced with accepting their sexuality as well as external persecution as kids.That was the salient point that everyone completely overlooked and immediately went on the attack. I have had many "good" patients who are gay, yet one must understand the associated medical conditions/pathology associated with that lifestyle and be objective.

2. I view with suspicion anyone who brings in their spouse for "support" in a medical visit. It implies a degree of dependency and an inability to personally deal with a medical issue.

I find it interesting, yet not surprising, that there is a chord of attacks. The world has turned PC and I find most of the PC police to be very hateful, angry people who are quick to attack others when they percieve the "PC laws" have been violated. The lynch mob immediately cries "homophobe" and goes on the attack, as people today have been conditioned to do so. It is the impulsive, thin skinned nature of people today that makes them so unpleasant.

The world is turning into Orwell's "1984". Kick me off here for being a "homophobe" if you like- that is okay with me. I am far from it, yet am not shocked by the impulsive and angry statements.

I asked that the moderators delete my account, as I really do not want to be associated with angry, impulsive individuals. I am a very positive person and find negativity to be corrosive and infectious. Life is too short for that. Adios.

I personally hope you stay. Hawkeye has provided a lot of positive input for the members here. Anyways just my 2c.

 

[lobelsteve]

In my experience
1. you will never get a false bad review removed. You are not the customer of the online review website and they don't care if the review is accurate.
2. any attempt to have the patient change the review will make the problem worse. There will me more bad reviews place under different names in various other online review site.
3. never encourage your patients to give you a review, once they give you 5 stars, they can easily change their review if they are not satisfied.
4. make a list of names of bad reviewers from other pain docs and referring physicians in your area. avoid them as much as possible.

I find your post inaccurate and insulting. I have never been treated so badly in a post at SDN and I have been posted on for several years always with caring and concerning details. Dr. Cholula was in a hurry from the moment he/she began posting and did not appear concerned about my feelings. I never once asked for any particular medication or treatment but he/she kept trying to give me Rx and injections in his/her post. I will never go back to SDN clinic and am telling all of my friends and family that they should go to a new thread/post/forum.

 

[SommeRiver]

Hawkeye is arguably the most experienced doctor in this forum, and he brings a wealth of knowledge. I've learned a lot reading his posts.

Big loss if he leaves...

 

[paindoctor2014]

What do y’all think when a non-elderly couple (no dementia etc) comes in and the non-patient does 90 percent of the talking. Telling you how bad their spouse’s pain is. Red flag for me, most of these cases are strange at a minimum.

 

[Ligament]

Hawkeye is arguably the most experienced doctor in this forum, and he brings a wealth of knowledge. I've learned a lot reading his posts.

Big loss if he leaves...

Will be sad to see him go but I totally understand. This forum has become unprofessional. Why waste your time in an unhealthy environment?

 

[deleted480308]

What do y’all think when a non-elderly couple (no dementia etc) comes in and the non-patient does 90 percent of the talking. Telling you how bad their spouse’s pain is. Red flag for me, most of these cases are strange at a minimum.

I tell them I want to let the patient speak and make them tell me the story

 

[Laryngospasm]

Thanks to covid we now have a reason to separate these types!

 

[10KHertz]

With more patient volume and community influence , the more negative reviews. Take it as a compliment.

Reply to the review with some niceties. That hurts the most ...

 

[Ducttape]

I tell them I want to let the patient speak and make them tell me the story

this is one of the few times to ask leading questions.
"in your words, tell me what the pain feels like."
"where does the pain go to?"
"what do you want to be able to do that you feel you cant do now?"

and, ultimately, "do you mind stepping out so I can do an exam along with the nurse?"
ask about spousal abuse when the other person is out of the room.

 

[deleted480308]

this is one of the few times to ask leading questions.
"in your words, tell me what the pain feels like."
"where does the pain go to?"
"what do you want to be able to do that you feel you cant do now?"

and, ultimately, "do you mind stepping out so I can do an exam along with the nurse?"
ask about spousal abuse when the other person is out of the room.

Most of mine are men in their twenties with moms that won’t be quiet

 

[cowboydoc]

this is one of the few times to ask leading questions.
"in your words, tell me what the pain feels like."
"where does the pain go to?"
"what do you want to be able to do that you feel you cant do now?"

and, ultimately, "do you mind stepping out so I can do an exam along with the nurse?"
ask about spousal abuse when the other person is out of the room.

"I would like to see you walk."

If the companion tries to follow into the hallway, red flag. Natural separation for asking some more direct questions.

 

[Crybaby]

What do y’all think when a non-elderly couple (no dementia etc) comes in and the non-patient does 90 percent of the talking. Telling you how bad their spouse’s pain is. Red flag for me, most of these cases are strange at a minimum.

Huge red flag. Those typically make me cringe. Another poor patient predictor is if adult patient (without disability) brings parent or has parent schedule appointment.

 

[paindoctor2014]

Huge red flag. Those typically make me cringe. Another poor patient predictor is if adult patient (without disability) brings parent or has parent schedule appointment.

Pet peeve of mine as well.

 

[SSdoc33]

when they are lying on their back on the exam table and then dont even bother to sit up when i walk in and introduce myself is my pet peeve. i get ignored enough at home, i dont need it at work as well

 

[lobelsteve]

when they are lying on their back on the exam table and then dont even bother to sit up when i walk in and introduce myself is my pet peeve. i get ignored enough at home, i dont need it at work as well

Lying down on table, hoodie, sunglasses. I don't mind just walking out and let the nurse tell them to leave.

 

[SommeRiver]

Talking on cell phone and won't get off when I walk in...Bye.

 

[SandmanMD]

Glad you were able to avoid putting a needle
In that guy.
As far as having spouses accompany the patient, I have found that more often than not, has been helpful. A lot of times they supplement and add details that the patient has forgotten or purposefully omits.
The older the patient, the more useful the spouse.

 

[deleted131481]

With more patient volume and community influence , the more negative reviews. Take it as a compliment.

Reply to the review with some niceties. That hurts the most ...

A carefully worded response without violating HIPPA can be very effective - makes you sound reasonable and the poster not so much.

Also, most platforms have a review policy. There are companies that specialize in this but you can do it yourself. For example, Google Maps reviews can be challenged/reviewed for profane language or "personal rant."

 

[paindoctor2014]

Glad you were able to avoid putting a needle
In that guy.
As far as having spouses accompany the patient, I have found that more often than not, has been helpful. A lot of times they supplement and add details that the patient has forgotten or purposefully omits.
The older the patient, the more useful the spouse.

That’s not what I’m referring to, I agree the above is helpful.

 

[bronchospasm]

Don’t let stuff like this bother you. A very small fraction of your patients will give you a negative review because it is not what they want to hear. Personality disorders are what make pain medicine interesting.
I had a patient with severe spinal stenosis who was pain free after a lumbar ESI give me 3 stars because the chair in the waiting room was not soft enough for him. Sometimes people are just unhappy. You can’t help them.

Do the injection, thank him for his service, pocket the change , blow him a kiss and wish him well. I’d let him know that if it helps him, please come back for another one. Let him know that he can give him a good review if it helps or you can refer him to a surgeon for another opinion.

Negative reviews really pissed me off when I started after fellowship. Now it’s all “ Bless your heart” or I’ll send some prayers and love your way” and move on to the next patient.

Pain patients will make you immune to this kind of criticism and for your sanity develop the art of not giving a ****.

 

[clubdeac]

I had a lady give me one star after my first injection failed to provide relief. Second one in a different location gave her 100% relief. You think she went back and changed her review and gave an updated review?.... hell no!

At her follow up following the second injection, I made some joke about how reviews can make or break our reputations as physicians. She awkwardly laughed and said she never wastes her time with those sorts of things. I couldn't believe my ears

 

[Candidate2017]

Notice of termination for irreparable damage to physician/patient relationship. I apologize that your opinion of my care has been so damaged, I wish you well with your next provider. I am offering you a list of providers in the area and a 30day refill of all meds I have been writing for you.

Actually, there's no need to give a reason for termination if state law does not require it. A professional version of, "Thanks, it was real, it was good, but I have to go," along with any legally required referrals, scripts, and f/u period.

 

[Ducttape]

"its not you... well, actually, it is."

 

[myrandom2003]

Pain group in my area gives gift cards for good reviews. They have 90+ 4-5 star reviews. One of the reviews even mentions the gift card offer.

Obviously not kosher but it is what it is.