I do not mean to hijack the thread, but as a PCP who sees my partners patients for acute illnesses as a courtesy a lot of these complaints are similar --- If I may --
1) Presenting with a complaint of "I don't feel good" without being able to elucidate a specific thing is either a) not going to go anywhere and no, you don't get antibiotics, steroid shots, Norco or anything else or b) a million dollar workup that you'd better be prepared to pay for, depending on your insistence. And yes, the ER did do something for you the last time you went there on your own --- you were discharged after they did a complete workup and found nothing acute/life threatening/worthy of admission -- the 2 bags of NS likely resolved the hyponatremia that I told you to follow up for in one week but you elected to blow off.
2) Do not decide to present to me as a new patient after stopping all of your meds including: digoxin, amiodarone,insulin,synthroid so that we have a "clean slate" to start from -- works well in engineering but no so good in medicine.
3) Research -- do not confuse a Google Search with research -- you tend to piss me off when you insist that you've done your "research" and insist that the 50 pound weight gain after 3 children is a result of you not being on Armour Thyroid yet you can't tell me the journal article title or present an abstract from the PubMed database.
4) yes, we will have to take the opinion of someone who did 4 years of undergrad, 4 years of med school, 3 years of IM, 2 years of cardiology/electrocardiology fellowship and has been practicing as a board certified cardiologist for 10 years over one Reader's Digest article.
5) No, the pain management specialist will not start reissuing prescriptions for pain meds because I call them since you admitted to SI and were hospitalized for it. You need to go to the new specialist that has agreed to take care of you.
6) I regularly give you ER warnings that are legit. Quit using them as a PCP office for every little sniffle/cough/joint pain.
7) Yes, your diet is likely a component of the abdominal pain you just presented for -- How do I know? Well, when you tell me that you had abdominal pain with nausea this morning which began resolving but you decide to test your ability to tolerate PO with chips, salsa and a coke and the pain returns with a vengeance, I can guess that the root of the problem is likely diet mediated....oh, by the way, spandex is a privilege, not a right.