Let me set the stage…
Last year, I lost my health insurance. Instead of paying the exorbitant price for COBRA, I chose to give Medicaid a try. I live in NYC and had not heard anything terrible about it. So…why not? Follow me on a ride.
A few important disclaimers here:
- I go to the doctor…for everything. I am not one of those “I ain’t goin’ to no doctor” kind of black women. I ask for what I want, and I ask questions.
- I’ve had high blood pressure for probably 12 years, I manage it with meds.
- I decided to lose some weight at the end of December on my own, meaning through diet and exercise because I was tired of taking meds.
- Since then I’ve lost over 25 Inches around my whole body and 25 pounds. I’m still working out at least 5 days a week.
My first Medicaid, experience was with a gynecologist. She was awesome! Young, thoughtful and thorough. My only issue was appointment times were hard to come by. But I loved her bedside manner. In fact, I asked her if she could be my primary care doctor cause I loved her. Anyhoo, yes, the doctor office was packed and yes there was a long wait but overall, the experience wasn’t bad.
Now let’s fast forward to last week. Because of COVID I hadn’t been to the doctor for months and I needed to in order to get my BP pills refilled. I choose a doctor online based on location. I wanted a black doctor, but they don’t list that on the websites. This woman was white, eastern European, which was interesting because I live in the land of Latinx. First visit, she walks in, says Hola, which I say hello and she goes “Oh! You speak English?! None of my patients normally do!”. Me ?.
She pulls up the chart on the computer, and the very NEXT thing she says is “You’re over 40, and based on your weight you need to have bariatric surgery.” What? You don’t want to ask me any questions about my history? Like you don’t know I’ve been working my ass off to lose weight and that have been losing weight. So, I respond, well I’m not doing it because I’m trying to lose weight without medical intervention. Then once she hears I’ve lost weight, I’m an English speaking unicorn again. She only has had 5 patients who have ever lost weight naturally.
I don’t know if I can even convey how annoyed I was at this point. It was as if Drumpf, was in person talking to me about being black in America level of annoyed.
She changes her tune when I say I work out 5-7 days a week. Then it’s all your heart sounds like someone who works out regularly. Blah blah blah. So I get bloodwork done, which I’m curious about because I want to compare my stats. She says “she’s fairly certain I will be prediabetic”, I reply back, I won’t be because I’ve never been pre-diabetic or diabetic in my life, even at my biggest weight. So, I leave with an appointment to come back this week to get my results. When I left, I was mad but admittedly not, I’m never going back mad.
So now, it’s today. I get in there, and she starts telling me about how my numbers are so marvelous. Even my Vitamin D, she asks if I take vitamins and I say yes and she goes on to say I don’t believe they work. YOU JUST TOLD ME MY VITAMIN D WAS GREAT. I digress, I’m like ok what are the numbers? She’s like doesn’t matter they are good, let’s talk about your cholesterol. I’m a little peeved because I want to know all the numbers. #nerdalert
Me: OK fine, what is it?
Her: Its 243. It’s very, very, very high and we need to fix it.
Me (looking at my numbers from a year ago): Ok it went down from last time. It was 253 and last time my doctor told me it was nothing emergent.
Her (gets up from her chair, clearly annoyed): which Dr? It’s too high.
Me: Well, I don’t want to take another medicine, what are my other options?
Her (shrugging): if you don’t want to take medicine, I don’t know what to tell you. I guess you can try on your own, but I don’t think it will work. Doesn’t matter, up to you.
Me (no change in posture or anything): So there isn’t any way to impact this with a change in diet?
Her: I mean the only times I’ve seen numbers change is after dramatic weight loss after a bariatric surgery. (Here we go again)
Me: I’m not doing bariatric surgery, so you are telling me there are no cases of people changing their numbers without pills or surgery?
Her: I only know of 5 people who lost weight naturally, so I recom…
Me: so your only recommendation is meds or bariatric surgery?
Her: I don’t like the way you are talking to me, it’s very aggressive and I’m not talking to you anymore.
Me (shocked and appalled): Oh, what’s aggressive, the fact that I’m a black woman asking you questions about her health care as opposed to just listening to you?
Her (screaming now): NO, I AM NOT TALKING TO YOU ANYMORE. My son is married to a black woman.
Me: You are being very aggressive by yelling at me. I’m glad you know one black woman. But since I came here your only suggestion to me has been to get bariatric surgery. You aren’t even trying to give me options. So, what medicine would you be prescribing?
*I haven’t moved from the chair and my voice is the same as it was from the beginning. *
Her (pouting): Statins
Me: And what level and why that level?
Her: Your questions are strange, you act like you are a doctor.
Me (Getting up because this is fruitless): I’m leaving because you are the worst doctor I’ve ever been to.
Then I left, and as I was leaving I told a girl in the lobby filling out paperwork to not go to this doctor because she’s rude as shit and walked out.
Now, maybe I’m bougie, but I have NEVER had a doctor be this rude and unwilling to think outside of the box and give me options to consider. I am furious. But it made me realize, no wonder we are dying. If we don’t know to ask questions and speak up for our own health, then who will? And if this is what happens when you do stand up for yourself, then we don’t stand a chance. I’m reporting her to Medicaid, without question. Now, I need to go ahead and find a new doctor or new insurance. Plus, I need to do some lower your cholesterol research.
Who out there has been treated like this? How did you handle it? And if you have any tips on the cholesterol-lowering let me know that too. Comment below!
Toodles!
Loren Johnson
Self advocacy is key- outside of her piss poor demeanor and eagerness to offer you “drive through” care I am glad to read you forced the issue. Report her to Medicaid as you stated but also to the NYDPH. As a note anytime i’m going to a new med professional I search that state’s public health site for infractions. Leave your experience on healthgrades or zocdocs too. It will allow others to know she’s biased in practice
IamGenaP
Oh, good tips! I’m going to do all of the reporting! I will start to check out the state public health site too! Great tips!
It’s funny I’ve always been a self-advocate but I’ve never had it pushed back against this hard and blatant. Man it’s hard out here sis!
Maryellen Moran
You asked completely valid questions and have every right to be treated like the intelligent adult you are. I hate when physicians treat us as dumb or incapable. I also hate when they believe their time is more important than mine. You are your best advocate. Demand more!
IamGenaP
Totally agree! We all need to demand more!
Jami Jaye
My bf has been taking Metamucil which helps with digestion and cholesterol. You are already are working out and your numbers are heading in the right direction. The hell with that dr. She is pushing folks to just get surgery and not giving them the tools to be successful. Just quick fixes.
IamGenaP
You ain’t lying! She’s the worst! Metamucil sounds gross but I will give it a try. lol
Charita Eley
This is insane! You were being punished for asking questions? I’ve never heard of any doctor not willing to answer questions. I’m so sorry you had to experience that and glad you are reporting her! Someone needs to snatch her license!! ??✊?
IamGenaP
Word up! Thanks…the lesson learned here was we deserve more!
Sultana Muzikir
Gena, I can’t believe what I just read!!! I must be “bougie” too, but I’ve never experienced or heard of anyone receiving such treatment from a doctor. I don’t know how you kept your cool for so long. So sorry you had to endure this mistreatment. Definitely don’t go back to her. I’m sure you can find a better doctor. Way to go for standing up for yourself and your health. Just like you said, if you don’t look out for yourself, who else will.
IamGenaP
Thanks so much Sultana! I couldn’t believe I was so calm too. The grace of God! lol.
CYNTHIA HAGGINS
Oh i’m pissed and sorry you had to go through that, but you handled it better than your aunt would have, Try Black seed oil and Cod liver oil pills my doctor is very impressed with me and my numbers going down, the weight is another story for another day. You go girl keep up the good work. Love ya
IamGenaP
Thanks much!!! I will give the suggestions a try! I’m glad you numbers are going down! Love you too!
Dr. Nef
Wow Gena, just wow! There is so much to unpack in your blog. First of all thank you for sharing your experience. Secondly, I am happy to hear that you are proactive about your health from the standpoint of exercise, healthy lifestyle modifications, and knowledge! I always encourage my patients to do exactly what you are doing. I always encourage them to ask questions and have a good understanding of what is going on as it pertains to their health from a physical and psychosocial standpoint. Regarding your cholesterol, I am sure you can find non pharmacological options. I have personally been transitioning to a plant based diet which might offer you some benefits. I am happy to help you do some research. Let’s be healthier together!
IamGenaP
Thanks much! I really appreciate you having my back and being down to research together. I’m not sure I’m ready to go plant-based yet. Me likey meat lol. But I’m down for the rest.
Nee C
Hey Gena- i am sorry you had to go through that.
Have you watched the documentary “fat sick and nearly dead” ? I believe its still on netflix. In the documentary the founder talks about how he was able to get off all meds. I truly believe with the proper diet and exercise you can do this and dont do no damn surgery. She is pill pusher and not a true doctor.
Anyway, the video will share various plans on juicing etc…its gonna take time and its a lifestyle change. You already are half way there with your work outs etc… i would highly recommend watching the video to kick things off. Btw i did a 14 day juice cleanse with solids and noticed a huge difference. Also, i would recommend finding a good naturopathic doc, looking at hormone panels etc… i believe weight has a lot to do our hormones.
Sending you lots of love.
IamGenaP
No, I haven’t watched it. I’m going to give it a watch for sure! Thanks! I have always wanted to go to a naturopathic doc but whenever I looked they were so expensive. I’m going to do some more research there too. Thanks much!
Pam Asante (Pam Butler)
Hey Gina,
So sorry you had this happen. My husband and I are juicing and doing whole food plant based eating. Within a year we were off all meds, lost weight and thriving. If you want to know anything I’ll be happy to share. It’s a journey to change eating but it is worth it and your tastes for foods will change so this way of eating won’t be hard at all. I promise you it’s worth it . Hope you get the answers you need from Dr soon, no one deserves to be treated like that. Take care?