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Vicki
Lv 5
Vicki asked in HealthMental Health · 2 years ago

Can your physician give you a referral without actually having to see you? (Province of Ontario)?

Here's how to explain this the best way possible - with as much detail as possible - so I get the best possible answer.

- I'm trying to get my doctor to make two referrals for me

- One is for chronic back pain (spinal surgery several year ago, chronic pain ever since, worsening, yet no caused has so far been discovered)

- One is for a mental health care facility within my area (steeply declining mental health status lately)

- I have seen my doctor within the last between 6-12 months for both of these issues

- He has a pain specialist/orthopedic surgeon he wanted to send me two after I left last time, but insisted on seeing me again

- There's a mental health care facility within my area - which is better than any help he has offered me within the last year or two. Anywhere his office is connected to has either so far failed at providing proper care OR is more stressful to get to/deal with than I can tolerate

- I've been trying to avoid having to physically see him again. Last time I went, I went with my mom and a whole slew of medical issues. This ultimately lead to me needing extra time, and him being extremely disrespectful (to the point where I left the room he made a rude comment to my mom that had her trying not to punch him, so I could get any semblance of help). Every time I go I have to spend MIN 1.5 hours waiting, max 3 for my allotted apt. time. And he had complained about me taking up his time in office and making him stay longer.

Update:

- He usually listens for 15 min or less, and rarely ever actually addresses the problem. Instead, he usually pushes meds on me that I don't want or need.

- Since the disrespect, I've been trying to avoid seeing him and wasting my time, but I NEED these referrals.

- Can he make them without having to see me again? Or does he HAVE TO see me in order to be able to make them?

(I'm well aware I need a new doc, but I can't afford to get a copy of my medical record atm.)

6 Answers

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  • 2 years ago
    Favorite Answer

    I think this Docter knows just how nasty he has been to you, so he is making it very hard for you to move forward in time, with a new doctor, or a doctor whom you already know, or one whom your friends know. Why not pick an M.D. you know has a good reputation, and go to him or her without the records, and tell her about what you have endured from this snotty jerk? Then it would be easy for the new Doctor to request a transfer of medical records. This happened to me. But the Doctor who I left refused to forward my files to my new Doctor, so my new Doctor was able to take care of me, none the less. Where there is a will, there is a way! Journey on my friend!

  • Anonymous
    1 year ago

    When I was in 1st grade, I broke a kid's neck.

  • 2 years ago

    Hi,

    I am going to give a long answer/rant. Somewhere inside will be your answer, I am bored.....

    I work with women in the USA (Midwest) who have many of your symptoms: BPD, C-PTSD;PTSD, BD(BipolarDisorder) and co-occuring symptoms: MDD (major depression), pain, sickness, social phobia, severe anxiety disorder & more.

    Canada is kind of small, right - not geographically but population as a whole. The problem is "up there" you lack qualified doctors. The majority of them come to the USA for the pay increases. The problem with mental healthcare and health is they are profit centric, not patient focused. This is 100x more true with mental health.

    Are you a woman? It is more difficult for women. Symptoms are more intense/severe. I am not a feminist. But even 2019 in north america 'we' are less likely to take women seriously and many times more likely to medicate them, push them away and just label them as insane/crazy. Female patients are commonly abused in treatment too: https://academic.oup.com/shm/article/31/4/732/5166...

    If you are a male, its hard. Just different... I am not a feminist just not dumb, I understand it is harder for some.

    You already clearly indicated you understand this. In 2019 doctors/therapists are underpaid in most places. And overworked in most others. Many are very abusive (emotionally & other). Many want nothing more than to go home and get you out of their office as soon as possible. It has taken about 100 years to get here but now pharmaceuticals control mental health care and have a good grip on the rest. As you probably know the meds are very toxic too. "Praise god & pass the pills, sent the patient the bills. Keep them crawling back". Doctors went to school for 5-8 + years. Even if well intentioned they do the things that make them the most money. So even the great ones are caught up in a bad system. Misdiagnoses or just lack of resources, we spend it on war or helping rich people get richer. It all makes anyone "sick" (mad).

    They want to give you endless supplies of pills to keep you coming back (addicted). Then give you more pills for those symptoms (profit). Often poor/"poorer" people (low income) are exploited too or their care is just a joke.

    No you absolutely can not get a referral in most cases without the DR actually seeing you. The more times you step in their office, the more they bill for. It is how insurance works in North America. The whole point of this while there are some amazing people. Generally speaking the "system" is set up to work against you. The hospital you mention might be a bit better but it is going to be a lot of the same. If sick (mental/physical) people got healthy or required less care the Doctors, therapists, pharmacy executives, attorneys and politicians would have fewer ways to stay rich - so people stay sick.

    When they see you they bill for a lot more in Ontario. The longer the office visit the better. They won't see you too often though - can't be bothered with that. Often a holistic self-guided approach is best.

    There is an absolute link to pain & mental health:

    https://www.mayoclinic.org/diseases-conditions/dep...

    Back pain too:

    http://www.thespinehealthinstitute.com/news-room/h...

    Now those are 'popularized articles'. Meaning written for the public. It is not regular depression that does that. MDD (Major Depressive Disorder) often with one of the above things I initially mentioned. So, it is not strange they can't find the exact cause. I am not saying it is in your head or imagined. It is real and symptoms/pain are made worse.

    I'd say fu*k this doctor. Talk to them one last time. Start educating yourself. Get a referral (in person) even if it takes a few months then work on self driven/guided treatments (CBT, DBT, ET.....)

    Something in there should have helped a bit.

    Listenforyou@protonmail.com

  • 2 years ago

    Here's my response -- my doctor won't do that. She will waste my time and make me come see her for an appointment first, because my insurance requires that i see her first. It's ridiculous

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  • 2 years ago

    simply call and ask, rather than speculate

  • 2 years ago

    i think your doctor might have to see you

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