Some GI are more like internal med docs, and can act as the primary to follow someone's UC. Others are truly specialists that do scoping and diagnosis and do not follow patients. I would not expect the radiologist who does/reads my brain MRI to follow treatment of my pituitary adenoma. That is what I have an endocrinologist for.
If you have somehow gotten in with a GI who mostly works as a diagnostician on referral from other doctors, and is assuming you will have an internist/primary to follow your treatment, then you need to get someone to follow your treatment. Complaining that the specialist who diagnosed you does not have the kind of practice you want is not going to help anything. Unless you ask this GI to follow your treatment and he/she agrees. You should have a conversation and find out what the relationship is.
I actually think you need another GI anyway, because you have already deconstructed every interaction and every sentence of the form letter sent with the results, and you have found a lot of fault, and displayed a lot of contempt. Do yo really think your relationship with this GI can recover form that? Do you really see yourself trusting this guy?
Whether it is in part your misunderstanding about
the relationship, or actually this guy's lousy manner with patients, I don't see you making nice with this GI.
It is sad to hear you are frustrated and feel out of the loop and feel under-served. I hope you can establish a relationship you like better with another physician, and I hope you get remission.
Post Edited (DBwithUC) : 10/26/2012 11:45:48 AM (GMT-6)