I understand it's the weekend and you don't have many options, but pick a different option than Concentra. I wish I had gone to Yelp before I made this mistake today. Here is my story which, like most others on this page, suggests there must be a better option.
I have a bunion on my left big toe joint and it occasionally gets inflamed.The doctor typically prescribes a round of steroids in the form of a predisone blister pack which starts with a 24 - 30 mg dose (six tabs) and ramps down the dosage during each of the six day round. That stuff works, and I am usually walking normally within a few hours.
I came in today because my foot was hurting and my doctor is closed on Saturday. I would normally tough it out to avoid urgent care, but my daughter's birthday is tomorrow and I wanted to make sure I was able to get around normally for our family's celebration. I told the doctor exactly what was going on and what is normally prescribed, multiple times. Dr Palm decided he wanted to give me a steroid shot in addition to the oral steroid prescription. I told him the oral steroids work fine, but he said "I went to an extra week of training to learn how to do injections so we are going to do an injection." I couldn't tell if he was joking. That should have been a red flag, but I let him do it for some reason.
It hurt badly at first but it started to get numb fairly quickly because he put lidocaine in the shot. He jammed the needle directly into the bone spur in multiple places. It was painful, but it did feel better when he was done, because it was numb. They said my insurance indicated no need for payment and I was good to go. I should have asked for an itemized bill anyway. I have no idea how much I will get a bill for yet, but I'm certain it is more than if they just wrote me a prescription for prednisone. I'm feeling pretty naive right now.
A couple minutes after getting in my car and starting to drive home, the numbness started to wear off and my joint started to hurt more and more every minute. By the time I got home, it hurt far more than it did when I went to the clinic. For at least an hour or two I could think of nothing else. It has been six hours since I left the clinic and the pain is not as bad as it was, but it is still worse than before I went in even after taking a dose of oral steroid. I am pretty sure he bruised my joint by jamming the needle into the bone spur. I certainly looks worse than before.
He also didn't want to prescribe me the same prednisone blister pack everyone else has for this same condition. Instead he prescribed me ten 20 mg methylprednisolone tablets. By comparison, the blister pack contains 4 or 5 mg tablets and you disperse you dosages throughout your day. There is no good way to taper off of the tablets he prescribed or disperse them through your day because they are a high dosage. Not sure why, but he would not listen to me.
I feel like I was taken. I feel that he was going to order a procedure that he could bill for unless I protested profusely. Even if that is the case, it would be more effective to do so if the procedure was actually helpful. Fortunately for you, the reader, his tactics backfired this time so I am pissed enough to warn you.
I will never be so naive again. Take control of you heathcare! Do not let the doctor push you around! If you know an inexpensive, reasonable treatment that has worked for you in the past, do not try new things with an urgent care provider. If they suggest billable procedures that you feel my be unnecessary you have the right to say no. Save experimentation for your REAL doctor who knows your history and will probably only suggest something new if previous methods are no longer effective.
If you must go to urgent care, please do not go here. If you are stuck in the waiting room right now, get up and leave or make sure Dr Palm is not the guy you see.
Good luck.
Josh H., North Austin read more