I've been seeing Dr. Carcamo for about 2 years just because I live close by to the office. I rarely write complaints, but I need to get this down since I have decided to change my PCP because this guy is pretty negligent and doesn't really care.
I've had panic attacks/anxiety for about 12 years and have taken propranolol and other anxiety medications for those 12 years. I started experiencing that "fluttering" sensation in my heart like I'm about to get a panic attack all the time recently and it was really messing up my life at work, unable to talk properly without sounding extremely nervous and unable to compose myself. I went to the office and asked for propranolol and he said that we had to do 2 things: do an ekg and put a holter (a heart monitor type thing) for a day. Ok, fine. So I did that, and I asked about the propranolol again and he said he had to go through those things first. Fine. I understand that propranolol affects the heart and maybe it's better to take precaution (although this had never been the case before whenever I was prescribed propranolol).
I didn't know I was going to go through any of these procedures prior to entering the office so I ended up being late for work (the wait times there are pretty terrible for whatever reason), and I still didn't have any propranolol after I left with the holter so I spent the day trying to either bear through the panic attacks or just avoid panic inducing situations.
The next day I went back to the office as early as possible (8am) to take the holter off and to see if I could get my medication. I was then berated for coming too early and I explained that I had been late for work and I didn't even know why I was wearing a holter or undergoing these procedures anyways for simply getting propranolol for panic attacks. Then he closed the door and simply told me that he wouldn't be seeing me (completely disregarding my reason for visit and the two days I had been there, my wait time, my condition, everything).
So now I wasted two days, still no propranolol, and gotta change my Primary Care Physician because this guy simply doesn't care.
Also, he sometimes makes inaccurate (and potentially dangerous) statements/assessments such as how he said Adderall was prescribed for Schizophrenia. His knowledge of psychotropic medication was all messed up (I was a psychology major plus all the experience in having these experiences with these disorders familiarized me with them). I swear he said that. If someone takes Adderall for Schizophrenia they might get psychosis.
Long story short, maybe I did something wrong. Maybe I should have let him make the diagnosis and continued to wait forever as opposed to request what I knew would help me after 12 years of experience and trust myself instead of his application of Adderall. Maybe I was too patient or not patient enough or aggressive or not aggressive enough or maybe something's wrong with me. Or maybe I waited too long to change my physician. read more