VA Ophthalmology performed probing and irrigation (P&I) and determined that I needed surgical intervention, so I was referred to Dr. Holck. From check-in through the physician encounter, I repeatedly felt that no one was listening to what I was saying.
After completing the intake questionnaire on an iPad, the front desk told me I needed to sign consent for P&I because the physician would want to perform it. I explained that the VA had already performed P&I and that I had brought the results.
The iPad was handed back to me anyway.
I explained it a second time: the procedure has already been performed, I have the results with me, and I am not consenting to unnecessarily repeat it.
When I was taken back, the medical assistant asked why I had refused to sign the P&I consent.
For the third time, I explained that I had already undergone the procedure and was holding the results.
She responded that I had apparently already signed the form and she must have missed it.
For the fourth time, I explained: No, I did not sign it. I already had the procedure. The results are right here in my hand.
Then I met Dr. Holck.
When I explained that the VA had referred me specifically for this procedure, he asked why I didn't simply have the VA perform it. I told him that based on my personal experiences, I was not comfortable having the VA perform surgery on me. Rather than simply respecting that decision as my choice as a patient, he defended his VA provider friends, telling me that they were competent and that he liked them.
Eventually, Dr. Holck moved on to explain the proposed stent procedure and possible DCR/CDCR options if the initial treatment was unsuccessful. He also explained that the stent would eventually be removed while I was awake.
In a desperate last-ditch effort to establish rapport but showing a bit of vulnerability, I jokingly told him that having something removed from my eye while awake sounded intimidating, but that I believed I could handle it.
He responded by telling me that he performs the procedure on children, so it depends on how mature someone is, and then he asked me:
"Are you mature?"
That was the point at which I lost confidence in allowing this physician to operate on me.
I am 44 years old. I am a DOCTOR. I served 21 years in the United States Air Force and am a 100% disabled veteran.
None of those things should be required for a patient to be treated respectfully. Every patient deserves that. I mention them because being asked whether I was "mature" after expressing a reasonable concern about an eye procedure felt particularly patronizing.
I came here because I needed a surgeon. I left feeling dismissed and disrespected throughout the experience and without the level of trust I would need to allow this physician to operate on me. read more