AVOID Dr. Giuliano -- Unprofessional, mocking, and dismissive care.
I had an extremely upsetting and unprofessional experience with Dr. Armando Giuliano and his NP, Sherry Goldman, at Cedars-Sinai Breast Health Center this past summer.
I came in as a 27-year-old woman with a breast lump that had suddenly tripled in size in just a few days, which was very painful and frightening. After a biopsy confirmed it was benign, I was referred to Dr. Giuliano to discuss removal. I expected compassion and guidance. Instead, I was met with dismissiveness, sarcasm, and outright cruelty.
After waiting alone in the exam room for over an hour, Sherry Goldman came in and immediately got basic details of my medical history wrong, making it clear she had not even reviewed my chart or medical history. She told me I had "cystic breast disease" and that nothing could be done, dismissing my concerns without showing me any evidence. When I explained this was my only cyst and it had rapidly grown and become painful, she brushed me off, said I have more cysts in my ultrasounds, and did not show me any evidence or images to support what she was saying.
Dr. Giuliano joined her later, and the two of them proceeded to speak to me in a belittling, condescending way. When I explained the sudden growth of my lump, Dr. Giuliano smirked and sarcastically said, "I've never seen a lump get that big... if it happens again, come see me, because I'd love to see that." He made it clear that he didn't believe me, didn't know where my lump was even located, and had not reviewed my ultrasound or history.
I pointed out the bruise mark that I have had on my breast for 3 years since I first discovered this lump, Dr Guilliano said "that mark is unrelated." I pointed out that the mark is right on the lump and I've had that mark for 3 years, and he just smirked at me and did not even respond because he did not believe me, yet he offered no other explanation for the mark. I was truly shocked at my experience and symptoms being so dismissed. I felt that no matter what I said to him, he would not believe it or address my concerns.
When I asked what the next steps would be, he said I have to just keep coming to them to get the lump drained each time it grows in the future. When I said that this would be a financial hardship as my insurance makes me pay over $2000 out of pocket to get the lump drained, he just blankly looked at me and shrugged - clearly not a concern to him. I don't believe that is the only solution, maybe the most profitable for the doctor but not in the best interest for me.
When I started crying due to the overwhelming emotion and distress of being dismissed and not believed, being told I had a cystic breast disease, and being told I had no options other than to pay thousands of dollars out of pocket every time the lump re-fills, both practitioners turned to each other and literally laughed at me. The nurse practitioner Sherry Goldman said to Dr Guilliano "look, she is crying over having a cyst! haha." And Dr Guilliano laughed and said "I hope I get to see a patient with cancer next who actually has something to cry about." I think a doctor saying that to a patient is absolutely inexcusable. They left two minutes later as I was still crying, and as the door closed behind them, I heard the nurse practitioner laugh and say again to the doctor "she was crying over a cyst" and the doctor laughed. I heard them laughing as they walked away.
I left the appointment with no plan, no compassion, and a $2,000 bill for care that was dismissive and harmful. I was made to feel like my pain and symptoms didn't matter and that I wasn't taken seriously simply because my condition wasn't "serious enough" for them.
Patients deserve to be believed, respected, and treated with basic humanity -- none of which I received here. I hope no other patient has to go through what I experienced with Dr. Giuliano and his team. I would highly recommend you do not see Dr. Giuliano. read more