Hi Dr. Schulzel,
Thank you for responding to my review. However, I must correct several inaccuracies and provide clarity, supported by visual evidence where appropriate.
1. Pain and Informed Consent
My experience during the appointment was not only painful but also traumatizing. I was not adequately informed about the potential for intense discomfort during an examination, which left me unprepared, overwhelmed, and unsupported. This event remains vivid in my memory due to its significant impact, and I sincerely hope future patients receive better preparation and communication.
2. Empathy and Compassion
I found your demeanor cold and dismissive, which starkly contrasts with other healthcare professionals I've worked with. Empathy is critical in your field, but it was absent in both our interaction and your response.
3. Sticky Note and Documentation
Referring to my concerns as a "conspiracy" is dismissive. Patients rely on transparency and accountability from their healthcare providers, and this language erodes trust or professionalism.
Your claim that sticky notes are not used or destroyed contradicts an email from your staff dated May 28, 2019, which explicitly states: "The handwritten notes are shredded."
This note contained information not included in the EMR, leaving a gap in documentation that further eroded my trust. Transparency and detailed records are vital for patient confidence and care.
Evidence: https://imgur.com/n19UBBh
4. Audio Recording
Suggesting that my desire to record appointments reflects a personal issue to "address with a therapist" is unprofessional and dismissive. Recording medical consultations is a widely accepted practice that improves patient understanding and reduces errors.
Medical errors are the third leading cause of death in the U.S., according to Johns Hopkins research, with inadequate patient education being a key factor. Misdiagnosis, surgical errors and lack of quality improvement are also in the top 10. Encouraging clearer communication and documentation benefits both patients and providers.
5. Medical Records and Family Counseling
Obtaining my medical records required multiple attempts, and only after mentioning a potential review did I finally receive them. This unnecessary difficulty was frustrating and concerning.
Additionally, your notes inaccurately state that family members were counseled, and another error claims I was interested in pursuing surgery--neither of which is true. These errors highlight the need for more accurate documentation, which is critical for effective care.
Evidence: https://imgur.com/hRSfw1d
6. Natural Remedies
When a former patient resolves a serious condition, even through alternative means, a simple "congratulations" would suffice. The natural approach I pursued successfully resolved the issue for me and many others, and dismissing it as "unproven" overlooks the evidence supporting its efficacy.
Alternative treatments often face significant underfunding for research, yet their effectiveness can be profound. Historical biases, such as those stemming from the AMA-sponsored Flexner Report, have unfairly discredited these therapies without addressing their true potential. Notably, studies conducted outside the U.S. have provided meaningful insights and validation for such approaches.
7. "Butt Surgeon" Remark
My comment about "butt surgeon" was intended to reflect the natural apprehension patients feel when seeking care for sensitive conditions, highlighting the importance of empathy. Research, including studies published in JAMA Surgery, shows that surgeons with better bedside manners achieve higher patient satisfaction and improved outcomes. Unfortunately, I did not experience this level of care during my visit, which is one reason I did not return.
I hope this response clarifies my perspective. My review was intended to provide constructive feedback, and I stand by its accuracy. Transparency, empathy, and better communication could enhance your practice and positively impact patient care.
If you would like to share how I could provide more constructive actionable feedback, I would welcome the opportunity. While my phone number and email have changed, you're welcome to message me here or on social media.
Wishing you and your practice success in fostering better patient care,
Joel read more
