Does Dr. Crisler make you feel too rushed in VOVs?

[toorushed]

Does anybody feel too rushed by Dr. Crisler on VOVs? Please reply.

It seems every time I call, he is quick to get me off the phone, because he is running late and overbooked. I'm willing to overlook the fact that he often calls up to two hours late, for this argument. I'd just like to bring to light the fact that he rushes people off the phone when they finally speak to him.

Messing with hormones is a delicate and, honestly, terrifying process for anyone involved. He is passionate about his work, which is the reason why we all see him. But, when it comes to VOVs, that passion doesn't show through as compassion. He is quick to get you figured out so he can get you off the phone and get to the next patient. I feel manhandled.

Certainly this is a product of how busy he is. But I cannot excuse that when I pay for his time. I'm not willing to excuse him because he's busy. I am his source of income, I am his customer, and, most importantly, I am his patient. I demand time and attention that I deserve.

I'm not saying he isn't offering one of the highest quality services in the country. I'm not even saying that I'm unsatisfied with the protocol I'm currently on. But there are issues that I'd like to discuss, long term stuff, stuff I'm confused and worried about, stuff that he is extremely quick to brush past and get me off the phone.

Dr., I'm asking you to please schedule your time better. Please make a sufficient amount of time allotted for each patient. Schedule less patients per day, increase prices, offer different hours, get a colleague on board - whatever the solution is for you, please find it.

This is not how I want to be treated.

[TimD]

I have never had this experince with Dr. Crisler or any of his staff. I have been a patient for 3 years.

Infinite patience produces immediate results...

[Drew]

You realize this is probably best left between you and Dr. C, right? I'm not sure why you brought this here instead of talking to him directly.

[jasonshadow]

Does anybody feel too rushed by Dr. Crisler on VOVs? Please reply.

It seems every time I call, he is quick to get me off the phone, because he is running late and overbooked. I'm willing to overlook the fact that he often calls up to two hours late, for this argument. I'd just like to bring to light the fact that he rushes people off the phone when they finally speak to him.

Messing with hormones is a delicate and, honestly, terrifying process for anyone involved. He is passionate about his work, which is the reason why we all see him. But, when it comes to VOVs, that passion doesn't show through as compassion. He is quick to get you figured out so he can get you off the phone and get to the next patient. I feel manhandled.

Certainly this is a product of how busy he is. But I cannot excuse that when I pay for his time. I'm not willing to excuse him because he's busy. I am his source of income, I am his customer, and, most importantly, I am his patient. I demand time and attention that I deserve.

I'm not saying he isn't offering one of the highest quality services in the country. I'm not even saying that I'm unsatisfied with the protocol I'm currently on. But there are issues that I'd like to discuss, long term stuff, stuff I'm confused and worried about, stuff that he is extremely quick to brush past and get me off the phone.

Dr., I'm asking you to please schedule your time better. Please make a sufficient amount of time allotted for each patient. Schedule less patients per day, increase prices, offer different hours, get a colleague on board - whatever the solution is for you, please find it.

This is not how I want to be treated.

ditto

[GRIMNURUK]

Have you tried double appointments? (serious question) He certainly is a busy guy and I've sometimes caught myself thinking along the lines that you've rather bluntly stated. I've been thinking a double time slot might help when its not just maintenance type stuff. When it comes down to it, I'd still rather have just a few minutes of the best guy in the field's time than all the time in the world with a blank staring regular doc. Doc gets the results so he is always going to be fighting the clock.

[thelordhumungus]

I haven't had a vov yet but does it help to bulletpoint your questions first so you don't waste time with small talk?

Would putting some time into organizing your thoughts first help improve the flow?

[GRIMNURUK]

I haven't had a vov yet but does it help to bulletpoint your questions first so you don't waste time with small talk?

Would putting some time into organizing your thoughts first help improve the flow?

Yep, gotta do that. Be prepared. Points in front of you. Pen in hand.

[pcgizzmo]

Does anybody feel too rushed by Dr. Crisler on VOVs? Please reply.

It seems every time I call, he is quick to get me off the phone, because he is running late and overbooked. I'm willing to overlook the fact that he often calls up to two hours late, for this argument. I'd just like to bring to light the fact that he rushes people off the phone when they finally speak to him.

Messing with hormones is a delicate and, honestly, terrifying process for anyone involved. He is passionate about his work, which is the reason why we all see him. But, when it comes to VOVs, that passion doesn't show through as compassion. He is quick to get you figured out so he can get you off the phone and get to the next patient. I feel manhandled.

Certainly this is a product of how busy he is. But I cannot excuse that when I pay for his time. I'm not willing to excuse him because he's busy. I am his source of income, I am his customer, and, most importantly, I am his patient. I demand time and attention that I deserve.

I'm not saying he isn't offering one of the highest quality services in the country. I'm not even saying that I'm unsatisfied with the protocol I'm currently on. But there are issues that I'd like to discuss, long term stuff, stuff I'm confused and worried about, stuff that he is extremely quick to brush past and get me off the phone.

Dr., I'm asking you to please schedule your time better. Please make a sufficient amount of time allotted for each patient. Schedule less patients per day, increase prices, offer different hours, get a colleague on board - whatever the solution is for you, please find it.

This is not how I want to be treated.


Ummmm..... I've never heard of anyone feeling this way but since it looks like this is your first post here I would take your concerns to the Dr. rather than posting them on HIS board for EVERYONE to see. It doesn't bode well for the Dr. patient relationship. :thumbdown:

[cpeil2]

We usually exchange a little chit-chat, we discuss my issues and that's that - takes 10-15 minutes like it's supposed to. Fortunately, I never have complex issues. You will notice that he has a sliding fee scale - you pay more, you get more time. If I did have a complex issue that I wanted to discuss in great detail, I wouldn't hesitate to pay more.

[hardasnails1973]

Again this should be discussed with Dr C office staff and not brought into the limielight. i can speak first hand about getting piled up and it can be come a night mare if something goes out of wack that day. May be a patient flying in got lost or there may have been a traffic jam, road closed, or weather issues. I ran into these myself and the Dr does try to commodate every one i am sure.
So take it up with Dr C personally because there are days where things can go wrong and you just might have experienced one of them.. I would call it bad timing and rubbed the wrong way.

[rick055]

I've been a patient for three years with no problems.

[Katzenjammer]

My feeling is that the good Doctor doesn't want to get bogged down in endless questions that might just as well be answered elsewhere.

I know that when I was feeling bad, I had about 20 whiney questions swimming around my head that I wanted answered.

However, due to his business-like manner, I only ended up asking the really important, and well-thought out ones - which he answered crisply and greatly to my satisfaction.

Once I started feeling better, a lot of those questions I thought I wanted to ask now seem irrelevant or silly.

So - I think it's his way of weeding everything out except the really important stuff. Allows him to be a better doctor - and you the better patient.

My 2 cents.

[GRIMNURUK]

I know that when I was feeling bad, I had about 20 whiney questions swimming around my head that I wanted answered.

However, due to his business-like manner, I only ended up asking the really important, and well-thought out ones - which he answered crisply and greatly to my satisfaction.

Once I started feeling better, a lot of those questions I thought I wanted to ask now seem irrelevant or silly.


Gotta agree with you.

[jasonshadow]

Have you tried double appointments? (serious question) He certainly is a busy guy and I've sometimes caught myself thinking along the lines that you've rather bluntly stated. I've been thinking a double time slot might help when its not just maintenance type stuff. When it comes down to it, I'd still rather have just a few minutes of the best guy in the field's time than all the time in the world with a blank staring regular doc. Doc gets the results so he is always going to be fighting the clock.

I have been given this some thought as well. Scheduling for 2 appointements so that I can get all my questions answered.

[flyfish1000]

I don't think he would mind at all that you asked your question on this forum. Its a win win situation either way. If most of us felt this way I am sure he would look within himself and make the corrections. It looks like most of us don't feel like we have gotten the bums rush like you feel you have so maybe you just caught him on a bad day and this experience is random. I would certainly tell him on your next visit. We all get better from feedback. I can't think of any Dr I have visited where I was seen at my appointment time so I kind of expect him to be somewhat late. Also think of how many complaints you would have if your primary Dr was designing your hormone protocol.

[keith1958]

I have been his patient for 2 years now and have had several VOV's. All of them have been productive and he spent the entire time, actually more with me. I was a hard case. His staff has treated me great also. I wish all my doctors took the same time with me or cared as much. By the way he went above and beyond to get me help getting blood lettings.

When I first started seeing him I had many more question then we had time, so maybe it is wise to schedule 2 slots with him at first.

[JanSz]

I am assuming that dr John is a perfect communicator.
Plus he is an expert in what he does.
Given above, one should strive for coherent communication.

It may not be simple to figure out proper questions since patient is often clueless about his situation.

It is a fact that your vov did not met your expectation.

I still assume that you have got the best service condition allowed.

In the last 5 minutes of your vov, specially when you already know that it went down hill, it may pay to ask dr John how should you prepare your self for the next vov.

I am sure that dr John will give you some pointers.

...

[simpllyhuge]

How much are VOV's?

[thenxtgrt1]

....I definitely agree with Janz. I'm sure if you and Dr Crisler spoke, there could be a solution worked out.

[agoraphobe]

I know dr crisler really hates threads like these.

I think a more constructive way to phrase your problem would be to point out his practice is continually overbooked and backed up, and ask if he has a plan for getting it all smoothed out since his case load is going to continue to increase.

I suspect what happened was he covered your test results and protocol recommendation, and then you had a lot of "newbie" type questions that he gets 100's of times per day that he thinks could be answered someplace like the messageboard.

Like others have said hormone manipulation can be scary and intimidating... he can probably sense when someone is about to go to a place where they need a lot of assurance and explanations that he considers sort of pedantic, meanwhile he's got 20 more calls to make, many of which may want 10 extra minutes of the same thing.


Like others have said it's probably best to plan in advance and book 1 vov block for test & protocol time, and 1 vov block for "comfort me" time.

[Nuclear]

Perhaps a sticky could be authored which explains how to prepare for and what to expect with a VOV.

[Bulldog]

Here is how I prepare for my VOV's.

First I list any symptoms I was having that have improved since the last change in protocol. Then I list any new symptoms I may be experiencing and any questions I have regarding those new symptoms. I also make some notes on how I'm feeling overall. I note all these things in a text document on my laptop. Then I make sure I have my headset for my cell phone ready so that I have my hands free to type notes in the text document as we discuss things. This makes it really easy to remember what I want to discuss and take notes of what Dr. John may want me to change.

If you won't have a computer handy then just write the stuff down on a piece of paper and have a pen handy. But be sure you write everything down you want to discuss. If you know your visit will take longer than normal then be sure you let Kim know and she will block the appropriate amount of time based on the number of issues you want to discuss, and of course you will be charged accordingly.

But the headset and either a computer or sheet of paper with your notes is absolutely essential in my opinion. Not only so you won't forget something but so that you can efficiently discuss everything without wasting Dr. John's time.

[Nuclear]

Excellent advice here from Bulldog. I'd like to say that since being his patient I have never felt better. I've been to several doctors in the past that spent a lot of time with office visits and charged much more as well, yet weren't successful in their treatment. I'm not being an a**kisser here, just telling it like it is. My needs are being met.

Also, it must be challenging dealing with all the emotionally labile men. I was there and I'm sure many of us were before we were stabilized on our treatments. Sure, I know it is their "chosen" profession and that these things come with the territory. Nonetheless, it has to be trying at times.



Here is how I prepare for my VOV's.

First I list any symptoms I was having that have improved since the last change in protocol. Then I list any new symptoms I may be experiencing and any questions I have regarding those new symptoms. I also make some notes on how I'm feeling overall. I note all these things in a text document on my laptop. Then I make sure I have my headset for my cell phone ready so that I have my hands free to type notes in the text document as we discuss things. This makes it really easy to remember what I want to discuss and take notes of what Dr. John may want me to change.

If you won't have a computer handy then just write the stuff down on a piece of paper and have a pen handy. But be sure you write everything down you want to discuss. If you know your visit will take longer than normal then be sure you let Kim know and she will block the appropriate amount of time based on the number of issues you want to discuss, and of course you will be charged accordingly.

But the headset and either a computer or sheet of paper with your notes is absolutely essential in my opinion. Not only so you won't forget something but so that you can efficiently discuss everything without wasting Dr. John's time.

[JackBauer]

Certainly this is a product of how busy he is. But I cannot excuse that when I pay for his time. I'm not willing to excuse him because he's busy. I am his source of income, I am his customer, and, most importantly, I am his patient. I demand time and attention that I deserve.


You know when I first read this thread I wasn't going to comment...

Because I missed the "demands".

The one thing in life that really sets me off is entitlement. And I don't mean entitlement programs - although I have issues with that too.

I mean people who believe that they are entitled to live within different rules than the rest of us.... Or people who make demands instead of requests. You know that they are "entitled" to give these demands.

I always get amused at work when someone makes a demand of someone who they neither have oversight of, nor that target person has any role / responsibility to perform that task. The person making the "demand" looks like a moron.

I am not saying that you are - at all.

What I am saying is that more productive approaches would involve less demands and more of a tone of asking what one could do to have more efficient and successful VOV's.

"Demands" rarely go over well with people unless their salary is wholly dependent on you.

[joe143]

Happy patient here.I always have a paper and pen, and my main question(s) written. If I feel that I've got more questions than 10 min will take, I set up a double VOV. However, I've only had to do that a couple times. Most of the time a regular VOV is more than enough. More than once the doctor has spent extra time just to make sure I understand whats happening. I'm always gratefull for that.

[andy12345]

5 mins, 10 mins, 1 hour, 2 hours, 10 hours........It's never enough for any subject unless one is super focused

The number of times I thought - after putting a phone down - "argh, I forgot to do this/ask that"

:biggrin:

I believe Dr.Crisler will give mercy for first infraction, seeing as his patient is probably emotionally labile... (going to look that up now - they should probably call it libel........)

[agoraphobe]

Good advice here to use managerial skills -

Write down everything you want to say in advance, prioritize it, take notes while he talks

if he cuts you off, call back his receptionist and book another vov for your followups

[hardasnails1973]

The one I love is when patients are telling dr what to write for prescirptions and tests to be ran. I just laugh at the balls some patients have and audacity.

[agoraphobe]

The one I love is when patients are telling dr what to write for prescirptions and tests to be ran. I just laugh at the balls some patients have and audacity.

I don't find to be an uncommon necessity at all. Most doctors don't know what prescriptions to write or tests to run in the world of hormones, fatigue, etc.

[thelordhumungus]

I don't find to be an uncommon necessity at all. Most doctors don't know what prescriptions to write or tests to run in the world of hormones, fatigue, etc.

I certainly agree depending on the doctor. My PCP wasn't going to run any of the important tests until I discussed them with him. He also tried to prescribe medication with significant side effects until I brought up a better option.

[LowT]

The one I love is when patients are telling dr what to write for prescirptions and tests to be ran. I just laugh at the balls some patients have and audacity.

I'm glad I have balls and audacity.

If it wasn't for me practically getting into a shouting match with two docs I never would have found out I had a pituitary tumor.

It's a damn rare occurrence that a doc knows everything when it comes to HRT and even if you're dealing with someone who is a pro (like Dr. C) it never hurts to ask about something. Some times they'll say, "sure that's not a bad idea" or will explain why they feel it's not needed.

Of course, it helps to approach the matter in a polite in respectable manner...unless you're dealing with an endo...in which case...do what is needed. :sifone:

[diezel008]

I think coming on here and venting about Dr. John on Dr. John's forum is the wrong way to go about this.

Im sorry if i come across as an A-hole, but Dr. John does a TON for his patients that you may not even realize! He keeps the costs down so sick men can afford his expertise. If not for that, i would have had to delay my treatment, and that may have spelled disaster for me as i was trying to finish up 6 1/2 years in school for mechanical engineering.

Dr. John knows his stuff. Like someone else said, if he cuts you off, its probably for a good reason. He gets asked the same "newbie" type questions, and im sure he gets sick of it!

Seriously, you need to take some notes from these responses. Write down your symptoms, what improved, what has changed for the bad. Have previous labs in front of you and ask him how your lab numbers have changed on the key hormones you have issues on. After all that, you should discuss your dosing changes and when you should re-test. If you need to, book an additional 10 minute VOV.

Dr. John is a life-saver for thousands of men. Please do not come on his forum and complain openly for all to see. It's disrespectful to a man who does so much for us sick men trying to recover their health!

[Dr. John Crisler]

Does anybody feel too rushed by Dr. Crisler on VOVs? Please reply.

It seems every time I call, he is quick to get me off the phone, because he is running late and overbooked. I'm willing to overlook the fact that he often calls up to two hours late, for this argument. I'd just like to bring to light the fact that he rushes people off the phone when they finally speak to him.

Messing with hormones is a delicate and, honestly, terrifying process for anyone involved. He is passionate about his work, which is the reason why we all see him. But, when it comes to VOVs, that passion doesn't show through as compassion. He is quick to get you figured out so he can get you off the phone and get to the next patient. I feel manhandled.

Certainly this is a product of how busy he is. But I cannot excuse that when I pay for his time. I'm not willing to excuse him because he's busy. I am his source of income, I am his customer, and, most importantly, I am his patient. I demand time and attention that I deserve.

I'm not saying he isn't offering one of the highest quality services in the country. I'm not even saying that I'm unsatisfied with the protocol I'm currently on. But there are issues that I'd like to discuss, long term stuff, stuff I'm confused and worried about, stuff that he is extremely quick to brush past and get me off the phone.

Dr., I'm asking you to please schedule your time better. Please make a sufficient amount of time allotted for each patient. Schedule less patients per day, increase prices, offer different hours, get a colleague on board - whatever the solution is for you, please find it.

This is not how I want to be treated.The average office visit these days is 7 minutes. I often go to twenty. But can't think I ever spend less than 7.

The average office visit these days is one major issue and one minor issue. I regularly address 5 to 7.

The scheduling is tough, no doubt. But add in the time it would take to drive to my office, sit in the Waiting Room, then drive home. You are instead doing whatever you want to during all that time. Perspective a little different now?

But I am working to get on, and stay on, schedule. If I see any less patients each day, there will be NO office open.

And few know all that goes on behind the scenes for that office visit. It can take me 10 minutes just to ORDER labs. Then my staff has to process them when they get in--this can take half an hour of my staff time--which I have to pay for. NO other medical practice has to do this.

But to be clear, many times patients think I am there to teach them all about my field of medicine. I am not. I am there to try to make you well.

I wish I knew all the hours I work as a doctor for free--or even pay for the right to provide medical care. Simple math.

As far as "paying for time", perhaps I should raise my prices to those charged by my physician students. I have literally taken from my own pocket--in these economic times--to keep prices down.

If you are suggesting I do not care about my patients, then please tell me where you would like your medical file forwarded. I provide medical care on a level very few in the world do. I am not there to visit all day, as much as I would like to; sorry.

The next time you are with your local doctor (any doctor), time how long you are actually with him/her.

Other than getting off schedule, there is not a legitimate complaint in your post. NO ONE is ever "rushed". I take the time it takes to get the job done. And I promise to do better at the scheduling. It's entirely my fault I get off schedule.

[Dr. John Crisler]

We usually exchange a little chit-chat, we discuss my issues and that's that - takes 10-15 minutes like it's supposed to. Fortunately, I never have complex issues. You will notice that he has a sliding fee scale - you pay more, you get more time. If I did have a complex issue that I wanted to discuss in great detail, I wouldn't hesitate to pay more.And the "chit chat" is really about me getting a feel for how you are feeling. You have no doubt figured that one out already.

[Dr. John Crisler]

I would note a reluctance to provide the sleazy bloggers more fodder for their smears.

[Nuclear]

I vote for deleting this thread.

[Katzenjammer]

I vote for deleting this thread.

Yep.

[Bulldog]

I vote for deleting this thread.

I agree. Delete this thing.

Then maybe one of the mods can make a sticky with some suggestions on how to best prepare for a VOV and then lock it down!

[da104970]

I agree. Delete this thing.

Then maybe one of the mods can make a sticky with some suggestions on how to best prepare for a VOV and then lock it down!

Because someone posts something on here you do not like or agree with, you vote to delete it?

Um, ok.

I think this post should be left for everyone to view. Why? Dr. John, though not needing to defend what he does or how he does it (though kind enough to comment), gives insight into his approach and those factors that help direct the decisions he makes. This thread is NOT about how to prepare for a VOV. I am sure the OP is not the only patient who feels like this and there are others who have the same concerns. If you delete this thread, it denies the other patients the chance to get feedback from Dr. John himself. Why waste precious time during a VOV when many questions may be addressed here?

[andy12345]

I think keeping this thread and making sure Dr. Crisler's comments are clear to see is a good thing as well.

:biggrin:

[JanSz]

I vote for deleting this thread.

No.

But, I think Katzenjammer, time permitting, could write a

"Patient's Guide to vov".

..

[cpeil2]

The one I love is when patients are telling dr what to write for prescirptions and tests to be ran. I just laugh at the balls some patients have and audacity.


Huh???? I always tell my docs what I want. Sometimes they disagree w/ me and say no, but not often. The time when patients passively sit there and do what ever the doc says without questioning it is long gone.

[rick055]

I'm glad I have balls and audacity.

If it wasn't for me practically getting into a shouting match with two docs I never would have found out I had a pituitary tumor.


Never heard that story of yours before ... GREAT JOB! Many patients would have just caved in. You are your only advocate.

And I echo what cp said one post above ^

[thelordhumungus]

No.

But, I think Katzenjammer, time permitting, could write a

"Patient's Guide to vov".

..

100% agreed. It would be in everyone's best interest to have an easy to follow guide listing the steps a patient should take before their VOV and the information they need to convey to the doctor in as concise a way as possible.

This is how I've felt on the medication.
Here are the issues I've perceived to be related problems.
This is what I'm hoping to accomplish.
Here are my brief and pertinent questions.

I know I tend to ramble in person and get off track very easily, especially when I'm passionate about a subject such as my health. Spend some time collecting your thoughts and jotting down what you want to discuss. If you review your topics later you can prioritize them, most likely find duplicate or closely related topics, and shorten them to only the most important part.

Dr. Crisler is a very busy guy and trying to run a successful practice on $60 VOV is probably very tough. He's providing a valuable service for a reasonable price.

[Jeffrey J]

Ok, I only had one VOV with the good Dr and to be honest It went by so fast, yet it was still too long, lol.:huh: I was taken back by his 1st question to me and I sort of stepped back a little. So, I felt awkward other than that I really need to find my cell phone headset to make things easier.
Sorry if you felt rushed

[Nuclear]

The "Patient's Guide to vov" would be very useful.


No.

But, I think Katzenjammer, time permitting, could write a

"Patient's Guide to vov".

..

[Dr. John Crisler]

Because someone posts something on here you do not like or agree with, you vote to delete it?

Um, ok.

I think this post should be left for everyone to view. Why? Dr. John, though not needing to defend what he does or how he does it (though kind enough to comment), gives insight into his approach and those factors that help direct the decisions he makes. This thread is NOT about how to prepare for a VOV. I am sure the OP is not the only patient who feels like this and there are others who have the same concerns. If you delete this thread, it denies the other patients the chance to get feedback from Dr. John himself. Why waste precious time during a VOV when many questions may be addressed here?I do think you make some good points.

While I am simply not going to have baseless complaints aired from the spleen here--especially in light of the fact NO ONE has all day to do an office visit--it does offer the oportunity to let others know what goes on behind the scenes.

[Dr. John Crisler]

100% agreed. It would be in everyone's best interest to have an easy to follow guide listing the steps a patient should take before their VOV and the information they need to convey to the doctor in as concise a way as possible.

This is how I've felt on the medication.
Here are the issues I've perceived to be related problems.
This is what I'm hoping to accomplish.
Here are my brief and pertinent questions.

I know I tend to ramble in person and get off track very easily, especially when I'm passionate about a subject such as my health. Spend some time collecting your thoughts and jotting down what you want to discuss. If you review your topics later you can prioritize them, most likely find duplicate or closely related topics, and shorten them to only the most important part.

Dr. Crisler is a very busy guy and trying to run a successful practice on $60 VOV is probably very tough. He's providing a valuable service for a reasonable price.Simple question:

What doctor goes through this? What doctor needs to write down what should be coMmon sense?

My visits are longer, I address more issues, and I charge less than my colleagues. As they say, you cannot please everyone. LOL

[Hemochromatosis]

One of my first posts months back was a question if Dr. J was on HRT. I got hammered. I only asked because I look at his pic behind the podium and said "damn Dr. J has some crop of hair" I mean move over Tony Orlando! :sifone:

Anyhow, we all want to do good by the Doc or at least most of us and he seems very capable of addressing these issues and defending himself. He invested his time to answer and it needs to be honored with a work product in the form of a VoV.

Hell I think Dr. J would be best served with a real time content management system, where he could manage responses more around his schedule and keep the phone open for critical ER etc situations and have his initial office visit. It would be a great way to personally manage workload and is jut one more step up form the forums we are using right now.

I consult, I use a CMS called Joomla combined with Skype. I can info share and chat hands free so I can play with myslef while sounding interested and concerned! just kidding

Anyhow a Preparation Instructions paper would serve well for streamline and efficiency. If someone does this please use some form of revision reference to track changes, please.

So leave the post up, link any prep instructs to the final entry and freeze the thread. Let some good come out of it.

[Bioman3131]

Here is a little food for thought. How many other doctors have a forum in which their patients can comment about anything under an assumed name. If every doctor did have this avenue available to their patients how many negative posts do you think they would get each day? I would imagine a whole hell of a lot. How many negative posts have been directed towards Dr. Crisler over the years? I certainly cannot remember many if any and I have been on here for a long time. The simple truth is it doesn’t matter how compassionate or caring you are eventually you will end up pissing someone off when you work with the public. I consider my self to be one of the most caring and compassionate people you would ever meet but I do manage on occasion to piss someone off. I don’t mean too, but it happens. It’s just the way it is. I have had numerous VOV’s over the past three years and each and every time Dr. Crisler has been extremely nice and has always addressed any issues I have had. Bottom line, he has done wonders for my health and I am extremely satisfied. I am confident that the vast majority of his patients feel the same way. We can all improve in our work but honestly I think he is doing one hell of a good job but you just simply cannot please all of the people all of the time.

[Hemochromatosis]

Simple question:

What doctor goes through this? What doctor needs to write down what should be coMmon sense?

My visits are longer, I address more issues, and I charge less than my colleagues. As they say, you cannot please everyone. LOL

Simple Answer: You are a visionary with a forward thinking first thought kind of mind that needs to be directed at trailblazing and not hand holding. you should be in clinicals, grant funded clinicals controlled by you. Getting answers like HGH replacement versus GHRP-6 replishment. Finding other AI's, etc....Making the anthem of: "This shouldnt be a rich mans game" realized, etc...I would rather have cost containment and limited access to you, if I knew I could get you on short notice if there was an emergency.

Personally if I flew up to Flint or whatever godforsaken part of MI you are in, (former buckeye) I would like to meet you but wouldn't mind having a big breasted physicians assistant/practioner treat me and only go to you for oversight as needed.

Trail blaze dont hold my hand. <-----short answer

[Hemochromatosis]

Here is a little food for thought. How many other doctors have a forum in which their patients can comment about anything under an assumed name.......SNIP.

great now you tell me. i looked for hours in the whitepages under bioman3131!

:thumbup:

[Dr. John Crisler]

One of my first posts months back was a question if Dr. J was on HRT. I got hammered. I only asked because I look at his pic behind the podium and said "damn Dr. J has some crop of hair" I mean move over Tony Orlando! :sifone:

Anyhow, we all want to do good by the Doc or at least most of us and he seems very capable of addressing these issues and defending himself. He invested his time to answer and it needs to be honored with a work product in the form of a VoV.

Hell I think Dr. J would be best served with a real time content management system, where he could manage responses more around his schedule and keep the phone open for critical ER etc situations and have his initial office visit. It would be a great way to personally manage workload and is jut one more step up form the forums we are using right now.

I consult, I use a CMS called Joomla combined with Skype. I can info share and chat hands free so I can play with myslef while sounding interested and concerned! just kidding

Anyhow a Preparation Instructions paper would serve well for streamline and efficiency. If someone does this please use some form of revision reference to track changes, please.

So leave the post up, link any prep instructs to the final entry and freeze the thread. Let some good come out of it.
There really aren't any critical issues in my field. I think two genuine emergencies in 9 years.

And I certainly am sensitive about my crop of hair. LOL

Simply, when we are on a VOV, pretend you are sitting in your local doctor's office. He/she is not there to teach you all about medicine, explain every single completely normal (of no consequence) lab test, or hear about the gall bladder surfery you had back in '92. The only difference is you do not see the doctor's hand on the doorknob. LOL

[Dr. John Crisler]

great now you tell me. i looked for hours in the whitepages under bioman3131!

:thumbup:But a really great thing about this place is we are all gentlemen. So there is no cowardice in posting under an assumed name (which is more than I can say about some forums--and most blogs).

That is also why we are glad you are here as one of us.

[JanSz]

Quote:
Originally Posted by hardasnails1973
The one I love is when patients are telling dr what to write for prescirptions and tests to be ran. I just laugh at the balls some patients have and audacity.



Huh???? I always tell my docs what I want. Sometimes they disagree w/ me and say no, but not often. The time when patients passively sit there and do what ever the doc says without questioning it is long gone.
Huh???? 3x

I think HAN must have had a stressful day.


"audacity" is a word that is used less these days but was popular during last presidential election.


=============================================
In couple days I will call doctor's office, asking for certain tests for my grandson,
if he refuses I will go somewhere else.

...

[thelordhumungus]

Simple question:

What doctor goes through this? What doctor needs to write down what should be coMmon sense?

My visits are longer, I address more issues, and I charge less than my colleagues. As they say, you cannot please everyone. LOL

I wasn't suggesting a VOV guide is something else that should be added to your already busy schedule.

I was thinking other patients on the forum could come up with a general guide for a successful VOV for people like me who tend to ramble or get off topic.

[JanSz]

There really aren't any critical issues in my field. I think two genuine emergencies in 9 years.

And I certainly am sensitive about my crop of hair. LOL

Simply, when we are on a VOV, pretend you are sitting in your local doctor's office. He/she is not there to teach you all about medicine, explain every single completely normal (of no consequence) lab test, or hear about the gall bladder surfery you had back in '92. The only difference is you do not see the doctor's hand on the doorknob. LOL

Possibly we can start another thread.

Diet for someone without gall bladder or
things to watch for and test when one is without gall bladder.

.......

[Dr. John Crisler]

Simple Answer: You are a visionary with a forward thinking first thought kind of mind that needs to be directed at trailblazing and not hand holding. you should be in clinicals, grant funded clinicals controlled by you. Getting answers like HGH replacement versus GHRP-6 replishment. Finding other AI's, etc....Making the anthem of: "This shouldnt be a rich mans game" realized, etc...I would rather have cost containment and limited access to you, if I knew I could get you on short notice if there was an emergency.

Personally if I flew up to Flint or whatever godforsaken part of MI you are in, (former buckeye) I would like to meet you but wouldn't mind having a big breasted physicians assistant/practioner treat me and only go to you for oversight as needed.

Trail blaze dont hold my hand. <-----short answer
Now THAT is a Man Up!

BTW, I am in "Godforsaken" Lansing, MI. LOL

[Dr. John Crisler]

Possibly we can start another thread.

Diet for someone without gall bladder or
things to watch for and test when one is without gall bladder.

.......hehehehe

[mobrien]

Does anybody feel too rushed by Dr. Crisler on VOVs? Please reply.

It seems every time I call, he is quick to get me off the phone, because he is running late and overbooked. I'm willing to overlook the fact that he often calls up to two hours late, for this argument. I'd just like to bring to light the fact that he rushes people off the phone when they finally speak to him.

Messing with hormones is a delicate and, honestly, terrifying process for anyone involved. He is passionate about his work, which is the reason why we all see him. But, when it comes to VOVs, that passion doesn't show through as compassion. He is quick to get you figured out so he can get you off the phone and get to the next patient. I feel manhandled.

Certainly this is a product of how busy he is. But I cannot excuse that when I pay for his time. I'm not willing to excuse him because he's busy. I am his source of income, I am his customer, and, most importantly, I am his patient. I demand time and attention that I deserve.

I'm not saying he isn't offering one of the highest quality services in the country. I'm not even saying that I'm unsatisfied with the protocol I'm currently on. But there are issues that I'd like to discuss, long term stuff, stuff I'm confused and worried about, stuff that he is extremely quick to brush past and get me off the phone.

Dr., I'm asking you to please schedule your time better. Please make a sufficient amount of time allotted for each patient. Schedule less patients per day, increase prices, offer different hours, get a colleague on board - whatever the solution is for you, please find it.

This is not how I want to be treated.

Did you seriously make an account just to ask this?

[Dr. John Crisler]

Does anybody feel too rushed by Dr. Crisler on VOVs? Please reply.

It seems every time I call, he is quick to get me off the phone, because he is running late and overbooked. I'm willing to overlook the fact that he often calls up to two hours late, for this argument. I'd just like to bring to light the fact that he rushes people off the phone when they finally speak to him.

Messing with hormones is a delicate and, honestly, terrifying process for anyone involved. He is passionate about his work, which is the reason why we all see him. But, when it comes to VOVs, that passion doesn't show through as compassion. He is quick to get you figured out so he can get you off the phone and get to the next patient. I feel manhandled.

Certainly this is a product of how busy he is. But I cannot excuse that when I pay for his time. I'm not willing to excuse him because he's busy. I am his source of income, I am his customer, and, most importantly, I am his patient. I demand time and attention that I deserve.

I'm not saying he isn't offering one of the highest quality services in the country. I'm not even saying that I'm unsatisfied with the protocol I'm currently on. But there are issues that I'd like to discuss, long term stuff, stuff I'm confused and worried about, stuff that he is extremely quick to brush past and get me off the phone.

Dr., I'm asking you to please schedule your time better. Please make a sufficient amount of time allotted for each patient. Schedule less patients per day, increase prices, offer different hours, get a colleague on board - whatever the solution is for you, please find it.

This is not how I want to be treated.We schedule three patients per hour. I am not "overbooked".

Many doctors run two hours late these days--and more. Unacceptable, but true. However, I am committed to getting on--and keeping on--schedule. Being late is entirely my fault, as I often need to research during the day, handle other emergencies, etc.

If you want to see someone else at my office, we can arrange that. But I think guys come here to see ME.

We schedule 3 patients per hour. It costs $120 per hour just to keep my doors open. There is usually half an hour of staff support time per VOV. I have $800 per month student loan payments to make, as well as thousands of dollars of professional fees annually. And all this in the God-awful Michigan economy. You do the math.

I do NOT "manhandle" patients. I take the time it takes. But sometimes patients want me to sit and explain all about the field of medicine. Explaining why something is being done is one thing; turning the VOV into a seminar is something else. I nearly always spend at least 50% more time per office visit than any of my colleagues.

After rereading your post, it may be best for you to find someone else to handle your health care. It seems nothing is going to please you, at least while you hold me to standards no physician can keep to. At least, no physician who has anything going on.

[andy12345]

The nature of the internet.

If you have a website, you invite all and sundry, because forums are for discussions etc.

When I use the internet, complete without it's visual cues or bodylanguage etc, I always have to turn down my reactivity meter by about 50%.

It always helps.

It's a shame that the "patient" has not even been back to comment.

This means either he is chewing on his words, thinking "oh shi$" and wondering how to redress the balance or has vented, not worrying about it.

Also, next time Dr. Crisler does his VOV he'll be looking for audible clues as to the digruntled patient, which will get in the way of the purpose of said VOV's.

Dr. Crisler, perhaps your doctorly nature will allow you to leave this as is.
A patient is a patient, after all. All patients babble sometimes.

I'm sure lessons have been learned.

1) Patients, don't ***** without very good cause. edit ( b a b b l e ??)
2) Doctors, make sure (if it's not clear already) that patients have a checklist or know what to expect, no beating around the bush. If they want to have tea and dinner with you, it's going to cost them as you don't have a choice at this time. Maybe in later years you will feel more free.
3) Patients, if you are going to complain, at least declare yourself bravely.

Either way, Dr. Crisler is the one who will ultimately decide.

I'm not taking sides either way. I have not been involved in the process, but I know what it's like to take a professional's time too easily, especially when one's working hours are worth $10/hour versus $$$.

I hope this post is taken in the democratic way it is intended. :P

[LowT]

This is just a thought I'm tossing out there...(I don't see Dr. C)

My doc does phone followups and charges $4 per minute...and charges by the minute. Most visits are 15-30 minutes, some are 10. One time I had a bad reaction to a med and it took some discussion to figure out what the next step was, that call went 39 minutes.

I happily pay by the minute and never feel rushed. Perhaps charging this method would be more advantageous?

I don't know. Just a thought.

[Dr. John Crisler]

The nature of the internet.

If you have a website, you invite all and sundry, because forums are for discussions etc.

When I use the internet, complete without it's visual cues or bodylanguage etc, I always have to turn down my reactivity meter by about 50%.

It always helps.

It's a shame that the "patient" has not even been back to comment.

This means either he is chewing on his words, thinking "oh shi$" and wondering how to redress the balance or has vented, not worrying about it.

Also, next time Dr. Crisler does his VOV he'll be looking for audible clues as to the digruntled patient, which will get in the way of the purpose of said VOV's.

Dr. Crisler, perhaps your doctorly nature will allow you to leave this as is.
A patient is a patient, after all. All patients babble sometimes.

I'm sure lessons have been learned.

1) Patients, don't ***** without very good cause. edit ( b a b b l e ??)
2) Doctors, make sure (if it's not clear already) that patients have a checklist or know what to expect, no beating around the bush. If they want to have tea and dinner with you, it's going to cost them as you don't have a choice at this time. Maybe in later years you will feel more free.
3) Patients, if you are going to complain, at least declare yourself bravely.

Either way, Dr. Crisler is the one who will ultimately decide.

I'm not taking sides either way. I have not been involved in the process, but I know what it's like to take a professional's time too easily, especially when one's working hours are worth $10/hour versus $$$.

I hope this post is taken in the democratic way it is intended. :PYes, we must always keep in mind guys come to me because they are feeling bad. And so they may act in ways they never would once they are tuned up.

But we never excuse ungentlemanly behavior. Doing so is not good for the patient. Patients need to know real things are real in order to have confidence in their care--and themselves.

I also just plain don't like it. LOL

[may19th2001]

I have never heard of something like this about Dr Crisler, he is always caring and depending on what you need at a VOV or office visit he will treat you for what you see him for.
I have only heard good things and positive things, I am sure in the event something could happen which no one has any control over.
I would not stress how you feel too much, however can understand where you are comming from.
I think that Dr Crislers office is ran quite well myself.



Does anybody feel too rushed by Dr. Crisler on VOVs? Please reply.

It seems every time I call, he is quick to get me off the phone, because he is running late and overbooked. I'm willing to overlook the fact that he often calls up to two hours late, for this argument. I'd just like to bring to light the fact that he rushes people off the phone when they finally speak to him.

Messing with hormones is a delicate and, honestly, terrifying process for anyone involved. He is passionate about his work, which is the reason why we all see him. But, when it comes to VOVs, that passion doesn't show through as compassion. He is quick to get you figured out so he can get you off the phone and get to the next patient. I feel manhandled.

Certainly this is a product of how busy he is. But I cannot excuse that when I pay for his time. I'm not willing to excuse him because he's busy. I am his source of income, I am his customer, and, most importantly, I am his patient. I demand time and attention that I deserve.

I'm not saying he isn't offering one of the highest quality services in the country. I'm not even saying that I'm unsatisfied with the protocol I'm currently on. But there are issues that I'd like to discuss, long term stuff, stuff I'm confused and worried about, stuff that he is extremely quick to brush past and get me off the phone.

Dr., I'm asking you to please schedule your time better. Please make a sufficient amount of time allotted for each patient. Schedule less patients per day, increase prices, offer different hours, get a colleague on board - whatever the solution is for you, please find it.

This is not how I want to be treated.

[joe143]

Yes, we must always keep in mind guys come to me because they are feeling bad. And so they may act in ways they never would once they are tuned up.

But we never excuse ungentlemanly behavior. Doing so is not good for the patient. Patients need to know real things are real in order to have confidence in their care--and themselves.

I also just plain don't like it. LOL

There have been times when i've felt bad, really down and out. But i've always tried my best to be respectful in life, espescially to the doctor who is helping me. I feel thats just how a man is supposed to act.

[GRIMNURUK]

You would still need to book the proper length appointment ahead of time. You can't be in the schedule for a 10-min. and then talk for 30-min. for obvious reasons.

You can already schedule (and pay for) as much time as you want. The problem isn't Dr. Crisler's system. It is that someone made a 10-minute appointment and then wanted to talk for 20-minutes.

I wonder if he pays for the $3 bargain car wash and then is pissed to find out that he didn't get the undercarriage blast, rust protection and bikini-clad women drying the car?

You get bikini clad women to dry your car?

[agoraphobe]

If they want to have tea and dinner with you, it's going to cost them as you don't have a choice at this time. Maybe in later years you will feel more free.


we don't drink tea in this country, we're not gay.

[agoraphobe]

charging by the minute is an interesting idea, but that will make appointments run longer, cause more delays, and in the end people will be upset and complain about how much they were charged for the time they chose to use.

this is something phone sex operations have had so much trouble with that some of them hang up and force you to call back after a certain period of time so you can't cry foul.

the ultimate solution would be to use a "trouble ticket" system for virtual appointments, like the IT industry uses to track service requests.

that way dr john and his patients could discuss progress when time permits for both of them, and you could charge per question, or something like that.

[Dr. John Crisler]

we don't drink tea in this country, we're not gay.There will be no homophobic comments on this forum.

[Dr. John Crisler]

You get bikini clad women to dry your car?Someone would find something to complain about that, too.

[agoraphobe]

There will be no homophobic comments on this forum.

I was just busting his balls (he's british), I totally didn't mean it in any real way at all, sorry

I will refrain from all future homophobia, in jest or otherwise. :biggrin: