Am so angry at Inova Fairfax Hospital and Dr. Al-Khouatley

[Anonymous]

OP here. Why does a request for numbing injections garner so much anger and debate here? I'm not getting it.

I had a numbing injection before every egg retrieval. It helped enormously. I didn't even feel the IV go in after the numbing injection!

I also had a numbing cream I used before all my fertility shots. Granted I had to wait 40 min or so before the numbing kicked in but it did help - a lot, actually.

In the OR I was feeling sensitivity on only one side of my body. The anesthesiologist wanted me completely numb before the incision was made. Perhaps I was sensitive on some parts but not other areas. Maybe that happens at times.

And to the gastroenterologist, if you work in the field of health care, particularly as a physician, you ought to be more sensitive. Look at it from a patients perspective and a patient who just might be more sensitive. And as I said, I did have numbing injections before an IV was put in before for egg retrievals. Inova Fairfax should allow it if the patient requests it. And a NURSE did it, not a doctor.

Do I blame the doctor. Yes, if she pressured the nursing staff to move that quickly that it would show that degree of callousness to the patient.

As to the few mean posts, it could just be one miserable poster, perhaps angry with some part of her own life so this is a convenient place to vent. I'm not bothered by her.

[Anonymous]

why does this garner so much anger and debate??? You come on to public forum viewed by thousands of people in the DC metro area, publicly and anonymously call out a doctor by name and then wonder why folks are upset???

You are comparing the care you received at a fertility treatment center to care in a hospital where supposedly your health and/or your baby's health was about to be compromised. Those are 2 wholly different situations. We only have your assumption that the doctor rushed the nurses so you couldn't get the numbing treatment.

Just stop it. Get off the computer, enjoy your baby, take a nap, go for a walk. If you really feel that you were mistreated (and I'm not saying you weren't) then make an appt and talk to her. Treat her the way you would want someone to treat you if they felt you did something inappropriate. Give her a chance to explain why things were done the way they were.

[Anonymous]

OP here. Yeah, so what? So have dozens of people in the past. People vent about doctors, dentists, hospitals, particular schools. They don't just do this on DCUM. People can rate doctors on other web sites and they do it all the time.

When a doctor is providing service, the public has a right to know what other patients think of that doctor. Someone can come on here and rave about Dr. Khouatley, which many have before. Again it's only libel if my account is false, which it is not. I felt enormous pain and I wanted numbing medicine which was denied to me. That's the bottom line and those are the facts. No libel here. So stop overreacting.

And I honestly don't think my life or my baby's life was in danger. If I got into the C section surgery within the hour or two I'm sure it still would have been fine. If I was in a critical situation, they probably would have moved much quicker to get me on the operating table.

So leave me alone to get my advice and why don't YOU get off since I'm the OP of this post and you aren't. If you don't like what I have to say, simply choose not to reply or get off.

And btw, this is not my first grievance with Dr. Al Khouatley. I complained about her before to Dr. Khoury himself and to the nurse. The nurse said something like, "Sometimes Dr. Al-Khouatley says..." and then she kind of sighed and stopped speaking as if to imply complaints of these kind are not uncommon. Again, that's what happened. These are facts. And my post was to determine if it's worth it to even bother the awkwardness of complaining once again. Will it really change things at Inova or with her. Is it worth it.

PP, go take a warm bath and please leave me alone.

[Anonymous]

OP, complaining, ranting, etc. will not change things. You can, and should, share your feelings with the doctor but don't expect heaps of sympathy. You had an unscheduled C Section. There was a reason for this, but you need to find out why. I do think the coddling you received at your fertility practice set you up with unreasonable expectations and if they are going to allow patients to get away with that in the practice, they should not be surprised when the patient demands the same at the hospital. I am the GI doc and frankly, I wouldn't feed into an adult patient that demanded numbing for every single injection. It simply wouldn't happen. But they allowed it, they created the monster. Good luck OP, you're going to need it.

[Anonymous]

Anonymous wrote:OP, complaining, ranting, etc. will not change things. You can, and should, share your feelings with the doctor but don't expect heaps of sympathy. You had an unscheduled C Section. There was a reason for this, but you need to find out why. I do think the coddling you received at your fertility practice set you up with unreasonable expectations and if they are going to allow patients to get away with that in the practice, they should not be surprised when the patient demands the same at the hospital. I am the GI doc and frankly, I wouldn't feed into an adult patient that demanded numbing for every single injection. It simply wouldn't happen. But they allowed it, they created the monster. Good luck OP, you're going to need it.

Can you please let us know what practice you are at so I can make sure I never go there? Trust me it will be better for both of us

[Anonymous]

Anonymous wrote:OP, complaining, ranting, etc. will not change things. You can, and should, share your feelings with the doctor but don't expect heaps of sympathy. You had an unscheduled C Section. There was a reason for this, but you need to find out why. I do think the coddling you received at your fertility practice set you up with unreasonable expectations and if they are going to allow patients to get away with that in the practice, they should not be surprised when the patient demands the same at the hospital. I am the GI doc and frankly, I wouldn't feed into an adult patient that demanded numbing for every single injection. It simply wouldn't happen. But they allowed it, they created the monster. Good luck OP, you're going to need it.

This is nothing to do with the OP, but how is your bedside manner? Yikes, you seem really, really mean and uncaring.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP, complaining, ranting, etc. will not change things. You can, and should, share your feelings with the doctor but don't expect heaps of sympathy. You had an unscheduled C Section. There was a reason for this, but you need to find out why. I do think the coddling you received at your fertility practice set you up with unreasonable expectations and if they are going to allow patients to get away with that in the practice, they should not be surprised when the patient demands the same at the hospital. I am the GI doc and frankly, I wouldn't feed into an adult patient that demanded numbing for every single injection. It simply wouldn't happen. But they allowed it, they created the monster. Good luck OP, you're going to need it.

This is nothing to do with the OP, but how is your bedside manner? Yikes, you seem really, really mean and uncaring.

Exceptional, I have excellent satisfaction scores from my patients. My practice does extremely well and I have many, many patients that I have seen for years. I have not accepted new patients for about 5 years as I am as busy as I want to be. However, that does not mean I let my patients bully me, nor does it mean I give in to unreasonable demands nor will I participate in or encourage behaviors that are dysfunctional. That is not mean or uncaring. That is good practice.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, complaining, ranting, etc. will not change things. You can, and should, share your feelings with the doctor but don't expect heaps of sympathy. You had an unscheduled C Section. There was a reason for this, but you need to find out why. I do think the coddling you received at your fertility practice set you up with unreasonable expectations and if they are going to allow patients to get away with that in the practice, they should not be surprised when the patient demands the same at the hospital. I am the GI doc and frankly, I wouldn't feed into an adult patient that demanded numbing for every single injection. It simply wouldn't happen. But they allowed it, they created the monster. Good luck OP, you're going to need it.

This is nothing to do with the OP, but how is your bedside manner? Yikes, you seem really, really mean and uncaring.

Exceptional, I have excellent satisfaction scores from my patients. My practice does extremely well and I have many, many patients that I have seen for years. I have not accepted new patients for about 5 years as I am as busy as I want to be. However, that does not mean I let my patients bully me, nor does it mean I give in to unreasonable demands nor will I participate in or encourage behaviors that are dysfunctional. That is not mean or uncaring. That is good practice.

If you haven't accepted new patients for 5 years, and are continuously busy, doesn't that mean you haven't cured your patients? Yet you get high ratings from them? Why would they keep coming back to you? I'm calling BS.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, complaining, ranting, etc. will not change things. You can, and should, share your feelings with the doctor but don't expect heaps of sympathy. You had an unscheduled C Section. There was a reason for this, but you need to find out why. I do think the coddling you received at your fertility practice set you up with unreasonable expectations and if they are going to allow patients to get away with that in the practice, they should not be surprised when the patient demands the same at the hospital. I am the GI doc and frankly, I wouldn't feed into an adult patient that demanded numbing for every single injection. It simply wouldn't happen. But they allowed it, they created the monster. Good luck OP, you're going to need it.

This is nothing to do with the OP, but how is your bedside manner? Yikes, you seem really, really mean and uncaring.

Exceptional, I have excellent satisfaction scores from my patients. My practice does extremely well and I have many, many patients that I have seen for years. I have not accepted new patients for about 5 years as I am as busy as I want to be. However, that does not mean I let my patients bully me, nor does it mean I give in to unreasonable demands nor will I participate in or encourage behaviors that are dysfunctional. That is not mean or uncaring. That is good practice.

If you haven't accepted new patients for 5 years, and are continuously busy, doesn't that mean you haven't cured your patients? Yet you get high ratings from them? Why would they keep coming back to you? I'm calling BS.

Not the pp you quoted, but many GI issues are incurable. Crohn's, IBS, reflux, eosinophilic disorders of the esophagus/stomach/intestinal tract, colitis, etc. Many can be managed, but there is no "cure.". It's not like an orthopedist who sets a broken arm and has "cured" his/her patient.

[Anonymous]

Anonymous wrote:OP, complaining, ranting, etc. will not change things. You can, and should, share your feelings with the doctor but don't expect heaps of sympathy. You had an unscheduled C Section. There was a reason for this, but you need to find out why. I do think the coddling you received at your fertility practice set you up with unreasonable expectations and if they are going to allow patients to get away with that in the practice, they should not be surprised when the patient demands the same at the hospital. I am the GI doc and frankly, I wouldn't feed into an adult patient that demanded numbing for every single injection. It simply wouldn't happen. But they allowed it, they created the monster. Good luck OP, you're going to need it.

Why not? Why do you care? I mean, the patient pays for the numbing injection - solution, needle, time, etc. And the patient has to then wait longer for the procedure bc they have to wait to be numb but again, so what? I have a high pain tolerance but I get that other people don't and if they feel they need tons of pain killers of some sort who are you to say they don't. Just being a doctor doesn't magically give you some power to determine someone's personal pain comfort level. Get over yourself.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP, complaining, ranting, etc. will not change things. You can, and should, share your feelings with the doctor but don't expect heaps of sympathy. You had an unscheduled C Section. There was a reason for this, but you need to find out why. I do think the coddling you received at your fertility practice set you up with unreasonable expectations and if they are going to allow patients to get away with that in the practice, they should not be surprised when the patient demands the same at the hospital. I am the GI doc and frankly, I wouldn't feed into an adult patient that demanded numbing for every single injection. It simply wouldn't happen. But they allowed it, they created the monster. Good luck OP, you're going to need it.

Why not? Why do you care? I mean, the patient pays for the numbing injection - solution, needle, time, etc. And the patient has to then wait longer for the procedure bc they have to wait to be numb but again, so what? I have a high pain tolerance but I get that other people don't and if they feel they need tons of pain killers of some sort who are you to say they don't. Just being a doctor doesn't magically give you some power to determine someone's personal pain comfort level. Get over yourself.

I totally agree. This doctor's post shows a stunning lack of understanding of how differently people experience the world. Not a good character trait for a doctor. Good thing she doesn't accept new patients, so I don't accidentally end up in her care.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, complaining, ranting, etc. will not change things. You can, and should, share your feelings with the doctor but don't expect heaps of sympathy. You had an unscheduled C Section. There was a reason for this, but you need to find out why. I do think the coddling you received at your fertility practice set you up with unreasonable expectations and if they are going to allow patients to get away with that in the practice, they should not be surprised when the patient demands the same at the hospital. I am the GI doc and frankly, I wouldn't feed into an adult patient that demanded numbing for every single injection. It simply wouldn't happen. But they allowed it, they created the monster. Good luck OP, you're going to need it.

This is nothing to do with the OP, but how is your bedside manner? Yikes, you seem really, really mean and uncaring.

Exceptional, I have excellent satisfaction scores from my patients. My practice does extremely well and I have many, many patients that I have seen for years. I have not accepted new patients for about 5 years as I am as busy as I want to be. However, that does not mean I let my patients bully me, nor does it mean I give in to unreasonable demands nor will I participate in or encourage behaviors that are dysfunctional. That is not mean or uncaring. That is good practice.

If you are so busy, how do you even have time to post on DCUM?

[Anonymous]

I'm laughing at the GI doc comments and taking them with a grain of salt because GI and Ob are two different fields. I do understand surgery is surgery but I would NOT go to a GI doctor to deliver a baby. Yeah sure she received some ob/gyn training but it takes specialized training and passing a board to be certified in a specific medical field. GI doctors deal with patients with chronic pain so I do understand her instinct not to "give in" to patient "bullying." However, for most, labor pains and ailments are transient and rated as very painful experiences. Many don't know how they will respond to pain until it happens to them.

Having said that, OP, I understand your point. If you want to complain about a doctor on a forum, go ahead it's your right! Many people call out doctors by name (good and bad) on these forums. Most of your situation would have been avoided if your doctor would have communicated with you. Communication is more than just a courtesy!! I'm surprised that your ob didn't take 2-3 minutes to explain the situation and why it progressed as it did. I don't think that you should have to wait 6 weeks for a simple explaination. Regardless of what people are saying on this forum, healthcare IS a service industry and we live in a society where we can voice our opinions on the service we receive.

[Anonymous]

Anonymous wrote:I'm laughing at the GI doc comments and taking them with a grain of salt because GI and Ob are two different fields. I do understand surgery is surgery but I would NOT go to a GI doctor to deliver a baby. Yeah sure she received some ob/gyn training but it takes specialized training and passing a board to be certified in a specific medical field. GI doctors deal with patients with chronic pain so I do understand her instinct not to "give in" to patient "bullying." However, for most, labor pains and ailments are transient and rated as very painful experiences. Many don't know how they will respond to pain until it happens to them.

Having said that, OP, I understand your point. If you want to complain about a doctor on a forum, go ahead it's your right! Many people call out doctors by name (good and bad) on these forums. Most of your situation would have been avoided if your doctor would have communicated with you. Communication is more than just a courtesy!! I'm surprised that your ob didn't take 2-3 minutes to explain the situation and why it progressed as it did. I don't think that you should have to wait 6 weeks for a simple explaination. Regardless of what people are saying on this forum, healthcare IS a service industry and we live in a society where we can voice our opinions on the service we receive.

GI is also a field in which patients have very complex, harrowing chronic diseases like ulcerative colitis and Crohn's. Helping these people manage their condition and get better requires interest in the whole person and their life situations. People who use the word "drama queen" and call an oversensitivity to pain "dysfunctional behavior" really shouldn't be in the medical profession at all, but especially not in this field.

[Anonymous]

OP, the nurse was responsible for putting in your IV - why not post his or her name here too?

Everything that you describe sounds normal for emergency surgery and recovery.

I did not have a c-section, but swelled up like crazy the day after birth. Sometimes your mind will play trick by blaming a coincidence on the most logical target, in this case, your doctor. You should find out what is normal before getting up and arms about what happened.