Why I Fired My Oncologist and How I Hired Another (Part I)

By rusty_vs_cll

2 min read

Within 10 days of being diagnosed with chronic lymphocytic leukemia (CLL), I fired my oncologist and hired another one. I learned a ton in the process. Here’s what happened.

After some alarming blood work results, my primary care physician sent me to the hospital for further testing. The tests revealed my CLL diagnosis. The hospital admitted me to try and get my white blood cell (WBC) count down. The oncologist who happened to be assigned to rounds at that time, who I’ll call Dr. Crappy, was assigned to my case. The next day, I was discharged but quickly started noticing things about my new doctor that I didn’t like.

Deciding that I wanted to change my oncologist

So what didn’t I like about Dr. Crappy? Here are a few:

Timelines slipped

The first timeline slipped was in the hospital. Dr. Crappy was supposed to see me sometime between 9:00 AM and noon. I was even woken up in the middle of the night to draw my blood so the results would be ready by 9:00 AM. Yet, he didn’t see me until after 6:00 PM. This was the first of several missed timelines.

Rushed visit

My first (and last) visit with Dr. Crappy in the hospital lasted maybe 15 minutes. After waiting all day... 15 minutes! We didn’t even have time to mentally process what was being said. I’ve heard many patients talk about how difficult it was to focus when they were given the news they had cancer. Before I knew what happened Dr. Crappy was gone.

Broken promises

Dr. Crappy said I’d be contacted within 48 hours to get a bone marrow biopsy performed and that’d it’d probably take 3 weeks to get me in for the test. 36 hours later I still hadn’t been contacted and couldn’t get in contact with Dr. Crappy either.

I knew I needed a bone marrow biopsy, but didn’t know who to contact or how to get it scheduled. Keep in mind, I didn’t know anything about my prognosis. I didn’t know if I had weeks or years to live. My prognosis was a mystery and the test would shed an enormous amount of light on my future. It was critical I get the test ASAP!

Not a Priority

These and other factors made me feel like I wasn’t a priority to Dr. Crappy. I felt like a number caught up in an uncaring, bureaucratic machine.

The important of communication

In hind-sight, I realized the ER doctor had spent more time with me and given me more information than Dr. Crappy had. Dr. Crappy didn’t seem to answer any questions or explain the process I’d be going through to go from diagnosis, to tests, to treatment.

When it’s lucky to have a friend with cancer

It’s horrible when anyone you know has cancer. But in a twisted way, I was richly blessed to have a close friend who had been diagnosed with cancer just a few weeks before me. As I spoke to her, she told me about how she was being treated by her oncologist who I’ll call Dr. Wonderful. Hearing how her experience with her doctor was so different than mine, I decided I wanted a Dr. Wonderful.

Read Part II of Why I Fired My Oncologist and How I Hired Another.

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The Blood-Cancer.com team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.

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Susan Gonsalves Moderator & Contributor
@rusty_vs_cll Excellent article. Will help others to expect basic competence from their doctors. Dealt with a lot of the same as you did, but luckily, not since I moved to a different community, hospital and oncologist.
Yolanda Brunson-Sarrabo Moderator & Contributor
I've had to fire one as well- we learn to do what must be done when things are not being done. Good article! Best
Daniel Malito Moderator
<inline-mention user-id="3652116" username="rusty_vs_cll"/> I think I met your doctor's cousin from overseas - Dr. Doesn'tGiveTwoCrapsAboutMyTime. I mean, it's such an uncommon name, they must be related, right? Finding a doc who actually helps you AND doesn't make you beg for his or her time is a hard thing. I've lucked out in the past, but I've also had a few duds. Great stuff. Keep on keepin' on, DPM
1. Yolanda Brunson-Sarrabo Moderator & Contributor
 Sad isn't it? Empathy is something many doctors need a refresher course in how this works, in working with patients.
Carolyn B Member
I've fired one as well and wish I could have fired two others. The first was "Doctor" with a CAPITAL D. Umm nope. I need to have discussions, not Doctor is right do as I say. Switched my nih comprehensive cancer center doc. Was dicey as he was the clinical chair and all changes had to be approved by him. Got patient advocacy to help me with this. New guy is great! The next one forgot about my first chemo. I showed up, there were no orders. She was out of town. Wished I could have fired her but she was my only choice. Oh and she also could only handle cheerful, grateful patients, not one stressed out over cancer #2 in one year, having to work full time through chemo, having a kid who was having a melt down over all of this... I was not doing a good job at being the kind of patient she needed. Insurance changed. Had someone else. He wasn't keeping up in the field and kept criticizing that I wasn't getting CHOP (that's right CHOP not R-CHOP - I was getting Rituxan and Bendamustine). Fortunately a comprehensive cancer center was running the show with local treatment with respect to at least having a decent chemo regimen. I got shingles and his office made an apt for 8 days out. I pointed out I needed the antiviral in a timely manner. They didn't care. I had to go to the ER and pay a ton for the obvious they could have taken care of (and oncologist later admitted they dealt with that all the time). Same office I had a white count of 0.5 and no nutrophils - same deal more than a week for the neulasta shot until I came to the office and camped out. In fact they never called me, the when I asked the lab for the result they had called that office two days prior. Lesson learned here is that the office staff also affect the treatment when they don't call you about cancelled apts, don't pass on test results that need immediate attention to the onc, don't make timely apts in cases that matter like with shingles and counts that bad... I finally have a really, really good onc. He, personally, actually calls me if the front desk forgot to change an apt, he <a href='http://has.makes' target='_blank' rel='noopener noreferrer ugc'>has.makes</a> time to discuss issues, he makes sure that what needs to happen happens (well in combination with his nurse practitioner - who those folks are does matter)... Really stressful to deal with making changes in the middle of something stressful, but it is worth the effort.
1. Dennis Golden Moderator
 A rude office staff no only creates an over all negative tone it can result in a significant loss of patients who refuse to put up with it. I have no difficulty in speaking with an MD about an non-medical issue if warranted
Ann Harper Moderator & Contributor
My daughter had a Dr. Crappy too! We stayed with him for a few reasons. 1. He worked under Dr. Wonderful who was my daughter's original doctor. Dr. Wonderful was a lot further away and Crystal got extremely sick after treatments so this was easier on her. After treatments were done, we went back to Dr. Wonderful. 2. The nurse practitioner and nurses, who were really who we dealt with, were wonderful. It's great you found out early on and changed right away. Everyone wants to be given special treatment especially when first diagnosed. Good luck to you and I'm looking forward to part 2.
ocean Member
I had to fire my oncologist too I was diagnosed with ALL and I was in the hospital and getting fatter by the minutes because of excess water weight and nothing was done about it then I was thrown out of the hospital because I asked too many questions and I got admitted a week later for more treatment and I was treated horrible so I had to find another oncologist and I did he was about 2 hours away but worth it he was Dr wonderful that saved my life and then he had left the practice however another Dr Wonderful took over and he was very good to me been in remission for 7 years God bless
1. Shayla.Oakes Community Admin
 Congrats on 7 years, <inline-mention user-id="3653391" username="ocean"/> . I am glad that you went elsewhere. You definitely deserve better than that. Hugs, Shayla (<a href='http://Blood-Cancer.com' target='_blank'>Blood-Cancer.com</a>, Team Member)
Dennis Golden Moderator
At one point I needed to get some testing done quickly due to an upcoming hospital visit. When I tried to make an appointment with the recommended MD I learned he was not available for several months. The receptionist said she could get me in with Dr "Cell ". A new rising star apparently. Since timing was an issue I said OK. My wife and I meet Dr C and no sooner are we in the office and she beings taking personal cell calls. First is her 25 year old daughter with questions on baby care. Mind you we are sitting there . Then her 15 year old son calls. The poor thing was having "issues" figuring out the microwave and what to cook for dinner. All critical issues? No apology she just continued to chat. I am ready to walk out. My wife's reassuring looks kept me from doing so. Fast forward 10 days. I am now in the outpatient procedure room. I am on the exam room table, gown on back open - and in a not a glamorous position waiting the colonoscopy. Sure enough there is Dr Cell standing on the side of the room talking to her son again for 20 min. The entire staff is standing, eyes are rolling as we all wait . The process is done and as I am recovering she (with cell phone in hand )tells me the procedure did not work so come back tomorrow. accident These days I only work with doctors with whom I am comfortable with professionally and personally. If we do not hit it off - I am gone. If you are uncomfortable with your MD follow that "gut feeling" make a change. ...Dennis(bloood-cancer.com Team)
Donna Henry Moderator & Contributor
I totally agree with changing doctors, if possible, if the one you have is not someone you can feel comfortable working with. I am fortunate enough to have had a really wonderful oncologist for the past nearly two years, after running into communication problems with one whom I’d had for seven years. (Article about thatvcoming soon!) 🤣 But I actually just ran into this very situation over the past couple of weeks, with a prospective surgeon. Chief of his department at that hospital, so I was pretty sure he would be medically competent; I didn’t question that for a moment. But manner is very important to me, too. There was a nearly two hour wait to be seen. OK, it happens - things come up. I was hoping it meant that he would spend whatever time was needed with each of his patients. I was given approximately 15 minutes of his time when he finally came in. To his credit, he DID apologize - sort of - for the long wait. But then things went downhill from there. He couldn’t listen, constantly interrupted me, said “Oh, now you’re changing the story!” when I mentioned a piece of information that he hadn’t been aware of. (Really? YOUR not knowing something meant that I was changing the story? Um, nope!) And when I told him how nervous I was, said “You don’t be nervous. I will be the first to tell you when it’s time to be nervous - you DO NOT be nervous.” I wanted to say “Let me tell you something. Telling people not to be nervous about SURGERY doesn’t make them not be nervous!” But he had one hand on the doorknob to leave the room, so I knew he wouldn’t “get it”. I got another referral...and am very pleased that I was able to realize that competent though he might be, this guy was just not the right person for ME. 
1. Dennis Golden Moderator
 <inline-mention username="Donna Henry" user-id="3641883"/> ... One way to look at this is... think of an MD as a highly trained plumber who decided somewhere along the line to specialize in bodies vs sinks or toilets or showers. He or she has a limited skill set and has been hired to do a job because something is not working. (For example: You do not visit a urologist to diagnose breast cancer) And always remember you are the client. One of the more effective things to say to someone who makes a snarky comment is "Excuse me ... I can not believe what I just heard ...Would you please repeat what you just said to me." It is amazing how quickly the tone and attitude changes. ... Dennis(Blood-Cancer.com Team) 
2. Ann Harper Moderator & Contributor
 <inline-mention username="DennisGolden" user-id="3641422"/> I love that and will have to keep it in mind! Ann (Blood-Cancer.com Team Member)
Ann Harper Moderator & Contributor
<inline-mention username="rusty_vs_cll" user-id="3652116"/> I have heard a few horror stories like this and it's horrible. I'm not presently being treated, but when I was taking an experimental chemo my oncologist was good. I wouldn't say great, or bad, but ok. Truthfully, I feel very fortunate to have a good team that I like and feel very comfortable with. Ann (Blood-Cancer.com Team Member)
1. Dennis Golden Moderator
 I have to believe that taking an experimental chemo has to have a special kind of stress. The last thing you need is being uncomfortable with the team you are working with. I hope the fact that you are not in active treatment presently is suggesting a positive outcome of some kind. ... Dennis(Blood-Cancer.com TEAM)
2. Ann Harper Moderator & Contributor
 <inline-mention username="DennisGolden" user-id="3641422"/> For now and hopefully forever. I'm presently in watch and wait mode. Thanks for your kind words.

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