Question:
Who performs your fills?

My doctor's office keeps trying to pawn me off on their newly hired physician's assistant to perform everything from follow-up appointments to fills. Is this normal? I'm not comfortable with the PA and need some advice on how to handle the situation. I feel like I purchased one thing and brought home another. Please HELP!    — freckles123 (posted on April 14, 2008)


April 14, 2008
Perhaps you should explain your concerns with the surgeon. I would. Tell his office that you need to speak with him and don't take no for an answer.
   — dyates2948

April 14, 2008
You have a right to voice your opinion of course. I do however think this is the way of the world at this time. Do you have a problem with the PA and their abilities? Are they painful or don't listen or something. Doctors, especially surgeons bill at a much higher rate than physicians assistants. In every case of surgery in our family we ended up in the hands of a PA...they were always used as a mid point to the surgeons. I also found they know how to filter real problems from the usual group of normal issues. I think it is normal...but by all means state your case.
   — [Deactivated Member]

April 14, 2008
The first fill I had was not by the nurse in the office. She had trouble finding the post and rooted area which was a bit uncomfortable. I did see the dr on that visit for about 30 seconds. My next fill was done by the dr and was pain free and the nurse was there along with a student that was being trained. But again the dr did the fill talked to me for about 1 - 2minutes and left. The nurse asked all the questions and follow up part of the visit. The PA probably has more time to spend with you and unless there is a reason that you don't want to see the PA you are probably better off than with the dr.
   — changemyshape

April 14, 2008
I see my PA for all my fills and follow up appts initially and then the surgeon comes in to chat for about a whole 5 minutes just to go over weight loss, questions or concerns.
   — Karen M.

April 14, 2008
With the numbers of WLS's on the rise every year, I believe it is common practice for PAs and ARNPs to be very involved in the care of us WLS patients. The office practice is just so busy that most likely the surgeon just can't do it all. If you are unhappy- communication is the answer. Talk to your surgeon, PA and/or office manager to get your opinions heard and be your own advocate to get the care you desire. Good luck, Dawn Vickers
   — DawnVic

April 15, 2008
I think it's pretty normal...as long as you're getting SOME time with the surgeon even if it's a small amount. I finally met my surgeon just a few days before surgery. I was her last appointment on Friday...I think she was leaving on vacation. Prior I saw her assistant (nice guy). She seemed exhausted (no kidding!) but yet I work too so I understand. Bottom line is she has an excellent reputation in the community so I had faith I'd be in good hands on the day of the surgery. That was 3 months ago and I'm doing great. Not a single problem. I haven't thrown up once....I'm down about 55 lbs.
   — cjjordan

April 15, 2008
My surgeon did my fist fill. His PA just set up the materials for him.
   — bnbarre

April 15, 2008
Pleasantly tell them you are not comfortable with a PA. You would rather be seen by the doctor you have come to trust.
   — nascar_angel_3_2003

April 16, 2008
My drs office does the same thing. The Dr's wife is a nurse practioner and she sees all the patients after surgery and she does the fills.
   — Joanc

April 20, 2008
The PA did my fill and it worked initially when I tried to drink the water she gave me in the office. But since then, I have been able to eat almost as before. I have only thrown up once since the surgery which was January 14 of this year. I am not losing any weight though. I may have lost 10 pounds since the surgery. Good luck.
   — a_new_me_in_08




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