Firing the Pulmo too!

Thought I wrote about this.
The Pulmo appointment was last Tuesday.
Now he is also a pain in the ass!
I am, aside form being overweight, basically healthy.
I breath fine, I can walk up a flight of stairs and not die.
I exercise everyday.
Why on Earth they WANT to find something, anything wrong I don't know.
He has been an ass about the sleep study crap.
Anyhow, I did my two sleep studies which he ordered.
He said months ago he would then write my evaluation for me to give the surgeon.
Nope!
Another roadblock. His rules have now changed.
Are they in cahoots? I wonder!
He wants me to wear the CPAP machine for two months B E F O R E he will write the evaluation.
WHAT?
WHAT?
WHAT?
I sat there stunned!
"I did the studies, I need the notes"
Gives me a number, someone will be getting in touch with me about getting a machine (BTW, hasn't happened yet)
Well, I go to the desk, and GET my copies of the sleep studies. I don't need anything more from him to submit.
ALL OF THIS so far has just been to SUBMIT my shit to insurance for clearance.
I'll worry about getting his notes and letter another time.
I faxed the copies of the sleep studies to the surgeon.
This has been a comedy of errors. And damned frustrating!
I work in this industry. I can only imagine how frustrating it must be for someone with no medical background.

I am firing my PMD.

I went to both the Pulmo and my PMD last week.
I have been so insensed I could not write about the experience clearly.
Walked into another monthly visit which should have been my last.
Should have walked out with a nice tidy little letter and a few copies of my progress notes from the last 6 months.
Last visit (June) I gave her the outline letter the Bari surgeon wants. It is simple. List the 6 months weight, attach copies of 6 progress notes along with an evaluation/recommendation for LapBand.
I gave her a month! I have been in the medical field for over 15 years. Seven of those years were behind the scenes dealing with patients charts and studies/audits. I KNOW it takes a few days to get everything together.
When I gave her the sample letter-outline she said she could not do it "today". Got it, I understand.
I DID, however expect it to be done a MONTH later!
Okay. so I step on the scale, she smiles and notes the weight then asks me," how are you coming along in the surgery process"? "Uhm, I cannot even SUBMIT Doc until you give me the progress notes and the referral for LapBand!" "I can't do that today" she says again.
Then she takes out a script and jots down the 6 weights on it along with the ICD code for morbid obesity. WHAT THE F*CK!? I told her that the surgeon will not accept this.
"You know I do not approve" she said. "I know" I told her again.
I am now seathing. I want to rip her head off. Okay, the fix is simple, she is now fired. She is no longer my doctor.
Upon going to the desk to schedule my next appointment (which she wants just before surgery, HA! If I ever get her fkn copies!) and ask the girls for copies of my last 6 progress notes. I work with and know many doctors and will just go get a new one. I have all of my sub specialty results proving some co morbidities. Take that with the progress notes and I should have no problem. Right?
W R O N G!
NONE, none, not one progress note has been transcribed yet, NONE, since January!
WHAT?
She uses a tick sheet. Sort of a cheat sheet which she later, I guess, dictates the notes to be transcribed.
Uhm, SIX months?
Yes she works alone now, but uhhhh I am relying on her notes for this submission.
It's been a week.
If by next Monday the surgeon doesn't have my paperwork form my PMD I will enlist one of my Dr. friends to put some heat on her.
The surgeons coordinator is pretty organized and I suppose is used to working with difficult doctors.
Writing this I am getting pissed off again.
I'm off most Thursdays so perhaps I need to make a phone call!