I think I'm just escaped here . [acne scars] [finacea]

so what should I do if my doctor does not listen to me?
I have an HMO plan and my doctor seems to think he can treat my acne and rosacea. He would not give me a referral to a derm. I did some research on finacea and asked him if I could try out for my rosacea and my acne scars. He made me feel like a complete idiot by telling me that finacea used as a bleaching agent and is not for rosacea treatment. He was emphatic about. I tried to tell him that I would post on this bulletin board to read from people who have used and it seems to work for them . better than Metrogel.
but, he wrote a Metrogel prescription. He is the doctor, so I felt I could not really argue with him to keep. He did not even know what finacea was when I first asked him about it.
i m very frustrated.

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Reply:Ah! HMO dilemma!

There are probably countless reasons why your PCP (primary care physician) refuses to prescribe finacea. One, he does not have good feedbacks about it. Two, he does not have enough knowledge about it. Three, he is an old physician who is into traditional medicines. (Because he is a PCP, most likely he is not an expert about skin). Fourth, it could be HMO related. HMO covers certain drugs while it denies many. Do you know if your HMO covers finacea? It may be one reason why your doc is not prescribing it. It's just a guess.

Unfortunately, there aren't very many HMO physicians who are emphatic. They are more concerned about squeezing in as many patients as they can in a day so they can earn as much as they can considering the meager amount the HMO pays them. If you can switch to a PPO plan, you will have more options and you will be better off. No referrals needed and you can see whoever you want to. But if you do not have that option, then by all means, shop around for a good dermatologist or PCP. Check their records from the Board of Medicine and observe their office. Call before you make an appointment. If they cannot give you time on the phone, most likely they will not be able to give you good service in person either.

Goodluck!

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Reply:Don't feel so bad. You are entitled to question your drs. opinion. After all, you are the one taking the medication. I would call a derm and ask questions. They may be able to answer at least some of your questions right over the phone. I would also recommend researching the med he did give you. This way you know exactly what your taking. If venting makes you feel better, by all means, vent. It is a wonderful way to get rid of stress.

***With Love And Light***

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Reply:I suggest that you switch doctors. Look through your plan and find other doctors whom are covered, and shop around. It isn't your doctor's job to ignore your opinion and belittle your research. There is no reason for him to refuse to refer you to a dermotologist other than that he wants your money going to him rather than someone else. Switch doctors: that's my advice.

Namaste!

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