So I had my appointment with Dr. L/C (as I explained previously) and she told me (among other things) that femara is only prescribed for PCOS patients. Then I heard from several bloggers who have been prescribed it but do not have PCOS. Then I found an article explaining its ovulation-stimulating effects, having nothing to do with PCOS. It also sounds like it would have fewer endo-aggravating side effects than tamoxifen or clomid, just based on the mechanism by which it works.
So I sent an email, with a link to the article and questions about femara, as well as another question or two, to the info@ address for Tepeyac (the only address that Tepeyac will publicly admit that it has. But since this isn't the actual stone age and I'm an educated adult, I know that if you have any address that's "@mybusiness.com," you own the domain and an email server, and you probably have email addresses for all of your employees - though they may not be enabled, perhaps. But you could enable them).
I get that doctors don't get paid for time they spend on the phone with you; just time you spend in appointments with them. But, I have two important points to make about that. (1) That means that phone and/or email time is an overhead cost of the time they spend in appointments, and in any non-bankrupt business, overhead costs are built into prices. They can't bill my insurance company for the salary of their receptionist, either - and somehow they manage to work this out within the framework of their billing practices. LIKE EVERY OTHER BUSINESS. (2) If they cannot communicate thoroughly and accurately during appointments - or if, God forbid, they treat people in medical circumstances that require questions be answered sooner than two weeks (or whenever their next appointment opening falls), such as, I don't know, pregnancy or infertility - they need to suck it up and learn another form(s) of communication. I answer my Blackberry at midnight. While I'm not requesting the opportunity to call my doctor at home at midnight, I'd like the option of writing out my concerns in a nice email to which she can respond at her leisure.
But by "at her leisure," I don't mean "before I enter full-blown menopause." I sent that email last Tuesday, with an express request for the records gal (who answers the info@ address, as I have been told by a Tepeyac employee) to let me know if she could forward the email to Dr. L/C, or to let me know if this was not possible, in which case I would work on another form of communication. She has not responded. Not even a snotty "sorry we don't forward emails" response - nothing.
So last Friday I called the nurse's line and left a message inquiring about what had happened to the email and letting them know it contained fairly detailed questions about my medication. And...no response. I just called again. I think I'll also send another email, pointlessly inquiring after the first one...I'm debating whether the email should state that I know of other Tepeyac patients who have switched practices because of the communication issues alone.
I cannot believe a whole group of people can obtain medical degrees and residencies in their specialties and never learn how to use email along the way. Most five-year-olds can use email. What is the problem?