by gwen » Tue May 20, 2014 7:35 pm
kronic10:she cannt send me to one until after 90 days due to insurance reasons.
She certainly can make the referral to the surgeon now. What she should tell you is what her medical recommendation is (which is apparently that you see a surgeon), what other alternatives there may be, and what the likely medical outcome of each would be. And she can tell you if your insurance might pay for it, if she knows. You can then find out how much each alternative will cost and make your decision. But saying she "can't" make the referral makes it sound like the insurance company gets to dictate your treatment. Insurance companies don't dictate that, and in my view no doctor should ever suggest that they do.
As for whether you have a medical malpractice case, it's impossible to say without having a medical expert review your medical file and opine on whether the PA has applied the minimal level of skill needed. It's not guranteed that your new physician is correct on what the best treatment should be, and even if she is, that doesn't mean that the treatment you are getting isn't still within the accepted standard of care.