I was a patient of this clinician for over 5 years. For the majority of my time as her patient, her demeanor/bedside manner was engaged and congenial. Her standard of clinical care seemed appropriate.
Approximately a decade prior, I had been diagnosed and treated for uterine fibroids by another clinician. After beginning my gynecological care with her, at age 49, she prescribed birth control pills for the purpose of alleviating the symptoms of my very heavy periods. On my yearly well woman visits, along with typical pap test/pelvic exam, she would inquire about my periods and any fibroid related symptoms I might be having. During my yearly well woman gynecological exams as I entered the age bracket that the majority of women enter/complete menopause; I would inquire/ask her about whether I should still be taking birth control pills. Her response was "since you're still having a period during the inactive pills in the pack, you're not in menopause". Six years, from age 49, she prescribed birth control pills. I trusted her clinical judgment.
I learned from routine mammogram last year, at age 55, while, still, taking the birth control pills prescribed that I had estrogen positive breast cancer. The imaging facility that did the mammogram is the same hospital system affiliated with Dr. Chhutani's medical practice. After my imaging and needle biopsy I was told by imaging center staff member that I would hear the results from 'them'. This was not what occurred. Instead, they chose - without informing me- to forward the results to Dr. Chhutani for her to deliver to me the pathology news that identified that I had breast cancer. I would not have had an issue with this method of informing if someone at the breast imaging center had simply told me they would be forwarding results to my doctor for her to deliver. Again, they specifically told me that a staff member from the imaging center would be informing me of the pathology results.
I did not hear any news within the time frame expected and discussed. I called the imaging center to inquire about results. Ultimately, after multiple calls to the imaging center, with no news re my path results, I got a call from Dr. Chhutani. I never received an adequate answer from staff members at imaging center as to the delay in informing me about the results. When I was finally successful in being connected to the nurse who accompanied me through/assisted the doctor with my needle biopsy, I got a 'brush off' from her. After my cancer diagnosis, I experienced a complete 180 in her bedside manner. It was as though I was simply something that needed to be moved along down the track of the imaging center's mammogram express. As a patient waiting for critical information that regarded my health, my life; I deserved better, more compassionate engagement than that.
When I did finally get the call informing me of my cancer diagnosis, not knowing who the call was from when I answered; Dr. Chhutani quickly launched into the diagnosis of cancer. She did not think to ask if I was, at that moment, in a position to discuss the pathology report. It should be a matter of practice for a clinician giving difficult news to a patient to, firstly, determine/discern that they are not driving or otherwise distracted by work or other distracting surroundings. That seems like a reasonable expectation.
I listened to her. I processed that I had breast cancer. But, the conversation was not what it should have been. In addition, when I began to ask questions of her that any patient who has just received a breast cancer diagnosis are likely to ask regarding 'what do I do now, 'what's the process', etc., she demonstrated a demeanor lacking appropriate empathy given the circumstances. She demonstrated a spirit of avoidance. It became evident that she would prefer to end the call as quickly as possible, telling me that I needed to call the imaging department... That, this was 'not her area of experience/knowledge', she said. Again, reminding, the imaging department had stated to me that 'they', not my doctor, would be calling me with the results. If the imaging center had been accountable to call me, I would have been asking them the questions I asked her. My doctor was not prepared to dialogue beyond telling me I had breast cancer. I got a detached, "I think you're going to be okay" from her.
I do not have a medical degree, but I am adequately science/biology literate. The conversation with Dr. Chhutani ended with my understanding that I had a malignant, invasive breast tumor. However, what I learned after speaking with another clinician's staff member, at a different hospital system the following week, was that I had 'two' tumors in same breast. Another shock, another doctor's office.
It's not okay to get incorrect or partial information from any medical establishment or doctor. Dr. Chhutani missed the opportunity/the expectation to adequately inform me on my specific cancer diagnosis/pathology. That phone call should have been handled better by her.
In addition, the consensus in feedback I have received by multiple clinicians in my breast cancer journey (oncology/gynecology) since diagnosis, is that it is generally contraindicated that women beyond the age of 50 be prescribed birth control pills. These clinicians have corrected my understanding, -understanding that was based on Dr. Chhutani's explanation to me- that just because you have a period on the inactive pill days does not mean that it's 'menstrual cycle' bleeding.
Because I have received correct information since changing doctors and becoming a breast cancer survivor, I now know that the pill can mask menopause by causing the uterine lining to bleed during the week of inactive pills, thereby mimicking menstruation.
I was very likely in menopause for 2 to 4 years prior to stopping birth control pills. I should n