Originally Posted by Blu Razzberri
(I'm in Canada)
I'm shocked to learn that your doctor can just 'get rid of you'; especially this far into your pregnancy!! Aren't there laws to protect you or something??
My DH is a medical resident, and as far as he's seen, patients are "fired" when they will not follow the doctor's advice in ways that the doctor believes will lead to high risk and possibly bad outcomes. The reality for doctors is that they know they can be sued for tons of money if something goes wrong, even if it went wrong because the patient wouldn't follow the doctor's recommendations. They can lose their homes, their life savings, and their licenses. Patients can and do claim that "the risks were never fully explained to them" and "they didn't understand" and "it's the doctor's job to give me the care I need--they went to medical school, not me"--even
when the doctor repeatedly
tried to make the risks of the patients preferences very clear, and
documented those conversations.
It basically sucks on both sides, for patients and doctors. There is a legally established "standard of care", which isn't always good for patients, and which many doctors disagree with for lots of reasons. "Standard of care" can involve many unnecessary tests, procedures, etc.--all of which CAN be harmful to patients. However, if doctors don't
follow this standard, they are extremely
vulnerable to suit if something goes wrong. Doctors are more often sued for NOT doing something than for doing something (i.e. no monitoring vs. monitoring, no c-section vs. unnecessary c-section...). My DH's advice to me in this birthing process was to stay home as long as possible--as long as you are at home, they can't tell you what to do (i.e. no eating, IV hookups, constant fetal monitoring, limiting labor time, etc.), and you can't sue them. After that, try to be sure that you have a doctor whose philosphy is as similar to yours as possible--someone with a record of low surgical intervention, etc.--basically, someone who is willing to accept the personal risk associated with not following "standard of care" to the letter.
I don't know the situation in the OP's case--I'm sure some doctors are quicker to fire patients than others, and that can be really obnoxious--but I've never heard of a doctor firing a patient just because of their pure medical risk. If the doctor simply believes s/he is not equipped to handle that level of medical complication, they will generally refer to a more specialized physician. I suspect this is based more on the OP "challenging their protocols"--even if she was entirely reasonable (from our perspective) in doing so. I hope she will be able to find a doctor who's a better fit--this could be a real blessing in disguise.