Refused a Pap Smear with new doctor. Can she drop me as a patient?

posted 3 years ago in Wellness
  • poll: Can my doctor drop me?
    Yes : (12 votes)
    46 %
    No : (11 votes)
    42 %
    Maybe : (3 votes)
    12 %
  • Post # 2
    3344 posts
    Sugar bee
    • Wedding: April 2013 - Rhode Island

    Your doctor cannot drop you as a patient because you declined an optional test.  But if I were you, I would seriously consider getting another doctor myself.  All those unecessary tests are just going to cost you more financially and emotionally.  Find someone new who won’t stress you out (or your pocketbook).

    Post # 3
    2696 posts
    Sugar bee
    • Wedding: June 2012

    If your doctor did drop you because of this, I would be shocked. It is YOUR decision to get medical testing, and if you don’t want it, a good doctor will find ways to work around it.

    I declined my PAP recently because I am pregnant and not comfortable having them done during pregnancy. I expected a big kick-back from my physican’s office (PAPs and pregnancy go hand-in-hand) but was surprised when they told me that due to my history of healthy PAP’s and the fact I had one 2 years ago (they follow the 3-year recommendation) that it wasn’t an issue for me to decline.

    If you don’t want one, your doctor should respect that.

    Post # 6
    3344 posts
    Sugar bee
    • Wedding: April 2013 - Rhode Island

    Anonymous_Bee20:  Anxiety is a psychological condition that can manifest into physical problems.  But the root of what’s causing your anxiety needs to be addressed, not the effects it’s causing on your body.  I would stop going to a medical doctor entirely for this and seek help from a psychologist.  If the psychologist thinks you need to be treated medicinally, then he/she can refer you to a psychiatrist who will prescribe medication.  You don’t need to see a family practice physician for this at all.  I’m sorry you’re going through this.  🙁

    Post # 7
    1734 posts
    Bumble bee
    • Wedding: March 1998

    This country is absurd with how often we perform PAPs; you’re right in that there’s a HUGE margin for error (had sex a little into that timeframe than you thought? Could come back abnormal. Have a bit of a yeast infection? Abnormal). Don’t even get me started on just how many people are infected with HPV and other precancerous cells (which often don’t turn to cancer for decades), with the vast majority *never* developing cancer. Months later, we’ve had a woman who is highly unlikely to ever develop cancer get more PAP smears, biopsies, and have the emotional stress of worrying about cancer. There are always going to be women who develop these cells and would (or have, even in their 20s or 30s) developed cervical cancer who find this procedure to be a lifesaver, but they are very much in the minority. Excessive PAP testing is exactly like trying to find a needle in a haystack; causing stress and bringing about unnecessary, even at times harmful treatment for the sake of finding the one person who is the exception and who is prone to aggressive cervical cancer. Too much of a good thing ain’t such a good thing, and I wish MORE doctors would follow the three-year guideline established by the American Cancer Society. If you are monogamous, with a very low partner count and you are asymptomatic, a yearly PAP smear is absurd and it’s unlikely to do much. Yet, without fail, every single time I see a doctor, it’s, “You must have it every year!” While I don’t think a doctor would — or should — drop you in these circumstances, if you ever need birth control, they’ll almost certainly hold it hostage (…despite numerous bodies of evidence that say only your medical history, plus your blood pressure, is necessary for a prescription; in fact, this is the norm in many Western countries…except for the US). And, nobody ever questions that paternalistic outlook. People just say, “Oh, a PAP smear is good for me, so it’s OK if I’m forced to have an exam to get an unrelated service, because otherwise I wouldn’t do it.” We don’t see that kind of pairing with other services. How often are older dudes forced to get prostate exams before they get their Viagra? If your doctor does give you the boot…it’s not a doctor you’d want to be seeing anyway.

    Post # 8
    8503 posts
    Bumble Beekeeper
    • Wedding: September 2013

    Are you just going to her because you have anxiety?  I would see a psychologist about it instead.  I would seriously consider finding a new doctor if yours is making you anxious and doing all this excessive testing.  You are right, you do NOT need another Pap test.

    Post # 10
    9137 posts
    Buzzing Beekeeper
    • Wedding: November 2013 - St. Augustine Beach, FL

    Anonymous_Bee20:  A doctor can drop you as a patient whenever they want.  The question is, would you want to continue seeing a doctor that demands a new Pap (most likely for billing purposes) when you can provide them with the result sof your most recent test within the last two years?

    BTW, aren’t internists learning?  Or is she just a doctor that specialized in Internal Medicine?  I see an OB/GYN for my feminine needs because he specializes in it.  I only see my primary care doctor (PCP) when I have regular issues.  Also, you may be better off seeing a licensed Psychiatrist or Psychologist for your anxiety because PCPs really aren’t equipped to treat anxiety other than ordering tests and prescribing psychotropics.

    Post # 13
    1595 posts
    Bumble bee

    Doctors CAN drop patients for any reason.  But it takes a process of written notice, a certain length of notice, providing lists of other providers who may assume care, sending records to the new provider etc.  In the interim they are obligated to care for you.  It’s too much of a hassle for the office to go through for something as simple as declining to have a test run.   It’s a process generally reserved for patients who repeatedly no show, those who are repeatedly non-compliant, even those who show verbal (and rarely physical) abuse to the physician and or staff. Most often offices issue a warning before they start down the “firing a patient” path.  

    However, if you think this doctor is overtesting you, it may be worth looking for a provider who’s philosophy is a better match with yours. 

    Post # 14
    10454 posts
    Sugar Beekeeper
    • Wedding: January 2011

    If I were you, I would be looking for a new doctor, assuming there are others nearby.  I have some complex health issues and having a GP that I like and trust and who is willing to work with me and respect my opinions has made things easier.  I would have hated to start off the diagnosis search with the doctor-patient relationship you currently have.

    Post # 15
    622 posts
    Busy bee
    • Wedding: March 2015

    beachbride1216:  THIS


    Anonymous_Bee20:  I’ve worked for a couple doctors including a neurologist for almost 5 years. A doctor can drop you as a patient at any time, for any reason. I didn’t see it happen but a few times and those were usually non-compliant PITA patients that weren’t following the doctors instructions, medications, etc. If they see you as a liablility they might drop you but for passing on a pap? Doubtful. 

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