During the past couple of months my T-doc and I have been working on a plan of action when I feel an episode coming on. My episodes usually result in extreme confusion and anxiety. I thought the plan was that I was to call the office and leave a message for both the T-doc and P-doc. Then one of them would return my call and help me walk through the action plan. This was established in order to prevent an unnecessary trip to the ER and/or hospitalization.

When the episode started I realized that it was escalating quickly so I called the office. Unfortunately, I got the answer machine (this is a high patient volume office with multiple providers). I called back about 15 minutes later and was then extremely upset. The individual answering the phone asked my name and I was unable to provide it. I was unable to talk. I was told to hang up and dial 911. Did the t-doc fail to communicate with the front office or did I get the instructions wrong? I did hang up but did not make the emergency call because it would have resulted in a trip to the local hospital. Eventually, after several hours, I was able to remember where I lived and returned home.

I haven't seen my Tdoc yet to discuss this episode. I'm not sure if I misunderstood the action plan, if the front office was unaware of the plan, or, perhaps, I was so upset that I should have call 911.

This clinic is noted for its professionalism and compassion for its clients during the hours of 8-5 p.m. If there is an after hours emergency all patients are instructed to call 911.

I'm wondering if the clinic should have a t-doc or p-doc "on call" for those after hours situations. I know I would have benefitted from just talking to someone for a few minutes and being reassured that I was indeed following the plan. I recognize many factors (staffing, liability issues, monetary concerns, etc) play into the decision to refer patients to the local hospital after hours. Does this place an unneccary burden on the hospital. Should I expect to receive treatment after 5 p.m. from the Clinic?

I would welcome any feedback. Thanks