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Internal Medicine reviews in Portland

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  • She prescribed one-sixth of the normal dose of estrogen, and every time I requested that she up the estrogen, she would instead up the spironolactone, until it was twice the maximum dose any transwoman should be taking. 400mg of spiro and 0.0325mg of estro per day (patch) was what I was on, and standard doses are 200mg of spiro (max) and 0.2mg of estro per day. For the longest time, my testosterone levels were at 200-500, when they should be close to zero. After six months--SIX MONTHS--of being on an absurdly distorted medication regimen, she upped the estro to 0.1mg/day, still half the standard dose, but suddenly my testosterone levels were down down down, near zero as they should be. And it's funny, because every time I asked her to up the estro, she said it wouldn't do anything, and she'd refuse to do anything. She always tried to talk me about a "different degree of transition," something I've never heard about. I want to transition, I don't want to look anything like a guy, I want to look exactly like a girl. But thanks to her, my body kept growing ever more masculine, as if she were doing everything she could to stop me. I now have arms and a torso that look worse than they did when I began this endeavor. I asked for her help, and she ruined my body. As the head of the Gender Pathways Clinic for Kaiser Permanente, she should know better. Avoid this person.
    - Chance P.
  • Third time using OHSU in 13 years, and will never use their providers or facility again. *THE* most unhelpful medical facility I've ever experienced. It took six months in 2004 to get one son in for testing for autism. At the appointment, which cost us $1,000 with insurance, and took six hours of testing, they simply confirmed what we already knew; that our son is on the autism spectrum. They had no suggestions of therapies available. In 2016, my husband was referred for an unknown but debilitating autoimmune disorder. The provider we saw (and again, it took months to get in), simply shrugged, and said "I've never seen anything like this before." No other suggestions, no help at all. (We've since received help from Adventist Health). Now, we're trying to get my oldest son in to see a rheumatologist. We've been waiting for a callback on our referral since December (It's now April). When I call to ask how much longer it will be, I'm told his file is still in review, and someone will eventually call me back. I asked how far out appointments are being made, and was told SEPTEMBER. In the meantime, my son suffers from painful, and frightening bouts of myopericarditis, and is unable to attend school. OHSU is disorganized, apathetic, and unprofessional.
    - Jason Y.
  • After years with Kaiser Permanente, we switched to Providence for primary care when our health plan changed. We've been surprised at the general lack of efficiency (e.g., medical records, on-line communication, referrals, wait lines at the lab), and feel that we're getting fair care for simple issues, and not very good care for complex problems. Recently, it took 2 months to complete a referral because staff repeatedly did not correctly forward the required referral information. We've tried two practitioners at PMG with not great results and plan to move OHSU about which we hear consistently good reviews.
    - Jack H.
  • She just was very personable and very knowledgeable and spent a lot of time with it. It's a part of the legacy clinic. They sent me all the forms I needed to fill out ahead of my appointment and worked hard to get me in as soon as possible. They're very personable. They're connected online. I have my chart that I can go to and use to refill prescription that I need. They're very friendly. They're very helpful. Punctuality is good too. They seem to have it set so that you're not waiting for an extra long time. One of the staff members called before my appointment to be able to send me some materials and things and to make sure that we could set up this appointment. She kept getting interrupted that was a really busy day and she kept calling me back. They were the answering lines and getting mixed up but it was very helpful and we ended up with a good feeling. I was very comfortable with her. She explained some things about her degrees and she also shared some about her family. She is a mother of 2 sets of twins. She has a nurse and she's very personable. Billing and administration compared to where my husband goes, I'd say that the billing and administration is maybe a "B". I can view it offline but it's kind of hard to find a bill from different facilities like the lab work and this sort of thing and we have to get it right. That part was confusing.
    - G H B.
  • Appointments with Dr. Le have gone fine, it's the communications afterward that are abysmal.
    She has had me go in for frequent blood tests but never contacts me afterward to explain the results.  When one goes to their patient portal there are results for some tests that have mysterious names that you cannot figure what they're about.
    Recently she referred me to a cardiologist for tests.  I contacted the cardiologist to make the appointment but they had not received the referral from Dr. Le's office.  I had to call Dr. Le's office 2 more times to get that referral made - they are terrible at follow through.
    After seeing the cardiologist, I was advised that the results would be provided to Dr. Le in a week.
    After nearly 3 weeks I had heard nothing from Dr. Le's office and I called and left messages on their patient portal - which I now discovered is not well monitored nor is it current.  After a 3rd phone call advising I really wanted to discuss the results with Dr. Le I got a pithy one line message on the patient portal to exercise more.  Huh?  That's not discussing the results - it doesn't even sound relevant as my chart should reflect that I do exercise regularly!  Does anybody actually read and follow up in that office?!
    I even finally got a message on my home phone that the office manager would call me to follow up.....
    another week phone call.
    I have no faith left that this practice is doing a good job and  I would NOT refer anyone to these people if you actually want to know the results.
    I am moving my business elsewhere.
    - Heather G.
  • I have been going to The Pacific Medical Group for approx 15 yrs. Initially seeing one MD who has a lovely bedside manner and appeared to have genuine concern and interest in my medical care. I did however stop seeing him when he would not prescribe me the pain medication that I needed to be able to function at my highest capability. I had tried other medications and they had been ineffective. I needed stronger pain meds and he said that " we don't treat (my medical condition) with narcotics." I was greatly disappointed that a physician was actually not treating me as an individual. He was correct in that narcotics are not the first choice for my condition, but here I am several years later with my pain fairly well managed most days on the narcotics that I take (very responsibly I might add). I switched over to Dr.Susan Clack and she has been an absolute dream! She always listens to what I have to say and takes my concerns seriously. When I ask for specific things to be done (labs, etc) she usually agrees. If she doesn't she appropriately explains why she doesn't feel it's necessary or a good idea. I never feel rushed and she is so compassionate and kind. SHE HAS ALWAYS been concerned about my pain levels and how they affect my quality of life and ability to continue working which is very important to me. She also shows genuine interest in my personal/family life. As a side note, I am a medical professional myself and at times have questioned why she has chosen to do something in a particular way...she has never once been defensive or argumentative towards me. She's always been professional and explained her rationale. If I had to mention anything that could use improvement it would be that the people at the front desk who check you in are also the same people who answer the phones. Therefore, you could be standing in line waiting to get checked in for several minutes while they are dealing with other patients on the phone. Also, when I call the office a good majority of the time I am initially put on hold, because the person who answered is assisting a patient in the office at the front desk. They really should have separate individuals to answer the phones. Overall, I am very pleased with the services provided at this clinic and would recommend them to others.
    - Kelly C.
  • When I arrived at the office the receptionist was friendly and efficient. The Dr was running mostly on-time, maybe 5-7 minutes after my appt time, which can hardly be considered "running late". Dr Priscilla Le is kind, funny, knowledgable and efficient. I guess there is a theme going here, I'm so busy that I appreciate efficiency. I liked that she came in and got straight to the point. I was there for 3 issues, 2 of which required being referred to a specialist. She listened to what I had to say, agreed that I should see a specialist and gave me the referrals right then. The third item was a new issue and she was thoughtful in getting the details from me and then asking me if I would consider taking a medication that she felt would be very helpful. I liked that she asked me if I would consider it and let it be my choice. I listened to why she felt that the medication would be helpful and she was very knowledgable about benefits and side effects. She recommended a blood draw to make sure all the usual stuff was normal. They have a lab right in the office, so it didn't require a trip to a separate facility and was super fast. The last time a physician at Legacy recommended a blood draw I had to go to the hospital lab and wait 45 minutes. No thanks. 
    I had a follow up 4 weeks later (this week) and she was running about 10 minutes behind schedule. Still not too bad, considering the specialist that I saw was 45 minutes behind schedule and the waiting room was FREEZING. Dr Le was still efficient and kind in asking the follow up questions, and I can truly say that I like her and would recommend her. 
    The parking situation needs to be mentioned since it is Legacy Good Sam and is in NW. The first appt I didn't give myself enough time and only had 10 minutes to look for parking. All of the hospital garages were full. I found a 30 minute spot on the street and took it because I didn't want to be late and risked the parking ticket. I was stressed the whole time I was in the appt thinking I was definitely going to come out to a ticket on my windshield. I was lucky and didn't receive one. The second appt this week I gave myself 45 minutes just to drive around and look for parking. I got lucky and the parking garage below her office had space and the office validates your ticket for you. But I have a feeling that because it is such a congested part of the city that I will always need to give myself an extra 30-45 minutes to look for parking when I have an appt with her. Which sucks, because as I mentioned I'm busy and time is valuable. However, I like Dr Le enough that I think it will be worth it - plus I don't go to see the Dr very often anyway.
    - Manda B.
  • Very nice play structure in the waiting room.  Beautiful mural in the stairwell.  Doctor Hahn was very gentle and patient with my son.  I have finally found a pediatrician I want to see again!
    - Carra B.
  • Let me start by saying Dr. Woskow, due to the nature of her clinic policies, has more patients than she can see more than every few months, regardless of need.  Getting in to see her requires a several month wait, even if it's an urgent matter.  One must see some other doctor in the clinic if they can't wait.  Dr. Woskow also only works two days a week.  
    However, she is a dedicated, caring doctor who truly cares about the welfare of her patients.  She will help to the extent possible by way of the "Patient Portal" - the clinic's online access for patients to access their records and also to send a message to their doctor.  For example, due to some medication changes, my B/P was too high.  I wrote and asked Dr.  Woskow if I could increase the dosage of a B/P med I was already taking.  She said yes, and when she saw me in two weeks, she would order necessary blood work, as follow-up.  She has also called me at home on more than one occasion, and not necessarily because I requested any call - just to check on how things are going with some issue that is currently a worry.  She followed and advised me as I had to wean off of a medication which can be dangerous getting off of.  I would call and/or write my latest pertinent responses to lowering the dose a notch, she would respond via her nurse or be messaging me or a phone call on how to proceed next.  I also believe I have received messages and phone calls from her from her home, meaning she may not be "working" that day, but she does follow up on patients as needed on days off, at least in my experience.
    Dr, Woskow is extremely time driven and can be distracted by the need for speed and efficiency to the point of not being able to hear what I am saying, but I have learned that if I remain organized, she is attentive, astute, and makes what appear to me to be good clinical judgement regarding assessment and treatment.  
    I am a nurse and while being a nurse does not make me a doctor, it does give me a pretty strong basis to evaluate doctors.  In my strong opinion, Dr. Woskow is:
    * Compassionate
    * Comprehensive in seeking answers to health problems
    * Thorough in her examination
    * Comfortable calling in sub-specialists when more expertise is needed.
    * Follows through, even calling me at home to see how I'm doing.
    * Comfortable doing some limited and appropriate treatment via messages on the patient portal.
    Most of all, Dr. Woskow genuinely cares about my well-being.  Before I began going to Dr. Woskow, when I went to see a former doctor who I saw for a short time, he would ask me what brought me in.  I would tell him:  I was concerned about a lump on my back, or about my need for an immunization or other issue.  He would look at the lump, say not to worry, and that was that.  Or ordered the immunization, period, and good-bye.  However, I have a multitude of chronic health problems, which this doctor was well aware of but did not enquire about.  When I see Dr. Woskow, she hears and responds to what I came in for, but then she asks me how my blood pressure has been, how something else is going, and do I have any more problems with some other thing? - until she has completely reviewed my entire health status.  And to answer the Angie's List question: that is how my most recent visit went.
    THIS is a doctor who is dedicated to the well-being of her patients!

  • This was her second appointment with this doctor and we were quite happy both times. She gets fluid buildup, and he aspirates that out and then gives her an injection of something to help (actually, he gives the injection to anesthetize the area first). At the first appointment, she got some steroid; at the second, some lubricant. She has more range of movement in that knee than she's had in years. And considerably less pain. Dr. Johnson was very straightforward that the duration of relief can vary a lot among people. We appreciated his direct manner.
    - Elaine S.
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Internal Medicine Doctors in Portland

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