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Dermatology reviews in Wylie

Real People ~ Real Reviews ~ Real Results

  • I had a cyst on my head burst on November 29, a Sunday.  I went to an 24 hour clinic and got antibiotics for it the same day. I got Dr. Golden's name off of the BCBS website as an authorized provider in dermatology.  I called November 30, a Monday, to schedule an appointment to have it and 3 other cysts removed.  My appointment was scheduled it for Friday, December 4.  I had 4 growths in all, ranging in size from the size of a small pea to a small marble.  After the one ruptured, I wanted to have all of them removed to prevent them all ending up that way.
    I assumed that Dr. Golden would look them over and remove them at a subsequent appointment, but I hoped that they might at least remove the infected one at that appointment.  I had similar growths removed about 5 years previous, and was fairly certain that they were benign and was familiar with the outpatient procedure for removal.
    When I saw the doctor, he never even touched my head to feel the growths or to get a better look. He merely had me show him the growths by separating my hair--2 on the top of my head, 1 in back, and 1 on the side.   I would have thought that at the least he would put on rubber gloves and feel them, or separate the hair to maximize his view of them, but he didn't.
    Then he told me that he had to remove them on 4 separate occasions because my insurance would not cover multiple surgeries (it is considered a minor, outpatient surgery) in a day.  He said that insurance used to cover the first one at 100% and the others at a lesser % if done on the same day, but they had changed the policy so that they only covered 1 at a time.  The removals had to be at least 10 days apart because insurance would not cover a new surgery in the "post op" period.  When I asked him why the policy  was changed, he said, "Ask your insurance company."  (Looking back, I am not sure that he even knew who my carrier was, so how could he know what their policy is?)
    I explained that I did not have 40 days for this approach because I would be leaving the area to move to a foreign country the second week in January.  Also, usually I have to be off of my blood thinner (a full dose of aspirin daily) even for a minor surgery; I am on this because I had a mini stroke to my optic nerve and have a genetic mutation that makes me susceptible to blood clots. Being off of blood thinner for 40 days was not optimal.  At least 3 times in the course of the conversation, I also told him that I had satisfied  my $6000 deductible for the year 2015 (it was now December) and that if I had to pay for any of the removals, I would prefer to pay for them in the current calendar year because I had amassed enough medical expenses to get an itemized deduction for the current tax year.  If any of the surgeries kicked over to the next month and the new year, I would be back to $0 paid on my $6000 deductible, so I would have to pay for them anyway.  If I had to pay, I wanted to pay in December.  Doing them all at once would also minimize my time off of aspirin.  He never responded to these issues, which I stated as both as a question and a desire.  
    Knowing my need and desire for urgency,  he scheduled the removal of 1 growth on December 28th, totally ignoring the issue of me moving before the others could all be removed (did he think I was kidding about moving overseas?) and my reasons for having them done at the same time and paying for them in December rather than January.
    As soon as I got home, I called BCBS (my insurance provider) to ask them why I could not have multiple growths removed (and covered by insurance) at the same time.  They were confused.  I got shuffled around to 3 different departments.  The reason that they were confused by my question is because it was a bunch of hooey.  My policy clearly stated that I was eligible for multiple surgeries at the same time.  The only thing that we could figure out was that he wanted to get paid for 4 separate surgeries at 100%.  He was correct when he said that performing more than one at a time was less money than doing 1 at a time on 4 occasions, but it was a policy that had not changed.  I assume that he ignored my desire to have all done at the same time in December because he couldn't contractually charge me at 100% if he did multiple removals on 1 occasion either.
    I called another dermatologist; this was Friday afternoon.  They had just had a cancellation for the following Monday, which they gave to me.  I had all 4 growths removed in December on 2 separate appointments.  Understanding my urgency, they worked me in to accommodate me.  I didn't even have to go off of the aspirin--the doctor said that if there is a medical need (rather than mere prevention), he would deal with the blood rather than me take the risk.  
    If you don't have a serious medical problem, prefer an exam where the doctor examines you without touch, and like having your questions and concerns ignored, Dr. Golden is the doctor for you.

    - Becky W.
  • I Scheduled an appointment a few weeks ago. I told the person whom I was scheduling with what I wanted done. Today I arrived at my appointment on time. I didn't have to wait too long before being called back. I get into the room and I was asked what my appointment was for. I told her and she said they will probably have to schedule that at a later date.  She looked at my insurance and said that I only have a $30 copay. The "nurse" left and then returned about 10 minutes later with Dr. Quinby. Dr. Quinby asked what I was needing and I explained to her and also said I would like her to look at my skin as I am unable to see every side well. She quickly looked at my back and that's about it. She only spent 2 minutes in the room. She didn't ask anything about my history except how much sun exposure I have had. Then we were done. The nurse stayed behind and said she only does procedures on Thursday afternoon and that the cyst isn't anything to be concerned about (like they aren't going to send it to pathology.) We walked to the front desk and the nurse said to call to schedule. I told her I will schedule now and I was taken back to another desk where she looked up the schedule. I asked if I would again have to pay my copay to which her reply was yea but you have good insurance it's only $30. I was a little irritated because I felt like they were just billing my insurance more but it was more irritating that I feel like I wasted my time. 
    When I went back everything went smoothly and I didn't have any issues. She didn't seem rushed and took her time removing the cyst. I received a call a few days later with pathology results.
    Overall I am not displeased but I do feel some things could have gone better.
    - Jeff L.
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