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    Chiang Larry C F MD

    3.0 (4 reviews)

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    4 years ago

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    12 years ago

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    11 years ago

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    11 years ago

    Dr. Chiang is very patient with me. He clearly let me know what I need to do to improve my health orally and also in writing.

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    Perlman Clinic - San Marcos

    Perlman Clinic - San Marcos

    4.6(92 reviews)
    5.3 mi

    Blood work, urine specimen. Shot. Dr Charles definitely goes…read morethe extra mile. I told him today that if he evet leaves, I will be very angry.

    1 Star -- Extremely Disappointing and Heartless Experience…read more My 90-year-old wheelchair-bound mother, my husband, and I have all been patients of Perlman Clinic. After what happened today, all three of us will be leaving the practice. I had an 11:00 AM appointment for my mother, but the office called and changed it to 10:40 AM, insisting she needed a 40-minute appointment. I explained that we did not need 40 minutes, but they insisted. Getting my 90-year-old mother out of the house is extremely difficult. I drove 30 minutes to pick her up, helped get her into the car, and then drove another 25 minutes to the clinic. Knowing I would be late, I called the office ahead of time to let them know. I arrived approximately 15 minutes late. My mother was still sitting in the car while I went inside to get help transferring her into a wheelchair. I explained the situation, that she was in pain and needed to see a doctor, and pleaded with them to please see her. They refused. What was most upsetting was the complete lack of compassion toward a 90-year-old, wheelchair-bound patient. The staff's response felt cold, dismissive, and aggressive. There was no attempt to accommodate the situation or show understanding of what it took to get my elderly mother to that appointment. My mother had been a patient of the medical practice Perlman took over for approximately 50 years. After decades as a patient, this is how she was treated. This is also not my first frustrating experience. I have personally waited 20-30 minutes beyond my scheduled appointment time at this practice, yet there was no flexibility when an elderly patient arrived 15 minutes late after her appointment had been changed by the office. I have also been disappointed by what I perceive as a lack of continuity and experience among some of the providers I've encountered, as well as frequent referrals to outside specialists rather than having concerns addressed directly. The front-office experience has been particularly disappointing. I have witnessed behavior that I consider unprofessional, including staff chatting about personal matters in the waiting area. Two employees, Gavin and Cezon, were particularly rude and aggressive during today's interaction. Healthcare should involve more than policies and appointment times. It should involve compassion, especially when dealing with elderly and vulnerable patients. Perlman Clinic failed my mother today. After this experience, I no longer have confidence in this practice. All three of us will be finding healthcare elsewhere.

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    Palomar UC San Diego Health

    Palomar UC San Diego Health

    2.4(839 reviews)
    2.6 mi

    All the staff are very kind and friendly and all supported me and congratulated me on my newborn…read moreeverytime they walked in, except for the social worker. She came into my postpartum room extremely rude and hostile, didn't even smile, didn't even congratulate me. She was very condescending and seemed to want to make me feel intimidated based on her job title, once I even found out what her job title was after our altercation... She demanded to me rudely to turn my TV off because I kept asking her to repeat herself, even after my infant was crying over her and I couldn't hear her, I wasn't even aware she was the social worker because she did not state that, she must have used another term but I was unaware she was the social worker when she introduced herself and her job title to me, not once did she say "social worker". After she left I asked the nurse when the social worker would arrive and they told me that she was the social worker. Her name was Ganell? Or Janelle? I felt like she made decisions based off her own personal dissatisfaction and judgment toward me, and was extremely unprofessional and power driven, keeping me at the hospital and preventing me from being discharged as some form of personal punishment for not taking her attitude very well. I even overheard that based on her judgement; that I might have to stay until Monday, and the stress has been killing me, for reasons she kept me, she didn't even inquire about, or even ask me to explain anything regarding her own concerns. I came in Wednesday at 6cm dilated in active labor around 3am and have another child waiting for me at home. I've been here basically 3 days and counting and I feel like I am in a postpartum prison. I don't understand why they cannot continue investigating my case at home and let me go home. Even a lot of other staff members and nurses are confused that I am having to stay so long and were surprised that I was no longer able to discharge based off Miss Janell's orders and "discomfort" of me.

    I am extremely disappointed with the care my daughter received at Palomar Medical Center…read more My daughter was hospitalized for several days, starting in the Emergency Department, then being transferred to the ICU because of persistent low blood pressure requiring medication to support her blood pressure, and later transferred to a regular hospital floor. Despite numerous tests and repeated blood draws, we left without a clear explanation for what caused her blood pressure to drop so severely. During her hospitalization, my daughter had blood drawn multiple times a day. Her arms and hands were punctured repeatedly--at least 7-10 different sites by my count. I understand that blood tests can be necessary, especially for a seriously ill patient, but watching her repeatedly get stuck was extremely difficult. My biggest concern happened toward the end of her hospitalization. My daughter complained that one of her IV sites was extremely painful. I asked a staff member to remove it because she was in significant pain. The interaction was unpleasant, and when the adhesive was eventually removed, it was pulled off very forcefully. Since coming home, my daughter's hand has remained noticeably swollen and she is experiencing significant pain and burning, with difficulty moving the hand. She had received IV medications/electrolytes through that area, although I do not know whether the last infusion was potassium, magnesium, or something else. I am very concerned about what happened to that IV site and we are seeking medical evaluation for it. I was also deeply disturbed by the way I witnessed one staff member speak to another patient on our floor. An elderly patient repeatedly called for help, and I could hear a staff member responding loudly and harshly from several rooms away. Regardless of how busy a hospital is, vulnerable patients deserve dignity and respectful treatment. My daughter was on the 9th floor, room 990. Some of the nurses who directly cared for my daughter were kind, and I want to make that distinction. I was also particularly grateful for Lily in the ICU on the 7th floor, who was compassionate, respectful, and professional. However, I personally witnessed staff spending time in the break room looking at their phones while patients were calling for assistance. As a mother, I stayed beside my daughter day and night because I became uncomfortable leaving her alone. My experience left me especially concerned about elderly or vulnerable patients who do not have a family member present to advocate for them. I strongly encourage hospital management to review these concerns, particularly IV care, responsiveness to patients in pain, and the way vulnerable patients are spoken to and treated. Families should not feel that they have to remain at the bedside 24 hours a day simply to make sure their loved one receives attention and respectful care.

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    Chiang Larry C F MD - internalmed - Updated September 2026

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