Bait-and-switch! I jumped through all the hoops-- uploading my previous records and filling out the forms before they would even schedule an appointment. Then I drove past dozens of gastroenterologists between Santa Maria and Thousand Oaks to see Dr. Simoni.
If I had read his Yelp reviews prior to making the appointment, I probably would have gone elsewhere.
I went to all that trouble for one reason: His website prominently features Trans Nasal Endoscopy and Wireless Capsule Endoscopy. I have struggled with recurring bouts of anemia, and I wanted to rule out gastrointestinal bleeding, but I didn't want to have another upper endoscopy, and I can't have a colonoscopy due to an anatomic anomaly that prohibits passing a scope through my intestines.
I brought a bullet point summary of my history and my reason for being there, which I wanted to go over with the doctor. When I mentioned it to his medical assistant, she offered to scan it into my record. I agreed, but I asked her to bring it back, so I could go over it with the doctor. Instead, she gave it to Dr. Simoni's PA and she and Dr. Simoni apparently read and discussed it before he came into the exam room. That IS NOT what I asked her to do!
When Dr. Simoni came in, he quickly shot down both Trans Nasal Endoscopy and Wireless Capsule Endoscopy (which is lauded on his website for the ability to detect bleeding in the small intestine). Instead, he insisted that I needed another upper endoscopy and a colonoscopy. I explained why I didn't want to have an endoscopy and why I couldn't have a colonoscopy, and he basically said that my other gastroenterologists were incompetent and he could do it.
Navigating a tortuous colon is very difficult and carries a higher risk of perforation, which is why most gastroenterologists won't attempt it. Note that under the best of conditions, the perforation rate of upper endoscopies and colonoscopies is 1 in 100, and of those, 25% are fatal! That means your risk of dying from one of those procedures is 1 in 400 (and a friend of mine nearly did)! I'm guessing the odds are even worse with an arrogant, overconfident doctor.
At one point, he asked me if I ever had canker sores. I replied, "Once in a while." He said, "You have Crohn's disease." I DO NOT have Crohn's disease! (I have NO Crohn's symptoms.) My canker sores are caused by a dormant virus that surfaces if I eat too many nuts, thanks to an arginine/lysine imbalance. Malabsorption CAN cause a B12 deficiency and result in canker sores, but my B12 level is fine. He never asked.
I feel like I was duped by a bait-and-switch tactic! The promise of those alternative procedures lured me in, and then he attempted to "upsell" me by insisting on a much more costly and risky plan. As other reviewers have mentioned, Dr. Simoni seems to be all about the money. He won't accept you as a patient until he sees your records. I'm guessing he saw mine and thought I was not only good for an endoscopy and a colonoscopy, but possibly a TIF procedure for my hiatal hernia and a cholecystectomy (gall bladder removal) referral, as well.
He also accused me of spending too much time with "Dr. Google." Yes, I absolutely do research my conditions and learn about them online! I wonder why Dr. Simoni has a problem with well-informed patients? My advice would be to avoid this practice. read more