Dr. Manjunath Malige replied
Hi Madhu Babu,
Thanks for ur Feedback .
Without compromising patient ( your ) confidentiality and Right to privacy, allow me to explain. As i had repeatedly told you, We were dealing with a complex Clinical situation and right treatment can only be given if the Diagnosis is right in the first place. Unfortunately, this would mean some tests like scans . This is internationally accepted and guidelines based approach . I understand that one will feel the pinch on the pocket especially if these tests are not covered by insurance. This is exactly any sensible Endocrinologist would do , and which is why I even offered you to see someone else, so that you can see the reason in what we are doing .
The disparity between patient expectations and clinical reality and limitations always end up like this.
I could have opted NOT to respond to this feedback , but I know that you are a good man hence I thought I should respond. Perhaps you would have been happy if I had started some treatment ( obviously not the right thing to do ) even if does not work.
But I rather prefer to have this feedback rather than doing the wrong thing and deceiving my own Consciousness.