The Cold Speculum, or "Turn Your Head and Cough"

Let's share our experiences with doctors in the DC area. Send any reviews to doctorsindc@gmail.com - Thanks! For a thorough resource check out http://www.washingtonian.com/health/topdocs/list.html (List compiled by fellow doctors, however, so lacks the patient perspective.) One more note: this site is hard to search right now. But you could try doing a Google Advanced search on the domain name if you're looking for a specific doctor or area.

Thursday, April 28, 2005

Dr. Arnold Ratner - Dermatologist - 2141 K st - Good Recommendation

Dr. Arnold C Ratner, MD (dermatologist)
2141 K Street, NW
Dr Ratner is AMAZING. He takes dermatology very seriously and totally has fixed all of my skin issues every time we have had an appointment. He is super professional (even asking patients to wear the paper dress and having office meetings with them before and after examinations). He is through and totally knows what he is talking about. He did recommend a super expensive kind of moisturizer which I couldn't afford and didn't offer any alternatives, but so is life.

Recommended by: Emily

83 Comments:

At 2:10 PM, Anonymous Anonymous said...

Dr. Ratner did a good job for my acne, but he asked me to come every other week to check that everything is alright (I have been on the same medication for a year)! This lasted 6 months, until I complained to him that I was coming too often, and he now makes me come every month.
He also tried to burn a small plantar wart on my foot at least 8 times, with no success.
so I would not recommend him, unless you have huge amount of time and money to spend (he sold me the expensive creams too).

 
At 2:31 PM, Anonymous Anonymous said...

I had a similar experience as the patient with the first comment to the original post. In fact, I just found this web site because I am online today looking for a NEW dermatologist to replace Dr. Ratner.

Let me say that I was, at first, just as impressed as the initial poster. Dr. Ratner sat me down in his office for a lengthy discussion of my symptoms and needs. And he definitely cured my adult acne - with a simple antibiotic prescription. I was quite impressed. However, even though I have been his patient for well over a year, he still expects me to set monthly appointments. I am not the most forward person in the world, but on a couple of occasions I have said - "look - I don't want to have to come back every month" and he's said "OK, let me see you in six weeks, then."(Give me a break. I’m thinking once every 6months/year.) I finally openly said to him that I felt that he was asking me to return too frequently and he somehow wound up talking me into coming in for a full-body exam! I can't remember the exact dialog but I think the implication was that he'd give me a good once-over and then cut me some slack for return visits. No such luck. I still get the "let me see you in a month," line.

I feel like this is just a big insurance scam. My condition has been stable, essentially, since we first started treating it. While I understand that he is prescribing a medication for me, I think that the medication is fairly benign, and I can stretch the time between visits.

I once tried to just passively avoid return visits - I just didn't schedule an appointment - and I called and asked to have my prescription extended, but was told that I hadn't been there recently enough and needed to come in before they would redispense (this was after about 8 weeks).

And he has this super-busy demeanor after the first meeting or two. He rushes in to the exam room, lifts your chin to examine your face with his magnifying visor, asks the same three questions every time, dispenses the same exact advice every time, and then rushes out. Bam. $60 office visit. It's ridiculous.

I also had the same experience with prescriptions for expensive creams. He's definitely a prescription-writer. At the last comprehensive exam I had, I mentioned two different minor skin problems and he whipped out his prescription pad and wrote me prescriptions for each (minor) issue. I tried to actually *discuss* the issues, and pros and cons of using the items he prescribed, but he was clearly WAY too busy - he was literally edging his way sideways out the exam room door as I tried to ask my questions - and this was, really, after just a few short minutes together.

That was, as I said, for a comprehensive exam, for which I believe the charge is $180? I could be wrong. Something like that. And I would wager that the exam lasted somewhere between 8 and 12 minutes. I think 12 is definitely stretching it. I have great insurance, so it’s not an issue for me – except to the extent that it’s costing me and all of us in the long run.

I should also point out that I used to work in a doctors office – different kind of medicine – but I do understand to some extent how things work. And I know Dr. Ratner’s got a lot of overhead and salaries to pay, and he’s got to see a lot of patients at $60 a pop in order to keep the lights on. However, I can only forgive him for so much opportunistic behavior with his patients. And I think the way I’ve been treated goes way beyond pro-active patient care.

So. I feel better having gotten that off my chest. And I hope maybe Dr. Ratner reads this, for his own professional good, because it looks like there are others out there who feel the same way.

I have an appointment with another dermatologist next Monday but please feel free to post if you have one you really like.

Thanks!

 
At 3:42 PM, Anonymous Anonymous said...

I occasionally get cytic acne which I have treated with cortisone injection. When I moved to DC I needed to find a doctor for when I had breakouts. To get a dermatologist in this city you have to wait about a month and a half to be seen initially.

By the time i got into Ratner's office I had no acne and just some left over scaring from my previous breakout but wanted to meet him anyway just so that I could get seen in a more timely manner in the future.

First of all- his office staff is the rudest I have ever experienced. The recetionists are rude on the phone and even ruder in person. As you wait in the office you will hear them on the phone and just cringe in sympathy for the people on the other end of the line.

During my office consult with Ratner he recommended Acutane or daily antibiotics for my breakouts which I get about once every 2 months. I thought this was overkill for a relatively minor issue.

He then said he would inject me where my last breakout was and now i have this skin depression on my face. It is literally sunken in where he injected me a pit of a scar of my visit to Ratner.

I have one other story about when Ratner went on vacation. His receptionist said that he was gone and not back for 2 weeks. Can I get a referral? She told me the only referral he left does not take any form of insurance. I stated that this was unacceptable and there must be another option. "No". Was the only reply I got.

As you would expect I have changed to another dermatologist. I have only met him and not yet received any treatment so I cannot give a review of him just yet.

The final statement for Ratner is DON'T GO.

 
At 1:14 PM, Anonymous Anonymous said...

I agree with "gochoun" and all the replies to his/her comments. I just went in for my first appointment with Dr. Ratner. I had pre-filled all forms and sent them in via mail and explained that I was coming in for a full screening and removal of a small mole. Instead of getting anything done, we simply had a "consultation", and then he said I'd have to come back next week for the removal and screening. The far-from-friendly staff informed that this would require 2 separate appointments - 1 for the removal, and 1 for the screening. I decided this was unacceptable. I waited for Dr. Ratner to finish his next appointment and then called him out on it. I told him that I did not see the point of the "services" he had provided that day and that making two more (which is 4 total including the primary care physician visit for referral) for the removal of one small mole seemed completely illogical and part of a scheme to overbill. He did not quite know how to react to someone who had just met and who immediately called him out on this. Needless to say, I am neither shy nor timid and speak my mind freely. I google'd him immediately upon arriving at my office and found this site with many other patients telling the same story... From my perspective, I am disappointed that a doctor would value my time so little and take his medical duties so lightly as to give a literal 20-second screening instead of a full screening.

 
At 12:22 PM, Blogger anonymous said...

I also had the same experience with Dr. Ratner who asked me to come back after 3 weeks for a skin condition. But unlike the previous posters, I did not go back for a couple of years. (He did not complain.)

Anyway, I recently had a pretty bad experience with the office staff. The woman is very rude and she started accusing me of not paying for the previous visit from a few years back. She started insisting that I pay before the appointment.
I explained that I had sent the cheque back then and I can check with my bank.

Then she said, "I am going to print a different receipt". When she printed it, it showed that I had indeed paid. So instead of apologizing, she says, "I am going to get the accounts person call you".

So I ask her whether they have 2 different systems of account. She replies no. I then say, "So you did not update your file". She says, "It appears so".

All she had to do was to apologize instead of making it sound that somehow the accounts person had to do something to sort this out.

 
At 9:09 AM, Anonymous Anonymous said...

I agree that Dr. Ratner schedules far too frequent follow ups but more significantly, in attempting to reduce some small red veins on my cheek (with a treatment that he assured me had no chance of negative effects) he burned huge holes in my face. I looked as though someone had put cigarettes out on my skin. The burns took a month to heal and even after a year and a half and two sets of laser treatment (with another doctor) the scars are visible. Dr. Ratner never acknowledged his poor judgement and poor technique but of course did collect his fees. As for medication, he prescribed an anti-biotic for continual use which other doctors will not prescribe for this sort of use because of questions of resistant bacteria problems down the line.His staff are not at all pleasant.

 
At 1:37 PM, Anonymous Anonymous said...

I went to Dr. Ratner several years ago for a folliculitis, after being referred by an internist. Sure enough, he wanted me to come back in a month. The folliculitis cleared up with antibiotics after a few days, but I kept the appointment the next month. Then, unbelievably, he STILL wanted me to come back the next month.

While I was at this appointment, I asked him about the razor burn I get on my neck. With barely a glance, he wrote me a prescription for a cream (and of course, come back in a month).

When I got to the pharmacy, I learned this was a $250 prescription! I opted not to fill it, and instead asked my barber about the razor burn. The barber told me to tilt my head all the way back and make sure I stretched the skin out when shaving. Doing this, I have not had razor burn on my neck since. $250 prescription versus tilting my head back.

Bottom line: it became clear that Dr. Ratner is a bit of a scammer when it comes to office visits and prescriptions (goodies from the pharmaceutical rep?). This guy is a crook.

 
At 12:07 PM, Anonymous Anonymous said...

Same experiences - fine the first appointment then super-busy,, being trated for rosacea. Also, I developed a second skin condition that he under-prescribed for. I got the medication but at half dose so the problem never really went away and I had to keep going back. And even though I am a patient of his I had an urgent issue that came up yet could not get an appointment to see him for ten days!

 
At 5:34 PM, Anonymous Anonymous said...

Do not see him. He is a waste of your time.

 
At 12:19 PM, Anonymous Anonymous said...

After visiting dermotologists in various parts of the country, I have come to expect the initial consultation and then the seemingly excessive visits back. However, this office has topped anything. There is one woman in the receptionist area who is hands-down the rudest person I have ever encountered in ANY office. (I actually overheard her telling another receptionist about a comment card on the rude one's behaviour. She read it aloud and then tore it up, brightly saying 'The doctor won't get this one!' (!) The couple of nurses are pleasant and I actually enjoy speaking with them.
As for the actual appointment, well, I have been going for a year and a half, and found other posters' comments correct. I'm quickly checked under a flashlamp and the prescription pad comes out. I'm refilled on prescriptions and out the door. The entire appointment takes an average of one minute, twelve seconds, and yes, I have timed this. (The record was 37 seconds!) Avoid this one if you can, but I found with my insurance, he is one of the dermos who does actually have new patient openings... and this is why.

 
At 4:23 PM, Anonymous Anonymous said...

I have lived in Florida and New Zealand, and exposed my skin to a lot of harsh sunlight. I was hoping to get a full body exam for safety's sake, and also address some acne. First meeting I was given some expensive Rx's that required registering my personal information with a pharmaceutical company to get a discount (!!!). The meds and creams were effective though- if over the top (pills and two different types of creme). I came back 2 additional times, each with a promise of the full exam, and was put off twice! I will never be going back.

 
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At 11:20 AM, Anonymous Anonymous said...

I have been a patient of Dr. Ratner's since 1997 and I must say that I am astonished by all of these negative posts! I have never, ever experienced this type of professional treatment that these posts talk about. Dr. Ratner has always taken his time to chat with me, and made sure that I knew exactly what the problem was I was being treated for, as well as making sure I was seen in a timely manner - even if I needed a short notice emergency appointment. His medical care has always been above board and spot on. I will agree that the receptionist for the past couple of years is a tough cookie and one that I don't enjoy dealing with either. The previous one was MUCH, MUCH better. However, I have developed such a good rapport with the doctor and his wonderful assistant Doris that I don't really have to suffer through the receptionist - I just call them directly! The doctor never "made" me come back to see him - I went when I needed to. I don't understand these posts saying the doctor "made" them do something. However, medical care is a personal thing. If you don't like your doctor, then find one that you do. All I can say is that it will ease up the appointment glut for me the next time I call for an appointment! Its odd to see so many of these complaints when Dr. Ratner has been voted one of the top Dermotologists in Washington, DC for many years. He must do SOMETHING right!

 
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