I can't stand these type of docs, I'm in school with a bunch of surgical wannabes who sound exactly like this guy. And you know what I say to them? I say, "You might be a wonderful surgeon one day. It's really too bad that you won't have any patients because you're such an egomaniacal jerk." Jeez louise. I don't think I've actually said that, but I wouldn't put it past me.
Anyway, if the guy's a great surgeon and just a stupid person, you might want to keep him as a surgeon but write him a letter. Say, "You know, I think you're a great surgeon, I'm sure you had a 4.0 in medical school and you did your first appendectomy when you were 12. As much as I appreciate your knowledge, I do believe you could benefit tremendously from some improved patient interaction skills. I was deeply offended by your comments X, Y, Z and hope that you can understand why such comments were inappropriate." Be nice and gracious and the bigger person in your letter, but don't let him get away with that kind of behavior.
If he does not respond or bring it up at your next visit, you should think twice about this guy.
BTW, they should have checked you for porphyria long ago! Who are these lame-os? If you have any questions about porphyria, let me know, I spent about 293847 hours trying to understand the various forms of it.
They may be thinking of "acute intermittent porphyria" in your case. The brief version is: the disease can cause intermittent severe abdominal pain, constipation, and some neurological symptoms, among other things. It's pretty rare, which is why you've never been tested for it before. It's actually the result of a mutated gene that codes for a particular enzyme called "porphobilinogen deaminase" (that's just an FYI - all these enzymes have insane names).
The gene mutation is inherited, but not all people with the defective gene end up having the disorder. Essentially, you have to have a certain "amount" of mutation in order to manifest symptoms of the disease, and the weird thing is that the symptoms occur primarily in the adult stage (post-puberty, anyway).
If they ordered the 24-hour urine, make sure that they include "urine porphyrins" in that test. I'm sure they did, especially if they brought up porphyria during your exam, but make sure you get copies of your lab results.
It's a difficult disorder to understand and, I have to reiterate, is pretty rare indeed. Lemme know if you have more detailed questions about it, I'll try to answer them as best I can...
I'll take the arrogant surgeon that's being recommended to me by other physicians. You don't want somebody cutting you open and then second-guessing themselves (even if they did stay at a Holiday Inn Express last night).
BTW Judy, remind me never to come over to your house for dinner and leave with leftovers. I had to laugh b/c I've done some pretty disgusting things with food storage containers.