When I arrived at the Dr. Lester's I was taken to an exam room by one of his assistants, and told to remove my clothing, other than my underpants, and to wait for Dr. Lester on an exam table. I was not offered a gown. I waited in my underpants for about 10 minutes for Dr. Lester to arrive. When Dr. Lester entered the exam room with a "scribe", he did so through a door where I was in plain view of anyone walking down the hall, including patients. Dr. Lester did not introduce the scribe, or ask me if I was ok with having a scribe in the exam room. Although there was a curtain that could have been used tp provide privacy between me and the scribe, Dr. Lester did not use the curtain. Dr. Lester introduced himself quickly, shook my hand, and then proceeded to conduct the exam. During the exam, Dr. Lester went over my skin systematically, stating the technical name and location (using technical terms again) to his scribe of each and every thing he found on my skin. At one point, he found something which he said should be removed. He did not explain what it was or why it should be removed. If I consented to the procedure, it was so quick that it certainly was not informed consent. Although I am sure I would have consented if it had been explained to me, I certainly would have wanted to know what the consequences of the procedure would be. The area was painful for a week after the procedure. I am sure that this is normal, but I would not have wanted the procedure done at that time if, for example, I had an important event coming up in the next week. During the exam, with one exception, Dr. Lester did not address his remarks to me--instead, he spoke to his scribe in technical language. The only times he spoke to me two times. One was when he said that he could tell from my skin that I had spent a lot of time in the sun. I responded that that was funny, because a medical condition had kept me out of the sun for several years. He responded that he meant over my whole life. I didn't respond to that, but compared to most people, having been a book worm as a child, and having had an indoor white collar job, and having been aware of the risks of sun exposure from a young age, I have actually spent little time in the sun over the course of my life. The only purpose of Dr. Lester's comment seemed to be to make me anxious about the health of my skin. Indeed, if he was going to make the observation, he should have explained why or if it was relevant to anything. When Dr. Lester finished the exam, he did not offer an overall assessment of the health of my skin, other than to say that he would like to see me for another full skin exam in 6 months. I would not return to see Dr. Lester. First, although a skin exam inevitably involves some lack of privacy, I have had a lot of medical procedures that require that I be completely undressed but I have never had one where there was absolutely no effort make to respect the patient's privacy--no offer of a gown, having me sit on an exam table in my underpants for 10 minutes in plain view of anyone in the hallway when he entered the exam room, no dressing to cover one part of my body while examining another, no separation between me and the scribe, no consent on my part to the scribe, who was standing literally three feet from me while Dr. Lester examined my genitalia in her plain view. I am not a terribly shy person, but when a medical practice seems to go almost out of its way to fail to respect a patient's privacy, you have to assume that there is a reason for this. My own guess is that Dr. Lester has figured out that the less he respects the patient's privacy, the more disarmed the patient feels, and the less likely the patient is to ask questions or fail to consent to a procedure. As to the exam itself, Dr. Lester's use of technical terminology, and his directing his remarks to his scribe, left me with no information or better understanding of the health of my skin, or what I could do to keep my skin healthy. In addition, his recommendation that I should return for another exam in 6 months, with no explanation as to why, left me wondering if he had a concern about my skin health. I decided to try another dermatology practice the next time that I got a skin exam. The differences were remarkable. First, I was given a gown. Second, the doctor directed his comments to me, and put me at ease. Instead of reciting to a scribe each and everything that he found on my skin, he described in general terms what they were, and also stated that they were absolutely nothing to worry about. He also said that a yearly exam was sufficient.
Although Dr. Lester's exams were thorough, he always pressured me (although) politely to have cosmetic work done on my face. When I made it clear that I was there strictly for skin checks, he became very reserved. Also, he usually kept me waiting 15-20 minutes.
Agree with above comments!! He alone diagnosed my poison sumac...after first doctor diagnosed Lyme Disease (had a red ring and bull's eye). After 2 weeks on awful medication with worsening conditions, I went to my primary care doctor. He brought in another internist and neither had a clue, but both said it was NOT Lyme. So they referred me to Dr. Lester. With just one look, Dr. Lester said it was poison sumac...no doubt. Other lesions had formed but none quite like the huge mess on my knee. 15 days of prednisone and cured. Finally found where my contact was on my daily walk...and I avoid it like the plague! Dr. Lester is a genius!
After many visits and many attempts to figure out why I was having a persistent rash, Dr. Lester finally referred me to an allergist after discovering an indication of an allergic reaction through a biopsy. What really impressed me was that he called me after I saw the allergist to find out the results of my visit. I've never had a dr. do that before, and it made me feel like a real person, and not just another anonymous face that travels in and out of his office daily. I felt like he was genuinely concerned for my well-being, and that is an important quality in a doctor.
Dr. Brian W. Lester's Credentials
Accepting New Patients
- Yale University School Of Medicine (Grad. 2001)
Areas of Expertise
Awards & Recognitions
Publications & Research
Insurance accepted by this Doctor
A new 3-star rating has been posted. "When I arrived at the Dr. Lester's I was taken to an exam room by one of his assistants, and told to remove my clothing, other than my underpants, and to wait f..."November 10, 2015
'birds of a feather' score (based on <a href='/birdsofafeather.jsp?did=401041'>Medicare patients-in-common</a>): 4.1February 5, 2014
First Name changed from "Brian" to "Brian W."October 20, 2013
City changed from "MERION STATION" to "Boston", State changed from "PA" to "MA"April 17, 2013
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