What makes this relevant: out of hundreds, Dr. Azucena Arguelles is the worst doctor I have ever seen, in a completely literal sense.
She might be able to treat dandruff, but she’d probably cut off your nose in the process.
She had to use reference books to remember minor details of dermatological conditions so common that I knew them even though I’d never had them.
When she took a biopsy, it hurt. When she took out the stitch, it hurt more.
Her hands were shaking like an addict’s in withdrawals, and she sliced my skin two or three times before she managed to slice the thread.
I’ve had a subsequent skin biopsy in the same spot on my other leg, and that practice chose to send me home with a stitch removal kit (the same tools Dr. Arguelles was using) and instructions on how to take it out myself in a week.
I did so, and even though I’m certainly not a doctor, I didn’t repeatedly cut myself.
When the biopsy results came back from UCSF, Dr. Arguelles handed them to me, said she had no idea what they meant, and *literally* suggested I go home and run a differential diagnosis on myself.
In many many years of seeing doctors, I have never heard this suggestion, even from doctors I was well familiar with.
Subsequent dermatologists looked at the results from the biopsy and my general presentation, and were instantly able to generate a list of the conditions that could have caused my symptoms.
One of their four initial guesses was accurate.
Take someone to Dr Arguelles if you don’t like them, or are trying to convince them all American doctors are incompetent.