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    Medical Diagnoses

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    beejean

    Posts : 542
    Join date : 2010-02-20
    Location : Boston area

    Medical Diagnoses

    Post  beejean on Sun 16 Sep 2012, 12:19 pm

    Medical Diagnoses

    Medical Diagnosis is a risky thing to make, and to state to your patient.

    It took 2 years for my hernia to get diagnosed. When it got bad enough, it became externally visible. However, I know the date on which the hernia occurred. "How ?" - you say. Because I felt the ripping and noticed that my innards were flopping around from side to side when I rolled over. So, here I was, realizing that some significant rupture had happened and going to the doctor and the doc in question said, well I can't see anything ! Not long after, I changed docs. The latest doc said on physical examination - you have a hernia - I can see it !

    So, never give up - they might actually find out what's wrong when it gets acute enough.

    Right now, I'm going through a long, drawn-out process of having the docs get ready to operate and sew up the rip. However, since some of the pre-op tests are pointing to evidence about another medical situation I've been complaining about, things are getting complicated. Doctors hate complicated. Maybe the tests will be solved in another year -- meanwhile I'm going to try to keep my self-preservation nerves settled into grand and philosophical stoicism.

    It sure isn't like "Royal Pains" or "House" on TV. At least, when you have to try to suggest that they investigate the general symptoms. I guess all the patients look like a pig pig in a poke to doctors in this age of malpractice insurance. They don't want to pick the wrong words to say to the mean pig.

    For anybody else trying to get a diagnosis, maybe we could compare notes on how long it has been taking you to finally learn what's wrong. Maybe somebody has a record that beats my 2 year wait?
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    Grits

    Posts : 226
    Join date : 2010-02-21
    Age : 62
    Location : Alabama

    Re: Medical Diagnoses

    Post  Grits on Sun 16 Sep 2012, 3:04 pm

    Oh, gosh...I'm sorry it took so long for you to get help. Hopefully, now you will get the right treatment. I'll say a prayer for you.

    I've always had good results with my docs, but I face a different problem in the medical field at the present. My long time doc died a few years ago during an operation and I tried the woman that took his place and there was just no connection and I pleaded with the only other long time doc in my tiny town to take me on as a patient even though he was severely overloaded due to the other doc's death...and he did probably because I used to work at the hospital where they both practiced and he has known me for a long time...but the problem is...I never get to use him. He sends his overload of patients to his Nurse Practitioner and lately that is who I have had to see. I have two kidney infections in the last month (currently on antibiotics for the most recent one). The NP says that if I get another one he'll send me to a urologist. This worries me a bit as I have a known cyst on one of my kidneys that I am supposed to get ultrasound on every couple of years to check for growth. My last ultrasound was only a year ago. Anyway, I'm going a long way around to say that I "hope" I am getting the right advice from the NP, but would feel much better if I could see this doc who is excellent with diagnoses.

    The best experience I've ever had with a doc was about 1 1/2 yrs. ago with the neurologist my son had to see. He was diagnosed with a possible brain tumor and had to have lots of tests that took about a month before we finally got to the neurologist. This sweet doc does not let the nurses come out and get the patient in the waiting room, but comes out personally and walks you back to the exam room. He was very personal and had the correct diagnosis which it turns out was not a brain tumor but rather a clump of blood vessels due to my son's mild case of Sturge-Weber Syndrome (those red birthmarks you see on folks). It was such a relief to find out that is what it was, but this doc went over every MRI and gave us background on the condition and took a lot of time to explain it all. He was a treasure!

    There are some really good docs out there. I used to work with a lot of them and only ran across one I would not trust. They have tough jobs that are very time consuming. It takes a lot of dedication to be a doc. I'm very afraid that we will lose a lot of these good docs once Obamacare takes affect...sigh

    ...and you are very right about the fear of lawsuits. Tort reform is much needed in the medical industry...
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    beejean

    Posts : 542
    Join date : 2010-02-20
    Location : Boston area

    Re: Medical Diagnoses

    Post  beejean on Sun 16 Sep 2012, 7:43 pm

    That was a very thoughtful reply on your part !

    I won't go into the other big snafu with one of my sons that meant I had to save him in a big city Pediatric ER where he'd been transferred from getting a second bag of Dilantin when he was having a brain bleed. The ER doc in the smaller facility had given him a full bag just an hour earlier. And yes, a transfer record showed it there.

    I'm glad that your son had such a wonderful doctor! Really! However, all turned out well with the recovery process after the crisis. I can't really complain about how things have been turning out for me so far, I can just complain that it takes so long to get my symptoms recognized from the time they show up until I can get a Dr. to agree. However, I am in Massachusetts, the test lab for universal health care. Since the law was enacted to charge residents a fine on their taxes if they couldn't show a "certificate of creditable coverage" the waits to see a Doctor have expanded to 3 weeks for when I sprained my foot, for example.

    Grits, thanks again, and God bless you and your son, also.
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    Grits

    Posts : 226
    Join date : 2010-02-21
    Age : 62
    Location : Alabama

    Re: Medical Diagnoses

    Post  Grits on Mon 17 Sep 2012, 12:47 am

    However, I am in Massachusetts, the test lab for universal health care.

    beejean, do you think medical care is better there than before Romneycare? What is the general consensus in the state? I'd really like to hear from someone that lives there...

    Grits...not looking forward to Obamacare... Mad
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    beejean

    Posts : 542
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    Re: Medical Diagnoses

    Post  beejean on Mon 17 Sep 2012, 8:35 pm

    Massachusetts' Universal care implementation meant that there were fewer docs around here because some left for better areas (read "less regulated"). The hospital up the street which was Catholic, sold off the operation and facilities to another larger non-catholic hospital and the facility was partly shut down and partly used to augment another hospital's facilities.

    Now, the state budget has been slammed with the costs for MassHealth - the state version of healthcare, and, even though it was getting federal help with this state-run insurance the state budget went off kilter.

    Poor people with income verification get into MassHealth and the rest of us (people working in private industry) have mandatory insurance purchased on the market with payroll deductions from our pay for company's offered coverage and some % kick-in from the employer. Pretty soon, per the Feds, any employer kick-in becomes taxable so we get less pay. Because of MassHealth which extends coverage for low market rates or as part of a welfare package for next to nothing, the burden on the state coffers through the deficits it accrues has been growing. The Governor is thinking of forcing all hospitals to adhere to a new particular schedule of fees that some board will set within the next few months. The exercise is consuming lots of committee people's (read "lawyers") time with trying to tamp down the exorbitant budget drain of it all now. Prior to that, they were only concerned about availability. I think the whole thing is bogged down under the weight of regulation.

    The risks of state fines for non-compliance, or mistakes on required forms and records reporting, probably added so much cost to the program, because the costs of documenting that the health-care provider is meeting all the new rules requires even more staff.
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    Grits

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    Re: Medical Diagnoses

    Post  Grits on Wed 19 Sep 2012, 12:15 am

    Thank you so much for your view!

    So it sounds to me like it's not as bad as it is in England and Canada (had a very dear Canadian friend that years ago told me all about the waits there...) but maybe not the rosy picture some want to paint...

    Think about the small size of your state and now multiply the ills of the program by our vast country. I think we are about to experience a medical nightmare in this country if somebody or something doesn't stop it...sigh


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