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Incompetence/Laziness Becoming a Medical Trend?

Mimi

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I've been giving this topic a lot of thought since waking this morning upon reflecting over my experiences the past few weeks.

Those who visit the chat room and speak with me in there with any regularity already know that I've been horrendously ill for over a month now. I've been suffering immeasurably with severe cold and flu like symptoms for weeks, with no relief. At one point last week I did finally see a light at the end of the tunnel, and a break in my ailments, but two days later they all returned with a vengeance.

At first I took my concerns to my local doctor. He did a quick glance over, determined I had a virus, and released me. No tests, no lab, no x-rays, nothing. Just dismissed it as the flu and sent me home. Twelve days later I had my 4 month exam with my diabetic doctor in a neighboring city. I expressed my concerns over my maladies to her, thinking that since she was so worried about my general health in terms of how it affected the management of my diabetes, she may be more symathetic and take a closer look into what was going on. Nope. Again, no tests at all, she merely stated "it's going around" and that it would 'eventually' go away.

That was almost two weeks ago, and I am still suffering now with the same symptoms, only now they are even worse. In desperation I finally decided to get yet another opinion and dragged my sickly carcass into Urgent Care, where I had the extreme fortune of being treated by a young, fresh out of medical school Physicians Assistant. It was to my great pleasure that after listening to all my complaints and doing a thorough physical exam that he felt something was seriously wrong and ordered x-rays and a plethora of lab work. After aa entertaining hour or two of breathing treatments by an awesomely hyper and hilarious Respiratory Therapist, the doctor came back in with the results. It turns out that I have an Upper Resperatory Infection, A Sinus Infection, and a Urinary Tract Infection....

ALL OF WHICH COULD HAVE BEEN DIAGNOSED WEEKS EARLIER BY THE TWO DOCTORS WHO DISMISSED IT AS A VIRUS AND SAVED ME WEEKS OF UNBEARABLE SUFFERING!! UGH!!

*ahem* Sorry bout the outburst. I am understandabely just a wee bit pissed off. Thankfully I am now on a very potent anti-biotic (Levaquim), an Inhaler, Codeine cough syrup, and a prescription decongestant. It has only been 24 hours and I already feel like a new woman (and then some 😀 ). Not 100% yet, obviously, but it's wonderful to just have some energy and alertness back, and not pass out coughing everytime I try to breathe.

But all of this got me thinking. I have seen friends, family, acquaintences, and myself go through this very scenario too many times to count. They are obviously seriously ill, but upon taking their ailments to their doctor, they are told it's only a virus and nothing can be done and dismissed. With the new forceful awareness being put on the importance of using anti-biotics sparingly, as to not cause a body to build an immunity to them, it seems doctors don't want to prescribe them at ALL. It's now a well known fact that if you DO have a virus and only a virus, and anti-biotic will not help. But it's a disturbing trend I see that doctors immediately dismiss your symptoms as that of a virus without even checking for bacterial infections. I understand the caution in prescribing a med when it's not needed, but if there IS cause for it, people could be saved a lot of unnecessary suffering by taking a quick round of anti-biotics.

Has anyone else noticed this trend? It disturbs me that we are paying out of our asses for medical insurance, with no leveling in sight, yet most of the time we are receiving poor to sub-par medical care. This can not be good. It paints a very ugly picture for the future of medicine.

When did so many doctors stop caring?

Mimi
 
Damn..if that's the way most doctors are, I'm not moving from Louisiana...with Cystic Fibrosis, something that might be dismissed as "just a virus" could end up being something that kills me.

Makes me glad that the doctors here actually care enough to nag me about not taking some medicine that I'm supposed to lol .

I can't believe those doctors didn't even do any tests...the ones I go to, if something was wrong (the hospital deals with mostly CF patients, but they get regular ones too..), they'll do whatever tests they need to till they know what's wrong with you.

Guess in a way I'm lucky that my disease makes it necessary that I get a checkup at the same hospital every few months...kind of hard for the doctors to NOT care when they've seen me grow up, I'd think. lol
 
The issue is(and I am NOT defending it) that doctors see 20+ patients a day and if they get behind because of one person, they might overlook a "simple cold" because it will get you out the door and they will catch up on lost time...I suppose you aren't feeling better about this huh?

Really the deep issue is that doctors need to see 20+ people a day just to make money at all..
A doctor might "charge" your insurance say $150.00 for your visit, but the insurance only agrees to pay $85.00 and that is what the doctor is stuck with...

Now imagine your employer coming to you can saying..yeah, you did your 40 hours of work at $20 an hour but we can only pay you $10 an hour...that would get irritating fast...

Anyway...my point is that if you feel you are really ill, sometimes you have to really stress that you aren't having a simple cold that something is way off.

UTI(Urinary track infections) are very painful and annoying so I know what you are going through Mimi...

Sorry you had to go through all this crap but maybe it is a lesson learned that you just have to put your foot down and make a doctor take a second look.
 
Mimi said:
ALL OF WHICH COULD HAVE BEEN DIAGNOSED WEEKS EARLIER BY THE TWO DOCTORS WHO DISMISSED IT AS A VIRUS AND SAVED ME WEEKS OF UNBEARABLE SUFFERING!! UGH!!

When did so many doctors stop caring?
Can you say, "MALPRACTICE"? Sounds to me like it could be time to get the documentation from your multiple visits and see a hungry lawyer. Freakin' rubber-stamp medicine quacks! :sowrong:
 
exactly right

i decided not to go to medical school thanks to the bloodsucker insurance companies and lawyers like John Edwards.

:sowrong: :sowrong: :sowrong: :sowrong: :sowrong: :sowrong:





:firedevil The MetalHead
 
I'm with Tommy!

Costs are so high BECAUSE doctors have to pay for malpractice insurance, the costs are mind blowing!

Meems~I've had a UTI and a sinus infection~PURE HELL~My sympathies!

I have a friend, Rosa, in a similar situation, for months now they've been doing blood tests, ultrasounds, etc, she claims they "can't find anything" and she's alright with that. I, of course am enraged, and offered to act as her own personal bulldog. If that was my doc, I'd be camping out on the doorstep every morning, "Look MoFo~you went to school for 95 years, your education cost you half a million dollars, my ins company pays your sorry ass 150$ for you to take my temperature and put me on a scale, you'd better find out what's wrong with me, and give me an acceptable answer NOW..."
Good for you for getting another opinion and LISTENING to your body!

To play Devil's advocate: I'm lucky enough to work at one of the nation's most respected teaching hospitals (Newsweek rates us just behind Harvard and Stanford Med)My patients always complain about the attitude of the staff. I have to remind them "Folks, you're in the care of the best of the best~they're paid to save your life, not make friends with you"

what's most important is that you're ok and thank goodness honey!

XOXO

tommytikl said:
The issue is(and I am NOT defending it) that doctors see 20+ patients a day and if they get behind because of one person, they might overlook a "simple cold" because it will get you out the door and they will catch up on lost time...I suppose you aren't feeling better about this huh?

Really the deep issue is that doctors need to see 20+ people a day just to make money at all..
A doctor might "charge" your insurance say $150.00 for your visit, but the insurance only agrees to pay $85.00 and that is what the doctor is stuck with...

Now imagine your employer coming to you can saying..yeah, you did your 40 hours of work at $20 an hour but we can only pay you $10 an hour...that would get irritating fast...

Anyway...my point is that if you feel you are really ill, sometimes you have to really stress that you aren't having a simple cold that something is way off.

UTI(Urinary track infections) are very painful and annoying so I know what you are going through Mimi...

Sorry you had to go through all this crap but maybe it is a lesson learned that you just have to put your foot down and make a doctor take a second look.
 
Speaking from the "medical" community...

No, I don't get paid by insurance companies. But the economy affects how much people can afford on health care for their pets so...

And I pay malpractice insurance...I just thank God it hasn't sky rocketed at the same rate as the human medical side.

As far as getting behind...everytime a client shows up late, it dominoes and pushes all of my appointments back (you don't just show them the door in the veterinary world...although I have told some to re-schedule or wait until I'm done before I'll see them, it doesn't go over well with my employer...). Or a routine appointment turns into "Oh, by the way...." Or the client wants to discuss his other pet's problems....or his neighbor's pet's problems...so many days it's just a frustrating thing to be able to get to the bottom of why the client brought the pet in to be seen. If I'm seeing a pet for a ear problem, if I'm 30 minutes behind or more, I'm probably not going to be checking out the teeth or the heart and lungs or anything removed from the subject of skin in general and related topics such as diet (i.e. allergies). The truth is, by the time I look at a slide to see the type of ear infection I'm dealing with AND clean out the ears AND decide what type of topical and oral medications to prescribe (or go back and ask the client what they have been using...what they still have...what they need more of...you get the picture)..I've used up my alloted 20 minutes of time. Somedays you get lucky, and everything is routine. Others...well, let's just say you're counting your blessings if you see ONE healthy animal for vaccines.

I'm not trying to justify anything that you went through Mimi, I just wanted to offer my perspective on the medical side. I really do commisserate with your situation, though. When I was in high school, I had all kinds of sinus problems. One time, I woke up with a horrible ear ache. My regular physician was showing an intern what the classic signs of otitis media were...and sent me with some oral antibiotics and ear drops. The next day, I couldn't lift my head and the pain was unbearable. The other doctor in the practice saw me right away and took an x-ray...only to find my entire frontal sinus was blocked (no wonder the ear looked inflamed...note to self...ear/nose/and throat would be better from now on). I was so royally pissed that the first guy breezed in with a diagnosis...and I didn't even go through the weeks of waiting that you did. Hope the medicine kicks all those bugs and you're feeling as good as new again.
 
One Other Thing...

In spite of all the other arguments made here (some good, some bad), nobody seems to have mentioned one other thing. And NO, this is not entirely in the defense of such shitty bedside manners, Mimi, just so you know.

MEDICAL TESTS ARE EXPENSIVE!!! And the technology is very crude. State-of-the-art equipment can only usually be found in the top-notch centers (if you're lucky enough to be in range of the Mayo clinic, John Hopkins or Mt. Sinai), and even then, the machinery and imaging mechanics are still flawed enough to yield very few reliable results. And at a few thousand $$$ a pop, these tests are not things a person WITH MEDICAL INSURANCE wants to do without good reason!

I mean, that could be a tension headache and cold...could be spinal meningitis. And to find out, it's gonna cost a couple hundred bucks for the equipment to find out. If you die, you don't gotta worry...if you have a cold, yay you live...and you got the bill to prove just how looooooooong you got left...to pay it off.

On top of lab, simple lab work takes forever. This isn't Star Trek, where a tricorder can be run over you and tell you everything from your heart rate to the tensile strength of your nose hair, this is the early 21st-Century United States medical technology, and most of it is hit-or-miss. Anything strong enough to really get detail blasts you with radiation (CT scan anyone?).

Added to which, when you got an added bonus of 12+ sick people a day almost all of which demanding tests to lock down what ails them, that only adds to the delay.

Not only does a doctor not want to run these tests, he sure doesn't want to catch any flack from the patient when he runs up a multi-thousand $$$ bill for them only to reveal that the super-tests didn't find anything.

So it's a combination of disappointing technology, lengthy inspection sessions, burdened schedules, repetetive symptoms, and above all...MONEY!

So until the 1% in charge wanna get off their ass and make improvements in this field...we're just gonna have to live with it and hope that we don't die along the way.


P.S. He-Man, you got CF? Goddamn, that is F-U-C-K-E-D UP! To the 10th power!
 
You are correct

You aren't imagining things, This is a trend. American doctors are poorly trained, and they frequently misdiagnose problems.

I nearly lost my life to such a misdiagnosis a few years ago, and I'm still reeling from this incident. Along the way, I've been misdiagnosed and mistreated by more than 25 doctors of varying specialties.

Things are worse if you're dealing with something that isn't obvious like a heart attack or a broken leg. Brain injuries, food allergies,
digestive disorders, and serious infections are just a few problems that are regularly misdiagnosed.

I do volunteer work for a food allergy support group near my home, and I'm always shocked when I see how many patients, especially children, have nearly lost their lives as the result of a misdiagnosis and inappropraite treatment.

I also belong to a brain injury survivors group, and EVERY person in that organization was badly misdiagnosed. Keep in mind that many of these were people who were critically injured (thrown through the windshields of cars for example), and their symptoms were fairly obvious. For each of these people (and myself), care was delayed, resulting in complications.

Just a few weeks ago, there was a news story about missed diagnoses. The report stated that it isn't uncommon for American patients to be misdiagnosed a dozen times or more before receiving the proper help.

The bottom line is that you're not alone. Many people have experienced the same thing, and it is a trend that must be addressed.
 
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