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Started By
Message
re: Family’s had really bad luck with Dr.s recently, job too hard now?
Posted on 9/30/19 at 12:06 pm to MrLarson
Posted on 9/30/19 at 12:06 pm to MrLarson
quote:
I end up in the ER because my BP wouldn't get under 180/100. They admit me to the hospital and run all types of tests and finally the doctor comes in and tells me that he is changing my meds and to never go back to that doctor again because he is going to kill me. I shouldn't have been on the one med I was on and he shouldn't have taken me off the other med I was on.
A lot of people go to the ER for blood pressure elevation and it’s usually unnecessary. Did you have damage to your kidneys or heart that was new?
0
Posted on 9/30/19 at 12:15 pm to LCA131
Came home for the 4th, was in the house having horrible pains in my shoulder blade area. Wife kept on me about going to the we. Told her I just need to pop my back, come and step on it lol. Finally gave in, when they started doing all the test, you could tell in the eyes of the nurses. Craziest part, I would run full court basketball games with my employees, do all kind of physical activities. Only bad part is, heart has 30% fraction?? Guess my heart only pumps at half of what it’s suppose to. Have an eco on the 14th and follow up the week after..
Posted on 9/30/19 at 12:20 pm to LSUA 75
quote:
The medical world is a scary place,everyone needs competent nurse,NP,PA,in their family or circle of friends.
This is one of the funnier non ironic posts I’ve seen on this board.
Posted on 9/30/19 at 1:22 pm to Gaston
Don't let surgeons or dermatologists just go slicing away with reckless abandon on possible skin cancers of the face. Seek second opinions and ask "how bad could this be?" Happens fairly often.
Posted on 9/30/19 at 1:25 pm to Gaston
What?
Posted on 9/30/19 at 1:26 pm to Areddishfish
Yep this is correct
I’m an Occupational Therapist and it’s the same way for me,
Y’all can think insurance and Medicare for that
I’m an Occupational Therapist and it’s the same way for me,
Y’all can think insurance and Medicare for that
Posted on 9/30/19 at 1:32 pm to lsucoonass
What, what?
Posted on 9/30/19 at 2:29 pm to LSUA 75
You can get torsion at any age. There's a pretty good test for it in Ultrasound, and that should be able to rule that in or out. You also don't send someone home with torsion, they get emergent surgery.
All that being said, those are classic renal stone symptoms. I'm surprised he didn't get a CT to work it up.
"Why didn't the Doctor call herself?"
are you dense? That doctor saw roughly 50-75 patients that day. She made the right call and biopsied and diagnosed the patient. That's her job. That's what she makes 175/hour to do. You don't waste time making phone calls, that's entry level busy work. And if it's documented in the record that calls were made, your neighbor is full of it.
"everyone needs competent nurse,NP,PA,in their family or circle of friends"
So everyone needs a low level provider in their life? cool
All that being said, those are classic renal stone symptoms. I'm surprised he didn't get a CT to work it up.
"Why didn't the Doctor call herself?"
are you dense? That doctor saw roughly 50-75 patients that day. She made the right call and biopsied and diagnosed the patient. That's her job. That's what she makes 175/hour to do. You don't waste time making phone calls, that's entry level busy work. And if it's documented in the record that calls were made, your neighbor is full of it.
"everyone needs competent nurse,NP,PA,in their family or circle of friends"
So everyone needs a low level provider in their life? cool
This post was edited on 9/30/19 at 2:36 pm
Posted on 9/30/19 at 2:56 pm to Gaston
You always have the option to get a 2nd opinion, but I think a lot of people have a mindset that all doctors are equal. Some people will take their doctor's word no matter what and not even question whether they could be wrong or not.
This was 5 or 6 years ago, but I was having some issues. My back started hurting and gradually getting worse. Went to my doctor, he gave me pain meds and since I have rods in my back from scoliosis he just wrote it off as that.
About 2 months later, taking the pain meds when it got bad... It was still getting worse. He prescribed me a stronger pain med. I started taking it and it helped with the pain, but when I took them I was just out of it. One the weekends all I wanted to do was sleep. While it helped with pain, I didn't want to be spaced out, fight to get up an on weekends say in sleeping.
Went back to him and he finally decides he wanted to look at my galbladder and some other things. I went see him for the results and he told me "you have some small stones on your galbladder, but that's about it. That shouldn't cause any problems or the amount of pain you are dealing with".
I started going into a depression thinking that was going to be something I would just have to live with, etc... About a month later, late at night I woke up in pain. Probably the worst pain I ever felt. I couldn't move. Had to call an ambulance because there was no way I could get to the car. Come to find out... it was my galbladder. After it was removed the doctor asked me "have you been having a lot of pain for awhile?".
I explained the situation and he said so they did check your galbladder and said everything looked fine? He went on to tell me how bad it was and should have been removed much earlier.. So I switched doctors. The doctor I go to now is awesome. He never assumes anything, he will ask for 2nd opinions, etc.
I know tl;dr, but no one is making anyone read it. If you don't read it then I really don't give AF.
This was 5 or 6 years ago, but I was having some issues. My back started hurting and gradually getting worse. Went to my doctor, he gave me pain meds and since I have rods in my back from scoliosis he just wrote it off as that.
About 2 months later, taking the pain meds when it got bad... It was still getting worse. He prescribed me a stronger pain med. I started taking it and it helped with the pain, but when I took them I was just out of it. One the weekends all I wanted to do was sleep. While it helped with pain, I didn't want to be spaced out, fight to get up an on weekends say in sleeping.
Went back to him and he finally decides he wanted to look at my galbladder and some other things. I went see him for the results and he told me "you have some small stones on your galbladder, but that's about it. That shouldn't cause any problems or the amount of pain you are dealing with".
I started going into a depression thinking that was going to be something I would just have to live with, etc... About a month later, late at night I woke up in pain. Probably the worst pain I ever felt. I couldn't move. Had to call an ambulance because there was no way I could get to the car. Come to find out... it was my galbladder. After it was removed the doctor asked me "have you been having a lot of pain for awhile?".
I explained the situation and he said so they did check your galbladder and said everything looked fine? He went on to tell me how bad it was and should have been removed much earlier.. So I switched doctors. The doctor I go to now is awesome. He never assumes anything, he will ask for 2nd opinions, etc.
I know tl;dr, but no one is making anyone read it. If you don't read it then I really don't give AF.
Posted on 9/30/19 at 3:52 pm to cwil177
quote:
This is one of the funnier non ironic posts I’ve seen on this board.
Yup. These people are the most undertrained, ignorant yet self confident group in healthcare. It’s downright scary...and they want to practice autonomously.
I have worked with no less than 30 NPs I’m my career and only 1 was competent imo.
Posted on 9/30/19 at 3:55 pm to Gaston
- Educate yourself on what a good doctor is and what a good doctor does. Don’t just rely on your buddy’s recommendation.
- Ask questions until you are satisfied that you received a full answer.
- Demand more out of the services that you are paying for and you will get them.
- Especially for primary care physicians, demand that you receive a care plan both for prevention and intervention. Short term and long term.
- Don’t be afraid to drive for good care. You only have one body and if you live in Louisiana the statistics aren’t wrong. Drive even if it is for a second opinion or a plan to follow back home.
- Educate yourself on your own health, how to help yourself, and why your body does things the way it does. You don’t need to be a doctor to know that over eating is hurting your body.
- Ask questions until you are satisfied that you received a full answer.
- Demand more out of the services that you are paying for and you will get them.
- Especially for primary care physicians, demand that you receive a care plan both for prevention and intervention. Short term and long term.
- Don’t be afraid to drive for good care. You only have one body and if you live in Louisiana the statistics aren’t wrong. Drive even if it is for a second opinion or a plan to follow back home.
- Educate yourself on your own health, how to help yourself, and why your body does things the way it does. You don’t need to be a doctor to know that over eating is hurting your body.
Posted on 9/30/19 at 3:57 pm to OweO
Lol. You must have a low pain tolerance if biliary colic kept you from walking to your car. And unless your gallbladder was infected, then the previous doctor provided standard of care. He was correct in his comment that gallstones should not be causing the level of pain that you perceived. Where he fricked up is by not referring you to gynecology.
And the second doctor told you what you wanted to hear so now he’s the hero and the other one is a quack? Your post sums up what is wrong with healthcare.
And the second doctor told you what you wanted to hear so now he’s the hero and the other one is a quack? Your post sums up what is wrong with healthcare.
Posted on 9/30/19 at 4:01 pm to BlackCoffeeKid
quote:
As a survivor of testicular torsion... trust me, you know if you have testicular torsion
In the nature of this thread, I went to the ER with extreme nut pain. Like barely able to walk; it woke me up around 2 AM.
First doc comes in and says it’s an STD despite testing negative for everything (and never having one). For some reason another doc visited me the same night, ordered an ultrasound and said I was about a hour from losing my right ball and rushed me into surgery. Zero blood flow, torsion is no joke.
Posted on 9/30/19 at 4:33 pm to Gaston
From someone in healthcare. Unless u know the doc is great it’s better to get a NP. Much more careful and don’t have a god complex. PS anytime my life needed saving it was the nurses, not the doc that did it.
Posted on 9/30/19 at 4:49 pm to LSUERDOC
I guess my statement about having competent nurse,N.P.,P.A. in family might not have made total sense.Most families that have one of the aforementioned practitioners in their family will assume they are very knowledgeable and competent.
I certainly don’t think N.P.s,P.A.s should be independent practitioners,I have worked with some really dumb nurses that went on to be N.P.s.I do know several that are excellent ,but they were mostly those that had years of experience behind them,
All that being said,don’t underestimate stupid shite Drs.do.
Another neighbor had breast cancer and had infusion port in inferior vena cava for chemo.Her face started swelling and was short of breath,NP for her oncologist diagnosed her with sinus infection,put her on antibiotics and gave steroids.Few days she was worse,went to E.R.,,they didn’t do CAT scan,told her it was sinus infection and to continue her antibiotics and gave her dose of SoluMedrol and sent her home.
She calls my NP wife,woman’s head swollen like pumpkin,pulse was 150 ,respiration’s in 30’s.My wife told her husband take her back to E.R.,wife called E.R. doctor and told him woman’s inferior vena cava obviously had blood clot.
This time they did CT,guess what -her inferior vena cava was severely obstructed and had numerous blood clots in lungs.Spent about a week in ICU and recovered.
How in hell was this missed-I am sure this lady was not first patient getting chemo that developed blood clot in inferior vena cava.
I’ve got dozens more stories of crap I have seen.As I said,medicine today is a shite show.
I’ve read those studies that say medical errors are 3rd leading cause of death in U.S.
I don’t believe it’s actually that bad but it is pretty bad.
I certainly don’t think N.P.s,P.A.s should be independent practitioners,I have worked with some really dumb nurses that went on to be N.P.s.I do know several that are excellent ,but they were mostly those that had years of experience behind them,
All that being said,don’t underestimate stupid shite Drs.do.
Another neighbor had breast cancer and had infusion port in inferior vena cava for chemo.Her face started swelling and was short of breath,NP for her oncologist diagnosed her with sinus infection,put her on antibiotics and gave steroids.Few days she was worse,went to E.R.,,they didn’t do CAT scan,told her it was sinus infection and to continue her antibiotics and gave her dose of SoluMedrol and sent her home.
She calls my NP wife,woman’s head swollen like pumpkin,pulse was 150 ,respiration’s in 30’s.My wife told her husband take her back to E.R.,wife called E.R. doctor and told him woman’s inferior vena cava obviously had blood clot.
This time they did CT,guess what -her inferior vena cava was severely obstructed and had numerous blood clots in lungs.Spent about a week in ICU and recovered.
How in hell was this missed-I am sure this lady was not first patient getting chemo that developed blood clot in inferior vena cava.
I’ve got dozens more stories of crap I have seen.As I said,medicine today is a shite show.
I’ve read those studies that say medical errors are 3rd leading cause of death in U.S.
I don’t believe it’s actually that bad but it is pretty bad.
Posted on 10/1/19 at 9:49 am to LSUA 75
blood clots in the inferior vena cava would not cause face swelling, hombre. And port-a-caths are places into the internal jugular with the tip in the SUPERIOR vena cava.
Superior and inferior vena cava are two different vessels, actually. An obstructed SVC would cause face swelling, also known as SVC syndrome.
You likely wouldn't get big enough pulmonary emboli to cause real trouble though.
And your anecdotal stories are just that, anecdotal.
I'm sure there are tons of times where your NP wife has screwed up majorly. She probably does it all the time and doesn't even realize it, as would be par for most NP's.
Superior and inferior vena cava are two different vessels, actually. An obstructed SVC would cause face swelling, also known as SVC syndrome.
You likely wouldn't get big enough pulmonary emboli to cause real trouble though.
And your anecdotal stories are just that, anecdotal.
I'm sure there are tons of times where your NP wife has screwed up majorly. She probably does it all the time and doesn't even realize it, as would be par for most NP's.
This post was edited on 10/2/19 at 9:34 am
Posted on 10/1/19 at 9:53 am to LSUERDOC
If he had gallstones with a normal looking gallbladder on US and that level of pain radiating through the back, i'd be worried about gallstone pancreatitis, honestly. Lipase, CT, and maybe an MRCP could have been ordered.
Posted on 10/1/19 at 9:59 am to Gaston
quote:
job too hard now?
I honestly believe that sometimes doctors are so worried about seeing as many patients as possible (a.k.a. making as much money as possible) that they rush through shite and care a lot less about "bedside manner."
Obviously not all docs are like this, but when I had to keep going back to my ENT doc after surgery, I honestly felt like he couldn't get out of the room fast enough every single time. There were times that before I could even digest what he was telling me and think of questions to ask, he was gone. It kinda pissed me off. And I think that sort of mentality is bleeding into other areas of medicine as well.
Posted on 10/1/19 at 2:26 pm to CocomoLSU
I actually forgot port a caths were placed in superior vena cava.I’ve been retired awhile and never worked with cancer patients.She actually did have large blood clot,I knew nurses that took care of her.
Here’s an anecdote for you-cardiovascular surgeon was removing IABP catheter from lady he did surgery on.He ripped out the lady’s femoral artery ,she was dead in 2 minutes or less.Saw it with my own eyes.
Saw dozens of IABP catheters removed by PA’s and NP’s including my wife,not one of them ever ripped out femoral artery.
Here’s an anecdote for you-cardiovascular surgeon was removing IABP catheter from lady he did surgery on.He ripped out the lady’s femoral artery ,she was dead in 2 minutes or less.Saw it with my own eyes.
Saw dozens of IABP catheters removed by PA’s and NP’s including my wife,not one of them ever ripped out femoral artery.
Posted on 10/1/19 at 2:45 pm to LSUtwolves
Came to post this very same thing but you did it for me. As in all professions, there are good and bad. But there are WAY more good MDs than bad and WAY more bad NPs than good. That’s just how it is...at least in my experience.
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