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re: In the modern era is a doctor nothing more than a gatekeeper for medication?
Posted on 6/13/19 at 11:42 am to BulldogXero
Posted on 6/13/19 at 11:42 am to BulldogXero
quote:
he denied any correlation between reflux and these issues.
I'm going to ignore most of your authentic frontier gibberish and give a serious, but not-a-doctor answer: If you're a mucusy fellow with sinus or allergy problems, it's possible you might have some post-nasal drip that could aggravate your fancy-worded acid reflux. A daily antihistamine like Allegra or Zyrtec should help. You don't need a prescription for either of those.
But since you like going to doctors, go to an ENT as someone else said.
Failing that, go back to WebMD and do a search for "AIDS."
This post was edited on 6/13/19 at 11:44 am
0
Posted on 6/13/19 at 11:44 am to BulldogXero
With all your medical knowledge I’m guessing you are an operator.
Posted on 6/13/19 at 11:46 am to BulldogXero
quote:
BulldogXero
You sir, are an idiot.
Posted on 6/13/19 at 11:57 am to tiggerthetooth
quote:
As far as direct medical knowledge? No chance 9.999/10 times.
Doctors have to have a wide base of knowledge. Even for a specialist, there are numerous conditions that relate to the ear/nose/throat, the GI system, etc. I'm not suggesting that I have more general medical knowledge than a doctor.
I am suggestion that I have the time, the impetus, and the means to thoroughly research my specific problem and that often leads to a more up-to-date, nuanced view of a particular issue than any doctor I've seen thus far.
Posted on 6/13/19 at 12:34 pm to BulldogXero
quote:
I'm sure they hear a lot of BS from patients, but that doesn't mean they never have a point. I have been a sufferer of Laryngopharyngeal reflux since December of 2016. The GI I went to flat out denied any correlation between reflux and sinus type issues. I went to the GP complaining of dizziness and ringing ears. He actually thought I had a brain tumor and sent me to an MRI. Later, he just diagnosed me with Eustachian tube dysfunction and gave me some allegra D. Again, he denied any correlation between reflux and these issues.
The allegra D did nothing for me, my ears are ringing now worse than ever plus they feel clogged all the time and ache sometimes. I went to an ENT and had largely the same experience. He just gave me some Nasacort and told me to blow my nose with my nose closed to unclog my ears.
I suffer from the same... Yea most ENT or GP don't know anything about this condition... Hell, the medical community in general doesn't yet have good data or understanding on this condition so you can't really blame the doctors... email me if you want to discuss in more detail ramlsu at gmail
This post was edited on 6/13/19 at 12:36 pm
Posted on 6/13/19 at 1:19 pm to BulldogXero
quote:
Going to the doctor, I feel fairly confidence, I can say well based on x, y, and z I feel like I could be experiencing a, b, or c. It's good to be able to steer the course of your medical treatment, but having to educate the doctor on these things doesn't make me feel very confidence in their ability to diagnose and just makes me look at them as a tool to get tested for suspected illness or to receive a prescription for a certain medication
EL OH EL
Posted on 6/13/19 at 1:25 pm to BulldogXero
Damn man. I hate that we both went to MS State. You're embarrassing me on multiple boards.
Posted on 6/13/19 at 1:26 pm to BulldogXero
Good god dude you sound like a preteen complaining about how their parents “Dont know Anything”
You just sound so ignorant
You just sound so ignorant
Posted on 6/13/19 at 1:27 pm to BulldogXero
quote:
I am suggestion that I have the time, the impetus, and the means to thoroughly research my specific problem and that often leads to a more up-to-date, nuanced view of a particular issue than any doctor I've seen thus far.
And you know when a particular symptom correlates to the problem or just a coincidence that it's happening at the same time?
Posted on 6/13/19 at 1:42 pm to BulldogXero
quote:
Going to the doctor, I feel fairly confidence, I can say well based on x, y, and z I feel like I could be experiencing a, b, or c. It's good to be able to steer the course of your medical treatment, but having to educate the doctor on these things doesn't make me feel very confidence in their ability to diagnose and just makes me look at them as a tool...
Oh, they see you as a tool too and not a very bright one either.
I do get what you are saying but Web MD "doctors" see albino zebras a helluva lot more than horses.
Posted on 6/13/19 at 2:21 pm to BulldogXero
No. If you think so you are a fool.
Posted on 6/13/19 at 3:08 pm to BulldogXero
quote:
sufferer of Laryngopharyngeal reflux since December of 2016
quote:
I went to the GP complaining of dizziness and ringing ears
quote:
my ears are ringing now worse than ever plus they feel clogged all the time and ache sometimes.
You sound like a real whiny little girl.
Posted on 6/13/19 at 3:15 pm to GetCocky11
quote:
You may think you're educating them on things, but you actually aren't.
Yeah I went on to my doc one day about clinical trials for a certain drug I was taking and he was just kinda rolling his eyes. He knew all about what I was talking about but just let me ramble because he was trying to be polite.
But I do understand what the OP is getting at. The Internet has changed society in more ways than one.
This post was edited on 6/13/19 at 3:16 pm
Posted on 6/13/19 at 3:19 pm to BulldogXero
BTW forgot to diagnose you. You got Tinnitus baw.
Posted on 6/13/19 at 3:21 pm to Martini
quote:
With all your medical knowledge I’m guessing you are an operator.
or an engineer
Posted on 6/13/19 at 3:23 pm to Obtuse1
quote:
. You got Tinnitus baw.
Thanks for reminding me. My ears are ringing now.
Posted on 6/13/19 at 3:29 pm to BulldogXero
quote:You could basically call them drug dealers, even though aren't the ones to actually give you the drugs. But yes for the most part, they are. I do however, have more faith in the Drs performing surgery, resuscitation, or other acts which drugs can't fix, like coming into the ER with a foreign object mysteriously lodged up your bum.
In the modern era is a doctor nothing more than a gatekeeper for medication?
Posted on 6/13/19 at 3:33 pm to BulldogXero
Insurance company is the gatekeeper.
Doctors are pawns. Expensive labor when Medicare or insurance are the driving forces.
Administrative costs in medicine have skyrocketed since 1980. Electronic records, computers, documentation, coding, etc. revenue associated with these costs go mostly to admin and peripheral staff.
Physician salaries in real dollars have not really changes in 40 years. I’ve been a doctor since 1990.
Costs to patients have exploded. Payments to physicians have not kept up with inflation.
They have deprofessionalized medicine through the payment scheme. Physicians have to set up their practice to focus totally on the procedures that are billed and collected at the highest rate or sell their services to a consolidator so they are essentially an employee.
Doctors are pawns. Expensive labor when Medicare or insurance are the driving forces.
Administrative costs in medicine have skyrocketed since 1980. Electronic records, computers, documentation, coding, etc. revenue associated with these costs go mostly to admin and peripheral staff.
Physician salaries in real dollars have not really changes in 40 years. I’ve been a doctor since 1990.
Costs to patients have exploded. Payments to physicians have not kept up with inflation.
They have deprofessionalized medicine through the payment scheme. Physicians have to set up their practice to focus totally on the procedures that are billed and collected at the highest rate or sell their services to a consolidator so they are essentially an employee.
Posted on 6/13/19 at 4:10 pm to Hu_Flung_Pu
quote:
And you know when a particular symptom correlates to the problem or just a coincidence that it's happening at the same time?
It could be, but consider that they both have been going on for the same length of time and that my symptoms are at their worst when I can tell the reflux is at it's worst.
Even when not on PPIs, I don't get heartburn nearly as much as people who have typical GERD symptoms. I don't feel like I have to sleep on a wedge or watch my diet to avoid chest pain. It still affects me though. If I eat the wrong things, my mouth/throat burns. I have to clear my throat very frequently. I think partially because I don't sleep on a wedge, my ears often feel most clogged after a night's sleep and I wake up to a soar throat that goes away throughout the day.
People's ears may clog during a bad cold or during allergy season, but they don't stay clogged for months on end. They usually respond to medication as well which thus far mine have not. The ringing started in the left ear now has migrated to the right ear as well, so after all this time, nothing is getting better. Things might be getting worse.
Since I started having these problems, I've spent a lot of time researching the symptoms and talking to people online who experience similar issues. There is a lot of snake oil you have to wade through. Usually naturopathic doctors that proliferate Youtube or the Dr. Oz TV show are just trying to sell you stuff on their website, but there are legitimate medical studies done that do show correlation between reflux and extra-esophageal symptoms like I have been experiencing. Possible causation is a faulty UES. Because the lungs/throat are not as resistant to stomach acid as the esophagus, even very small amounts of acid, acid vapors, or gastric juices can cause harm.
It's when you discuss this with your doctor and they just look at you with a blank stare then say it's impossible despite offering not one alternative solution then ship you out the door with common allergy medication that pisses me off.
Posted on 6/13/19 at 5:24 pm to BulldogXero
I was a nurse 35 years,there lot of dumb doctors,lot of good doctors and a few brilliant doctors.Remember 50 per cent of the doctors graduated in bottom half of their class.Cultivate relationships with nurses,ask them who they would go to if they had such and such a problem.Do not ask their opinion of Dr. So&So,few nurses willing to make derogatory remarks about specific dr.,just ask who they would go to.In my experience,about 90 percent of nurses go to about 25 percent of the drs.Also bedside manner often has no correlation with ability,especially surgeons. and cardiologists.
Good luck!
Good luck!
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