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Message
re: In the modern era is a doctor nothing more than a gatekeeper for medication?
Posted on 7/22/19 at 1:24 am to BulldogXero
Posted on 7/22/19 at 1:24 am to BulldogXero
Can you provide an actual example or is this just BS?
0
Posted on 7/22/19 at 1:42 am to LSUERDOC
quote:
sovereign immunity
That is a pretty big ask and almost as "out there" as strict liability for ED docs.
Even the Federal government doesn't have (technically they give up) sovereign immunity for tortious acts by employees.
I am a big fan of physicians they run deep in my family and I am married to one but giving them immunity to tort claims is a poor idea IMO.
Posted on 7/22/19 at 2:22 am to Obtuse1
Most of the level 1 trauma centers in the country give sovereign immunity to its physicians.
Posted on 7/22/19 at 4:01 am to LSUERDOC
quote:
Most of the level 1 trauma centers in the country give sovereign immunity to its physicians.
I hate the use of that term that way but understand.
Yes, certain states and the federal government have extended a limit amount of the SI umbrella over physicians employed by them. They force the plaintiff to file suit against the government as opposed to the physician. Florida probably has the strictest statutes because it limits the recovery to 200k per person/300k per event. It has a chilling effect on suits since for all but the most simple cases (and there really aren't any) the cost of litigation on the plaintiff side will run upwards of $100k.
I am not against tort reform in the Medmal arena but I do not like blanket immunity for any class. I have always thought that the inevitable Motion to Dismiss would be best served heard by a special master or similar who had the ability to consider the weight of the evidence prior to letting the case proceed.
Posted on 7/22/19 at 8:05 am to BulldogXero
Gotta love people who think they know everything because they read something on the internet
Posted on 7/22/19 at 8:35 am to BulldogXero
My team of cardiologists and heart surgeons seems to know what they doing. 
Posted on 7/22/19 at 8:42 am to BulldogXero
Nowadays all doctors are women or illegal immigrants
If you see a white male doctor thank him for his service and give him a good tip because he had to overcome a lot of diversity to get where he is
If you see a white male doctor thank him for his service and give him a good tip because he had to overcome a lot of diversity to get where he is
Posted on 7/22/19 at 8:50 am to BulldogXero
Haven’t read the thread. But you sound like an out of control hypochondriac
Posted on 7/22/19 at 9:07 am 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.
Despite the flurry of downvotes you're receiving, I pretty much agreed with your experience with doctors.
And once I got to this reply, perhaps it could explain why.
The only health issues I've really had in my life were all related to GERD/LPR, and all my doctor's visits have pretty much been to the GI and ENT docs.
All they ever managed to do is push PPI medication on me and give me a huge generic list of foods not to eat. I discontinued PPIs and was able to find OTC products that managed my symptoms, and now I'm pretty symptomless in general thankfully.
I really fear what happens when one day when I may need a certain medication and can't get access to it because of crappy docs.
quote:
The GI I went to flat out denied any correlation between reflux and sinus type issues.
I used to be in a GERD/LPR support group and sinus issues can definitely be linked. Sadly, this is not the first time I've heard of a GI/ENT denying this.
Posted on 7/22/19 at 9:07 am 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.
Muh WebMD....
Posted on 7/22/19 at 9:42 am to efrad
quote:
All they ever managed to do is push PPI medication on me and give me a huge generic list of foods not to eat. I discontinued PPIs and was able to find OTC products that managed my symptoms, and now I'm pretty symptomless in general thankfully.
What OTC products are you taking?
quote:
I really fear what happens when one day when I may need a certain medication and can't get access to it because of crappy docs.
Outside of pain meds, I would say doctors are pretty willing to prescribe whatever you want unless there's horrible side effects associated with it.
This post was edited on 7/22/19 at 9:44 am
Posted on 7/22/19 at 10:03 am to BulldogXero
quote:
These are articles that I'd bet my doctor hasn't felt the need to or has had the time to read his/her self.
You would be completely wrong about that. They have access to articles and studies that aren't published in publications for the average person to read months or years, in some cases, in advance. Anyone who has completed med school and a residency to become a bonafide doctor has forgotten more medicine than you will ever know. This is a huge problem with the availability of of medical information online is people like you think they know more than doctors after reading a few WebMD pages.
Posted on 7/22/19 at 11:20 am to BulldogXero
There’s really no need to give reflux that hits your larynx and pharynx it’s own name though. It’s just gerd.
And that has nothing to do with your sinuses.
And the ENT is right about the nasicort. But you need to actually take it as prescribed everyday 2x a day. You won’t feel it immediately but gradually symptoms will improve.
And that has nothing to do with your sinuses.
And the ENT is right about the nasicort. But you need to actually take it as prescribed everyday 2x a day. You won’t feel it immediately but gradually symptoms will improve.
Posted on 7/22/19 at 11:33 am to IAmNERD
quote:
You would be completely wrong about that. They have access to articles and studies that aren't published in publications for the average person to read months or years, in some cases, in advance. Anyone who has completed med school and a residency to become a bonafide doctor has forgotten more medicine than you will ever know. This is a huge problem with the availability of of medical information online is people like you think they know more than doctors after reading a few WebMD pages.
After med school, I would also ask how much time does the average doctor devote to research as it pertains to symptoms of their patients? For a lot of them, I'd probably say "not much."
Look I don't think spending a few minutes on google makes me a medical doctor; however, there is a difference in reading about something should make someone feel compared to living it day in and day out for years and interacting with many others who experience the same issues.
You spend enough time learning about your condition that you become pretty decent at filtering out the BS (ie does GERD cause pain in my leg?), but you're not perfect. You didn't go to medical school nor do you have years of medical knowledge. I see the doctor as the efficient filter to help you get to the root of your problem, but in my experience, I just haven't received that level of support.
The GI just wants to treat the heartburn with PPIs. Denies any link to upper respiratory issues. Said a lot of other weird things too that did't quite add up like barretts esophagus only develops in patients with years of intense, badly controlled reflux and that Nissen Fundoplication was only done for people with hiatal hernias. That last sentence is objectively false and indicates to me that he hasn't done his homework.
I decided then that I would go see a GP, lay out all my symptoms, and let him dictate the method of treatment. I've already explained my results with the GP, but he denied any link between reflux and the dizziness, ear ringing, etc. He thought I might've had an acoustic neuroma, so he sent me to have an MRI.
The MRI showed nonspecific white spots on my brain. Pretty sure the doctor thought I had MS, so he sent me to a neurologist. The neurologist was literally like, "so why are you here?" as soon as she walked in the door. She explained that my "spots" did not look like MS and were not in any location of the brain that would affect balance/dizziness. She stated that the only reason she felt that I had been asked to come there was just to cover any perceived role in improper treatment.
I went back to the GP, and that's when he looked into my ears and noticed the Eustachian tube dysfunction. At that point, it hadn't gotten that bad yet. I was just getting over a cold, so I thought the ED may be related to that and not related to any other issues I'd been experiencing. He then said for me to see an ENT if I still had any issues.
Later on, my right ear started ringing whereas it used to be my left ear only. My ears felt clogged all the time and were pretty painful at times. It got so bad one nigh that I thought I had an ear infection in my left ear. After that, I decided it was time to see the ENT.
Now with the ENT, I did not mention LPR. Well, I wrote it down in the comments of some paperwork I signed, but when I spoke to the doctor, I wanted to get his impressions first and foremost. He scheduled me for a VNG. When I asked why I've had ED for 10 months, he basically shrugged his shoulders and suggested I blow with my nose closed.
Two weeks later, the results of the VNG came back normal. I didn't get to talk to the doctor again for a follow up. They basically said nothing is wrong with my inner ear. They noticed issues with smooth pursuit eye movement so I needed to see a neurologist again.
I'd like another crack at that eye test. I don't know if I really understood what I was doing, but hey, if it's accurate they might have found something.
Otherwise, this has just been a giant circle jerk.
Posted on 7/22/19 at 11:41 am to LSUtwolves
quote:
There’s really no need to give reflux that hits your larynx and pharynx it’s own name though. It’s just gerd. And that has nothing to do with your sinuses. And the ENT is right about the nasicort. But you need to actually take it as prescribed everyday 2x a day. You won’t feel it immediately but gradually symptoms will improve.
I don't necessarily disagree, but GERD will manifest itself in a myriad of ways. Some people get no heartburn but a lot of other upper respiratory issues. Those people are primarily LPR. Some people get primarily heartburn and not much else. Those people usually get the GERD label. Some people have both.
I do agree though that ultimately the root cause is the same albeit there may be some issue with the UES as well as the LES for LPR patients.
It used to be that GERD was just something that was basically "cured" by diet and PPIs, but slowly but surely more doctors are waking up to the idea that there's more to GERD that simply acid washing up to your esophagus and that PPIs (while I don't prescribe to the idea that PPIs are evil, cause kidney failure, etc) don't do much more than mask symptoms. The harmful effects to your body caused by gastric juices/pepsin are still present.
I've been taking the nasacort for over a month. It helps me breath at night but hasn't cured my ears. I wasn't prescribed anything. Just given an OTC sample to take. That sample has long since ran out so I've been buying OTC at Walgreens. I usually take once per day before bed. Two sprays in each nostril.
quote:
And that has nothing to do with your sinuses.
Maybe/maybe not sinus issues per say. At least per my last MRI my sinuses are clear.
This post was edited on 7/22/19 at 11:47 am
Posted on 7/22/19 at 2:06 pm to BulldogXero
quote:Or maybe you should take your PPI to keep the reflux at bay and grab a few boxes of Allegra D.
k I don't think spending a few minutes on google makes me a medical doctor; however, there is a difference in reading about something should make someone feel compared to living it day in and day out for years and interacting with many others who experience the same issues.
You spend enough time learning about your condition that you become pretty decent at filtering out the BS (ie does GERD cause pain in my leg?), but you're not perfect. You didn't go to medical school nor do you have years of medical knowledge. I see the doctor as the efficient filter to help you get to the root of your problem, but in my experience, I just haven't received that level of support.
The GI just wants to treat the heartburn with PPIs. Denies any link to upper respiratory issues. Said a lot of other weird things too that did't quite add up like barretts esophagus only develops in patients with years of intense, badly controlled reflux and that Nissen Fundoplication was only done for people with hiatal hernias. That last sentence is objectively false and indicates to me that he hasn't done his homework.
I decided then that I would go see a GP, lay out all my symptoms, and let him dictate the method of treatment. I've already explained my results with the GP, but he denied any link between reflux and the dizziness, ear ringing, etc. He thought I might've had an acoustic neuroma, so he sent me to have an MRI.
The MRI showed nonspecific white spots on my brain. Pretty sure the doctor thought I had MS, so he sent me to a neurologist. The neurologist was literally like, "so why are you here?" as soon as she walked in the door. She explained that my "spots" did not look like MS and were not in any location of the brain that would affect balance/dizziness. She stated that the only reason she felt that I had been asked to come there was just to cover any perceived role in improper treatment.
I went back to the GP, and that's when he looked into my ears and noticed the Eustachian tube dysfunction. At that point, it hadn't gotten that bad yet. I was just getting over a cold, so I thought the ED may be related to that and not related to any other issues I'd been experiencing. He then said for me to see an ENT if I still had any issues.
Later on, my right ear started ringing whereas it used to be my left ear only. My ears felt clogged all the time and were pretty painful at times. It got so bad one nigh that I thought I had an ear infection in my left ear. After that, I decided it was time to see the ENT.
Now with the ENT, I did not mention LPR. Well, I wrote it down in the comments of some paperwork I signed, but when I spoke to the doctor, I wanted to get his impressions first and foremost. He scheduled me for a VNG. When I asked why I've had ED for 10 months, he basically shrugged his shoulders and suggested I blow with my nose closed.
Two weeks later, the results of the VNG came back normal. I didn't get to talk to the doctor again for a follow up. They basically said nothing is wrong with my inner ear. They noticed issues with smooth pursuit eye movement so I needed to see a neurologist again.
I'd like another crack at that eye test. I don't know if I really understood what I was doing, but hey, if it's accurate they might have found something.
Otherwise, this has just been a giant circle jerk.
Just in this little episode you have laid out you have forced the Docs hand to order shite tons of unnecessary tests and fish for answers so if in the 1 in a million chance you stumbled onto a flying pig they dont get sued. You go in with all this info and they are just thinking "shite, here we go again", and all they want to do is wash their hands of you...so they send you to a specialist praying they take over the entirety of your care.
Posted on 7/22/19 at 2:26 pm to tigerfoot
quote:
Or maybe you should take your PPI to keep the reflux at bay and grab a few boxes of Allegra D.
I have taken a PPI daily for 3 years straight. Since my worst symptoms aren't really heartburn related (ouch my chest hurts after I devoured that pizza), they're not as effective as I would like.
The Allegra D and steroid nasal spray, at the end of the day, don't do anything for my symptoms.
quote:
Just in this little episode you have laid out you have forced the Docs hand to order shite tons of unnecessary tests and fish for answers so if in the 1 in a million chance you stumbled onto a flying pig they dont get sued.
I certainly think "not getting sued" explains a lot of otherwise unnecessary tests, but I don't think either my GP or my ENT was trying to swindle me.
quote:
You go in with all this info and they are just thinking "shite, here we go again", and all they want to do is wash their hands of you...so they send you to a specialist praying they take over the entirety of your care.
Nope...I only ever did anything like that once and it was me recapping when my symptoms began. I've only ever asked if the issues were related.
Bottom line is, I want one of two things. I want someone to either A) acknowledge my theory as the best explanation for my issues or B) find out what the problem really is. Right now, everybody's denying the reflux as the cause of my issues but everything else they try is ineffective.
Posted on 7/22/19 at 2:29 pm to buffbraz
quote:
Good luck diagnosing and treating that melanoma.
Every person i have known with skin cancer over the last 2 years including myself did diagnose it by comparing it images on the internet and then going to a see doc. In my case the Doc looked at it and said, he agreed most likely Basal cell carcinoma.
Posted on 7/22/19 at 2:34 pm to EA6B
quote:There is no reason to not read the internet to educate ones self. There is also no reason to minimize the educations that Dr's receive because you think they are dismissing you.
Every person i have known with skin cancer over the last 2 years including myself did diagnose it by comparing it images on the internet and then going to a see doc. In my case the Doc looked at it and said, he agreed most likely Basal cell carcinoma.
Speaking of, I saw a couple spots right in my hairline this weekend. Think they look odd. I called the dermatologist, they gave me a date of September....thought hell that is too long and called the other office in town. They gave me end of October
Anybody know a good Dermatologist they could make a killing in Alexandria because apparently we dont have enough of em
Posted on 7/22/19 at 2:39 pm to BulldogXero
I have a child born with esophageal atresia w TE fistula. So I am pretty well versed in how reflux can and will impact his respiratory system, but that has more to do with his anatomy versus cause and effect.
If you have normal anatomy and no issues I would probably think horses when I hear hoofbeats, not zebras.
If you have normal anatomy and no issues I would probably think horses when I hear hoofbeats, not zebras.
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