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Serious question for OT med professionals

Posted on 2/29/20 at 7:17 am
Posted by Jim Rockford
Member since May 2011
106097 posts
Posted on 2/29/20 at 7:17 am
What does a dr mean when he says dementia? Just had a doc rather casually mention this in connection wit a relative, but said "very mild, nothing to worry about." From my point of view, it is something to worry about. I will be quizzing him a lot closer but in the meantime I would like to gear from someone else. My understanding is that dementia is an irreversible decline. Can it mean something else?
Posted by NoSaint
Member since Jun 2011
12804 posts
Posted on 2/29/20 at 7:23 am to
Not a doctor or in the medical field but almost positive that a very mild situation could remain very mild but would depend on the actual cause. A lot of people jump straight to the very progressive ones that result in mentally losing your loved one but that’s not the only possible outcome. If the doctor is telling you very mild, non concerning etc, hopefully it isn’t something that will be escalating much and it’ll just be the current symptoms. Obviously ask all the questions though.
Posted by jbgleason
Bailed out of BTR to God's Country
Member since Mar 2012
20406 posts
Posted on 2/29/20 at 7:29 am to
Don’t ask this here. Ask the doc that made the diagnosis. He could mean a range of things based on what he is seeing.

Seriously, I tell everyone that will listen, ask direct questions of your healthcare provider. I don’t understand why people are hesitant to do this. As if there is some unwritten code of not questioning them. If the provider can’t answer your questions or doesn’t want to then find another provider. Not being able to answer / explain to the patient a diagnosis or treatment is a huge red flag.
Posted by Sidicous
NELA
Member since Aug 2015
19296 posts
Posted on 2/29/20 at 7:54 am to
quote:

Seriously, I tell everyone that will listen, ask direct questions of your healthcare provider. I don’t understand why people are hesitant to do this. As if there is some unwritten code of not questioning them. If the provider can’t answer your questions or doesn’t want to then find another provider. Not being able to answer / explain to the patient a diagnosis or treatment is a huge red flag.
If you've seen some the sorry SOB's I have encountered you'd understand them not asking.

Couple the piss poor education system with an educated jerk SOB and you've got a prime example of why patients and their families don't ask questions. Ignorant (meaning uneducated) trying to get info out some self absorbed, narcissistic, under pressure to make rounds or stick to workload demands = sometimes downright verbal abuse toward everyone in an area.

Now as to why not seek someone else? Dr. shortages, shortages of physicians in the participating insurance plan, financial considerations, or even surgical expertise. If the world's greatest cancer Dr. or brain surgeon is available but a total jerk are you gonna settle for some noname fresh outta med school or tolerate the great skills despite the pt. interactions being downright atrocious?

I've seen surgeons who literally throw objects in the OR, including a scalpel at a sales rep.. Surgeons and hospitalists who literally berate patients due to being exasperated by the low IQ being non compliant for economic or unable to understand reasons. There are some medical professionals who should spend some time in the prison time over their treatment of patients but don't because their skills/knowledge are in demand.
Posted by tigerinthebueche
Member since Oct 2010
38235 posts
Posted on 2/29/20 at 7:56 am to
Well then!!

Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 2/29/20 at 7:57 am to
quote:

I've seen surgeons who literally throw objects in the OR, including a scalpel at a sales rep


That surgeon should be given a medal.
Posted by Grinder
Member since Nov 2007
2759 posts
Posted on 2/29/20 at 8:03 am to
quote:

I've seen surgeons who literally throw objects in the OR, including a scalpel at a sales rep.


Liar.

The MD would walk out of there in cuffs. And the hospital would have a big check to write.

I hear these “stories” all the time, but have never been at a facility that it actually happened. Simply amazing.
Posted by Bullfrog
Running Through the Wet Grass
Member since Jul 2010
61811 posts
Posted on 2/29/20 at 8:07 am to
Surgeons as a whole can be far different than say internal medicine doctors or cardiologists.

General surgeons develop a god complex as they determine who lives or dies. IMHO.

ER / ED docs are adrenaline junkies - not that there’s anything wrong with that.

Pediatricians a primary care physicians seem the friendliest docs I’ve ever known.
Posted by LoneStar23
USA
Member since Aug 2019
5837 posts
Posted on 2/29/20 at 8:09 am to
quote:

I've seen surgeons who literally throw objects in the OR, including a scalpel at a sales rep.


I wish he was lying
Posted by rsbd
banks of the Mississippi
Member since Jan 2007
23471 posts
Posted on 2/29/20 at 8:11 am to
Is the dementia related to another illness or disease??
Posted by Jim Rockford
Member since May 2011
106097 posts
Posted on 2/29/20 at 8:11 am to
Interesting turn of thread. Hopefully the originsl question will get a few more answers.
Posted by WaydownSouth
Stratton Oakmont
Member since Nov 2018
11347 posts
Posted on 2/29/20 at 8:14 am to
Depends. Said relative could be showing early signs of dementia(difficulty with attention and perception) but maybe they haven’t looked into yet and its caused by something else

Maybe its being caused by a medication

Just have to ask the Doc baw
Posted by Jake88
Member since Apr 2005
80832 posts
Posted on 2/29/20 at 8:15 am to
Dementia is a medical term for senility. It can be caused by Alzheimers, vascular issues in the brain and other diseases like lewy body disease, etc. Early simply means that. It can take years to progress. Look it up on wikipedia.
Posted by STLDawg
The Lou
Member since Apr 2015
4615 posts
Posted on 2/29/20 at 8:16 am to
There’s are varying degrees and causes of dementia (which simply means a compromise in a persons cognitive abilities). Most commonly, dementia is a chronic irreversible condition due to things like alzheimers, Parkinson’s, or strokes. There are some reversible causes such as depression (pseudo dementia), syphilis, and vitamin deficiencies.

Some people may have very slow courses over a decade. Some people decline over a year. It’s worth asking the doc what he thinks is the cause of the dementia as that can give insight into the expected time course and possible treatments.
Posted by Jake88
Member since Apr 2005
80832 posts
Posted on 2/29/20 at 8:18 am to
Sounds like you screwed up on you shift yesterday, Karen RN.
Posted by fishfighter
RIP
Member since Apr 2008
40026 posts
Posted on 2/29/20 at 8:18 am to
My Mom had it. It got to the point that we had to put her in a nursing home. She was forgetting the little things. She would not move in with any of us. She was dead set on that all the way to the end. She passed away at 84 fighting cancer and heart failure.
Posted by Jake88
Member since Apr 2005
80832 posts
Posted on 2/29/20 at 8:22 am to
quote:

General surgeons develop a god complex as they determine who lives or dies. IMHO. 
General surgeons? No, not unless your gallbladder is all that's keeping you alive.
Posted by MojoGuyPan
Intercession City, Florida
Member since Jun 2018
2797 posts
Posted on 2/29/20 at 8:27 am to
quote:

General surgeons develop a god complex as they determine who lives or dies. IMHO.


I watched Malice on HBO 25 years ago too.


quote:

When someone goes into that chapel and they fall on their knees and they pray to God that their wife doesn’t miscarry, or that their daughter doesn’t bleed to death, or that their mother doesn’t suffer acute neural trauma from post-operative shock, who do you think they’re praying to? But if you’re looking for God, he was in operating room number two on November 17th, and he doesn’t like to be second guessed. You ask me if I have a God complex. Let me tell you something: I am God.
Posted by The Mick
Member since Oct 2010
45198 posts
Posted on 2/29/20 at 8:29 am to
anything from memory/attentiveness is slipping a bit to early signs of alzheimers
Posted by Cracker
in a box
Member since Nov 2009
19319 posts
Posted on 2/29/20 at 8:32 am to
Med check you would be surprised at what medications can cause dementia like symptoms.
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