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Posts by swiftbear86

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Sandra Brooks91 said:swiftbear86, seriously, you nailed it. That's the answer right there. Thanks!

I just try to share whatever useful info I can. It's not like I don't deal with this stuff every single day anyway.😉
Sophia Peterson33 said:Who should I even talk to about this?

So, how does that whole process actually work?

If you're trying to track down a specific medication that isn't available here in the States, but you know it's being sold in other parts of the European Union—like the Netherlands or the Czech Republic where they issue prescriptions for it—what's the best way to go about getting it?

I’ve been having a really rough time lately with my health. Over the last month or so, dealing with both arthritis and gout has become a massive struggle. My uric acid levels have shot way up, which is causing it to build up in my joints—both in my hands and my feet—and the pain is just constant.

I managed to get my hands on the only medication available here, but honestly, it’s not doing a thing for me. Neither the Allopurinol nor the Meloxicam seem to touch the pain.

That’s how I stumbled upon the news that you can actually get a medication over in the Netherlands or the Czech Republic that does a killer job of tackling both arthritis and gout.

I was wondering, who should I actually reach out to here in the States if I want to get my hands on this specific medication?
So, what exactly does it take to get a hold of it?

Does anyone happen to know the actual process for getting a specific medication imported from the European Union?
Now that we’re officially part of the fold, does everything go through the Department of Health and Human Services?

Which agency handles that?

So, what exactly do we need to get this moving?


It doesn't actually say which medication they're talking about.

Look, just because a patient walks in and asks for a specific medication because they read about it online or heard a friend mention it, doesn't mean they actually get it. It’s not that simple. Doctors don't just hand out prescriptions based on a Google search or some hearsay. There's a whole process involved in making sure a treatment actually makes sense for the person standing in front of them.

If you need to get your hands on a medication that isn't officially registered here in the States, but your doctor is adamant that it’s exactly what you need, there’s a specific way you have to play it. It’s not as simple as just walking into a pharmacy and asking, but once you know the steps, it's manageable.

The doctor writes out a private prescription that includes all the necessary details.
So, there's this scenario where a patient walks up to the pharmacy counter and hands over a private prescription.
So, here’s how it works: the pharmacy sends the prescription over to a large-scale wholesaler that actually has the clearance for emergency imports. It's basically like when a local shop realizes they're out of a specific item and calls up a major distributor to fly it in from overseas just to get it on the shelves for you.
The pharmacy is sending the prescription over to the FDA for approval.
The FDA makes the final call on whether they’ll greenlight the import of a specific medication. It all comes down to their approval process.

The whole process can take up to three weeks to wrap up.

The patient is stuck footing the entire bill for the medication themselves.

If you're looking to dig through the official database of medications available to patients here in the States, you can find everything you need right on this site. It’s basically the digital equivalent of walking into a massive pharmacy catalog where you can look up specific drugs and see exactly what's approved and how they're categorized. It’s pretty straightforward—just a way to stay informed about what’s on the shelves and what the current standards are for patient care.

Just a heads-up for everyone: importing medications ordered online or through the mail isn't allowed here in the States. If any of those packages hit customs, they aren't being delivered to you. Period. Customs gets suspicious about where the drugs actually came from and whether they’re even safe to use since they haven't been vetted or approved by the FDA. If you're looking for a specific medication that hasn't been cleared for use in the US, please talk to your doctor first. You can sometimes bring in necessary meds for personal use under certain conditions—but it’s strictly at your own risk, requires a valid prescription, and you'll need to get the green light from the FDA and go through authorized wholesalers first. Stay safe out there.
Honestly, just ask your doctor for a referral, or give a private clinic a call. Explain the situation clearly, and they’ll get her in to see a physiatrist or an orthopedist to figure out exactly what’s going on.
Just obviously don't count on anything $67 under those circumstances.

http://www.bates-clinic.com/services

http://www.mayoclinic.org/departments-centers/pet-ct

http://www.clevelandclinic.org/specialties
Richard Morris34 said:Do I need a referral for blood work and hormone checks if I don't have supplemental insurance? And do I have to pay for the actual blood draws too? (I'm trying to figure out if it's just the referral fee or both the referral and the exam itself). Thanks!

You'll need a referral and a prescription for everything $3.25.
For the lab work, you'll be paying a certain percentage depending on which specific tests they run.

What's the issue here?
Maria Mitchell23 said:Is it still true that a referral expires if it's more than 30 days old? I need to get some bloodwork done for my KKS, but my referral expired back on June 6th.

Yeah, that rule still stands.
I’m looking for some medical insight and advice here

image

Patient age: 65

Current diagnoses:

Diabetes
Hypertension
Gout
Arthritis

Current medications:

Aglurab 850 1,0,2
Allopurinol 1x1
Aspirin 1x1
Plendil 5 mg 1x1
Atacand 8 mg 1x1

About two years ago, I was dealing with a B12 and folic acid deficiency. I went through IV B12 and oral folic acid therapy, which brought my levels back within the normal range, so that treatment was stopped.
Just a heads-up: my diabetes isn't being managed very well right now (blood sugar stays between 8-10). I’m feeling extremely fatigued, dealing with joint pain, muscle cramps, and frequent diarrhea.
I drink alcohol about 2-3 times a week, stay physically active, but I don't really stick to a specific diet.
I understand most of my situation, but I'm mostly concerned about my red blood cell count and how they are distributed.
Would it be a smart move to stop taking Metformin because of its impact on the liver and switch to something else?
Also, will a hematologist be the one making the call, or should I be talking to an endocrinologist—or does each specialist handle their own area?

Thanks to everyone for taking the time to help.
I hope the lab results are clear enough to read.
Skin reaction after hair removal? in Health ·
First aid while you're waiting to see the doctor—reach for Kamagel, Floceta, or some Bepanthen cream.
Olivia Nguyen78 said:I've got a question too. 🙂

My doctor just handed me a referral for some routine blood and urine work—just the standard stuff like glucose, cholesterol, bilirubin, and liver function tests. According to the paperwork, I’m supposed to head over to the Amtrak station clinic to get it done.
I've never actually been there myself; I've just gone to the clinic on Martić's my whole life to get my blood drawn.

I was wondering if I could just head over to Martić's with this referral and get everything taken care of without any hassle? 😁

I don't think so, not if the referral explicitly says it's for Amtrak.
Is it actually possible for a doctor to have their own practice right there within the Amtrak stations?
Mosquitoes absolutely hate me... in Health ·
For those of you who enjoy a good deep dive, here’s a little bit from some technical literature

The part that actually caught me off guard was seeing that citronella and eucalyptus oils are banned as repellents within the USA. I’m going to have to look into whether we'll be allowed to sell those types of products here once all the new regulations kick in.

Until then, I need to dig into the actual reasons why they're against them.

By the way, blood type doesn't really factor into this at all.

My family is O+, and honestly, mosquitoes just feast on them.
They’re always sweating and running hot...😁 so the bugs definitely prefer them over me.
Sarah Hernandez46 said:I have a bit of a silly question here.

How can I find out who my primary care physician actually is? See, back when I was a student, I didn't bother seeing the campus clinic doctor; I just went to whoever was available at the time. I wasn't there much, and now—after five years since my last visit—I have absolutely noooo idea what her name even is anymore.

Where can I go to look up this info? Thanks! 🙂

Just give the local Social Security Administration office a call and ask them the same thing you asked us.

http://www.ssa.gov/index.html
wiredpanther7 said:Sorry, I have the referral now—it’s for urine culture, ABG, and colony count.
Yeah, just a standard referral. She’s used to everything being digital on her insurance card now, so she didn't even bother showing or handing over this one. 😁
So, she can just take the urine sample to the Los Angeles Lakers clinic tomorrow. Thanks, I wasn't sure if all clinics have those specific departments or if it's just certain hospitals. And thanks for the tip about Amtrak; she understood that perfectly, she just went by there last Wednesday. 😁

The referral needs to specify microbiology-antibiogram and colony count; your "everyday" local labs don't handle that kind of testing. At Amtrak, they clearly collect samples on Wednesdays, and you have to make sure the urine is in a test tube. I'm surprised they didn't ask for the referral; you can always give them a call and then just drop off the paperwork tomorrow.
I'm not sure if those referrals are available in a digital format yet—my guess is it still needs to be the paper version.
Check back tomorrow at the place where she dropped off the sample. If they haven't sent the sample along yet, you could always drive it over to the Los Angeles Lakers clinic yourself, assuming that's the right facility for your area.
If you do that, you should definitely have the results by Tuesday (maybe even sooner).

Let me know how it goes.
wiredpanther7 said:[Question:

My grandma needs to get some microbiology and parasitology tests done. She heard they have specific hours, but she’s insisting the doctor didn't actually say where to go 😍—the doctor just wrote down Monday through Wednesday from 7 to 9 AM (she thought this was at the local community clinic), but today she went in to get blood drawn and completely forgot about the other stuff 🤣—meaning she got her blood taken, dropped off a urine sample there (who knows what happened to it), and brought the referral slip back home with her 😂
Do these tests happen at the local clinic, or does she need to go to a major hospital downtown or over on Petro Avenue? Or do most hospitals just offer this service generally?

She missed her window last Wednesday, and she needs the results by next Wednesday ☕. Also, how long does it usually take to get the results back? (I want to know if I should cancel her appointment with the specialist for next Wednesday or if everything will be ready by then)

Dealing with them is never simple 😁

I'm guessing she has a paper referral for microbiology and parasitology, but she ended up going to a standard lab at a local community clinic.
You didn't mention exactly which specific tests are listed on the referral.

Usually, clinics have a hygiene and epidemiology department that collects samples for bacterial testing (like antibiotic sensitivity) for urine or throat and nose swabs, and then they send everything off to the main facility in Arlington!
I'm not entirely sure if she needs to leave the physical paper referral there.

Generally, those collected samples are picked up on certain days of the week, so the turnaround time can be way longer than if she just went directly to a place like General Hospital and handed the samples straight to their microbiology lab.
How do I use Multi-Quote? in Forum Help! ·
restlessbear34 said:I finally figured it ouuuuut... 🙂

been struggling with this quoting thing forever..

wearycyclist18 said:
I find myself wondering, quite simply, out of mere curiosity. kaže:
I simply cannot grasp how you manage to move those large brackets containing the quote.

The experiment I have presented above is... 🤦

I believe I am beginning to understand. 😁

I find myself wondering, quite simply, out of pure curiosity. kaže:
One should provide some commentary alongside the text, lest we lose the identity of the speaker and be left with nothing more than an empty quote.

The experiment I have presented above is... 🤦

This constitutes my experiment.


Just seeing if it actually works
Mosquitoes absolutely hate me... in Health ·
Thank goodness I’ve found a way to mask that scent they're attracted to...
A+, I don't sweat much, and my skin tends to be pretty dry...
I'm not taking any B-complex vitamins...
And I don't eat garlic...
Tutorial: The Ultimate "How-To" Guide (FAQ) in Forum Help! ·
swiftbear86 said:this
http://www.imdb.com/title/tt1854236/

Got it..

I'm just having a bit of trouble getting the links to look the way I want them to.

Basically, I want it so when you click on this it takes you straight to the page,

Check this out: http://www.imdb.com/title/tt1854236/
Tutorial: The Ultimate "How-To" Guide (FAQ) in Forum Help! ·
jadetrucker43 said:You didn't do anything wrong. Like you mentioned, you have to upload the image to a site like Imgur, since Reddit doesn't allow direct image uploads (especially with servers like ours...).

restlessbear34 said:Just click that little number in the top right corner of your post, my post, or anyone's post. For example, #523. 🙂


this
http://www.imdb.com/title/tt1854236/

Got the hang of multi-quoting now..

But I'm still struggling with hyperlinking things the way I want to.

Basically, I want it so when you click on this it takes you straight to the page,

like in a thread about what movie to watch.

Thanks everyone for taking the time to explain things to me.
I also checked out this post
http://www.reddit.com/showpost.php?p=2...1&postcount=11

but I'm clearly messing up something with the link icon.
Pharmacy recommendations? in Health ·
feralmarlin23 said:It’s not the doctor or the pharmacy—they're just one of many. It's the staff at the pharmacy, because the crew there hasn't changed in years. I honestly think they see some pretty sweet financial perks from all this since it's such a massive business. Now, the manager of that pharmacy is actually threatening me with a defamation lawsuit! All because I asked how much of a kickback they get for pushing those generics. It wasn't even when someone was standing there; it was the next day when I went back for my regular meds (not the generics) and the place was totally empty. Just a casual question, you know?

There’s no way those salaried employees are seeing a single extra cent in their paychecks.
It’s a safe bet that a pharmacy owner is getting a solid discount on their stock.

Don't go thinking pharmacists actually get a kick out of having to explain the same comparisons over and over again. It's not exactly the highlight of their day.

I honestly can't tell if the owner actually works behind the counter at that pharmacy, or if it’s just the staff running things based on whatever orders they get handed down from corporate.😁
vividsailor7 said:The results look perfectly normal.

Why would they even need to run this test again?

My guess is they were checking her hormone levels because there was some suspicion regarding her thyroid—she didn't mention anything besides those three specific hormones—and from what I can see, her TSH is right on the borderline.
Pharmacy recommendations? in Health ·
feralmarlin23 said:In this specific situation, it doesn't seem to me like the pharmacy is the only one reaping benefits—and those benefits are significant.
Anyway, thanks for the advice; I'll definitely be looking into how that pharmacy operates.

Who are you actually talking about here—the doctor or the manufacturer?

Would your take change if you found out the doctor was actually prescribing the very same drugs from that factory you're calling "generic"??
Pharmacy recommendations? in Health ·
feralmarlin23 said:They have plenty of medicine in stock—basically everything you need on a prescription almost instantly! But here’s the catch: it’s all generics. It seems like 95% of people either won't bother coming back the next day or simply can't travel further, which plays right into this pharmacy's hands. Someone actually pointed out that most of these supplies come from just one single manufacturer, which really makes you wonder if there's some shady kickback happening behind the scenes.

.

I already told you what you need to do.😉

Look, a pharmacy is a business. They exist to make a profit, just like everyone else out there trying to make a buck.
They have to bring in enough money to cover payroll... 😛