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Posts by Maria Gomez4

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Bad taste in my mouth – anyone else? in Health ·
Are you currently taking any medications?

Well, I suppose one really ought to consider the possibility of dental issues, like decayed teeth or abscesses... or perhaps you're dealing with a sore throat or strep infection?

Do you find that you experience any nausea when eating—for instance, if you finish a meal and get this lingering sensation that you haven't quite swallowed everything, or maybe even if you feel like you might actually throw up?

And how old are you, assuming this is related to the issue mentioned above?
melloworca6 said:I know gynecologists who have done the same thing. They're also paid per head, and if they still had room to take people on, they wouldn't be turning new patients away.

I'm certainly not going to cancel anything for her—I don't have any medical training.

As I mentioned, the grandmother was given an allergy med (Florida) by her doctor, even though she isn't allergic to anything. And if the doctor actually suspected an allergy, she should have sent her for allergy testing instead of just guessing. Besides, one of the side effects of the blood pressure meds she takes is itching, hives, and rashes, so the doctor really should have suspected that first.

And what kind of kid is going to give her Zaldiar 😲? That's basically tramadol; that stuff is for heavy-duty pain. Let's be real: aside from the usual issues old folks have with high blood pressure, heart problems, and joints, she doesn't have other issues and truly has no need for that kind of medication. On top of that, she knows how to take aspirin, and sometimes she'll pop something like Cafetin for pain.

She doesn't read the labels and has no clue what any of these drugs are for; the doctor hands them to her and she just takes them whenever she's hurting or feeling off. My mom lost her mind and grabbed all the instructions for the meds to bring home, just so she could see what on earth she’s actually taking and why.

And let me tell you one thing: half these old folks exaggerate and show up to the doctor for nothing. I saw a segment on TV recently where some grandma, maybe 60 years old, claimed she goes to see her doctor several times a week 😲.

I only mentioned antibiotics as an example. Why wouldn't you think the more expensive drugs get prescribed just as pointlessly?

And even if the price per box is $3.25, it’s still just $3.25 wasted. I think a box of Celebrex goes for about $27, which isn't exactly cheap if you ask me.

So, did you finally manage to get your medical file opened?

It really depends, I guess. Is your grandmother still dealing with that itching sensation? Is she still taking Florida? Look, those side effects can be a real nightmare; sometimes it might just be easier to push through it if the treatment is only short-term, though I suppose blood pressure medication is a different story entirely. If she’s been on them for a long time and this itching just suddenly flared up and then vanished, it probably isn't caused by those meds.
Maybe you should bring it up with the doctor next time; if that itching doesn't clear up, I guess they might need to rethink the whole treatment plan. But then again, some people just have to endure it... they simply have to... there isn't really any other way... (not that I'm actually giving advice, obviously).

melloworca6 Asks:
And I suppose which kid is actually going to be given Zaldiar? 😲I guess that’s basically just Tramadol, which is usually reserved for when the pain is absolutely unbearable. To be fair, aside from those standard issues older folks deal with—you know, high blood pressure, heart stuff, and joint pain—she doesn't really have any other health concerns, so she probably doesn't even need something that heavy-duty. Besides, she's perfectly capable of just taking an Aspirin or maybe popping a Cafetin if things get rough.

I guess people act like you can't just take Zaldiar on occasion? Look, there are a ton of painkillers out there—maybe fifteen or twenty different types—and the standard procedure is usually to start with something mild, only for the patient to eventually turn to their doctor and say, "I need something stronger," and that’s just how the cycle goes. Zaldiar is undeniably potent, but I would argue it's actually quite effective and safe if used correctly; there's really no reason to be terrified of it, though I suppose the real issue arises if you're taking any medication long-term. But listen, when you're dealing with hip pain, an aspirin or a Cafetin isn't going to do much of anything. My theory is this: when the pain becomes truly unbearable, it might actually be better to just take one strong pill to suppress it immediately, rather than taking one weak pill, then another, and then having to keep increasing the dosage.

melloworca6 As if anyone actually cares what they have to say.
She doesn't bother reading the labels, nor does she seem to have any clue what her medications are actually for; she just takes whatever her doctor prescribed whenever she feels some pain or starts feeling under the weather. My mother finally lost her temper and grabbed all the instructions for the meds, bringing them home so she could figure out exactly what on earth she's been swallowing and why.

It sounds like a complete joke, but I witnessed it with my own eyes: "...I take those pills, you know, the ones I always take, little red ones, taken in the morning..." Ah...

melloworca6 said:I know gynecologists who have done the same thing. They're also paid per head, and if they still had room to take people on, they wouldn't be turning new patients away.

I'm certainly not going to cancel anything for her—I don't have any medical training.

As I mentioned, the grandmother was given an allergy med (Florida) by her doctor, even though she isn't allergic to anything. And if the doctor actually suspected an allergy, she should have sent her for allergy testing instead of just guessing. Besides, one of the side effects of the blood pressure meds she takes is itching, hives, and rashes, so the doctor really should have suspected that first.

And what kind of kid is going to give her Zaldiar 😲? That's basically tramadol; that stuff is for heavy-duty pain. Let's be real: aside from the usual issues old folks have with high blood pressure, heart problems, and joints, she doesn't have other issues and truly has no need for that kind of medication. On top of that, she knows how to take aspirin, and sometimes she'll pop something like Cafetin for pain.

She doesn't read the labels and has no clue what any of these drugs are for; the doctor hands them to her and she just takes them whenever she's hurting or feeling off. My mom lost her mind and grabbed all the instructions for the meds to bring home, just so she could see what on earth she’s actually taking and why.

And let me tell you one thing: half these old folks exaggerate and show up to the doctor for nothing. I saw a segment on TV recently where some grandma, maybe 60 years old, claimed she goes to see her doctor several times a week 😲.

I only mentioned antibiotics as an example. Why wouldn't you think the more expensive drugs get prescribed just as pointlessly?

And even if the price per box is $3.25, it’s still just $3.25 wasted. I think a box of Celebrex goes for about $27, which isn't exactly cheap if you ask me.

So, did you finally manage to get your medical file opened?

Oh, absolutely... the doctor I used to work for actually lost their temper once and wrote a note stating that patients coming in more than once a month have to make formal appointments! (which, I guess, really rattled a recovering addict who had to pick up Heptanone every two days) they also mentioned things were much better back when people had to pay a co-pay; people definitely feel the pinch when those frequent visits start adding up. It's honestly unbelievable to me that if you're responsible for a patient load of 2,500 people, you end up seeing 70 to 100 people every single day. Every single workday. I mean, I've actually witnessed patients complaining about how certain others among them are constantly hovering around the doctor 😂.
I suppose we should probably introduce some kind of course in elementary schools; you know, since they teach kids how to cross the street or walk on a sidewalk, they might as well teach them how to properly utilize health services and how to actually visit a doctor.

As for the actual excessive consumption of medication, I think that probably warrants its own field of study. What I'm describing is just what we're taught; you have little kids being prescribed Amoxicillin, Klavocin, even Sumamed... Silapen is decent because there's this somewhat cemented opinion that it's exclusively for strep throat, even though it isn't, so there's relatively less error there. (Though, if you look closely, mononucleosis can present with very similar symptoms)
I have to say, I’ve never actually heard that specific angle before; up until now, I guess I had always assumed people were just turning things down because they were feeling completely overwhelmed.
Samuel Morgan40 said:How can you even pose a question like that to someone living with a syndrome or any kind of chronic illness? Regardless of what PCOS entails—and let’s be honest, it's incredibly frustrating enough as it is—it just seems... misplaced. I mean, I guess some people are just oblivious, but still. 🤦
Look, I’d appreciate it if you could actually put some effort into answering me—or at least give it a decent shot (I do value the attempt, I suppose). I’m trying to gauge how much you actually know about this subject. Specifically, I’m wondering what exactly is going on here—why these clear patches develop, what their actual origin is, and why they're considered such a problem. I'd also like to understand what exactly triggers the discomfort associated with them...

It’s pretty obvious you didn't actually put any effort into this—you just skimmed the surface of the topic and scrolled through the posts without really engaging. I mean, if I were to actually invest the time and energy to give you a proper response, you probably wouldn't even know what to do with it. 🤔 Perhaps some sort of specific sense of satisfaction—having a worthy adversary, I suppose—just to prove to himself that he actually knows what he’s doing? 🤷 Look, we’ve been discussing the whole PCOS situation over on the ZZ Top forums for ages now—so please, just go read through them. Seriously, come join the conversation. I don't mind at all; if anything, it gives me a chance to toss some helpful advice to the other girls along the way. It feels like I'm practically taking a final exam with you, given that I'm navigating these exact same issues myself—I mean, I'm constantly hunting down new info every single day. It doesn't really occur to me to keep posting here, because I could probably write endless essays on this topic and just end up drifting further and further off-topic—which, let's be honest, we already have. 😳 It’s just not particularly fair to the person who actually started this thread, I suppose. But hey—don't sweat it—I happen to know exactly what the answers are.

Am I really reading Rod's posts for the hundredth time? Thanks for that—I’ve actually already gone through and copied all this from our other forums years ago; it’s all very general, you know, nice on the surface, but you really have to dig if you want anything substantial. If you only knew how much effort we're forced to put in—digging, searching, scouring actual medical journals and specialized literature just to find something useful... I wouldn't be writing this if we actually put in the work or if there was any real "appreciation for the effort" involved. Honestly, there isn't a single thing regarding PCOS that hasn't already been chewed up and spit out by the information available online.
So, what's the deal—are you just not a fan of the pills, or is there something else going on?

Alright, I’ll get around to writing that for you—eventually. You certainly have quite the vivid imagination—I suppose that’s one way to look at it, though I can't say I'm entirely sure what you intended by that remark..😁
I can't take them right now—it's just not an option. I won't go into the specifics of why or how this happened, but there is a medical reason behind it that my gynecologist is already fully aware of.
It wasn't me writing that—not this time, anyway.

What exactly did you mean when you wrote that "...?"Women can call them whatever they want—it’s their prerogative, I suppose—but the bottom line remains the same: they actually lead to improvements.I suppose I should have mentioned—though I'm not entirely certain if it matters now—that once you stop the treatment, there isn't any lasting improvement to speak of. It’s more like... well, you see some progress for a little while after you quit, and then just like that, it's over. That's really all there is to it, I guess.
You were the one who claimed I had an "easier clinical picture"—but how can you possibly know that? I didn't actually say that; I merely mentioned that I wasn't experiencing the classic symptoms, which—if we're being precise—is hardly the same thing. A lighter image. It doesn't just mean falling within a "normal" weight range or dealing with atypical symptoms—honestly, being underweight can actually be even more grueling to manage.
The link I shared is actually quite excellent. I highly suggest you take a look. Read it. Read it once more. Honestly, read it until you can explain the core concepts to someone else without breaking a sweat.

It’s very kind of you to recommend a link that I—and, frankly, everyone else here—have already scrolled through a million times on our other forums. Over and over again. You’re suggesting something we have been debating daily for years now, covering the exact same ground that almost every woman dealing with PCOS in America already understands. There isn't anything groundbreaking on that page, really. I suppose I don't quite grasp what the issue is here, my goodness 🤷? I could just as easily point you toward an endless list of American medical texts regarding this syndrome, insulin resistance, and the various interconnected factors involved, or perhaps some documentaries.😛

But I suppose this is actually quite vital; we're talking about a chronic disorder here, which is essentially an incurable condition—since, as we've mostly realized by now, most things people suffer from aren't curable, they're just manageable. So, I guess it’s important to keep that in mind, to just accept it rather than running away from the reality, and maybe not to hold out hope for some sort of miracle cure.

One really ought to focus on quality of life, because you're treating the person, not just the disease, so I imagine the most acceptable therapy is whatever actually provides that for you, which is... well, it's a bit individual, isn't it?

Samuel Morgan40 said:How can you even pose a question like that to someone living with a syndrome or any kind of chronic illness? Regardless of what PCOS entails—and let’s be honest, it's incredibly frustrating enough as it is—it just seems... misplaced. I mean, I guess some people are just oblivious, but still. 🤦
Look, I’d appreciate it if you could actually put some effort into answering me—or at least give it a decent shot (I do value the attempt, I suppose). I’m trying to gauge how much you actually know about this subject. Specifically, I’m wondering what exactly is going on here—why these clear patches develop, what their actual origin is, and why they're considered such a problem. I'd also like to understand what exactly triggers the discomfort associated with them...

It’s pretty obvious you didn't actually put any effort into this—you just skimmed the surface of the topic and scrolled through the posts without really engaging. I mean, if I were to actually invest the time and energy to give you a proper response, you probably wouldn't even know what to do with it. 🤔 Perhaps some sort of specific sense of satisfaction—having a worthy adversary, I suppose—just to prove to himself that he actually knows what he’s doing? 🤷 Look, we’ve been discussing the whole PCOS situation over on the ZZ Top forums for ages now—so please, just go read through them. Seriously, come join the conversation. I don't mind at all; if anything, it gives me a chance to toss some helpful advice to the other girls along the way. It feels like I'm practically taking a final exam with you, given that I'm navigating these exact same issues myself—I mean, I'm constantly hunting down new info every single day. It doesn't really occur to me to keep posting here, because I could probably write endless essays on this topic and just end up drifting further and further off-topic—which, let's be honest, we already have. 😳 It’s just not particularly fair to the person who actually started this thread, I suppose. But hey—don't sweat it—I happen to know exactly what the answers are.

Am I really reading Rod's posts for the hundredth time? Thanks for that—I’ve actually already gone through and copied all this from our other forums years ago; it’s all very general, you know, nice on the surface, but you really have to dig if you want anything substantial. If you only knew how much effort we're forced to put in—digging, searching, scouring actual medical journals and specialized literature just to find something useful... I wouldn't be writing this if we actually put in the work or if there was any real "appreciation for the effort" involved. Honestly, there isn't a single thing regarding PCOS that hasn't already been chewed up and spit out by the information available online.
So, what's the deal—are you just not a fan of the pills, or is there something else going on?

Alright, I’ll get around to writing that for you—eventually. You certainly have quite the vivid imagination—I suppose that’s one way to look at it, though I can't say I'm entirely sure what you intended by that remark..😁
I can't take them right now—it's just not an option. I won't go into the specifics of why or how this happened, but there is a medical reason behind it that my gynecologist is already fully aware of.
It wasn't me writing that—not this time, anyway.

What exactly did you mean when you wrote that "...?"Women can call them whatever they want—it’s their prerogative, I suppose—but the bottom line remains the same: they actually lead to improvements.I suppose I should have mentioned—though I'm not entirely certain if it matters now—that once you stop the treatment, there isn't any lasting improvement to speak of. It’s more like... well, you see some progress for a little while after you quit, and then just like that, it's over. That's really all there is to it, I guess.
You were the one who claimed I had an "easier clinical picture"—but how can you possibly know that? I didn't actually say that; I merely mentioned that I wasn't experiencing the classic symptoms, which—if we're being precise—is hardly the same thing. A lighter image. It doesn't just mean falling within a "normal" weight range or dealing with atypical symptoms—honestly, being underweight can actually be even more grueling to manage.
The link I shared is actually quite excellent. I highly suggest you take a look. Read it. Read it once more. Honestly, read it until you can explain the core concepts to someone else without breaking a sweat.

It’s very kind of you to recommend a link that I—and, frankly, everyone else here—have already scrolled through a million times on our other forums. Over and over again. You’re suggesting something we have been debating daily for years now, covering the exact same ground that almost every woman dealing with PCOS in America already understands. There isn't anything groundbreaking on that page, really. I suppose I don't quite grasp what the issue is here, my goodness 🤷? I could just as easily point you toward an endless list of American medical texts regarding this syndrome, insulin resistance, and the various interconnected factors involved, or perhaps some documentaries.😛

If it's so nice, then I guess why the attitude?

I can't possibly know what your level of knowledge is, nor can I know exactly what you have or haven't read.

It's much like how you can't possibly know what I know, or specifically, what I've read.
melloworca6 said:Clearly, it could be even more rigorous if my mom and I can go through Grandma's meds and find two pills she doesn't even need. And I wouldn't say they're strict with antibiotics either; I know a guy who was prescribed Sumamed just for a slightly large pimple on his face🤦.

I see it with the high schoolers too—doctors hand out antibiotics left and right. First they give one, then if that fails, they give another, and finally Sumamed. Then they send them for a swab practically while the treatment is still ongoing, and the swab comes back negative.

My point is, there are little things like this where massive amounts of money could be saved.

You know what the saddest part is? It’s not just one person hired; there are several. But either they don't know how to type, they're slow as hell, or they write everything down wrong. I guess instead of doctors dealing with some idiot who got the job through nepotism, they just decide to do it themselves.

They hire people for these positions from all sorts of backgrounds who have never seen a typewriter in their lives and couldn't even read Latin if their life depended on it. How can people like that even work in those roles? 🤷

That’s exactly what I would do.

If they have openings, they have to take you. If they refuse, do exactly what you said. Believe me, not one of them will dare reject you without a valid reason. There is just one catch: you might run into issues with the doctor later, like them being petty or making you jump through hoops just to get basic tests done.

Which one? You shouldn't just go around cutting someone's therapy without consulting a doctor, right?
How exactly are you interpreting this, and how did it even get to this point?

I already laid out my interpretation in my first post on this thread.

melloworca6 said:Clearly, it could be even more rigorous if my mom and I can go through Grandma's meds and find two pills she doesn't even need. And I wouldn't say they're strict with antibiotics either; I know a guy who was prescribed Sumamed just for a slightly large pimple on his face🤦.

I see it with the high schoolers too—doctors hand out antibiotics left and right. First they give one, then if that fails, they give another, and finally Sumamed. Then they send them for a swab practically while the treatment is still ongoing, and the swab comes back negative.

My point is, there are little things like this where massive amounts of money could be saved.

You know what the saddest part is? It’s not just one person hired; there are several. But either they don't know how to type, they're slow as hell, or they write everything down wrong. I guess instead of doctors dealing with some idiot who got the job through nepotism, they just decide to do it themselves.

They hire people for these positions from all sorts of backgrounds who have never seen a typewriter in their lives and couldn't even read Latin if their life depended on it. How can people like that even work in those roles? 🤷

That’s exactly what I would do.

If they have openings, they have to take you. If they refuse, do exactly what you said. Believe me, not one of them will dare reject you without a valid reason. There is just one catch: you might run into issues with the doctor later, like them being petty or making you jump through hoops just to get basic tests done.

Listen, that sounds like hearsay to me. They are incredibly strict! They just sweep you aside... ugh...

melloworca6 said:Clearly, it could be even more rigorous if my mom and I can go through Grandma's meds and find two pills she doesn't even need. And I wouldn't say they're strict with antibiotics either; I know a guy who was prescribed Sumamed just for a slightly large pimple on his face🤦.

I see it with the high schoolers too—doctors hand out antibiotics left and right. First they give one, then if that fails, they give another, and finally Sumamed. Then they send them for a swab practically while the treatment is still ongoing, and the swab comes back negative.

My point is, there are little things like this where massive amounts of money could be saved.

You know what the saddest part is? It’s not just one person hired; there are several. But either they don't know how to type, they're slow as hell, or they write everything down wrong. I guess instead of doctors dealing with some idiot who got the job through nepotism, they just decide to do it themselves.

They hire people for these positions from all sorts of backgrounds who have never seen a typewriter in their lives and couldn't even read Latin if their life depended on it. How can people like that even work in those roles? 🤷

That’s exactly what I would do.

If they have openings, they have to take you. If they refuse, do exactly what you said. Believe me, not one of them will dare reject you without a valid reason. There is just one catch: you might run into issues with the doctor later, like them being petty or making you jump through hoops just to get basic tests done.

Well... that brings us to the actual question of what is happening here. I suppose, without going further, Americans prescribe and consume far too many antibiotics, but in my view, we really need to investigate the root of the problem scientifically first.
As far as I know, where are they prescribed most often? To young children for throat infections.
And I guess the factors at play here include: physician fear, parental anxiety, ignorance (?), or perhaps pressure?
Teenagers and older adults aren't much of an issue; that demographic is relatively healthy.

melloworca6 said:Clearly, it could be even more rigorous if my mom and I can go through Grandma's meds and find two pills she doesn't even need. And I wouldn't say they're strict with antibiotics either; I know a guy who was prescribed Sumamed just for a slightly large pimple on his face🤦.

I see it with the high schoolers too—doctors hand out antibiotics left and right. First they give one, then if that fails, they give another, and finally Sumamed. Then they send them for a swab practically while the treatment is still ongoing, and the swab comes back negative.

My point is, there are little things like this where massive amounts of money could be saved.

You know what the saddest part is? It’s not just one person hired; there are several. But either they don't know how to type, they're slow as hell, or they write everything down wrong. I guess instead of doctors dealing with some idiot who got the job through nepotism, they just decide to do it themselves.

They hire people for these positions from all sorts of backgrounds who have never seen a typewriter in their lives and couldn't even read Latin if their life depended on it. How can people like that even work in those roles? 🤷

That’s exactly what I would do.

If they have openings, they have to take you. If they refuse, do exactly what you said. Believe me, not one of them will dare reject you without a valid reason. There is just one catch: you might run into issues with the doctor later, like them being petty or making you jump through hoops just to get basic tests done.

Look, melloworca6, if you want to have a serious discussion, I guess you should avoid making such sweeping generalizations. The issue with antibiotic consumption isn't really about the financial aspect as much as it is about the development of resistance. And frankly, I highly doubt you actually know how much different antibiotics cost, or how frequently certain ones are (incorrectly) being prescribed. Please.
redridge13 said:This thread was basically made for me 😠 😠

So, let’s dive into my little saga regarding the supposed "right" a patient has to choose their own primary care physician.

I need to switch my GP, so I decided to take the logical route—you know, the one that actually makes sense? I called Medicare, asked the lady to check near my neighborhood for any doctors who haven't hit their cap yet (they're supposed to be under 1,900 patients), and that's when the absolute circus began...
I called them one after another, and every single person just brushed me off with some variation of "we're totally full."
I don't even want to mention how much time I wasted on the phone trying to get through to everyone.
When I finally got home, I sent an email to obvezno-osiguranje@hzzo-net.hr asking if they had a list of doctors actually accepting new patients, since calling every single clinic in Washington, D.C. isn't exactly a great use of my life.
Still no response today....

I called Medicare again this morning to ask for advice, and the woman tells me, "Look, there's nothing we can do for you, it's just plain rude of them, you can file a complaint." Then she casually mentions there are three doctors in a clinic just three blocks away.
Out of those three, I manage to reach one, and of course, he turns me down too.

Then I call the clinic I'm technically assigned to (the afternoon shift)—both of them blow me off. A nurse at another clinic even tells me that their colleague from the opposite shift *should* have taken me, even though that same woman snubbed me yesterday!
Then, at a clinic in the next neighborhood, I get rejected yet again.

I was so incredibly pissed that I called the Department of Health and Human Services hotline: 0800 200 063.
The website says—and the automated operator confirms—that live people are available from 8 to 4, but somehow, at 3:30 PM, I'm still stuck talking to a robot.
I left my info and gave a brief rundown of the mess.
About 15 minutes later, my phone rings. It's a woman from the Department of Health and Human Services. She didn't really know what to tell me; she seemed like she wanted to suggest everything I'd already tried with Medicare, but since I had, she just said she'd pass my complaint along...

And honestly, what can I say? On paper, I have the right to primary healthcare and to choose my doctor. In reality? It's a complete joke.

Tomorrow, I'm heading down to the local clinic in person. If they reject me, I'm demanding a written refusal. Then I'm sending the whole story, along with that paperwork, straight to Milinović and let him try finding me a GP himself.

Just as a little side note from the Medicare regulations (specifically the rules on exercising the right to freely choose a primary care physician or dentist):
Article 9.
A chosen doctor has the right to refuse a patient only in the following cases:
1. If the number of enrolled patients under their care exceeds the maximum limit set
by general agency policy.
2. If there is a breakdown in the relationship between the chosen doctor and the insured person.
The reason for refusing a patient must be recorded by the doctor in the designated section of the official statement form.

A chosen doctor is NOT allowed to refuse a patient simply because the person is older,
sick, immobile, an addict, or suffers from mental illness, or for any other reasons that are NOT
listed in paragraph 1 of this article.


P.S. Every month, several thousand dollars are stripped from my paycheck for health insurance.

This is going in the news. ☕

Look, I don't mean to upset you, but I find this whole narrative a bit strange.

In other words, my only real conclusion here is this: we are clearly facing a massive shortage of practicing physicians.

Because, honestly, it seems to be in the interest of every single family doctor (and several other specialists, I suppose) to take on as many patients as possible, given they are paid via capitation models; so, I can't really fathom any reason why someone would turn you away, unless they are simply overwhelmed by their caseload.
Christian White3 said:What absolutely kills me about this healthcare system is when they send some elderly, frail person home for "post-op care" after surgery, and then they just completely stop giving a damn. As long as they get the patient off their hands, they’re happy. It happened to me—my old man passed away, and just a few days later, my grandfather had to have a pacemaker put in. He already has two artificial hips and moves incredibly slowly on crutches; you honestly don't know what to do with someone in that state. He got both the pacemaker and the hip replacements at the same hospital, and ever since that whole mess, his mobility has just plummeted. So now what am I supposed to do? There’s no one to look after him. I lost my job, and even if I find a new one, I can't take anything with long hours, field work, or overtime. Obviously, nobody gives a damn about my situation, and I refuse to touch his money, even though he has both an American and a German pension.
I want to work, but I can't live in constant fear of him falling again. It’s happened several times—once on the stairs just a few months after his surgery, once when he felt ill, and a couple of other times he just tripped and went down. He refuses to go to a nursing home, but you can't force him, yet you can't exactly leave someone in his condition alone at home either.
There are plenty of people who feel confident enough to undergo surgery, just like him, because they spent years doing heavy manual labor. Then illness hits, and most people can't afford private care, while the waitlists for government facilities are ten years long. When are we going to stop living like we're in Afghanistan? Our healthcare system is total garbage—actually, scratch that, my old man won't listen to me anyway. A doctor could have easily told him, "Sir, you need a facility; you can't be left home alone all day." 🤷

I mean, did you even bother visiting your own family doctor—you know, your grandfather's primary physician—to actually ask for advice?

I suppose people just don't seem to grasp that hospitals aren't really places where someone can just lie around waiting for things to happen. In a hospital, one expects diagnostic tests and therapeutic procedures; if rehabilitation is needed after that, then I guess you have to reach out to a specialist, a rehab center, a nursing home, hospice, or whatever else is appropriate.

Yes, the system is flawed, and I suppose that’s partly because people aren't aware of how this works, combined with the fact that there's just such a massive lack of capacity in certain areas.

Christian White3 said:What absolutely kills me about this healthcare system is when they send some elderly, frail person home for "post-op care" after surgery, and then they just completely stop giving a damn. As long as they get the patient off their hands, they’re happy. It happened to me—my old man passed away, and just a few days later, my grandfather had to have a pacemaker put in. He already has two artificial hips and moves incredibly slowly on crutches; you honestly don't know what to do with someone in that state. He got both the pacemaker and the hip replacements at the same hospital, and ever since that whole mess, his mobility has just plummeted. So now what am I supposed to do? There’s no one to look after him. I lost my job, and even if I find a new one, I can't take anything with long hours, field work, or overtime. Obviously, nobody gives a damn about my situation, and I refuse to touch his money, even though he has both an American and a German pension.
I want to work, but I can't live in constant fear of him falling again. It’s happened several times—once on the stairs just a few months after his surgery, once when he felt ill, and a couple of other times he just tripped and went down. He refuses to go to a nursing home, but you can't force him, yet you can't exactly leave someone in his condition alone at home either.
There are plenty of people who feel confident enough to undergo surgery, just like him, because they spent years doing heavy manual labor. Then illness hits, and most people can't afford private care, while the waitlists for government facilities are ten years long. When are we going to stop living like we're in Afghanistan? Our healthcare system is total garbage—actually, scratch that, my old man won't listen to me anyway. A doctor could have easily told him, "Sir, you need a facility; you can't be left home alone all day." 🤷

There is no question that you're facing a difficult situation, but I wonder, how would you actually want this to be resolved? Do you even have an idea, or perhaps just a wish?

Christian White3 said:What absolutely kills me about this healthcare system is when they send some elderly, frail person home for "post-op care" after surgery, and then they just completely stop giving a damn. As long as they get the patient off their hands, they’re happy. It happened to me—my old man passed away, and just a few days later, my grandfather had to have a pacemaker put in. He already has two artificial hips and moves incredibly slowly on crutches; you honestly don't know what to do with someone in that state. He got both the pacemaker and the hip replacements at the same hospital, and ever since that whole mess, his mobility has just plummeted. So now what am I supposed to do? There’s no one to look after him. I lost my job, and even if I find a new one, I can't take anything with long hours, field work, or overtime. Obviously, nobody gives a damn about my situation, and I refuse to touch his money, even though he has both an American and a German pension.
I want to work, but I can't live in constant fear of him falling again. It’s happened several times—once on the stairs just a few months after his surgery, once when he felt ill, and a couple of other times he just tripped and went down. He refuses to go to a nursing home, but you can't force him, yet you can't exactly leave someone in his condition alone at home either.
There are plenty of people who feel confident enough to undergo surgery, just like him, because they spent years doing heavy manual labor. Then illness hits, and most people can't afford private care, while the waitlists for government facilities are ten years long. When are we going to stop living like we're in Afghanistan? Our healthcare system is total garbage—actually, scratch that, my old man won't listen to me anyway. A doctor could have easily told him, "Sir, you need a facility; you can't be left home alone all day." 🤷

Well, that is precisely why you should be talking to the family doctor; maybe they could make a house call, or speak with your grandfather and your family to actually assess the situation.

It’s frustrating, I suppose, but these are personal tragedies, and the system isn't necessarily (that much) to blame here.
Samuel Morgan40 said:And how long does this actually last? It feels like people are just masking the symptoms—everything from acne to much more serious issues. As long as you’re taking the medication, things seem fine, but once you stop, you're right back where you started. Honestly, if you just look back at that thread from the beginning, you'll see the pattern. For some people, there isn't even any improvement while they're still on it. I know most people call this kind of approach "therapy"—and I’m using those quotation marks very intentionally—but the reality here is that mainstream medicine still hasn't provided any adequate answers. I realize Morphine is still widely accepted as a standard treatment, but in my opinion, it remains nothing more than a temporary fix that works best only when paired with a truly healthy lifestyle.
Wait—where on earth did I write that?

You mentioned Clomiphene—as if that’s some sort of definitive requirement for anyone looking to increase their sperm count—but honestly, presenting it that way feels a bit too black-and-white. It makes it sound like an absolute "must-do" rule, which, in actual practice, just isn't the case. I assume you're aware of that nuance, though.
Well, yes—because it directly impacts that pathophysiological excess of insulin, which, as it turns out, is proven to lead to an increased risk of developing diabetes.

Well, that’s exactly the point of this whole thing—so many of us (often following the advice of various specialists) try desperately to keep everything "under control" through lifestyle changes alone. I don't really fall into that category of people presenting with all the classic symptoms; I’m at a healthy weight, for one. My only real issue—if you can even call it luck or misfortune at this stage—is that I’m currently unable to take any pills. Instead, I have to rely on this specific way of living—or rather, this strict regimen...😁I suppose there’s a way to actually get things back on track—moving from that constant PCOS chaos toward more predictable ovulation, regular cycles, and just... everything else falling into place.
You swapped the "f" and the "m" in Morphine—it’s Morphine, by the way. And if I’m reading your comment correctly, you’re implying that my statement suggests Morphine is some kind of miracle cure? I suppose that’s one way to interpret it, though I wouldn't go that far.

Thanks for catching that—typos happen, I guess. My mother is actually the one taking it. 😉
It seems the principle has proven to be... well, let's just say it hasn't exactly lived up to the lofty expectations one might have had initially—though, I suppose, if you were expecting perfection, you probably shouldn't have been looking in this direction to begin with. It has turned out to be quite something, perhaps more of a cautionary tale than a success story, if that makes any sense. Maybe I'm being too harsh, but from where I'm sitting, the results speak for themselves. I suppose if one were to look for a more productive way of approaching this—though I’m hardly an expert on what constitutes "efficiency" in these matters—one might find that certain methods yield slightly better results than others. It’s all rather subjective, I guess. Maybe there's a more effective angle here, provided one actually puts in the effort to pivot....particularly when dealing with those who are overweight.
It’s worth considering—though I’m certainly no doctor here—that oral contraceptives might do more than just manage cycles; they could potentially mitigate some of those other pesky conditions often tied to PCOS. I suppose there's a certain level of preventative overlap there, if that makes sense.

You’re absolutely right on that point—but it is quite a stretch to suggest they’re actually fixing the underlying issues, or even that we can expect any real improvement once they're done.
I have a question for you—what would you say is the fundamental, core underlying disorder that actually leads to the development of PCOS?

I see you have a penchant for asking questions, but I’m honestly struggling to see the point here—especially since we are dealing with a condition where every single possible trigger is still being actively investigated. We are talking about everything from insulin levels and tissue response to complex genetics and beyond. If my memory serves me right—and it usually does—we already chewed through all those potential causes and their various implications back when we were discussing the PCOS thread. So, if you happen to have some groundbreaking new data, by all means, feel free to share it. But I really can't stand this tendency to frame everything in such stark black-and-white terms. There is plenty of gray area to navigate here; after all, we are dealing with PCOS, not a simple math equation.

I guess I don't quite understand why you're getting so worked up about the lack of a standard treatment for PCOS, especially when we're already dealing with therapies for high blood pressure, diabetes, migraines, and various autoimmune diseases... maybe there's more to it, but I just don't see the logic behind the frustration.

Samuel Morgan40 said:And how long does this actually last? It feels like people are just masking the symptoms—everything from acne to much more serious issues. As long as you’re taking the medication, things seem fine, but once you stop, you're right back where you started. Honestly, if you just look back at that thread from the beginning, you'll see the pattern. For some people, there isn't even any improvement while they're still on it. I know most people call this kind of approach "therapy"—and I’m using those quotation marks very intentionally—but the reality here is that mainstream medicine still hasn't provided any adequate answers. I realize Morphine is still widely accepted as a standard treatment, but in my opinion, it remains nothing more than a temporary fix that works best only when paired with a truly healthy lifestyle.
Wait—where on earth did I write that?

You mentioned Clomiphene—as if that’s some sort of definitive requirement for anyone looking to increase their sperm count—but honestly, presenting it that way feels a bit too black-and-white. It makes it sound like an absolute "must-do" rule, which, in actual practice, just isn't the case. I assume you're aware of that nuance, though.
Well, yes—because it directly impacts that pathophysiological excess of insulin, which, as it turns out, is proven to lead to an increased risk of developing diabetes.

Well, that’s exactly the point of this whole thing—so many of us (often following the advice of various specialists) try desperately to keep everything "under control" through lifestyle changes alone. I don't really fall into that category of people presenting with all the classic symptoms; I’m at a healthy weight, for one. My only real issue—if you can even call it luck or misfortune at this stage—is that I’m currently unable to take any pills. Instead, I have to rely on this specific way of living—or rather, this strict regimen...😁I suppose there’s a way to actually get things back on track—moving from that constant PCOS chaos toward more predictable ovulation, regular cycles, and just... everything else falling into place.
You swapped the "f" and the "m" in Morphine—it’s Morphine, by the way. And if I’m reading your comment correctly, you’re implying that my statement suggests Morphine is some kind of miracle cure? I suppose that’s one way to interpret it, though I wouldn't go that far.

Thanks for catching that—typos happen, I guess. My mother is actually the one taking it. 😉
It seems the principle has proven to be... well, let's just say it hasn't exactly lived up to the lofty expectations one might have had initially—though, I suppose, if you were expecting perfection, you probably shouldn't have been looking in this direction to begin with. It has turned out to be quite something, perhaps more of a cautionary tale than a success story, if that makes any sense. Maybe I'm being too harsh, but from where I'm sitting, the results speak for themselves. I suppose if one were to look for a more productive way of approaching this—though I’m hardly an expert on what constitutes "efficiency" in these matters—one might find that certain methods yield slightly better results than others. It’s all rather subjective, I guess. Maybe there's a more effective angle here, provided one actually puts in the effort to pivot....particularly when dealing with those who are overweight.
It’s worth considering—though I’m certainly no doctor here—that oral contraceptives might do more than just manage cycles; they could potentially mitigate some of those other pesky conditions often tied to PCOS. I suppose there's a certain level of preventative overlap there, if that makes sense.

You’re absolutely right on that point—but it is quite a stretch to suggest they’re actually fixing the underlying issues, or even that we can expect any real improvement once they're done.
I have a question for you—what would you say is the fundamental, core underlying disorder that actually leads to the development of PCOS?

I see you have a penchant for asking questions, but I’m honestly struggling to see the point here—especially since we are dealing with a condition where every single possible trigger is still being actively investigated. We are talking about everything from insulin levels and tissue response to complex genetics and beyond. If my memory serves me right—and it usually does—we already chewed through all those potential causes and their various implications back when we were discussing the PCOS thread. So, if you happen to have some groundbreaking new data, by all means, feel free to share it. But I really can't stand this tendency to frame everything in such stark black-and-white terms. There is plenty of gray area to navigate here; after all, we are dealing with PCOS, not a simple math equation.

I suppose I don't really know how much you actually understand about this topic, so I’m honestly not sure if it's even worth having a serious conversation with you. Just do me a favor and try to answer—well, at least make an effort, because I do value that, I guess. I'm curious to see what your level of knowledge is, but more importantly, I want to understand what exactly is happening here; why these sores form, what causes them in the first place, why they are such a problem, and what specifically triggers all this discomfort.

I suppose the reason that link is actually worth anything is because it provides such a decent, thorough description of the situation.

Samuel Morgan40 said:And how long does this actually last? It feels like people are just masking the symptoms—everything from acne to much more serious issues. As long as you’re taking the medication, things seem fine, but once you stop, you're right back where you started. Honestly, if you just look back at that thread from the beginning, you'll see the pattern. For some people, there isn't even any improvement while they're still on it. I know most people call this kind of approach "therapy"—and I’m using those quotation marks very intentionally—but the reality here is that mainstream medicine still hasn't provided any adequate answers. I realize Morphine is still widely accepted as a standard treatment, but in my opinion, it remains nothing more than a temporary fix that works best only when paired with a truly healthy lifestyle.
Wait—where on earth did I write that?

You mentioned Clomiphene—as if that’s some sort of definitive requirement for anyone looking to increase their sperm count—but honestly, presenting it that way feels a bit too black-and-white. It makes it sound like an absolute "must-do" rule, which, in actual practice, just isn't the case. I assume you're aware of that nuance, though.
Well, yes—because it directly impacts that pathophysiological excess of insulin, which, as it turns out, is proven to lead to an increased risk of developing diabetes.

Well, that’s exactly the point of this whole thing—so many of us (often following the advice of various specialists) try desperately to keep everything "under control" through lifestyle changes alone. I don't really fall into that category of people presenting with all the classic symptoms; I’m at a healthy weight, for one. My only real issue—if you can even call it luck or misfortune at this stage—is that I’m currently unable to take any pills. Instead, I have to rely on this specific way of living—or rather, this strict regimen...😁I suppose there’s a way to actually get things back on track—moving from that constant PCOS chaos toward more predictable ovulation, regular cycles, and just... everything else falling into place.
You swapped the "f" and the "m" in Morphine—it’s Morphine, by the way. And if I’m reading your comment correctly, you’re implying that my statement suggests Morphine is some kind of miracle cure? I suppose that’s one way to interpret it, though I wouldn't go that far.

Thanks for catching that—typos happen, I guess. My mother is actually the one taking it. 😉
It seems the principle has proven to be... well, let's just say it hasn't exactly lived up to the lofty expectations one might have had initially—though, I suppose, if you were expecting perfection, you probably shouldn't have been looking in this direction to begin with. It has turned out to be quite something, perhaps more of a cautionary tale than a success story, if that makes any sense. Maybe I'm being too harsh, but from where I'm sitting, the results speak for themselves. I suppose if one were to look for a more productive way of approaching this—though I’m hardly an expert on what constitutes "efficiency" in these matters—one might find that certain methods yield slightly better results than others. It’s all rather subjective, I guess. Maybe there's a more effective angle here, provided one actually puts in the effort to pivot....particularly when dealing with those who are overweight.
It’s worth considering—though I’m certainly no doctor here—that oral contraceptives might do more than just manage cycles; they could potentially mitigate some of those other pesky conditions often tied to PCOS. I suppose there's a certain level of preventative overlap there, if that makes sense.

You’re absolutely right on that point—but it is quite a stretch to suggest they’re actually fixing the underlying issues, or even that we can expect any real improvement once they're done.
I have a question for you—what would you say is the fundamental, core underlying disorder that actually leads to the development of PCOS?

I see you have a penchant for asking questions, but I’m honestly struggling to see the point here—especially since we are dealing with a condition where every single possible trigger is still being actively investigated. We are talking about everything from insulin levels and tissue response to complex genetics and beyond. If my memory serves me right—and it usually does—we already chewed through all those potential causes and their various implications back when we were discussing the PCOS thread. So, if you happen to have some groundbreaking new data, by all means, feel free to share it. But I really can't stand this tendency to frame everything in such stark black-and-white terms. There is plenty of gray area to navigate here; after all, we are dealing with PCOS, not a simple math equation.

I suppose you just have an excessive amount of grease.

Samuel Morgan40 I suppose it could be argued that...
I suppose I don't exactly fit the classic profile of someone dealing with these symptoms, especially since my weight is perfectly normal, though I guess I’m just unlucky enough to be unable to take any pills at the moment, which makes following this kind of regimen—if you could even call it that—rather difficult.😁I suppose you could eventually find some way to get things back on track—moving from that constant PCOS struggle back toward regular ovulation and just getting your entire cycle under control, I guess.

I find it all a bit hypocritical, I guess... when you claim you don't suffer from the classic symptoms—arguing that your clinical presentation is somehow milder—and then you have the audacity to criticize therapies specifically designed for more severe cases, especially since you manage your own condition just fine through diet and exercise. I suppose everyone is entitled to their own perspective on their illness, and everyone certainly has the right to be informed about the treatments available to them.
So, I guess you aren't exactly thrilled with the pills, or maybe that's just how it is?

Samuel Morgan40 said:And how long does this actually last? It feels like people are just masking the symptoms—everything from acne to much more serious issues. As long as you’re taking the medication, things seem fine, but once you stop, you're right back where you started. Honestly, if you just look back at that thread from the beginning, you'll see the pattern. For some people, there isn't even any improvement while they're still on it. I know most people call this kind of approach "therapy"—and I’m using those quotation marks very intentionally—but the reality here is that mainstream medicine still hasn't provided any adequate answers. I realize Morphine is still widely accepted as a standard treatment, but in my opinion, it remains nothing more than a temporary fix that works best only when paired with a truly healthy lifestyle.
Wait—where on earth did I write that?

You mentioned Clomiphene—as if that’s some sort of definitive requirement for anyone looking to increase their sperm count—but honestly, presenting it that way feels a bit too black-and-white. It makes it sound like an absolute "must-do" rule, which, in actual practice, just isn't the case. I assume you're aware of that nuance, though.
Well, yes—because it directly impacts that pathophysiological excess of insulin, which, as it turns out, is proven to lead to an increased risk of developing diabetes.

Well, that’s exactly the point of this whole thing—so many of us (often following the advice of various specialists) try desperately to keep everything "under control" through lifestyle changes alone. I don't really fall into that category of people presenting with all the classic symptoms; I’m at a healthy weight, for one. My only real issue—if you can even call it luck or misfortune at this stage—is that I’m currently unable to take any pills. Instead, I have to rely on this specific way of living—or rather, this strict regimen...😁I suppose there’s a way to actually get things back on track—moving from that constant PCOS chaos toward more predictable ovulation, regular cycles, and just... everything else falling into place.
You swapped the "f" and the "m" in Morphine—it’s Morphine, by the way. And if I’m reading your comment correctly, you’re implying that my statement suggests Morphine is some kind of miracle cure? I suppose that’s one way to interpret it, though I wouldn't go that far.

Thanks for catching that—typos happen, I guess. My mother is actually the one taking it. 😉
It seems the principle has proven to be... well, let's just say it hasn't exactly lived up to the lofty expectations one might have had initially—though, I suppose, if you were expecting perfection, you probably shouldn't have been looking in this direction to begin with. It has turned out to be quite something, perhaps more of a cautionary tale than a success story, if that makes any sense. Maybe I'm being too harsh, but from where I'm sitting, the results speak for themselves. I suppose if one were to look for a more productive way of approaching this—though I’m hardly an expert on what constitutes "efficiency" in these matters—one might find that certain methods yield slightly better results than others. It’s all rather subjective, I guess. Maybe there's a more effective angle here, provided one actually puts in the effort to pivot....particularly when dealing with those who are overweight.
It’s worth considering—though I’m certainly no doctor here—that oral contraceptives might do more than just manage cycles; they could potentially mitigate some of those other pesky conditions often tied to PCOS. I suppose there's a certain level of preventative overlap there, if that makes sense.

You’re absolutely right on that point—but it is quite a stretch to suggest they’re actually fixing the underlying issues, or even that we can expect any real improvement once they're done.
I have a question for you—what would you say is the fundamental, core underlying disorder that actually leads to the development of PCOS?

I see you have a penchant for asking questions, but I’m honestly struggling to see the point here—especially since we are dealing with a condition where every single possible trigger is still being actively investigated. We are talking about everything from insulin levels and tissue response to complex genetics and beyond. If my memory serves me right—and it usually does—we already chewed through all those potential causes and their various implications back when we were discussing the PCOS thread. So, if you happen to have some groundbreaking new data, by all means, feel free to share it. But I really can't stand this tendency to frame everything in such stark black-and-white terms. There is plenty of gray area to navigate here; after all, we are dealing with PCOS, not a simple math equation.

I didn't actually write that, if we're being honest. But I suppose one could argue that anovulation is a recognized risk factor for certain types of tumors, so maybe there is actually a significant long-term benefit to taking oral contraceptives.
The pill might alleviate some symptoms—provided we aren't strictly dealing with progesterone issues—but I suppose if the case is more severe, additional measures would likely be necessary. If the primary concern is hirsutism, it could potentially be a constitutional issue, much like certain ethnic predispositions seen here in the States, or perhaps just persistent acne; in those instances, someone already on the pill might find that augmenting their treatment with retinoids helps, though I guess those shouldn't really be prescribed without hormonal contraception being part of the equation.

Samuel Morgan40 I guess someone mentioned that...
I see you have a penchant for asking questions, though I suppose it isn't entirely clear to me why you bother, especially when we are discussing a subject where every conceivable cause—ranging from insulin levels and tissue sensitivity all the way down to complex genetics—is still being actively investigated.

That’s exactly my point. I don't really know what the rest of you actually understand, because all I can go by is the quality of the responses I've seen here so far... and honestly, it hasn't been particularly impressive.
I honestly think that link I shared is quite exceptional. I’d highly recommend taking a look at it; actually, you should probably read it once, then go back and read it again—maybe even keep reading until you can explain the core concept to someone else without having to think about it too much.
In medicine, when an answer isn't clearly defined, it’s almost always followed by that vague, frustrating phrase: "there are several theories..."
Help reading my blood test results? in Health ·
Daniel Bailey39 said:That specialist mentioned that our doctor was supposed to fax over the results, I guess.☕

It seems quite bizarre to me, I suppose, considering that so many primary care physicians don't even bother keeping a fax machine on hand these days, and when you consider that prescribing something as intense as chemotherapy essentially sidelines a family doctor from the entire process, it just feels fundamentally off.

There are quite a few reasons why you really ought to be the one to report those results, especially if the specialist ends up having follow-up questions; things like what the previous findings looked like or exactly how many days have passed since the last treatment... or honestly, just any question that requires someone actually involved in the process to answer, whether that’s you or the patient, because I guess it’s a rare enough occurrence that the specialist is actually prescribing and managing the therapy themselves.

Daniel Bailey39 said:I suppose it’s just beyond me why anyone would find it strange or even remotely abnormal when a doctor presents their findings to a physician, as if that shouldn't be a standard part of the process, though I guess some people seem to think it's somehow my business to interfere.☕

It seems fundamentally irrational that such a system exists when there’s absolutely no practical necessity for it; instead, it just creates unnecessary congestion in waiting rooms and wastes everyone's time. I suppose if you look at it from a certain perspective, a doctor is considered one of the higher-paid professionals in America, funded entirely through taxpayer dollars, so isn't it somewhat absurd that the government is essentially paying a physician to spend their day making phone calls to relay test results that a patient could probably interpret—perhaps even more effectively—on their own?
melloworca6 said:Man, it’s really no surprise who’s getting hired these days.

Two years ago, I was in a bad way. Honestly, if my boyfriend hadn't driven me over to his mom's place at the Mayo Clinic, I might not have stayed alive. So there I am, just sitting there in the ward, waiting around for my guy to finish his shift so he could finally come examine me.

So, I got a little peek behind the curtain to see how things actually run on the units. There were two doctors on duty; one female doctor was bouncing back and forth between the ward and the clinic, while the other poor guy spent two whole hours just stuck at a desk typing up test results and discharge papers.

It’s honestly a disgrace. You look at the numbers and it's ridiculous—we have way too many administrators running around. There was even an article about it in the local news recently. At the KBO, one-third of the staff is medical and two-thirds is just non-medical. Pure waste. 😲Doctors need to type their own notes. These guys either have no clue what they're doing or they're slow enough to drive you absolutely insane.

Well, I suppose that’s a pretty controversial topic you've brought up. I guess the real question is whether it’s actually more cost-effective to hire a dedicated clerk or just let the doctor handle the typing themselves.

From what I gather—though I might be wrong—there used to be plenty of medical transcriptionists back in the day, but then they were all mass-fired (well, not everyone, since some departments still have their own dedicated ladies handling the machines), so now the doctors have taken over the typing duties. It varies wildly in terms of skill level, too; I mean, some doctors are incredibly fast—I once saw a specialist from Florida typing with one hand while flipping through charts with the other!—whereas others are practically illiterate when it comes to computers, which makes sense considering the average American specialist is probably somewhere in their 50s or 55.
The amount of time wasted on data entry is just massive. In some departments, during my internship, that was basically my entire job, and I consider myself a relatively quick typist.

I can't help but wonder why everything has to be re-typed manually instead of just being copied and pasted; I guess it's just baffling why these records aren't readily available in a digital format.
Samuel Morgan40 said:Maria Gomez4 and you both seem to be throwing out all sorts of theories—look, I live with PCOS myself, so please don't just drop links to some overly generalized lifestyle site and start lecturing about how pills or clomiphene are "good therapies." What kind of therapy? Since when are birth control pills considered a "therapy"? And what happens once you stop taking them? Most women view them as nothing more than cosmetic fixes—they just mask the symptoms. Why would anyone jump straight to clomiphene? Don't you realize that every single patient is a unique case? It is incredibly, highly individual; no two experiences are identical. For instance, my own lab results and even my Mayo Clinic ultrasounds vary significantly from one checkup to the next. It's common knowledge, really, and any decent OB-GYN will tell you the same: diet, exercise, and so on.

God knows which pills have actually helped resolve the issue, considering we all know everything just reverts to the status quo once you quit. Metformin is a standard treatment used everywhere else, whereas in Rhode Island, only a handful of doctors have recently started prescribing it—likely because they're still reading those same generic internet articles.

Since they have been for quite a while now, I guess.

Samuel Morgan40 said:Maria Gomez4 and you both seem to be throwing out all sorts of theories—look, I live with PCOS myself, so please don't just drop links to some overly generalized lifestyle site and start lecturing about how pills or clomiphene are "good therapies." What kind of therapy? Since when are birth control pills considered a "therapy"? And what happens once you stop taking them? Most women view them as nothing more than cosmetic fixes—they just mask the symptoms. Why would anyone jump straight to clomiphene? Don't you realize that every single patient is a unique case? It is incredibly, highly individual; no two experiences are identical. For instance, my own lab results and even my Mayo Clinic ultrasounds vary significantly from one checkup to the next. It's common knowledge, really, and any decent OB-GYN will tell you the same: diet, exercise, and so on.

God knows which pills have actually helped resolve the issue, considering we all know everything just reverts to the status quo once you quit. Metformin is a standard treatment used everywhere else, whereas in Rhode Island, only a handful of doctors have recently started prescribing it—likely because they're still reading those same generic internet articles.

Women can call them whatever they want, I suppose, but the reality is that they actually lead to improvements; honestly, very few actual therapies cure a disease, whereas most just suppress symptoms or provide temporary relief.

Samuel Morgan40 said:Maria Gomez4 and you both seem to be throwing out all sorts of theories—look, I live with PCOS myself, so please don't just drop links to some overly generalized lifestyle site and start lecturing about how pills or clomiphene are "good therapies." What kind of therapy? Since when are birth control pills considered a "therapy"? And what happens once you stop taking them? Most women view them as nothing more than cosmetic fixes—they just mask the symptoms. Why would anyone jump straight to clomiphene? Don't you realize that every single patient is a unique case? It is incredibly, highly individual; no two experiences are identical. For instance, my own lab results and even my Mayo Clinic ultrasounds vary significantly from one checkup to the next. It's common knowledge, really, and any decent OB-GYN will tell you the same: diet, exercise, and so on.

God knows which pills have actually helped resolve the issue, considering we all know everything just reverts to the status quo once you quit. Metformin is a standard treatment used everywhere else, whereas in Rhode Island, only a handful of doctors have recently started prescribing it—likely because they're still reading those same generic internet articles.

I don't recall ever saying that, though.

Samuel Morgan40 said:Maria Gomez4 and you both seem to be throwing out all sorts of theories—look, I live with PCOS myself, so please don't just drop links to some overly generalized lifestyle site and start lecturing about how pills or clomiphene are "good therapies." What kind of therapy? Since when are birth control pills considered a "therapy"? And what happens once you stop taking them? Most women view them as nothing more than cosmetic fixes—they just mask the symptoms. Why would anyone jump straight to clomiphene? Don't you realize that every single patient is a unique case? It is incredibly, highly individual; no two experiences are identical. For instance, my own lab results and even my Mayo Clinic ultrasounds vary significantly from one checkup to the next. It's common knowledge, really, and any decent OB-GYN will tell you the same: diet, exercise, and so on.

God knows which pills have actually helped resolve the issue, considering we all know everything just reverts to the status quo once you quit. Metformin is a standard treatment used everywhere else, whereas in Rhode Island, only a handful of doctors have recently started prescribing it—likely because they're still reading those same generic internet articles.

I am well aware that every patient is unique and that doctors should be treating the person rather than just the illness, I guess.

Samuel Morgan40 said:Maria Gomez4 and you both seem to be throwing out all sorts of theories—look, I live with PCOS myself, so please don't just drop links to some overly generalized lifestyle site and start lecturing about how pills or clomiphene are "good therapies." What kind of therapy? Since when are birth control pills considered a "therapy"? And what happens once you stop taking them? Most women view them as nothing more than cosmetic fixes—they just mask the symptoms. Why would anyone jump straight to clomiphene? Don't you realize that every single patient is a unique case? It is incredibly, highly individual; no two experiences are identical. For instance, my own lab results and even my Mayo Clinic ultrasounds vary significantly from one checkup to the next. It's common knowledge, really, and any decent OB-GYN will tell you the same: diet, exercise, and so on.

God knows which pills have actually helped resolve the issue, considering we all know everything just reverts to the status quo once you quit. Metformin is a standard treatment used everywhere else, whereas in Rhode Island, only a handful of doctors have recently started prescribing it—likely because they're still reading those same generic internet articles.

True, because those factors impact the pathophysiological insulin resistance, which eventually leads to a higher risk of diabetes, I suppose.

Samuel Morgan40 said:Maria Gomez4 and you both seem to be throwing out all sorts of theories—look, I live with PCOS myself, so please don't just drop links to some overly generalized lifestyle site and start lecturing about how pills or clomiphene are "good therapies." What kind of therapy? Since when are birth control pills considered a "therapy"? And what happens once you stop taking them? Most women view them as nothing more than cosmetic fixes—they just mask the symptoms. Why would anyone jump straight to clomiphene? Don't you realize that every single patient is a unique case? It is incredibly, highly individual; no two experiences are identical. For instance, my own lab results and even my Mayo Clinic ultrasounds vary significantly from one checkup to the next. It's common knowledge, really, and any decent OB-GYN will tell you the same: diet, exercise, and so on.

God knows which pills have actually helped resolve the issue, considering we all know everything just reverts to the status quo once you quit. Metformin is a standard treatment used everywhere else, whereas in Rhode Island, only a handful of doctors have recently started prescribing it—likely because they're still reading those same generic internet articles.

It's spelled metformin—you flipped the letters. Based on what you're saying, it almost sounds like you're implying metformin is some kind of miracle cure that actually fixes things once and for all.
I suppose using metformin for PCOS treatment is a well-known approach, but its actual effectiveness is still being debated; there was probably a lot of hype surrounding it initially, though more recent studies haven't been quite as optimistic.
Oral contraceptives also help prevent certain other conditions that tend to be linked with PCOS.

I guess I have one question for you, which is, what would you say is the fundamental underlying disorder that leads to the development of polycystic ovaries in the first place?
melloworca6 said:Look, don't try to lecture me on economics or money; I get it. My point is we need to find a way to penalize certain behaviors (take smokers or hypochondriacs, for example) instead of just cutting people off because some idiots exist or because some people simply don't care about their own health.

And honestly, they should start cleaning house with primary care doctors. I was looking at the prescriptions my grandma takes recently, and out of 5 or 6 different meds, at least two are totally useless. For instance, one side effect of a blood pressure med can be itching, allergies, or a rash. She probably got an itch from that, so they gave her an antihistamine. How many elderly people are out there complaining about what’s likely just a drug side effect, only to be handed more pills, and then spend months taking stuff they don't actually need?

Same thing happened when I was sitting in a waiting room at the doctor's office. This woman was telling how her mom had been coughing for months; they sent her through every test under the sun—immunology, everything—only for it to turn out the cough was just a side effect of her blood pressure medication.

There's your savings right there: pay a little more attention to the details. And don't even get me started on antibiotics being handed out like candy. People walk into the clinic with the flu and get prescribed antibiotics. If people knew that the flu is a virus and that viruses don't respond to antibiotics, then doctors should at least explain that to them, rather than just taking the easy way out and dumping antibiotics on a kid to get them out the door.
First, it's a total waste of money, and second, it's dangerous because bacteria are becoming increasingly resistant.

So you said you aren't a primary care doctor? 🙂

Good for you. We need more doctors like that. My old doctor couldn't even figure out how to use a computer, let alone search the internet.

That sort of oversight happens constantly through various commissions, boards, and audits. They monitor how many referrals you issue, how many sick leaves are signed, how many antibiotics are prescribed... basically, it’s all handled quite rigorously.

melloworca6 said:Look, don't try to lecture me on economics or money; I get it. My point is we need to find a way to penalize certain behaviors (take smokers or hypochondriacs, for example) instead of just cutting people off because some idiots exist or because some people simply don't care about their own health.

And honestly, they should start cleaning house with primary care doctors. I was looking at the prescriptions my grandma takes recently, and out of 5 or 6 different meds, at least two are totally useless. For instance, one side effect of a blood pressure med can be itching, allergies, or a rash. She probably got an itch from that, so they gave her an antihistamine. How many elderly people are out there complaining about what’s likely just a drug side effect, only to be handed more pills, and then spend months taking stuff they don't actually need?

Same thing happened when I was sitting in a waiting room at the doctor's office. This woman was telling how her mom had been coughing for months; they sent her through every test under the sun—immunology, everything—only for it to turn out the cough was just a side effect of her blood pressure medication.

There's your savings right there: pay a little more attention to the details. And don't even get me started on antibiotics being handed out like candy. People walk into the clinic with the flu and get prescribed antibiotics. If people knew that the flu is a virus and that viruses don't respond to antibiotics, then doctors should at least explain that to them, rather than just taking the easy way out and dumping antibiotics on a kid to get them out the door.
First, it's a total waste of money, and second, it's dangerous because bacteria are becoming increasingly resistant.

So you said you aren't a primary care doctor? 🙂

Good for you. We need more doctors like that. My old doctor couldn't even figure out how to use a computer, let alone search the internet.

That is a very common—almost legendary—side effect of ACE inhibitors, so I honestly can't fathom why the physician didn't consider that possibility. They really should have.

melloworca6 said:Look, don't try to lecture me on economics or money; I get it. My point is we need to find a way to penalize certain behaviors (take smokers or hypochondriacs, for example) instead of just cutting people off because some idiots exist or because some people simply don't care about their own health.

And honestly, they should start cleaning house with primary care doctors. I was looking at the prescriptions my grandma takes recently, and out of 5 or 6 different meds, at least two are totally useless. For instance, one side effect of a blood pressure med can be itching, allergies, or a rash. She probably got an itch from that, so they gave her an antihistamine. How many elderly people are out there complaining about what’s likely just a drug side effect, only to be handed more pills, and then spend months taking stuff they don't actually need?

Same thing happened when I was sitting in a waiting room at the doctor's office. This woman was telling how her mom had been coughing for months; they sent her through every test under the sun—immunology, everything—only for it to turn out the cough was just a side effect of her blood pressure medication.

There's your savings right there: pay a little more attention to the details. And don't even get me started on antibiotics being handed out like candy. People walk into the clinic with the flu and get prescribed antibiotics. If people knew that the flu is a virus and that viruses don't respond to antibiotics, then doctors should at least explain that to them, rather than just taking the easy way out and dumping antibiotics on a kid to get them out the door.
First, it's a total waste of money, and second, it's dangerous because bacteria are becoming increasingly resistant.

So you said you aren't a primary care doctor? 🙂

Good for you. We need more doctors like that. My old doctor couldn't even figure out how to use a computer, let alone search the internet.


melloworca6 said:Look, don't try to lecture me on economics or money; I get it. My point is we need to find a way to penalize certain behaviors (take smokers or hypochondriacs, for example) instead of just cutting people off because some idiots exist or because some people simply don't care about their own health.

And honestly, they should start cleaning house with primary care doctors. I was looking at the prescriptions my grandma takes recently, and out of 5 or 6 different meds, at least two are totally useless. For instance, one side effect of a blood pressure med can be itching, allergies, or a rash. She probably got an itch from that, so they gave her an antihistamine. How many elderly people are out there complaining about what’s likely just a drug side effect, only to be handed more pills, and then spend months taking stuff they don't actually need?

Same thing happened when I was sitting in a waiting room at the doctor's office. This woman was telling how her mom had been coughing for months; they sent her through every test under the sun—immunology, everything—only for it to turn out the cough was just a side effect of her blood pressure medication.

There's your savings right there: pay a little more attention to the details. And don't even get me started on antibiotics being handed out like candy. People walk into the clinic with the flu and get prescribed antibiotics. If people knew that the flu is a virus and that viruses don't respond to antibiotics, then doctors should at least explain that to them, rather than just taking the easy way out and dumping antibiotics on a kid to get them out the door.
First, it's a total waste of money, and second, it's dangerous because bacteria are becoming increasingly resistant.

So you said you aren't a primary care doctor? 🙂

Good for you. We need more doctors like that. My old doctor couldn't even figure out how to use a computer, let alone search the internet.

No, I'm not; I just changed my status.

melloworca6 said:Look, don't try to lecture me on economics or money; I get it. My point is we need to find a way to penalize certain behaviors (take smokers or hypochondriacs, for example) instead of just cutting people off because some idiots exist or because some people simply don't care about their own health.

And honestly, they should start cleaning house with primary care doctors. I was looking at the prescriptions my grandma takes recently, and out of 5 or 6 different meds, at least two are totally useless. For instance, one side effect of a blood pressure med can be itching, allergies, or a rash. She probably got an itch from that, so they gave her an antihistamine. How many elderly people are out there complaining about what’s likely just a drug side effect, only to be handed more pills, and then spend months taking stuff they don't actually need?

Same thing happened when I was sitting in a waiting room at the doctor's office. This woman was telling how her mom had been coughing for months; they sent her through every test under the sun—immunology, everything—only for it to turn out the cough was just a side effect of her blood pressure medication.

There's your savings right there: pay a little more attention to the details. And don't even get me started on antibiotics being handed out like candy. People walk into the clinic with the flu and get prescribed antibiotics. If people knew that the flu is a virus and that viruses don't respond to antibiotics, then doctors should at least explain that to them, rather than just taking the easy way out and dumping antibiotics on a kid to get them out the door.
First, it's a total waste of money, and second, it's dangerous because bacteria are becoming increasingly resistant.

So you said you aren't a primary care doctor? 🙂

Good for you. We need more doctors like that. My old doctor couldn't even figure out how to use a computer, let alone search the internet.

That's how we're trained now, and it's mandatory (knowing how to use a computer). Digitalization has advanced so much that you even have semi-professional apps right on your smartphone.
Help reading my blood test results? in Health ·
Daniel Bailey39 said:Well, there are a few reasons why I feel that way:
-it’s honestly the job of the family practitioner to fax those results over to the specialist or just read them out loud to them.
-there are all these medical terms that are nearly impossible to pronounce without messing up, which could lead to some serious mistakes for the doctor, who—much like myself—really doesn't want to deal with that either.

1. Not really, because that responsibility falls squarely on the specialist prescribing the chemotherapy and the patient actually taking it; a primary care physician truly has no say in that matter, so asking them to handle it is a bit like asking your GP to schedule an appointment with your dentist...

2. They aren't quite that clueless, I suppose; they'll understand what you're getting at, and they know exactly what they're looking for, plus it's probably a good thing for people to stay informed about their illness.

It just occurs to me... maybe this is about someone close to you, and you'd rather not be directly involved in the whole mess (which is perfectly understandable), so if that's the case, perhaps try finding a different way to handle it.
Otherwise, I guess you're just letting the frustration build up.
Kyle Lee7 said:I'm concluding that you must be a primary care physician. 😉

First of all, every specialist SHOULD take a full medical history and know exactly what medications the patient is currently taking and what other conditions they might be dealing with.
Why would you think a primary care doctor knows which drugs interact, but a specialist wouldn't?
For instance, when I see my pulmonologist once a year, she gets a complete report from me regarding my other diagnosis. I ask her if Singulair interacts with interferon, just like I ask my neurologist the same thing. Plus, I read the instructions for both medications myself.

But let's assume not every patient will remember to do that.
I still believe specialists should have the authority to prescribe medication and order follow-up tests directly. That same specialist could easily be digitally linked to the primary care physician, rather than us running around with piles of paperwork and wasting both our time and theirs by duplicating work.

It’s not that I have anything against my own GP—not at all—but it’s exhausting to think that for every single test or check-up, I have to go to them first, wait for the appointment, wait for the booking, and then go back to them again, in an endless loop, all while the waiting rooms are always packed.

That’s exactly why I handle quite a few things privately. And I pay for supplemental insurance too. You really have to piece everything together just to get adequate treatment.

I'm not.
Kyle Lee7 said:I'm concluding that you must be a primary care physician. 😉

First of all, every specialist SHOULD take a full medical history and know exactly what medications the patient is currently taking and what other conditions they might be dealing with.
Why would you think a primary care doctor knows which drugs interact, but a specialist wouldn't?
For instance, when I see my pulmonologist once a year, she gets a complete report from me regarding my other diagnosis. I ask her if Singulair interacts with interferon, just like I ask my neurologist the same thing. Plus, I read the instructions for both medications myself.

But let's assume not every patient will remember to do that.
I still believe specialists should have the authority to prescribe medication and order follow-up tests directly. That same specialist could easily be digitally linked to the primary care physician, rather than us running around with piles of paperwork and wasting both our time and theirs by duplicating work.

It’s not that I have anything against my own GP—not at all—but it’s exhausting to think that for every single test or check-up, I have to go to them first, wait for the appointment, wait for the booking, and then go back to them again, in an endless loop, all while the waiting rooms are always packed.

That’s exactly why I handle quite a few things privately. And I pay for supplemental insurance too. You really have to piece everything together just to get adequate treatment.

Of course, that’s the absolute bottom line—the absolute prerequisite for anything to move forward, I suppose.

Kyle Lee7 said:I'm concluding that you must be a primary care physician. 😉

First of all, every specialist SHOULD take a full medical history and know exactly what medications the patient is currently taking and what other conditions they might be dealing with.
Why would you think a primary care doctor knows which drugs interact, but a specialist wouldn't?
For instance, when I see my pulmonologist once a year, she gets a complete report from me regarding my other diagnosis. I ask her if Singulair interacts with interferon, just like I ask my neurologist the same thing. Plus, I read the instructions for both medications myself.

But let's assume not every patient will remember to do that.
I still believe specialists should have the authority to prescribe medication and order follow-up tests directly. That same specialist could easily be digitally linked to the primary care physician, rather than us running around with piles of paperwork and wasting both our time and theirs by duplicating work.

It’s not that I have anything against my own GP—not at all—but it’s exhausting to think that for every single test or check-up, I have to go to them first, wait for the appointment, wait for the booking, and then go back to them again, in an endless loop, all while the waiting rooms are always packed.

That’s exactly why I handle quite a few things privately. And I pay for supplemental insurance too. You really have to piece everything together just to get adequate treatment.

It all comes down to something incredibly basic, really—it’s just a matter of entropy, the second law of thermodynamics, and that one-way flow of time that we can't escape. ☕ I mean, look, I’m just saying that a primary care physician is really the only one who maintains a continuous view of a patient's history. He has access to a level of oversight that specialists simply can't provide, because, let's face it, our hypothetical patient didn't develop all these ailments simultaneously; first it was heart issues, then it was pulmonary. So, you have a pulmonologist finding himself in this awkward position where he's basically trying to override the cardiologist's treatment plan. You know what I mean?
I guess I could come up with a mountain of examples because this kind of situation happens all the time, really. It’s much like how medical checkups work; some people have to wait in line forever, while others somehow manage to get seen right before an inspection, and then there are those who face endless waiting periods... I suppose you just need someone else involved besides the specialist.

Kyle Lee7 said:I'm concluding that you must be a primary care physician. 😉

First of all, every specialist SHOULD take a full medical history and know exactly what medications the patient is currently taking and what other conditions they might be dealing with.
Why would you think a primary care doctor knows which drugs interact, but a specialist wouldn't?
For instance, when I see my pulmonologist once a year, she gets a complete report from me regarding my other diagnosis. I ask her if Singulair interacts with interferon, just like I ask my neurologist the same thing. Plus, I read the instructions for both medications myself.

But let's assume not every patient will remember to do that.
I still believe specialists should have the authority to prescribe medication and order follow-up tests directly. That same specialist could easily be digitally linked to the primary care physician, rather than us running around with piles of paperwork and wasting both our time and theirs by duplicating work.

It’s not that I have anything against my own GP—not at all—but it’s exhausting to think that for every single test or check-up, I have to go to them first, wait for the appointment, wait for the booking, and then go back to them again, in an endless loop, all while the waiting rooms are always packed.

That’s exactly why I handle quite a few things privately. And I pay for supplemental insurance too. You really have to piece everything together just to get adequate treatment.

That sounds nice in theory, I suppose, but it isn't exactly simple in practice. You’re only looking at two medications, whereas there are countless Americans over sixty-five who are juggling three or four different prescriptions daily... not to mention seeing just as many specialists. And then you have to consider those people who don't really prioritize their health—which, let's face it, is most of the population—and they probably don't even realize when they have an appointment or when it's actually time to see a specialist.

Kyle Lee7 said:I'm concluding that you must be a primary care physician. 😉

First of all, every specialist SHOULD take a full medical history and know exactly what medications the patient is currently taking and what other conditions they might be dealing with.
Why would you think a primary care doctor knows which drugs interact, but a specialist wouldn't?
For instance, when I see my pulmonologist once a year, she gets a complete report from me regarding my other diagnosis. I ask her if Singulair interacts with interferon, just like I ask my neurologist the same thing. Plus, I read the instructions for both medications myself.

But let's assume not every patient will remember to do that.
I still believe specialists should have the authority to prescribe medication and order follow-up tests directly. That same specialist could easily be digitally linked to the primary care physician, rather than us running around with piles of paperwork and wasting both our time and theirs by duplicating work.

It’s not that I have anything against my own GP—not at all—but it’s exhausting to think that for every single test or check-up, I have to go to them first, wait for the appointment, wait for the booking, and then go back to them again, in an endless loop, all while the waiting rooms are always packed.

That’s exactly why I handle quite a few things privately. And I pay for supplemental insurance too. You really have to piece everything together just to get adequate treatment.

Well, just imagine a system like this: you only ever deal with your own family doctor. They know everything about you—they're practically your confessor (if you can even wrap your head around how intimate that level of trust is). In such a setup, if a complication arises that exceeds their expertise, they consult a specialist—someone detached and objective. That specialist examines you and then sends you back to your regular doctor, accompanied by a letter ad manum medici (confidential, for the physician's eyes only). This letter would detail the examination, what was found, any suspicions, and provide specific advice to your doctor on how to proceed. It would suggest which medications to prescribe or which further tests to run.
In that kind of framework, your primary doctor acts as the central pillar.
You know, our system used to be somewhat like that, except... people seem to have forgotten. The entire concept has been inverted.

Kyle Lee7 said:I'm concluding that you must be a primary care physician. 😉

First of all, every specialist SHOULD take a full medical history and know exactly what medications the patient is currently taking and what other conditions they might be dealing with.
Why would you think a primary care doctor knows which drugs interact, but a specialist wouldn't?
For instance, when I see my pulmonologist once a year, she gets a complete report from me regarding my other diagnosis. I ask her if Singulair interacts with interferon, just like I ask my neurologist the same thing. Plus, I read the instructions for both medications myself.

But let's assume not every patient will remember to do that.
I still believe specialists should have the authority to prescribe medication and order follow-up tests directly. That same specialist could easily be digitally linked to the primary care physician, rather than us running around with piles of paperwork and wasting both our time and theirs by duplicating work.

It’s not that I have anything against my own GP—not at all—but it’s exhausting to think that for every single test or check-up, I have to go to them first, wait for the appointment, wait for the booking, and then go back to them again, in an endless loop, all while the waiting rooms are always packed.

That’s exactly why I handle quite a few things privately. And I pay for supplemental insurance too. You really have to piece everything together just to get adequate treatment.

And here's another thing: supplemental insurance basically only exists to waive copays. It isn't actually extra insurance; it's just a perk for repeat customers so they spend a little less out of pocket—nothing more than that. Its sole purpose is to pad the Medicare budget.
Help reading my blood test results? in Health ·
Daniel Bailey39 said:To make a long story short, I guess...🙄
The patient is on chemotherapy, and before the next round starts, they need blood work done (which is finished), and those results have to be reviewed by the doctor—not just some GP, but the actual specialist.
Well, our primary care physician basically told us that isn't her job, claiming she can't be responsible for someone else's medical issues, so I'm supposed to call the specialist myself😲 or just drive the results over to the hospital.😲 ☕

Okay, look, your situation is actually quite specific. Since the specialist is the one managing a therapy that follows such a strict protocol, your family doctor really doesn't have any involvement in it at all.

Your primary care physician simply doesn't have the authority to adjust, increase, prescribe, or cancel a treatment this intense and dangerous, especially since it's typically administered in a clinical setting.

Daniel Bailey39 said:So, is prescribing medication going to become a private matter now too? And honestly, why the hell won't the doctor just accept the results through the portal, when we go through all this massive headache with electronic health records for nothing?😠 😠

I'll say it again: prescribing chemo follows a very specific, specialized regimen. It isn't comparable to "standard" medication, so your case is different.

Maybe you should just call your specialist, let them know the tests are done, and then follow whatever instructions they give you.
I suppose there’s a fair amount of nonsense being posted here, though I guess this link might actually be worth a look

Regarding PCOS treatment—whether you're looking at birth control pills or clomiphene citrate if you're trying to conceive
it’s probably a decent way to handle things.
melloworca6 said:
Maria Gomez4 Asks:

That already exists! If you smoke, drink, or carry too much extra weight, you’re going to pay more for your health insurance. Of course, that isn't how things work here in America.
I’m not sure that’s really the right way to look at it. To me, that lady who loves mushrooms is just a reminder that in America, we actually do some incredibly advanced, high-level work that costs a fortune. In her case, her life was saved, and nobody blinked at the price tag. She received the kind of care you'd only find in a handful of places on this planet.

Anyway... since we've already started wading into all this ethical territory: here's one for you.
It’s the same hospital; a young woman attempted suicide and took a pill that completely wrecked her liver. Since she didn't die instantly—meaning they actually managed to start life-saving measures in time—they decided to go ahead with a liver transplant. For that kind of poisoning, it’s the only way to fix it, and it's a total emergency procedure.
No... did that 17-year-old—I think that was her age—actually deserve a life-saving organ? She attempted suicide, after all. Because of her, someone else didn't get that organ.

Look, if we're going by that logic, half the population shouldn't even have health insurance unless they're willing to pay through the nose for it. I mean, come on. Some people are just plain stupid.

And what about the hypochondriacs? Honestly, it drives me insane when I realize someone is just a total hypochondriac—getting every single damn test and specialist referral handed to them on a silver platter, only for it to turn out that absolutely everything is perfectly fine.

I know that stuff already exists overseas, and honestly, I’m fine with that. If you’re making a conscious choice to do something you know is going to wreck your health, then go ahead—just be prepared to pay a higher premium on your State Farm policy.

I asked her, and honestly, there are things she just doesn't get. I’ve gone through this mountain of immunological data myself, and while she has a vague idea of what's going on, if you actually sat her down and asked, "Hey, what does this elevated antibody level actually mean?" she wouldn't have a clue. But look, I get it. That's exactly why specialists exist. You go to the expert when you need someone to actually break down the details.

My immunologist looked at my labs—considering everything I’ve had removed and all those elevated markers they explained to me—and pointed out just one thing that was seriously high: the ANF. As for the rest of the antibodies? Honestly, I didn't have a clue what any of them actually did until I started doing some digging online. There are still several on my list where I don't have the slightest idea what they even mean.

My mind immediately goes to the administrative staff. The attitude those women have is just unbelievable. I’ve always been polite and decent; honestly, I’ve never walked into a place and snapped at someone just because I was having a bad day. It’s beyond me how someone can be that rude for absolutely no reason. You show up and ask a simple, standard question—which is literally what those people behind the desk are there for—and they practically tell you to get lost.

Like, sorry, I feel bad that you're having a rough day, or that you're stressed out, or that your job sucks... but I don't care. If I come in asking something nicely, I expect a nice response back. If I were being rude and someone snapped at me like that, I wouldn't say a word, but this kind of behavior is just incomprehensible to me.

One of these days, I am seriously going to lose it on that woman at the front desk. Either I'll snap, or I'll go straight to her supervisor and make a massive scene. You can have one bad day, but it can't be every single day. She is constantly rude, but last time, she almost sent me flying when I asked if she knew where a certain doctor was; she just slammed her little glass window shut in my face.

And besides, we have this centralized scheduling system at the hospital that's supposed to work by letting you call in to book an appointment. Do I really have to mention that those people act like they can't even pick up a phone? Or they just hang up because the line is "busy," forcing you to drive all the way down to the hospital just to schedule something. I can't wait for the online booking and email system to actually start working so I never have to deal with these people who refuse to do their jobs again.

I have to admit, regarding the medical staff itself, I haven't had any negative experiences yet, at least in terms of kindness. My only gripe so far is with the specialists; they don't seem to have the time to explain things properly before rushing you out the door. But then again, they aren't the ones to blame—it's the system.

I suppose they aren't necessarily unintelligent just because they’re taking advantage of a service they don't actually have to pay for; if anything, they might actually be quite clever, wouldn't you say? 🙂
I honestly feel that the cost of treating illnesses caused or worsened by clearly defined factors should be shifted directly onto those specific culprits—tobacco products, most notably. While alcohol is certainly a major driver, the number of people actually ending up needing liver transplants because of it seems relatively low compared to other issues; I suppose there is definitely a question regarding how we approach addiction treatment, but I have this nagging impression that it just isn't the massive problem that smoking is.

melloworca6 said:
Maria Gomez4 Asks:

That already exists! If you smoke, drink, or carry too much extra weight, you’re going to pay more for your health insurance. Of course, that isn't how things work here in America.
I’m not sure that’s really the right way to look at it. To me, that lady who loves mushrooms is just a reminder that in America, we actually do some incredibly advanced, high-level work that costs a fortune. In her case, her life was saved, and nobody blinked at the price tag. She received the kind of care you'd only find in a handful of places on this planet.

Anyway... since we've already started wading into all this ethical territory: here's one for you.
It’s the same hospital; a young woman attempted suicide and took a pill that completely wrecked her liver. Since she didn't die instantly—meaning they actually managed to start life-saving measures in time—they decided to go ahead with a liver transplant. For that kind of poisoning, it’s the only way to fix it, and it's a total emergency procedure.
No... did that 17-year-old—I think that was her age—actually deserve a life-saving organ? She attempted suicide, after all. Because of her, someone else didn't get that organ.

Look, if we're going by that logic, half the population shouldn't even have health insurance unless they're willing to pay through the nose for it. I mean, come on. Some people are just plain stupid.

And what about the hypochondriacs? Honestly, it drives me insane when I realize someone is just a total hypochondriac—getting every single damn test and specialist referral handed to them on a silver platter, only for it to turn out that absolutely everything is perfectly fine.

I know that stuff already exists overseas, and honestly, I’m fine with that. If you’re making a conscious choice to do something you know is going to wreck your health, then go ahead—just be prepared to pay a higher premium on your State Farm policy.

I asked her, and honestly, there are things she just doesn't get. I’ve gone through this mountain of immunological data myself, and while she has a vague idea of what's going on, if you actually sat her down and asked, "Hey, what does this elevated antibody level actually mean?" she wouldn't have a clue. But look, I get it. That's exactly why specialists exist. You go to the expert when you need someone to actually break down the details.

My immunologist looked at my labs—considering everything I’ve had removed and all those elevated markers they explained to me—and pointed out just one thing that was seriously high: the ANF. As for the rest of the antibodies? Honestly, I didn't have a clue what any of them actually did until I started doing some digging online. There are still several on my list where I don't have the slightest idea what they even mean.

My mind immediately goes to the administrative staff. The attitude those women have is just unbelievable. I’ve always been polite and decent; honestly, I’ve never walked into a place and snapped at someone just because I was having a bad day. It’s beyond me how someone can be that rude for absolutely no reason. You show up and ask a simple, standard question—which is literally what those people behind the desk are there for—and they practically tell you to get lost.

Like, sorry, I feel bad that you're having a rough day, or that you're stressed out, or that your job sucks... but I don't care. If I come in asking something nicely, I expect a nice response back. If I were being rude and someone snapped at me like that, I wouldn't say a word, but this kind of behavior is just incomprehensible to me.

One of these days, I am seriously going to lose it on that woman at the front desk. Either I'll snap, or I'll go straight to her supervisor and make a massive scene. You can have one bad day, but it can't be every single day. She is constantly rude, but last time, she almost sent me flying when I asked if she knew where a certain doctor was; she just slammed her little glass window shut in my face.

And besides, we have this centralized scheduling system at the hospital that's supposed to work by letting you call in to book an appointment. Do I really have to mention that those people act like they can't even pick up a phone? Or they just hang up because the line is "busy," forcing you to drive all the way down to the hospital just to schedule something. I can't wait for the online booking and email system to actually start working so I never have to deal with these people who refuse to do their jobs again.

I have to admit, regarding the medical staff itself, I haven't had any negative experiences yet, at least in terms of kindness. My only gripe so far is with the specialists; they don't seem to have the time to explain things properly before rushing you out the door. But then again, they aren't the ones to blame—it's the system.

And why on earth would they just hand them out like candy? I mean, let’s be honest—so many people outright lie about it. It’s a total classic when you look at disability benefits or those extended medical leaves... sometimes a person just doesn't feel like showing up to work, so they turn to a doctor and say, "Hey, write me something."
I suppose a doctor might be weak, or perhaps he simply lacks the necessary expertise, or maybe he’s just plain terrified—it could honestly be all of those things at once—but you have to believe that, deep down, he truly wants to help the man.
I guess you might recall that recent news story about the patient who was treated incredibly harshly by a doctor on the second shift; apparently, they just brushed her off because she hadn't scheduled an appointment, even though she showed up specifically because she was in pain.
Look, I really have no desire to see my name being dragged through the papers!

melloworca6 said:
Maria Gomez4 Asks:

That already exists! If you smoke, drink, or carry too much extra weight, you’re going to pay more for your health insurance. Of course, that isn't how things work here in America.
I’m not sure that’s really the right way to look at it. To me, that lady who loves mushrooms is just a reminder that in America, we actually do some incredibly advanced, high-level work that costs a fortune. In her case, her life was saved, and nobody blinked at the price tag. She received the kind of care you'd only find in a handful of places on this planet.

Anyway... since we've already started wading into all this ethical territory: here's one for you.
It’s the same hospital; a young woman attempted suicide and took a pill that completely wrecked her liver. Since she didn't die instantly—meaning they actually managed to start life-saving measures in time—they decided to go ahead with a liver transplant. For that kind of poisoning, it’s the only way to fix it, and it's a total emergency procedure.
No... did that 17-year-old—I think that was her age—actually deserve a life-saving organ? She attempted suicide, after all. Because of her, someone else didn't get that organ.

Look, if we're going by that logic, half the population shouldn't even have health insurance unless they're willing to pay through the nose for it. I mean, come on. Some people are just plain stupid.

And what about the hypochondriacs? Honestly, it drives me insane when I realize someone is just a total hypochondriac—getting every single damn test and specialist referral handed to them on a silver platter, only for it to turn out that absolutely everything is perfectly fine.

I know that stuff already exists overseas, and honestly, I’m fine with that. If you’re making a conscious choice to do something you know is going to wreck your health, then go ahead—just be prepared to pay a higher premium on your State Farm policy.

I asked her, and honestly, there are things she just doesn't get. I’ve gone through this mountain of immunological data myself, and while she has a vague idea of what's going on, if you actually sat her down and asked, "Hey, what does this elevated antibody level actually mean?" she wouldn't have a clue. But look, I get it. That's exactly why specialists exist. You go to the expert when you need someone to actually break down the details.

My immunologist looked at my labs—considering everything I’ve had removed and all those elevated markers they explained to me—and pointed out just one thing that was seriously high: the ANF. As for the rest of the antibodies? Honestly, I didn't have a clue what any of them actually did until I started doing some digging online. There are still several on my list where I don't have the slightest idea what they even mean.

My mind immediately goes to the administrative staff. The attitude those women have is just unbelievable. I’ve always been polite and decent; honestly, I’ve never walked into a place and snapped at someone just because I was having a bad day. It’s beyond me how someone can be that rude for absolutely no reason. You show up and ask a simple, standard question—which is literally what those people behind the desk are there for—and they practically tell you to get lost.

Like, sorry, I feel bad that you're having a rough day, or that you're stressed out, or that your job sucks... but I don't care. If I come in asking something nicely, I expect a nice response back. If I were being rude and someone snapped at me like that, I wouldn't say a word, but this kind of behavior is just incomprehensible to me.

One of these days, I am seriously going to lose it on that woman at the front desk. Either I'll snap, or I'll go straight to her supervisor and make a massive scene. You can have one bad day, but it can't be every single day. She is constantly rude, but last time, she almost sent me flying when I asked if she knew where a certain doctor was; she just slammed her little glass window shut in my face.

And besides, we have this centralized scheduling system at the hospital that's supposed to work by letting you call in to book an appointment. Do I really have to mention that those people act like they can't even pick up a phone? Or they just hang up because the line is "busy," forcing you to drive all the way down to the hospital just to schedule something. I can't wait for the online booking and email system to actually start working so I never have to deal with these people who refuse to do their jobs again.

I have to admit, regarding the medical staff itself, I haven't had any negative experiences yet, at least in terms of kindness. My only gripe so far is with the specialists; they don't seem to have the time to explain things properly before rushing you out the door. But then again, they aren't the ones to blame—it's the system.

Sigh. I usually just hop online to look up whatever is going on with a patient; most of the time, I really only need a quick refresher. I have to admit, there are plenty of things I used to think were groundbreaking, yet it turns out they’re just standard practice that my colleagues handle perfectly well. Then again, maybe it just comes down to the individual or the specific nature of the illness.
I suppose the real issue here boils down to trust—trust in the system and trust in our doctors. While I'll admit the system could certainly be performing better, it does function, and maybe there really isn't any need to descend into such widespread panic.
melloworca6 said:Alright people, what exactly were they supposed to do? Tell her, "Hey, you're being an idiot, so we're just not going to bother trying to save you"?

She isn't the first, and she certainly won't be the last, to pull something this stupid. When someone gets drunk or high behind the wheel and slams into a wall, what's the protocol then? What do we do with people like that?

There are endless examples if you look for them. If we start judging who deserves medical care based on their own screw-ups, we’ll end up being worse than the US.

Look, you have to realize that money isn't infinite; our budget is already massive and, frankly, unrealistic, so those funds and resources have to be taken from somewhere!
From whom?
From pregnant women? From people with the flu? From ICU patients? Or palliative care? It doesn't matter, but all those resources—the operating room, the prep work, flying an organ in from another state via Air Force One—it all costs an enormous amount. I might be exaggerating, but I wouldn't be surprised if it's close to a million dollars. This woman underwent an experimental procedure where they transplanted a liver from a different blood type! Hello?! That is straight out of a space-age sci-fi movie.
And all of that implies that someone else who actually needed that liver didn't get it, or someone who should have been operated on immediately had to wait because the OR was occupied. It means surgeries were postponed and people were left waiting because the surgeons and staff were tied up. Maintaining that organ requires incredibly expensive medications and oversight from a top-tier clinic like the Mayo Clinic... which is great, really, but I honestly don't know who is going to foot the bill. I'm just not sure our economy can sustain that level of medical intervention.

And yeah, I have this intense urge to go visit the lady, but I probably shouldn't for ethical reasons (besides the fact that she was "my patient" back in my med school days 🙂, so I definitely remember her, even her name)
Nolicev - tendon rupture in Health ·
Anthony Perez55 said:I'm just not sure. My doctor really threw me for a loop today. She insisted nothing was actually serious and told me I should probably tell my wife that I'm perfectly healthy, since apparently this bacterium is just some common thing or whatever... I don't even know. Then she tells me to take Nolicev. So, naturally, I go to read the instructions for the medication and I stumble upon this absolute garbage.

Just take the medicine, skip the workouts for a few days, and call it a day. I mean, is it really that difficult to do such a small thing for your own sake and your wife's health?

Tendons are stronger than bone; they don't just snap like that...
Nolicev - tendon rupture in Health ·
So, what does it actually say regarding how common that side effect is?
I really hope you aren't engaging in unprotected sex... because I suppose you'd just end up passing that bacteria right along to your partner.

Generally speaking, UTIs seem to be much less frequent in men than they are in women, though I guess they tend to be a bit more stubborn when they do occur.