Do your own research. Check to see what other hospitals or doctors are doing to treat what you have. Advocate for yourself if you feel you are not getting the best care for your condition. If you have to go to where they specialize in your problem go. It's your life, don't settle for second best when it come to treatment.

Origen (imported) wrote: Tue Jan 04, 2011 6:07 am it is very different in a Health Care system where doctors' pay is not related to the number of tests they commission...

In California it has been illegal and enforced,

that doctors may not profit via tests they order.

Also such a system does exist, it is called an HMO or "managed care". Y'like that medicine?

Over testing is more a result of a defensive medicine strategy forced on physicians.

Maybe the best system is one where doctors are free to be physicians.

Moi

Sympathies to serial patients. Really.

moi621 (imported) wrote: Tue Jan 04, 2011 7:29 pm Maybe the best system is one where doctors are free to be physicians.

EXACTLY what do you mean by that? What should they be allowed to do? What should they NOT be allowed to do?

Based on my personal experiences, what I have read and what I have seen on TV, I think that most physicians do an extremely poor job of correctly diagnosing and correctly treating chronic illnesses.

curious_guy (imported) wrote: Wed Jan 05, 2011 12:46 am EXACTLY what do you mean by that? What should they be allowed to do? What should they NOT be allowed to do?

Physicians have pressures to practice this way or that.

The HMO punishes, over testing and Kaiser, San Jose killed my best buddy via waiting over three months to remove a lung tumor. No HMO doc to stand up for him against the delay as they want to keep their jobs. Liability is all handled by, Kaiser, Inc.

The non HMO doctor has to practice defensively as to cover liability and not just practice good medicine. So they resort to "cook books" to demonstrate, bases covered. The quality of the covering is not foremost in their minds.

Managed Care of any sort. The doc believes an ultrasound study is indicated, they must receive the permission from the Insurance Company first. And who is that voice giving or denying approval?

Not another M.D.! This combined with having to know everyone's drug formulary, as in one Insurance Company will only cover this "statin" and another company, that "statin"

DOCTORS ARE NOT FREE TO BE PHYSICIANS.

In previous posts I have offered how to organize health care and addressed abuse. We have computers today, too.

This upload was simply to demonstrate some pressures on docs to practice this way or that, even as goes against training because y'can't fight the system. Imagine how many minutes of administrative time a doc spends for every minute of patient contact time. Sitting on hold with an insurance company, etc. is time consuming.

Is it any wonder Physicians suffer burn out?

Caring personalities as did not choose to be lawyers or in the banking/business complex, not allowed to do their best.

Moi

I don't know if this on the same level but a while back I was having mild sleep problems (constantly waking up every hour, not getting back to sleep for another couple of hours etc...), maybe be classed as mild imsomnia.

Well I went to see my local GP about this issue and without even discussing any other form of sleep arrangement or any other reasons behind it, he had prescribed me this new form of sleep medication which although it did help cure it, made me feel just as horrible for the couple of weeks I was on it. I would have thought there may have been a natural solution before he gave a 19 year old really strong sleeping pills!

Glasgow_kiss (imported) wrote: Wed Jan 05, 2011 8:26 pm I don't know if this on the same level but a while back I was having mild sleep problems (constantly waking up every hour, not getting back to sleep for another couple of hours etc...), maybe be classed as mild imsomnia.

Well I went to see my local GP about this issue and without even discussing any other form of sleep arrangement or any other reasons behind it, he had prescribed me this new form of sleep medication which although it did help cure it, made me feel just as horrible for the couple of weeks I was on it. I would have thought there may have been a natural solution before he gave a 19 year old really strong sleeping pills!

So what ! ?

Did you initiate a discussion requesting a mild, natural remedy?

Oh, your GP was not a mind reader.

Well maybe, just maybe YOU should take an active role in a discussion with your GP.

If you are not happy with the results of trying to discuss items, fire him and get a new GP.

Again.

SO WHAT ! ?

PS

there is no newer sleeping pill then 19 years. Benzodiazipines all over again.

moi621 (imported) wrote: Wed Jan 05, 2011 10:52 pm So what ! ?

Did you initiate a discussion requesting a mild, natural remedy?

Oh, your GP was not a mind reader.

Well maybe, just maybe YOU should take an active role in a discussion with your GP.

If you are not happy with the results of trying to discuss items, fire him and get a new GP.

Again.

SO WHAT ! ?

PS

there is no newer sleeping pill then 19 years. Benzodiazipines all over again.

Well I would have liked the chance to have initiate some kind of conversation but as soon as I had even mentioned sleeping problems he had started writing out the prescription, from what I have read myself there's no one size fits all approach to sleep problems. Plus it isn't simply a case of getting a new doctor as you don't get a choice as to which doctor you see, its whoevers free soonest. The problem stems from lack of doctors...

IIRC it was zopiclone I was given and it may have just started getting used on the NHS because a person I know who's a nurse nearby was still administering diazepam for patients with sleep problems.

Glasgow_kiss (imported) wrote: Thu Jan 06, 2011 1:00 am Well I would have liked the chance to have initiate some kind of conversation but as soon as I had even mentioned sleeping problems he had started writing out the prescription, from what I have read myself there's no one size fits all approach to sleep problems. Plus it isn't simply a case of getting a new doctor as you don't get a choice as to which doctor you see, its whoevers free soonest. The problem stems from lack of doctors...

IIRC it was zopiclone I was given and it may have just started getting used on the NHS because a person I know who's a nurse nearby was still administering diazepam for patients with sleep problems.

You are 19?

Well, you seem at least a 'little informed'.

Is your Practitioner THAT unapproachable that you cannot have ANY conversations; or are you in a country where you have NO choices?

'Insomnia' is typically a lifestyle "Ailment" more that a physical malady (until you get a lot older).

Try keeping a record (journal) of what you do, and especially eat during the day. Include stess or strenuous activities at work.

Do you go on benges, frequently stay up or out all night, [out-of-ordinary 'timeclock' habits]; for example? Do ANY sleeping during the day? Eat a lot of Sugar, drink caffeinated drinks, love too much chocolate? Are you over weight, or a couch potatoe?

Some people 'store' a lot in their systems, and it takes all night to disipate, or digest. Your intestines absorb things from wastes, too. You might be surprised just what might 'keep' you awake. Most of the time, it is food-related.

Then DO YOUR HOMEWORK.

Decipher what on your list might be a culprit to your malady. Stop it, and see if you sleep better.

It is easier to pop a pill, though.

moi621 (imported) wrote: Wed Jan 05, 2011 5:20 pm Physicians have pressures to practice this way or that.

DOCTORS ARE NOT FREE TO BE PHYSICIANS.

This upload was simply to demonstrate some pressures on docs to practice this way or that, even as goes against training because y'can't fight the system. Imagine how many minutes of administrative time a doc spends for every minute of patient contact time. Sitting on hold with an insurance company, etc. is time consuming.

Is it any wonder Physicians suffer burn out?

Caring personalities as did not choose to be lawyers or in the banking/business complex, not allowed to do their best.

Moi

Well, that's indicative of the physician who DEPENDS upon the customer's insurance for an income. A physician who is worth his salt, like any good lawyer, wouldn't need to participate in an HMO or Managed Care Association.

But they also have laws, (like) hospitals cannot turn away anyone if they accept Federal funds, so they end up dealing with Insurance.

And yes, the average customer (err, Patient) gets 5 minutes with the physician, and 2 hours with his/her support staff.

It's their own doing.

Doctors have spent the last 100 or so years steadily working to convince the general population that they are ELITE, and deserve to be treated 'better that you'. That they deserve to be paid ungodly sums for a few moments of their time. They met in conventions, and discussed different area fees, and vowed to unite and work on their elitist desires. AND, they still do!

Anyone know where the 1st physicians convention was held? It's not hard . . .

50+/- years ago, the Insurance companies jumped in to offer poor folks a way to have the elitist's services for a few dollars a week, or month, or year.

Greed took over, and lk at the mess they've created.

moi621 (imported) wrote: Wed Jan 05, 2011 5:20 pm Is it any wonder Physicians suffer burn out?

Caring personalities as did not choose to be lawyers or in the banking/business complex, not allowed to do their best.

Disagree . . ain't no such thing. OK . . . I KNOW there are a few good, kind, caring physicians out there, but it's still all about the money for most.

When I was in college, I had 2 roommates in a house of 8, who were medical students. A future with loads of $ was all they talked about.

It's always $.