Bad doctors

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dabuddha

Lifer
Apr 10, 2000
19,579
17
81
Originally posted by: moshquerade
Originally posted by: jandrews
he did his job like most dr's do, ensure the patient gets no pain medication, gives medicine that is worthless yet expensive and also belittles you and makes you feel dumb, sounds about right. I bet doctors like him hate that the internet exists where patients can find out info for themselves nowadays.

sure he did his job, but is it too hard to be even a little bit pleasant? going to the doctors isn't fun as it is, and it's even worse when the doc is stuck on himself.

bedside manner ftw

Sarcasm meter broken today?
 

Steve

Lifer
May 2, 2004
15,945
11
81
I'm Dr. Steven Poop. I'm sorry, there's absolutely nothing I can do for your son. But... I can do The Robot. [does the Robot] That'll be $5,000. Good day.
 

insect9

Senior member
Jun 19, 2004
954
0
76
My (married) sister went to her doctor and asked her about birth control, the doctor told her to keep her legs shut. Now THATS a bad doctor...
 

moshquerade

No Lifer
Nov 1, 2001
61,504
12
56
Originally posted by: Steve
I'm Dr. Steven Poop. I'm sorry, there's absolutely nothing I can do for your son. But... I can do The Robot. [does the Robot] That'll be $5,000. Good day.
You should change that last name... for professional reasons. :p
 

chusteczka

Diamond Member
Apr 12, 2006
3,399
3
71
Originally posted by: Joemonkey
...
I say "ok, but every anti inflammatory i've ever taken screws up my stomach pretty bad" and he says "yeah they do that to everyone, and this one is particularly bad, but you need to be on this for 7 days for the inflammation to come down, just take it with food and watch for blood in your stool"

again "ok..." and he walks out after handing me the prescription.

Indomethacin http://www.nlm.nih.gov/medline...medmaster/a681027.html is the NSAID btw.

After a while, the nurse comes in, gives me a shot of kenalog http://www.netdoctor.co.uk/medicines/100001412.html
...

NSAIDs such as indomethacin may cause ulcers, bleeding, or holes in the stomach or intestine. These problems may develop at any time during treatment, may happen without warning symptoms, and may cause death. The risk may be higher for people who take NSAIDs for a long time, are older in age, have poor health, or drink large amounts of alcohol while you are taking indomethacin. Tell your doctor if you take any of the following medications: anticoagulants ('blood thinners') such as warfarin (Coumadin); aspirin; other NSAIDS such as diflunisal (Dolobid), ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn); or oral steroids such as dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), and prednisone (Deltasone). Also tell your doctor if you have or have ever had ulcers or bleeding in your stomach or intestines or other bleeding disorders. If you experience any of the following symptoms, stop taking indomethacin and call your doctor: stomach pain, heartburn, vomiting a substance that is bloody or looks like coffee grounds, blood in the stool, or black and tarry stools.

It may help to eat foods that will coat your stomach. It may further help to eat a lot of yogurt. Yogurt will increase your probiotic digestive bacteria and this may help decrease the amount of damage done to your digestive tract.

However, do not eat the yogurt if you have acute pancreatitis.
The use of probiotics in some situations can be potentially fatal. They have been shown to increase the death rates, when used in patients with acute pancreatitis.
 

NanoStuff

Banned
Mar 23, 2006
2,981
1
0
Originally posted by: Pliablemoose
Many physicians view back pain complaints as an excuse to ask for narcotics, and in his defense, you seem to have asked for a specific drug or class of drugs.

Don't know what you do for a living, but how do you like it when someone tells you how to do your job?

This is the the kind of bullshit that makes me avoid GPs wherever possible. THEIR job is to listen to what the customer is asking for and do their best to provide what is requested.

You go to a store looking for a specific television set, HOW DARE YOU! Stop telling salesman how to sell you products! Lousy customers think they know what they want.
 

Gooberlx2

Lifer
May 4, 2001
15,381
6
91
Originally posted by: waggy
Originally posted by: Joemonkey
Originally posted by: waggy
to be fair don't blame the doctor. the DEA is going after doctors who they think are prescribing to many pain pills.

So to avoid trouble they are cutting back.

Are you serious? I don't know why I never thought of this but it makes perfect sense. It pisses me off that yet again there is a BS reason for such a thing, just like requiring certain meds to now be behind the Rx counter because it is possible to make meth with them.

you would be really amazed how bad it is getting. in some places you are only allowed a limit on pain pills UNLESS whatever you have is going to kill you (such as cancer). So people who need them just to get through the day are refused treatement.

take a few minutes and do a lookup on it. There are forums for people with chronic pain and many have problems with getting what they need because doctors are cutting back.

Moreover, unless you're well acquainted, with a long established history, with the staff at some ERs, they can treat you like a drug seeker when you visit for a chronic pain condition. My wife has lupus and gets migraines every month. Maybe twice a year they're so bad we need to go to the ER. When we go we always explain her illnesses, the migraines and how they're usually treated at ERs. There have been a few times that, even with notes and contact from our neurologist, the ER staff completely and obviously intentionally treated us like junkies.

My wife has bad veins (thin, deep, rolling, plus reynauds which makes things hell). But even then there's no reason the nurse should have to actually stir and dig the fucking IV needle in her arm; not to mention their extremely rude and insulting bedside manners. (this particular instance was in Florida at a hospital new to us, Sebatian River Medical Center).

At the end of that night the supervising doc refused to administer medication (only gave her fluids) despite having actually talked with her neurologist, who agreed with our standard treatment.

On our way out I actually overheard the bitch nurse commenting to her co-worker that "she just wants pain medications." Oh yes, because certainly young age + knowledge one's own condition + knowledge of pain management = junkie. I reported the shit outta her but nothing came of it. Our neurologist was pissed and submitted a complaint of her own...again nothing came of it.

Bah! I get so enraged thinking about that night.

edit: That was during the 10 months we lived in Florida. The ER we visit in Denver for this stuff knows us and treats us very well (Presbyterian/St. Lukes). I'm so happy we're back in Denver.
 

waggy

No Lifer
Dec 14, 2000
68,143
10
81
Originally posted by: Gooberlx2
Originally posted by: waggy
Originally posted by: Joemonkey
Originally posted by: waggy
to be fair don't blame the doctor. the DEA is going after doctors who they think are prescribing to many pain pills.

So to avoid trouble they are cutting back.

Are you serious? I don't know why I never thought of this but it makes perfect sense. It pisses me off that yet again there is a BS reason for such a thing, just like requiring certain meds to now be behind the Rx counter because it is possible to make meth with them.

you would be really amazed how bad it is getting. in some places you are only allowed a limit on pain pills UNLESS whatever you have is going to kill you (such as cancer). So people who need them just to get through the day are refused treatement.

take a few minutes and do a lookup on it. There are forums for people with chronic pain and many have problems with getting what they need because doctors are cutting back.

Moreover, unless you're well acquainted, with a long established history, with the staff at some ERs, they can treat you like a drug seeker when you visit for a chronic pain condition. My wife has lupus and gets migraines every month. Maybe twice a year they're so bad we need to go to the ER. When we go we always explain her illnesses, the migraines and how they're usually treated at ERs. There have been a few times that, even with notes and contact from our neurologist, the ER staff completely and obviously intentionally treated us like junkies.

My wife has bad veins (thin, deep, rolling, plus reynauds which makes things hell). But even then there's no reason the nurse should have to actually stir and dig the fucking IV needle in her arm; not to mention their extremely rude and insulting bedside manners. (this particular instance was in Florida at a hospital new to us, Sebatian River Medical Center).

At the end of that night the supervising doc refused to administer medication (only gave her fluids) despite having actually talked with her neurologist, who agreed with our standard treatment.

On our way out I actually overheard the bitch nurse commenting to her co-worker that "she just wants pain medications." Oh yes, because certainly young age + knowledge one's own condition + knowledge of pain management = junkie. I reported the shit outta her but nothing came of it. Our neurologist was pissed and submitted a complaint of her own...again nothing came of it.

Bah! I get so enraged thinking about that night.

edit: That was during the 10 months we lived in Florida. The ER we visit in Denver for this stuff knows us and treats us very well (Presbyterian/St. Lukes). I'm so happy we're back in Denver.


yeap. I have a good history with my doctor, Pain clinic, and ER people. most on the ER know me well enough to know i am not fakeing or looking for drugs. though one time they did. UNTIL th ehead of the ER came in to say hi to me (he had perfemed emrgancy surgery on me a few times for collapsed lung). when he found out itha ti was there and they were ignoring me he go tpissed. in 10 minutes i had pain meds.

last time i was in the ER a orderly had lift me from my van to the wheelchair. when i got in the nurse/er docs had stuff ready. they know the situation.

also i should mention the pain clinic and chronic pain group i go to are in the hospital. the chronic pain group has a pain specilist and a ER doctor come in.

problem is you have doctors who have an attitude like moose's "Honestly if I ran across you at the hospital or in a work setting where I was involved with your care, I'd be VERY guarded with what I did & or told you because patients with chronic pain can be the patient that really makes your day suck because they're so demanding and manipulative" while there are many who are just out for drugs treating and thinking everyone that is in pain is looking for them does damage also.

 

OutHouse

Lifer
Jun 5, 2000
36,410
616
126
Originally posted by: dhcloud
My (married) sister went to her doctor and asked her about birth control, the doctor told her to keep her legs shut. Now THATS a bad doctor...

no way.
 

Pliablemoose

Lifer
Oct 11, 1999
25,195
0
56
Originally posted by: waggy


problem is you have doctors who have an attitude like moose's "Honestly if I ran across you at the hospital or in a work setting where I was involved with your care, I'd be VERY guarded with what I did & or told you because patients with chronic pain can be the patient that really makes your day suck because they're so demanding and manipulative" while there are many who are just out for drugs treating and thinking everyone that is in pain is looking for them does damage also.

Sorry man, been burned one too many times to trust chronic pain patients...

Like I said, I like my current setting where the only issue addressed is post op pain.

Had a guy yesterday, gave him morphine, dilaudid, and then gave him 40 mg of hydrocodone & sent him home with my fingers crossed. (and I went to bat for the guy & got extra drugs for him, because my role isn't to fix the opiate addiction in my setting.)

Had a guy Monday who was screaming after a very simple procedure (colonoscopy), I mean give me a freaking break, we do 90+ year olds who don't even wince, and have had people that have accidentally had their colons perforated who were less symptomatic...

Pain is a very individualized response, I'm as empathetic as I can possibly be with my patients, but I've had my words twisted & thrown in my face, had the patient run to supervisors, and management etc, I have as a result become very careful and am as transparent as I can possibly be with chronic pain patients, "It isn't my call, I don't have prescriptive authority, and I'm not looking out through your eyes."
 

rudder

Lifer
Nov 9, 2000
19,441
86
91
Originally posted by: Gothgar
drive to mexico and buy a shit load of vicadin

Just goto a local "pain clinic." I had some back issues as well and after going to a Othropaedic doctor (and not requesting painkillers)... after MRI's and body scans nothing was done. LOL, i went to a pain clinic and walked out with a prescription for percocet, ultram, and a muscle relaxant. I was not even seen by a doctor. I was just after the muscle relaxants since they normally did the trick. Never went back because it took me 4+ hours to see the physicians assistant. This is Tennessee and most of the people in the place had the state healthcare insurance Tenncare and were getting their free fix.

Probably would have saved time to drive down to Mexico and get a crap load of pills.
 

Pacfanweb

Lifer
Jan 2, 2000
13,158
59
91
Indocin is the brand name. I took it for a long time for my back. When it says "take with food or milk", it MEANS it.

BTW....do you know what they call the medical student that graduates last in his class?

"Doctor"

There's good ones and bad ones, just like every other profession.
 

waggy

No Lifer
Dec 14, 2000
68,143
10
81
Originally posted by: Pliablemoose
Originally posted by: waggy


problem is you have doctors who have an attitude like moose's "Honestly if I ran across you at the hospital or in a work setting where I was involved with your care, I'd be VERY guarded with what I did & or told you because patients with chronic pain can be the patient that really makes your day suck because they're so demanding and manipulative" while there are many who are just out for drugs treating and thinking everyone that is in pain is looking for them does damage also.

Sorry man, been burned one too many times to trust chronic pain patients...

Like I said, I like my current setting where the only issue addressed is post op pain.

Had a guy yesterday, gave him morphine, dilaudid, and then gave him 40 mg of hydrocodone & sent him home with my fingers crossed. (and I went to bat for the guy & got extra drugs for him, because my role isn't to fix the opiate addiction in my setting.)

Had a guy Monday who was screaming after a very simple procedure (colonoscopy), I mean give me a freaking break, we do 90+ year olds who don't even wince, and have had people that have accidentally had their colons perforated who were less symptomatic...

Pain is a very individualized response, I'm as empathetic as I can possibly be with my patients, but I've had my words twisted & thrown in my face, had the patient run to supervisors, and management etc, I have as a result become very careful and am as transparent as I can possibly be with chronic pain patients, "It isn't my call, I don't have prescriptive authority, and I'm not looking out through your eyes."

and thats why those of us with chronic pain suffer daily because doctors refuse to actually give enough to reduce (sometimes not possible) or elimanate the pain.

while yes there are drug seakers (ran in a few myself wanting MY drugs) not all are.

Originally posted by: rudder
Originally posted by: Gothgar
drive to mexico and buy a shit load of vicadin

Just goto a local "pain clinic." I had some back issues as well and after going to a Othropaedic doctor (and not requesting painkillers)... after MRI's and body scans nothing was done. LOL, i went to a pain clinic and walked out with a prescription for percocet, ultram, and a muscle relaxant. I was not even seen by a doctor. I was just after the muscle relaxants since they normally did the trick. Never went back because it took me 4+ hours to see the physicians assistant. This is Tennessee and most of the people in the place had the state healthcare insurance Tenncare and were getting their free fix.

Probably would have saved time to drive down to Mexico and get a crap load of pills.

thats one crappy pain clinic. the one i go to keeps track of what he gives (can only get pain pills from my PC doctor and pain clinic unless a emergancy) and where it is filled. he will not give more unless he really thinks its needed.

I have a fear of getting addicted to pain meds. He and i talk about that a lot. so we try to use the minimum amount possible (heh even though my wife bitches about it). he even push's for more becuase sometimes it does not work (wich is why the ER know me so well LOL).

but over all the guy is great. he understands what and why i have pain. not to mention his nurse is fricken hot.
 

Joemonkey

Diamond Member
Mar 3, 2001
8,859
4
0
Back from seeing this doctor, she actually did a thorough back examination, starting at the top/middle and poking lightly down both sides of my spine until she got to the localized point of pain. Also checked my reflexes, had me lay down and did some things w/ my legs.

She said the other doctor's diagnosis was probably correct, bulging disc, but would need an xray then MRI to be sure (she said the xray wouldn't show anything, but due to insurance the xray would have to be done before the MRI). She also stated the NSAID he prescribed me was the worst on your stomach with the worst possible side effects and didn't think it was necessary, told me to take Diclofenac Sodium, which I already have a more or less unlimited prescription of at home. Also gave me a different muscle relaxer to try at night so I can sleep. We'll see how it goes.
 

moshquerade

No Lifer
Nov 1, 2001
61,504
12
56
Originally posted by: Joemonkey
Back from seeing this doctor, she actually did a thorough back examination, starting at the top/middle and poking lightly down both sides of my spine until she got to the localized point of pain. Also checked my reflexes, had me lay down and did some things w/ my legs.

She said the other doctor's diagnosis was probably correct, bulging disc, but would need an xray then MRI to be sure (she said the xray wouldn't show anything, but due to insurance the xray would have to be done before the MRI). She also stated the NSAID he prescribed me was the worst on your stomach with the worst possible side effects and didn't think it was necessary, told me to take Diclofenac Sodium, which I already have a more or less unlimited prescription of at home. Also gave me a different muscle relaxer to try at night so I can sleep. We'll see how it goes.
that's more like it. :thumbsup:
 

Leros

Lifer
Jul 11, 2004
21,867
7
81
Originally posted by: Pliablemoose
Joemonky, you have to understand how frustrating it is to treat back pain, it's something the medical community isn't particularly good at.

One of my ex-girlfriends had terrible back pains. She went to chiropractors, different specialists, took all kinds of medications, etc. Nothing helped. She was telling me that sometime last year she tried smoking pot with some friends and that afterwards her pain almost completely went away for about a week. Now she regularly smokes some medical grade pot (illegally acquired) every weekend and her pain is much better.