Will it be Twitter or Facebook which saves the planet, Han? <giggle>
Tomorrow is the most important thing in life. Comes into us at midnight
very clean. It's perfect when it arrives and it puts itself in our hands.
It hopes we've learned something from yesterday.
-- John Wayne
On Wed, 4 Jul 2012 00:45:45 -0600, Just Wondering wrote
I was thinking of something that requires a prescription (i.e. antibiotics)
and ergo, an office visit.
I'm fortunate in that I've only been to the doctor twice in the past 30 years
for blood test followups. At work we get biannual 'clinics' where they do
basic blood tests and check basic health parameters.
However there are bacterial illnesses that resemble a cold. You are
being pedantic about the definition.
For most people if their head is stopped up and they have a cough and
sore throat, it's a "cold" until they get to the doctor and find out
that it's throat cancer complicated by tuberculosis and pneumonia.
99.99% of us recognize the symptoms. The hypochondriacs go to the
doctor for diagnosis. I know plenty of people that went to the doctor
with a cold. They did no lab tests as you suggest, but told them to
take two aspirin.
Doctors used to sometimes prescribe anti-biotics to some of these
people just to make them feel better, thus they built immunity to them
the build a resistance to them
You original doctor was probably incompetent; shame that it took a
some time to realize that. Some doctors are so you have to take some
responsibility for your diagnosis and treatment, do research, get
That's why my wife hates to make checkup appointments. But if she says
she has a problem, she can get an appointment very soon. Of course, if
there is a nagging little problem, where on the scale does that fall?
In other words, have you tried saying it is a near emergency to your
OK, that's different and yes, a doctor should be seen.
That situation sucks. The facilities we use operate much better. The
doctors keep open one or two slits a day for such things. If your
primary car physician can't see you, they send you to Urgent Care
where they will see you within a couple of hours. Even on a Sunday.
Should none of those be available for any reason, we have two walk in
clinics in town, one is open 7 days a week.
Before Medicare, my wife did go to the ER. After treatment, the
doctor gave her a choice, she was borderline for admitting but he
would put her in the hospital if she wanted. She elected to return
home, thus saving the insurance company a bunch of money, but costing
me $100 co-pay for an ER visit. If admitted, there was no co-pay.
We have Medicare and a good supplement. There are no additional costs
out of pocket so we can go wherever we want for any reason. Nice to
know you have the option, even if never used.
For better or worse,, yes.
When I was still under my employer's plan the co-pay for an ER visit
went from $100 to $200. I can understand the reason, other options
(Urgent Care) are available and should be used. OTOH, I have to wonder
if really serious situations are put off because people are afraid of
or cannot afford $200.
That's a problem with the system and/or people's perception. There should
be walk-in clinics with fairly low charges to the patient, merely to help
the patient find out whether there is something bad going on that requires
higher level intervention, or something that can be remediated with a
simple pain killer. Doesn't really matter whether that is a few slots at
the person's regular primary care physician (I'd prefer that), or at a
But that would cost you and the "system" probably $200 a pop, or more. Who
Not "ergo." An office visit for a prescription is not required. My doctor
trusts my self-diagnosis and honors my request for prescriptions. I usually
fax the request, outlining my symptoms and virtually always his staff calls
back in a few hours to tell me the prescription has been called in to the
For example, my last fax was some months ago and quite simple:
"I've got my once-every-five-years bout of sinusitis and need an appropriate
Here's my basic rule: "When I was younger, I went to the doctor when I got
sick. In my elder years, I go to the doctor to keep from getting sick." In
your case, you should have your doc review your semi-annual blood tests to
verify these tests are complete enough for you.
For example, do they test for venereal diseases? Chastic fibrosis (a disease
usually found in foxes)? He my suggest some supplementary inquiries.
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