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Kittens +  Grenade

This is bullshit

No, I am quite sure my current state of fatigue and short breath are not due to depression or stress. I swear, this doctor asked everything except what might possibly be relevant. He asked how I broke my ankle, how long ago I was diagnosed with depression, commented that 200mg is a very high dose of Zoloft, am I under any unusual stress.... Asked about family history, which should have been in my charts that he was looking at...

Some chest-taps and an EKG later, we do not know what's wrong. My lungs aren't congested, my heart looks fine (mind you, thank goodness for that). I'm supposed to go in for blood work tomorrow morning - before having breakfast. Naturally. Blood sugar is gonna be brutal, on top of my current fatigue. I'm honestly not sure how I'll manage.

In the meantime, the fatigue affects my concentration, coordination and balance. I can't go in to work, but I can't AFFORD to miss much more work. I'd manage to get to my desk and pass out.

Most annoying of all, the doctor's final word of the day was I was quite overweight. And handed me a nutritional sheet with Healthy Alternatives, telling me to lose 20lbs. This is fucking bullshit. I am NOT obese. I'm heavy for my height, but I also have a broad-based frame. I've gained weight recently, I know this, and I HAVE been eating more healthfully, plzkthx. I'd be getting more exercise, except I'm still working on rehabbing my ankle, and then fatigue/illness showed up.

This after Brooke told me a few months ago she thought I'd lost weight. Mmhm.

I want a bloody second opinion.

Comments

Hate to state this... but it's glaringly obvious to me.

The doctor prescribed some of (if not the) most expensive things they could do for an initial examination, all of which are harmless, and likely to tell him nothing at all but excludes very expensive-to-treat and rare conditions right off the bat.

Ergo, I believe he's trying to milk your insurance for money. I'd recommend reporting him to said insurance company, explaining you went in for fatigue issues and that the doctor ignored information that would be in your medical file, re-asked obvious questions, and chose to take the expensive, billable route over alternative routes that I'm sure even Sardonicus could suggest.

*shakes head*

I'm sorry, but I can't... *sigh* I won't let this go without responding to it.

As I understand it...
Those tests and questions are routine (precisely BECAUSE they're harmless). They may be expensive, but the patient can always say "No" and request a different route.

I don't think that it's extreme enough to take it to the insurance company. No, no and No.

*sigh* And, also, I'm reading that you assume a doctor to always make the best possible judgements. Sometimes doctors slip. Sometimes they let their irritability from stress and lack of sleep through. Sometimes a doctor is so busy that he doesn't have TIME to go through a patient's chart before he sees him/her. They're human. That's why patients should be understanding, but thinking.

Questions like his inquiring after her family history, medication, broken ankle, etc? Those are also routine. Even in Dr. O'Grady's office, which was a very well-run, things sometimes didn't make it into a patient's chart. It's always best to make sure everything with the patient. Check, check and triple check. And it's that kind of checking that saves lives.

Yes, he could be an asshole who really was just milking her for money. But IMHO it's much better to assume, since we weren't there, that he's a doctor just doing his job.

Unfortunately, I'm also biased against the doctors at that office...

...assuming this is the same office I took Mana to when she had to do the initial referal for her broken ankle, which it sounded like.

The same one where one doctor started a fragment of conversation with, "Back when I was in the war, someone with this kind of break had their boot laced back on and they were sent out like that." When Mana had already mentioned being a little nausous (sp?) and lightheaded from any contact with the broken ankle during the exam so far, and had shortly-before mentioned being unable to put any weight at all on the ankle when asked about that.

So, yeah, I'm a little biased towards 'bad Doctor, no biscuit' responses towards that facility if it's the initial doctors I get the feeling it is from the description so far. Especially after the "You're obese," parting-shot comment he gave her. And you're somewhat right, maybe the tests are standard in some places since they're technically harmless, but they're still expensive, and it seems like the doctor skipped focussing on obvious tests first (like scheduling a partial or complete allergy test, right then if possible, as low-level allergic reactions can drain the physical strength from a body quite effectively) in favor of proverbially wheeling Mana around the facility for other billables.

If it's some other facility elsewhere, or wasn't one of the 'initial referral' doctors, then all I've said above applies to the group it was intended for, and you're right, I'm being short-handed with the doctor Mana actually had to see.

Bias is on-track

Yeah, same office. Haven't seen this doc before though.

I actually liked Dr. Salkin - the fellow with the war history. I took it as more of a cute story than a "you should tough it out" suggestion, though that did occur to me.

The doctor I saw today, Dr. Shah, did ask if I had any allergies, and I said no... though I have noticed some stronger reactivity to the Santa Anas this year than ever before. I wasn't really in the state of mind to remember, though, and by the time I would have he'd moved on to the next question.

Personally, the tests make some logical sense - he checked for airway obstruction, and heart issues, which were the two possibilities I had in mind. But, that doesn't undo the fact that his line of questioning was condescending and I left feeling distinctly insulted/patronized.
The same one where one doctor started a fragment of conversation with, "Back when I was in the war, someone with this kind of break had their boot laced back on and they were sent out like that."
Which war, out of curiosity? IMHO, that's more of a "hey, lemme distract you with a story 'n' stuff" thing. :)

*blink* *BLINK* Allergies? ALLERGIES? Uhm...eheh...that's not obvious at all to me. ^_^;; Nor is it as dangerous as a heart condition or lung problem, which is why (I think) they do those tests first. The sooner one jumps on those, the better.

Are you sure you're not prejudiced against doctors in general? That's what I'm hearing. I admit that in most cases I take the side of the doctor...unless s/he's doing something to make the patient feel ignored or belittled. Doctors are under HUGE amounts of stress and, IMHO, it's always better to give them the benefit of the doubt.

Actually, I'm pretty sure I'm not prejudiced against them.

And I'd think allergies, because it would explain the sudden onset (lots of weather activity and winds across the country blowing crap around) and symptoms (overall drained energy) if it was mild, because the internal functions of the body were dealing with the allergens.

I'm not prejudiced against doctors myself, that I know of, considering how often I've been in and out of hospitals, and I still go to them first off if I think it's appropriate without hesitation. I'm definately picky about physicians, and opiniated in the first place, but I never about of it as prejudicied against them. But considering the magnitude of trust involved in working with a physician, the level of my selectiveness is equally elevated.

Um... yeah, I just read the sentence and realized a grammar-checker would likely flag it as 'Ph.D level' and in need of a re-write.

Anyways... if I am prejudicied, it's something I hadn't noticed before. But I always liked seeing the doctors, so long as I thought they were competent and intelligent. =^.^=
I'm a CNA, EMT, PCT,and emergency medecine student working at a heart hospital and volunteering in alocal ER. I love western medicine.

He's a fuckhead, and he's taking advantage of her. She could perhaps be a bit more assertive.

If an employee can't do the job, get a new job. If a cardiac surgeon fucks up and someone dies, stress is not an appropriate answer. Same with fanliy practice. A serious illness, misdaignosed, can sweep through an entire city in days, and often does.
We clearly know the medicinal world from two different sides. My mother and I work for one of the best cardiologists in the area, so I've seen it from the effects it has on the people around me.

I have some very, very good doctors. My psychiatrist gave me excellent care. But one time he gave me this long lecture on structure when structure was the last thing that I needed in my life at the time. Does this one incident erase the worth of the care he's given me, or his worth as a doctor?

What I'm trying to say is...cut people a little bit of slack before calling them a fuckhead. And once you call them a fuckhead, be merciless. ;)

But...we simply don't know. We don't know if he's given good/bad care to others...we don't know. That's why I'm so reluctant to go to the insurance. That, and I insist on thinking the best of people some of the time. :)

She could perhaps be a bit more assertive.
She's already stated that she had no brain power to be assertive.
The testing he's doing seems logical to me...It's all very basic-level stuff. Like how you have to repeat your medication every time you go in. ^_^;

No, I am quite sure my current state of fatigue and short breath are not due to depression or stress.
Did you express this to the doctor?

And sometimes a blood-test requires lack of food. That's just how it is. Bring some snacks to eat right afterwards to raise your blood sugar.

Most annoying of all, the doctor's final word of the day was I was quite overweight.
IMHO, that's a tad on the unprofessional side. Assertively express yourself the next time you see him (if you ever go back). Remember you can ALWAYS go to a different doctor, and have the old office send your records. *nods*

I confess, I'm not quite sure what exactly is irking you. What is it, exactly?

Hope that helps. ^_^;
More questions actually relating to what I was experiencing and my actual complaint would have been nice. The focus on depression and my weight genuinely made me feel as if he thought it wasn't ... real, for lack of a better description. I'm not just tired from taking the stairs, I'm panting from sitting upright for an hour, and the onset of this condition was very fast. But he didn't bother to ask at what point I felt fatigued, or much else regarding the symptoms at hand.

I know there are standard questions and tests. I'm used to the medication question (but I've never had the dosage criticized before). Family history, though, is not something I carry around in my head.

Did you express this to the doctor?

No, I was too busy answering his questions. Between conversation and activity, I had no brain power to spare to be assertive. This really impacts my mental capabilities. I'm not good at being assertive with doctors anyway... I'm too prone to immediate acceptance of whatever they hand down.

I know blood tests require you to fast, I've been through that before. That's more an annoyance than anything. Given my fatigue, I'm going to have a very interesting time driving myself into the facility on zero blood sugar. It was challenging enough this afternoon.
The focus on depression and my weight genuinely made me feel as if he thought it wasn't ... real, for lack of a better description.
Ew. Ew, ew, EW. Okay, now I understand. ^_^; Sorry if it sounded like I was being all patronizing 'n' stuff.

Family history, though, is not something I carry around in my head.
Really? Huhn...that just seems strange to me 'cause it's something I do. ^_^;; At least, Mom's side of the family (Mom has PTSD, Jane had depression, Alan died of a stroke...). And Richard has depression. :) That's as much as I have off the top of my head... Mom knows more.

Between conversation and activity, I had no brain power to spare to be assertive.
My suggestion, then, is this: Bring someone with you who can be assertive for you or help you to be assertive. Who can think critically about what the doctor's saying and how he's acting. Who can make sure everything's talked about, and that it stays on track. :) Mom did that for me, and it was a life-saver.
Blood tests don't require fasting, and neither do blood sugar checks. Generally, blood sugar is checked between meals, so you can see how the body is managing sugar, but normal level before and after eating are standard knowledge.

In the heart hospital, we draw blood on people constantly - asleep, awake, hungry, while eating, unconcious. In the ER, what would we do if we had to wait for a patient to fast before getting blood? That's rediculous. We stick 'em on the way in the door. You can take blood anytime you want to, fasting just affects the results of certain elements of the blood.

A lot of non-medical people are giving you advice here, and very little support. Your insticts are quite correct, follow them. "Benifit of the Doubt" - my entire ass.
This doctor doesn't sound especially competent to me ...

Doctors.

This reminds me of when I went in to the doc to see what the itchy rash on my face could possible be, and he declared it was ACNE. He prescribed me a facial scrub, telling me to wash better.

What a crock of shit.

I had perioral dermatitis and that facial scrub was the worst thing for it.

In short, doctors can be the worst guessers.
Heres your second opinion.

The hardest thing you can think of that might help you will cure you the fastest.

It will be the most painful, but yield the most noticable results. This is the nature of progress.

kthx
Hm. Sounds like what I did a few years back that got me an incredibly nasty relapse of the flu. I thought I was better, so I pushed myself, and ended up flat on by back with a severe fever.

Woulda been much better if I'd coddled myself at that point in time.
things that can affect fatigue:

weight (no shit)
protien intake
anemia(did he do a blood test, the dumb fuck?)
fluid intake
vitamin and mineral supply
thyroid

things that can contribute to shortness of breath:
weight (no shit)
i.e., cardiovascular blockage, etc.
everything else

Both of these things, like everything else, can be induced by the inner state of the heart or soul trying to communicate with the concious self. Fatigue is particularly common. Stress is a moronic label used by medical people brainwashed by clinical crap. Consider whether your heartsong is being heard by your mind.

Tuning in: Find a silent place, get confortable. Light a candle, let it be the only light in the room. Quiet your mind, direct your presence inward to the space right behind your sternum, the heart chakra. Ask yourself what needs healing. Our bodies are wiser than we know.

Medically, consider starting with a blood test. Chakra fire breathing meditation will get your ass moving, but it won't last long if you have an organic issue.

Please justify my high opinion of you by firing the meatpuppet. Good luck and well wishes.