Girls girls you're all pretty
Girls girls you're all pretty
Lake, when Uncle Sam tells a huge employer group, and one that oversees all government insurance via contracts, you watch those cats find a way to have record earnings one way or the other. In this case, ACA lit the fire for the insurance biz to join with the pharmaceutical and hospital biz's who are not under the feds cap on percentage of profits.
Obviously we have a messed up system with government over reach at the local, county, state, regional, and of course they all report to the mountain of federal levels. Many citizens champion having all those extra regulators and we ALL pay for their salaries, benefits, and legacy cost.
In old days EVERY physical came with rubber glove treatment . Now even if you want prostate checked (which although no fun should be done ) they just say not needed . Don't get it ?
1988 Ranger 364V
150HP Merc Black Max
I'm in agreement with RB. Check the box, cross the T, dot the I. Done.
Ranger Z-20, Yamaha F225.
This advice is spot on, I would not be here if not for my Doc catching my throat cancer and heart problems early on. I have several different doctors that all work together in the system with my chart, test results etc. We get updates and info. on-line after each visit, test results, prescriptions updates-refills etc.Originally Posted by ttranger
For the record, I like my family doctor. He’s even called me on a weekend to let me know that a follow up x-ray for me that he had ordered showed everything a-ok. The downside is that he’s probably 70 years old so I have no idea how much longer he will be working. I get the rubber glove treatment every year.
Can't hardly find a GP around here, or one that takes Medicare, or your unsurance. I had one I felt comfortable with, he was good, made you take off your shoes and socks when you visited so he could look at your feet. Said feet tell a lot about your health.
He quit his practice went to work at the local hospital. Said the druggies ran him out of the business always coming in with rehearsed ailments trying to get perscription drugs to get high.
Please tell my doctor that it is not needed.
Just got the digital probe a couple of days ago.
My doc is great, yeah he's a busy guy and if you've got health concerns you need to bring it up with any promay care DR. You have to be your own health advocate, squeaky wheel gets the grease and all that.
Please tell my doctor that it is not needed.
Just got the digital probe a couple of days ago.
My doc is great, yeah he's a busy guy and if you've got health concerns you need to bring it up with any promay care DR. You have to be your own health advocate, squeaky wheel gets the grease and all that., true and some of the primary docs just use the blood test results instead of giving you the finger. lol
Fart proudly. Author, Benjamin Franklin.
1998 SKEETER ZX 202-C
150 V-Max TRP
MinnKota Ultrex-112. All paid with cash of course!
Doc reminded me it is time for the big purge and probe.
Fart proudly. Author, Benjamin Franklin.
1998 SKEETER ZX 202-C
150 V-Max TRP
MinnKota Ultrex-112. All paid with cash of course!
Science evolves.
They figured out that manual checking did nothing for detection that couldn’t be done with a PSA test (compared to previous results, looking for trends), along with questions about symptoms. If PSA is normal, and you don’t have symptoms, there’s not really a reason to go poking the prostate bear.
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"If God had intended us to drink beer, He would have given us stomachs."
-David Daye
Lol...how much do you weigh OP?
20lbs is a lot if ya weigh 185...but 20 lbs off of 320 is still pretty fluffy.
You sound like a pt i know who flipped out cuz my team wouldnt operate because her bmi was north of 50...5'4 285 lbs lol...yeah sorrtly hun, we dont do elective stuff of people like you...
I lost 8lbs a few weeks ago with a gi bug...i didnt ask for a congrats lol
2020 Skeeter ZX150
Did you just imply that a chiro is a real doctor? Lolololol
Im also not a doctor but lololol...a chiro lol lol
It isnt as much the docs, its the big company...they want as many people in and out of the office as possible...visits equal money...more visits the better...we have surgical quotas dude...corporatenis like why did you guys obky take out 5 gallbladders and 6 appendixes this month? Shoulda been twice that. .or why arent you guys taking off mkre toes or feet?....its sad really.
The orthopod i work for gets shit cuz he only does a couple hunder total joint replacments a year...in a hospital in a town of 5000 people....
2020 Skeeter ZX150
Fart proudly. Author, Benjamin Franklin.
1998 SKEETER ZX 202-C
150 V-Max TRP
MinnKota Ultrex-112. All paid with cash of course!
Maybe a chiro was the wrong example, but you get my point. Every GP I’ve ever been to doesn’t know anymore than the nurses I see or things I can find out myself with about 10 min worth of research.
My point is that if you’re relying on your GP “doctor” to provide you with what you need for your medical advice…. Good luck.
2022 Skeeter ZXR20
Yamaha 250 SHO
See post #85!
Same here. My GP is awesome. Our healthcare system on the outpatient side is fantastic. They schedule an hour for new patients (I think it may actually be 75min tbh, 60min for an annual. 30 minutes for routine follow up. I always see my primary doc for annuals and the NP for unscheduled visits and follow up visits. My NP calls with test results to go over them by phone instead of requiring me to come in when the tests are normal or expected. They focus on preventative healthcare, meaning lifestyle modification is the primary intervention whenever possible. Obviously with some things, it is not prudent to wait 6 months to see if lifestyle mods are sufficient, or even to see if the patient is compliant. Sometimes, a new prescription is necessary. Most times, the prescription is implemented after a few failed attempts to avoid it.
But aside from that, implying general practitioners are a waste because they make you see a specialist is missing the point of GPs entirely. Many or most of them are capable of managing your chronic illness. Many or most are capable of matriculating you through the diagnostic algorithmic, ordering tests, interpreting results, ordering additional tests as needed to continue ruling in or out diagnoses. But by the very nature of our system, they are best left to managing what they can or are willing to spend time managing. They usually see 30 or more patients a day, except for systems like mine….he sees 12-15, tops. Seeing 30 a day does not afford the time to explain the tests and all the results. It doesn’t allow time for managing 3+ complicated chronic illnesses plus “take a look at the random rash I’ve had for 3 weeks but didn’t tell anybody about because I figured we could just talk about it when you see me for my uncontrolled diabetes, my hypertension, my bunions, Grave’s disease, and I think this one spot might be cancer so we should look at that while I’m here, too”. Primary care docs oversee what the specialists are doing. They may have to adjust meds because the specialist wasn’t aware they were on a drug that could cause interactions. Or the endocrinologist didn’t know you tend to have cardiac side effects with certain classes of drugs. Mostly, it just seems like some folks think they’re smarter than their doc, and/or don’t really know how the system really works to make an informed opinion.
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"If God had intended us to drink beer, He would have given us stomachs."
-David Daye
I'm with rb here. One thing I can say, when my doctor comes in (I see him 4 times a year- pre-diabetic) he knows my weight, bp, blood sugar, A1c, and cholesterol so he can have a professional, accurate conversation on why I am there and what problems I have and what I need to do. My last visit I had lost 13lbs. (and I was aware of it). He reviewed my results and what it meant- that I didn't have to go on medication for diabetes, which was my ultimate goal. If he had come in with no idea of what my real numbers was and how it transpired in the maintenance medication I didn't want, I would have not taken that very well. We put so much into what our doctors say (we have to) to not care if they are doing their jobs to know their patients.
My wife got an email this afternoon from the medical Clinic which we go to. We both have separate doctors. Her doctor tells her in the email that from now on most of the office reports will be AI generated because she is just too overworked and can't cope with this. My feeling is this the way medical diagnosis will be made by AI.
The medical profession has gone down hill faster than a skier in the Olympics. Sure, we do have some real great doctors in the Heart Institute at the Civic Hospital, but out in GP land, it needs a huge dose of HELP.
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