20-10-2003 01:22									#31
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I am pretty sure that I "got it right". But this doc was also saying things like "have a bursa" when he should have said "have a damaged bursa" or "have bursitis". So who knows what the heck he was doing/saying? I got enough warning signs (there were others) to question this guys capabilities.

I mean, heck aggravated knee injuries are simple in some people's minds, but when you really dig into it, they are complex. I want a real expert.

	20-10-2003 01:23									#32
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FYI: I see how my comment about the doc could be confusing.

	20-10-2003 01:25									#33
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FYI: I am trying to be a model patient. I actually typed up a description of my injuries. And I prioritized them and wrote them up with an effort to be p[recise and organised (executive communication). I also had my previous films with me and such. I can do more here. From now on, I'm just going to keep my own record. (SOme other docs, I had seen, I didn't have their notes).

	20-10-2003 01:31									#34
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If you were a model patient you'd stop whining and obsessing and go ahead and get well!

	20-10-2003 01:32									#35
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Oh...and what's your opinion. Should we call it a patellar tendon or a patellar ligament? Do you consider the patella a bone in its own right or a sesamoid floating in a really big tendon.

And why?

	20-10-2003 01:33									#36
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I know what a gaddamn sesamoid is know. I love how they have terms like sesamoid and anterior and inferior and all that. I'm on to their games. I'm using that dictionary to hunt them down.

	20-10-2003 01:34									#37
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quote: Originally posted by Dr Strangelove If you were a model patient you'd stop whining and obsessing and go ahead and get well!

I tried shutting up and just getting better and it didn't work. Now we are going to do it my way. The nuclear way.

	20-10-2003 01:39									#38
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quote: Originally posted by TCO I know what a gaddamn sesamoid is know. I love how they have terms like sesamoid and anterior and inferior and all that. I'm on to their games. I'm using that dictionary to hunt them down.

your sh1t is like sonar on a nuke sub

	20-10-2003 02:23									#39
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This thread reminded me why I became a molecular biologist and not a physician.

I would probably have ended up giving half of my patients thallium

	20-10-2003 02:33									#40
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IT is a struggle to read stuff. And they really need MORE pictures.

	20-10-2003 02:42									#41
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<----- PHD Thugganomics

	20-10-2003 05:52									#42
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I just got back from MCV. Bought a friend of the library card for $50 and checked out several books. Next time, I see a doc, I'm going in loaded for bear.

	20-10-2003 05:53									#43
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With the Library card, I can check out books from the entire campus library just like a student. Umm...and there are a bunch of cute nurses and med students there...hmmm...

	20-10-2003 06:15									#44
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I wish I had time to just go to the library and read

JM

	20-10-2003 07:17									#45
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someone teach jon miller how to read

	20-10-2003 22:01									#46
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how bad is your knee?

can you walk okay?

I injured my knee last May. It's pretty much all better, but occasionally it hurts when I do a lot of hiking, or turn it strangely.

	20-10-2003 22:09									#47
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quote: Originally posted by Combat Ingrid I would probably have ended up giving half of my patients thallium

Is that the sustance that's tasteless, odorless, accumulates in the body, and has no treatment or cure?

	20-10-2003 23:40									#48
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Yes
Check out Young Poisoner's Handbook if you like dark humor

	20-10-2003 23:51									#49
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I don't believe doctors are idiots. I do believe that in USA, the emergence of managed health care and skyrocketing malpractice insurance costs have increasingly made doctors think of themselves as businessmen before medical practitioners. It's conceivable that their quality of service provided has suffered. It's been my experience that it has. From hasty diagnoses to assembly-line office visits, it appears that the patient is almost an afterthought. I've done the same thing as TCO as far as doing my own due diligence on doctors and on occasion it has lead me to get second opinions that were worth the effort.

	21-10-2003 00:00									#50
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quote: Originally posted by Feephi skyrocketing malpractice insurance costs

I keep hearing that things like this has led to US doctors prescribing antibiotics without valid medical reason "just to be safe", thus contributing to the increasing numbers of antibiotic resistant bacteria. Is it really that bad?

	21-10-2003 00:12									#51
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that's why I never go to doctors. I'm far healthier that way.

that, and I never get sick

*knocks on wood*

	21-10-2003 00:21									#52
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I agree that we are still living in the dark ages of medicine.

I think Bones summed it up pretty well in ST IV.

	21-10-2003 03:02									#53
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quote: Originally posted by Dr Strangelove If you were a model patient you'd stop whining and obsessing and go ahead and get well!

This was just a joke you know. I'm an Internist, not an Orthopedist so knees aren't my forte. Also I'm sorta kinda hampered by the fact that I can't see, feel, hear, taste or smell your knee.

	21-10-2003 03:05									#54
	Increase the size of your Attachments

My sister is an Internest also. There is a broader issue, though. It has to do with diagnosis and treatment methods. I'm just not seeing the science. And I'm definitely not having it communicated to me. From now on, I'm typing up notes of whatever the doc tells me, getting copies of all my records, etc. A passive approach of figuring that the doc will take care of things is not working well for me.

	21-10-2003 03:08									#55
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So Internist's smell, taste, and hear their areas of expertise?

	21-10-2003 03:35									#56
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Yep, we're very sensual.

	21-10-2003 05:55									#57
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1. This is pretty funny. I was told to see the Redskins physian by a doctor in the family. I finally tracked him down and it turns out that the guy lives in my home town! 3 miles from my Mom's house. (Raymond Thal is his name.)

2. One thing that worries me a little is that this guy works on knees, shoulders and elbows. (I was told one should get a specialist by JOINT. Not even shoulder and hand, but just shoulder.

3. This guy seems to be into "scoping" the shoulder and I was told by the Steadman Hawkins doc (and independently by a PT that I really respect who has seen patients recovering) that scoping the shoulder is not good. It is better "open".

4. Any clues on how to make the interaction most useful? I will prepare by reading the damn anatomy books. And will make sure I have my records in order. and such. But are there things to watch out for?

5. More broadly, I can see very differnt skills in a diagnostician and in a "cutter". Which should I be looking for? Should they be the same person? And if so, what is more important? Hmmm. Any help, Doc? Am I asking this question clearly?

---------------

Anyway, I will check the dude out. See if he can help with various synovial joint problems.

	21-10-2003 06:56									#58
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quote: Originally posted by Combat Ingrid I keep hearing that things like this has led to US doctors prescribing antibiotics without valid medical reason "just to be safe", thus contributing to the increasing numbers of antibiotic resistant bacteria. Is it really that bad?

The overperscription of antibiotics has more to do with the impatience of the American people and the need for health care providers to seem like they are doing something than about "defensive" (from lawsuits) medicine. The problem has been known for many years, and is getting somewhat better as people (ie patients) are beginning to understand the potential for resistant strains to destroy the effectiveness of large numbers of antibiotic agents.

	21-10-2003 06:57									#59
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quote: Originally posted by Dr Strangelove This was just a joke you know. I'm an Internist, not an Orthopedist so knees aren't my forte. Also I'm sorta kinda hampered by the fact that I can't see, feel, hear, taste or smell your knee.

Go to the mirror boy!

	21-10-2003 08:43									#60
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quote: Originally posted by TCO 1. This is pretty funny. I was told to see the Redskins physian by a doctor in the family. I finally tracked him down and it turns out that the guy lives in my home town! 3 miles from my Mom's house. (Raymond Thal is his name.) 2. One thing that worries me a little is that this guy works on knees, shoulders and elbows. (I was told one should get a specialist by JOINT. Not even shoulder and hand, but just shoulder. 3. This guy seems to be into "scoping" the shoulder and I was told by the Steadman Hawkins doc (and independently by a PT that I really respect who has seen patients recovering) that scoping the shoulder is not good. It is better "open". 4. Any clues on how to make the interaction most useful? I will prepare by reading the damn anatomy books. And will make sure I have my records in order. and such. But are there things to watch out for? 5. More broadly, I can see very differnt skills in a diagnostician and in a "cutter". Which should I be looking for? Should they be the same person? And if so, what is more important? Hmmm. Any help, Doc? Am I asking this question clearly? --------------- Anyway, I will check the dude out. See if he can help with various synovial joint problems.

bahhhhh

Football players have to have quick recovery times, because they have to make their living that way. You don't.

So no need to go to a "cutter."