General Medical issues thread

[Pushka]

It's not always easy on the doctor's side of the desk.I recall one amazing consultation with a fellow referred by his GP with chest pain-that was all the letter said.So the conversation went something like this-
"So where in the chest do you get the pain?"
"I don't have any pain."
"Do you get a tightness in the chest when you walk?"
"no."
"Do you get any pain anywhere in the body?"
"No."
"Do you get breathless?"
"No."
so after ansering in the negative for several other symptoms I asked-
"So why did your doctor send you to see me?"
"Because of the pain in my chest."

OT but how did you get that icon. I want a ROFL icon that rolls along

 

[drron]

Here-
Bash Head emoticon | Emoticons and Smileys for Facebook/MSN/Skype/Yahoo

 

[Pushka]

 

[bosox76]

It's not always easy on the doctor's side of the desk.I recall one amazing consultation with a fellow referred by his GP with chest pain-that was all the letter said.So the conversation went something like this-
"So where in the chest do you get the pain?"
"I don't have any pain."
"Do you get a tightness in the chest when you walk?"
"no."
"Do you get any pain anywhere in the body?"
"No."
"Do you get breathless?"
"No."
so after ansering in the negative for several other symptoms I asked-
"So why did your doctor send you to see me?"
"Because of the pain in my chest."

Hahahaha. Yes that does happen more often than you think. It also doesn't help when all the GP's letter states is "Thank you for your management of Patient X". No symptoms, past history or medications. But that's a whole different problem.

 

[get me outta here]

I remember reading that as men often don't like actually admitting to the doc that they are not completely in control of their whatever, they may wait until they have their hand on the door handle when leaving to say, 'Oh and there's this other (serious) thing, but it's nothing is it?'

It's not always easy on the doctor's side of the desk.I recall one amazing consultation with a fellow referred by his GP with chest pain-that was all the letter said.So the conversation went something like this-
"So where in the chest do you get the pain?"
"I don't have any pain."
"Do you get a tightness in the chest when you walk?"
"no."
"Do you get any pain anywhere in the body?"
"No."
"Do you get breathless?"
"No."
so after ansering in the negative for several other symptoms I asked-
"So why did your doctor send you to see me?"
"Because of the pain in my chest."

 

[Hvr]

I remember reading that as men often don't like actually admitting to the doc that they are not completely in control of their whatever, they may wait until they have their hand on the door handle when leaving to say, 'Oh and there's this other (serious) thing, but it's nothing is it?'

Another example where the softly, softly approach doesn't work.

 

[QF WP]

Update on my family members situation. Consult with Gastro was last week and new bloods ordered to see if AST/ALT/Bilirubin levels are down - as hoped they all came back in normal ranges.

Endoscopic Ultrasound booked in for 30/1/17. Understand that he will be checking for any common bile duct scarring due to stones already passed. Results of that will dictate future treatment plan.

This is nothing compared to some of the issues faced by others. Hope everyone gets with family and friends over Xmas and relaxes...together with eating and drinking in moderation.

 

[ICUDr]

Sorry I may have missed part of the history but have you had recurrent DVT's or just the one? Xarelto is only PBS listed for initial treatment of a DVT or for recurrent clots or non-valvular AF. Thus if you're beyond 6 months from your DVT or haven't had further clots technically you don't qualify for PBS subsidisation. Now as stated I may well have missed a lot of vital info and if that's the case I apologise. However if it's the above case and PBS finds out then your rheumatologist technically becomes liable to pay the difference for the scripts that they've written :0

Btw it's great that you have such a great relationship with your doctor. That's extremely important.

Bosox and Pushka..

Xarelto can be prescribed under PBS for initial treatment of DVTs and for prevention of recurrent venous thromboembolism.

Continuing treatment is under a different (streamlined) authority item

 

[Pushka]

Bosox and Pushka..

Xarelto can be prescribed under PBS for initial treatment of DVTs and for prevention of recurrent venous thromboembolism.

Continuing treatment is under a different (streamlined) authority item

So - still ok for GP to prescribe? He seemed ok to do so last week after rheumatologist diagnosis.

 

[ICUDr]

So - still ok for GP to prescribe? He seemed ok to do so last week after rheumatologist diagnosis.

I believe your GP may continue to prescribe it.. your case sounds like this:
Prevention of recurrent venous thromboembolism
Treatment Phase: Continuing treatment
Clinical criteria:
Patient must have a history of venous thromboembolism.

I am sure your GP wouldn't prescribe it otherwise

 

[Pushka]

I believe your GP may continue to prescribe it.. your case sounds like this:
Prevention of recurrent venous thromboembolism
Treatment Phase: Continuing treatment
Clinical criteria:
Patient must have a history of venous thromboembolism.

I am sure your GP wouldn't prescribe it otherwise

Yes and now antiphospholipid syndrome. High positive Lupus Anticoagulant x 2 tests. And SLE.

 

[bosox76]

I remember reading that as men often don't like actually admitting to the doc that they are not completely in control of their whatever, they may wait until they have their hand on the door handle when leaving to say, 'Oh and there's this other (serious) thing, but it's nothing is it?'

Otherwise known as the "door knob/handle symptom/question". This happens very frequently. And usually results in your waiting room wait time blowing out and then having to apologise for the rest of the session.

 

[JohnK]

Well, my stomach shuts down when I'm stressed. Family stuff and all that.

I lose my appetite but metabolism also shuts down.

 

[Pushka]

I lose my appetite but metabolism also shuts down.

Yes. There is that. I have little thyroid function so the treatment for that helps.

 

[Milboo]

I hate back issues

My disc and the associated spasms on the left side settled down and things were largely back to normal. So the right side has decided to spasm now...

Thankfully new health insurance year kicks over next week and I can start claiming again.

 

[QF WP]

Not a good start for Xmas - neighbour went into hospital yesterday after complaining of headaches for a couple of days, not eating much. Diagnosed this morning with suspected melanoma on brain (only just found out he'd had melanoma only Clarke Level 1 removed previously). Neurologist planning surgery on Tuesday, oncologist due soon to discuss treatment plan. Huge shock if it's confirmed

Spoken to his wife. He had been strange for days and yesterday lost sight so straight up to hospital. Had bleeding on brain. MRI and CT's done with PET scan due tomorrow AM. She used to work in doctors surgery so used to terminology.

 

[Pushka]

Awful news QF WP. Did the locate the primary?

 

[love_the_life]

Not a good start for Xmas - neighbour went into hospital yesterday after complaining of headaches for a couple of days, not eating much. Diagnosed this morning with suspected melanoma on brain (only just found out he'd had melanoma only Clarke Level 1 removed previously). Neurologist planning surgery on Tuesday, oncologist due soon to discuss treatment plan. Huge shock if it's confirmed

Spoken to his wife. He had been strange for days and yesterday lost sight so straight up to hospital. Had bleeding on brain. MRI and CT's done with PET scan due tomorrow AM. She used to work in doctors surgery so used to terminology.

That's not good news at any time WP. Might be lucky and a false alarm but whatever it is it sounds serious.

 

[suze2000]

Oh that's an awful Xmas "present".

For good news, my lung infection seems to be clearing up slowly. Free advice from a friend of a friend who's an oncologist the other day to take the second set of antibiotics just to make sure, though to be honest, I'm not sure if the Rulide is the reason I feel better or just my body finally getting on top of it. She also knows and respects my gastroenterologist, so that's a vote of confidence.

After a week off work, I'm just relieved to be able to get through a day without needing to take a rest.

 

[rogerkambah]

Oh that's an awful Xmas "present".

For good news, my lung infection seems to be clearing up slowly. Free advice from a friend of a friend who's an oncologist the other day to take the second set of antibiotics just to make sure, though to be honest, I'm not sure if the Rulide is the reason I feel better or just my body finally getting on top of it. She also knows and respects my gastroenterologist, so that's a vote of confidence.

After a week off work, I'm just relieved to be able to get through a day without needing to take a rest.

Always good to hear when someone is getting on top of their problems.