General Medical issues thread

[MARTINE]

No

If you think about the fact it takes between 2-4 hours for the assessment then same to wrote a very detailed report and that neuropsychologists are minimum Masters/Phd trained the fee is not unreasonable but -I agree- it IS a lot of money. If she was attending a public hospital for assessment of the clinical situation warranting this there would be no fee. It may take longer (both to see the doctor and the ensuing assessment).

 

[VPS]

I got test results back on Saturday night from the urine test last week. Didn't know that the walk in center had sent it off for additional tests after they did the dip test.

Got a call from the walk in center with the results. The predominate bacteria detected (pseudomonas aeruginosa) is resistant to the antibiotic they gave me, and also appears to be resistant to the different antibiotic my GP gave me (to have something on hand if needed when I'm overseas soon) on Friday.
Trying to get another GP appointment for review of the antibiotics before I go on holiday while working around limited availability (more so at this time of year).

Surely in the situation they could do a telehealth - sounds like you're having a rough time - good luck

 

[Himeno]

Surely in the situation they could do a telehealth - sounds like you're having a rough time - good luck

The teleheath appointments are booked as normal appointments. They are just online/phone calls instead of at the office.

 

[k_sheep]

I got test results back on Saturday night from the urine test last week. Didn't know that the walk in center had sent it off for additional tests after they did the dip test.

Got a call from the walk in center with the results. The predominate bacteria detected (pseudomonas aeruginosa) is resistant to the antibiotic they gave me, and also appears to be resistant to the different antibiotic my GP gave me (to have something on hand if needed when I'm overseas soon) on Friday.
Trying to get another GP appointment for review of the antibiotics before I go on holiday while working around limited availability (more so at this time of year).

The only currently available oral antibiotic of any use against pseudomonas is ciprofloxacin - and it develops resistance very quickly. A very tough bug to deal with as an outpatient.

 

[drron]

The problem with pseudomonas is that it is often a coloniser and not an infection. If found in blood or in other organ specimens it needs urgent treatment and usually not oral antibiotics.
If found in specimens collected outside the body you really need other evidence of infection such as elevated white cells or ESR/CRP.
Most infectious disease physicians I met were not happy using too much Ciprofloxacin because of the risk of developing antibiotic resistance to it.

 

[tgh]

Always learn sumpin 'round here….. never hear the colonisation term but live with it every day.
My last old horse has immume mediated Psa…along with chromic lymph drainage disfunction in the hind legs.
Cannot kill the PsA.. have tried everything.. if the Immune system hosts it is a lost cause.
I buy Penicillin in bulk for outbreaks along with IM steroi_s (Dexamethasone) for the occasional serious blowup of Lymphangitis.
I control the lesions topically with constant cleaning and my tgh proprietary goo….
The vet thinks I am pretty clever ( and nuts to boot ) to have kept him alive for many many years...
Also note PsA must not be particularly infectious, I am sure that I get lots of exposure but no infection..

 

[Lynda2475]

An update on the GP situation for my parents.

It was a chore, as none of my parents specialists (Dad's oncologist or Mum's Neurologist) were able to recommend any nor could their neighbours. So we had to rely on online research and some practices provide very little useful information.

Took about 4 weeks, but I identified a practice of 3 GPs a few suburbs away (with nearby free parking, on a direct bus route and also within the distance band for community transport i.e. where volunteers/carers will drive you to appointments). All doctors at practice Australian university trained (and no law suits showed up when I googled them), English only practice and onsite pathology.

Rang up and was lucky one of them was taking new patients (another practice I rang was not), made an appointment and very happy with outcome. GP is young (mid 30s), works 3 days at GP practice (on days that suit my folks) and 2 days at a local aged care facility so is well versed in dealing with oldies. He spent a whole hour with them going through medical history then arranged for nurse to provide their shingles and covid boosters.

Hopefully this will be last change necessary.

 

[prozac]

I am going in for an angiogram tomorrow. I am sure previous angios have been either overnight or a few days when there has been complications, but it has been a while since I have had one. How long is recovery to discharge these days? Background: I had a triple by-pass in 2020. Last May I had thoracic surgery to obtain a biopsy during which the RIMA was separated and then terminated to stop blood flow. This was only recently discovered during a CTCA which shows the 2 right side by-pass grafts not to be working. Hopefully this works.