Epilogue to "I've got some bad news". - SoberRecovery : Alcoholism Drug Addiction Help and Information
Go Back   SoberRecovery : Alcoholism Drug Addiction Help and Information >
Register Blogs FAQ Members List Calendar Arcade Mark Forums Read





Reply
LinkBack Thread Tools
Old 02-19-2018, 06:08 PM   #1 (permalink)
Member
 
thomas11's Avatar
 

Join Date: Feb 2015
Location: MN
Posts: 8,270

Epilogue to "I've got some bad news".


First, I want to thank everyone. You guys kinda brought me back to life after what was kind of a rough visit.

Now onto the meat of the matter and I'm going to vent here a bit. The clinic I go to has lost all of its experienced doctors, the current staff there is fresh out of med school, some aren't even MD's, they are PA's. I am pretty stubborn when it comes to my body and my health. After all its mine, and its the only one I have. So I don't like being pressured into taking more medications, taking vaccines and so on. But these kids think the doctors office is a court room and they are the judge and I'm a defendant. Its ridiculous. I'm there voluntarily and I don't HAVE to do anything. So, I'm on 10mg of Paxil and have been forever. Each time I go in I have to fill out this depression questionaire. I'm sure it is very valuable to some but its rather silly to me. So in protest instead of answering each question individually (scale of 1-5), I just made one long circle from the top of the page to the bottom selecting #1 for every single question. So, with that in mind (stay with me here, I'll pull this together for you), on my visit the other day my BP was elevated by about 10 points and I got the news about my kidneys. Both concerning to me. Yet I get a letter stating the doctor wants to see me to talk to me specifically about my DEPRESSION. what!!?? The word depression was never even uttered in the entire visit. I must have tripped a trigger on the stupid worksheet. Damn, the medical industry is facing some serious challenges and if you are in the industry, you certainly have my blessings. But this little ditty has got my dander up. Oh, and no mention whatsoever on the BP or kidney readings.

Last edited by thomas11; 02-19-2018 at 06:10 PM. Reason: made an addition
thomas11 is online now   Reply With Quote
The Following 10 Users Say Thank You to thomas11 For This Useful Post:
2ndhandrose (02-20-2018), Bekindalways (02-21-2018), Bird615 (02-20-2018), Culture (02-20-2018), DarklingSong (02-21-2018), Mireille (02-20-2018), MythOfSisyphus (02-21-2018), NClarke2017 (02-20-2018), saoutchik (02-20-2018), Tang (02-24-2018)
Old 02-19-2018, 06:33 PM   #2 (permalink)
Member
 
SoberLeigh's Avatar
 

Join Date: Feb 2014
Location: East Coast USA
Posts: 114,074
That sounds very frustrating, Jeff.

Perhaps you could reiterate your BP and kidney concerns when you speak with them the medical staff.
SoberLeigh is offline   Reply With Quote
The Following 3 Users Say Thank You to SoberLeigh For This Useful Post:
DarklingSong (02-21-2018), saoutchik (02-20-2018), thomas11 (02-20-2018)
Old 02-19-2018, 06:38 PM   #3 (permalink)
Administrator
 
Dee74's Avatar
 

Join Date: Apr 2007
Location: Australia
Posts: 182,617
Blog Entries: 1
I dunno what to tell you, Jeff.

Maybe try find a doctor you can trust/have a respect for?

D
__________________
Dee74 is offline   Reply With Quote
The Following 4 Users Say Thank You to Dee74 For This Useful Post:
DarklingSong (02-21-2018), Mireille (02-20-2018), saoutchik (02-20-2018), thomas11 (02-20-2018)
Old 02-19-2018, 07:08 PM   #4 (permalink)
In a Place Called Earth
 
Mizzuno's Avatar
 

Join Date: Aug 2012
Posts: 3,777
Blog Entries: 11
Thomas11,
I am sorry to hear of this and of course it is frustrating.

Our western medicine is questionable and for the most part I stay away unless its an emergency.

I do hope you can get more beneficial news about your kidneys as I dont think the "depression" is anything that should be focused on right now.
__________________
Your Magnificence Knows No Boundaries
Mizzuno is offline   Reply With Quote
The Following 3 Users Say Thank You to Mizzuno For This Useful Post:
DarklingSong (02-21-2018), saoutchik (02-20-2018), thomas11 (02-20-2018)
Old 02-20-2018, 04:24 AM   #5 (permalink)
Rar
Member
 
Rar's Avatar
 

Join Date: Feb 2014
Location: NY & FL
Posts: 3,049
Every time I go to my gp doctor, they ask the same questions. One day I said, "You asked me that the last several times", to which the nurse replied, "We have a protocol to follow and have to ask them". I'm sorry you're going through such a frustrating time Thomas.
__________________
-------------------------------------------------
Rar is offline   Reply With Quote
The Following 3 Users Say Thank You to Rar For This Useful Post:
DarklingSong (02-21-2018), saoutchik (02-20-2018), thomas11 (02-20-2018)
Old 02-20-2018, 04:39 AM   #6 (permalink)
Member
 

Join Date: Feb 2018
Posts: 317
Hey buddy. Reading your post you do sound a bit tense, and frustrated. Putting a large circle on the questionnaire is going to hint to the doctor there are issues going on. I'd take him/her up on the invitation and go have a chat. Tell them exactly what you told us here.

I had a new doctor recently (an old guy). I explained my anxiety was getting so bad. The response was "Oh try CBT". He doesn't realise I've done it. He didn't know I have autism. And he didn't know I've had these issues since childhood.

I feel your pain. Its frustrating repeating everything over and over and over. I thought they had all this stuff on the computers lol? It makes me mad to the point I want to just scream. But, I can't do that. People would think I'm nuts.

I wish you the best buddy.
__________________
Sobriety Date: 5/5/2018
16YearsDrunk is offline   Reply With Quote
The Following 2 Users Say Thank You to 16YearsDrunk For This Useful Post:
saoutchik (02-20-2018), thomas11 (02-20-2018)
Old 02-20-2018, 05:32 AM   #7 (permalink)
saoutchik
 
saoutchik's Avatar
 

Join Date: Jan 2015
Location: London
Posts: 12,424
I can sympathise. I rarely visit my docs but they always start with "How's the not smoking going?" I quit in October 1988..
saoutchik is offline   Reply With Quote
The Following 5 Users Say Thank You to saoutchik For This Useful Post:
Bird615 (02-20-2018), Culture (02-20-2018), Mireille (02-20-2018), Rar (02-20-2018), thomas11 (02-20-2018)
Old 02-20-2018, 05:38 AM   #8 (permalink)
Member
 
thomas11's Avatar
 

Join Date: Feb 2015
Location: MN
Posts: 8,270
I think it comes down to a generational difference. When I was her age our medical system was entirely different. Doctors made house calls! So it is up to me to find someone I'm more comfortable with. And I will.
thomas11 is online now   Reply With Quote
The Following 7 Users Say Thank You to thomas11 For This Useful Post:
2ndhandrose (02-22-2018), Bird615 (02-20-2018), Culture (02-20-2018), Mireille (02-20-2018), MythOfSisyphus (02-21-2018), Rar (02-20-2018), Verdantia (02-22-2018)
Old 02-20-2018, 06:17 AM   #9 (permalink)
Member
 
biminiblue's Avatar
 

Join Date: Mar 2014
Posts: 18,642
Yeah, the health care industry is definitely going through some big changes and I've found I really have to stand my ground with them and keep pushing for what *I* want.

Those questionnaires are so silly. I've filled them out for thirty years and no one has ever asked about any of the stuff on there. It's just paper-wasting in my experience. Then if I do mention any little thing - like being anxious - they try to prescribe six pills.

No, thanks. I've done your pills and they have too many side-effects. I'm trying, "The way I was born," now. Works just as well.

Good thoughts coming for your kidney thing.
__________________
The cure for anything is salt water: sweat, tears, or the sea.
~ Isak Dinesen
biminiblue is offline   Reply With Quote
The Following 3 Users Say Thank You to biminiblue For This Useful Post:
Bird615 (02-20-2018), Mireille (02-20-2018), thomas11 (02-20-2018)
Old 02-20-2018, 06:35 AM   #10 (permalink)
I could see peace instead of this
 
Bird615's Avatar
 

Join Date: Sep 2013
Location: Canada, eh
Posts: 2,360
Blog Entries: 11
You have my sympathy regarding doctors. I know there are some good ones out there somewhere, it's just a matter of finding one.

I wish you strength and peace through this challenge you're having.
__________________
"And acceptance is the answer to all my problems today."
-Alcoholics Anonymous
Bird615 is offline   Reply With Quote
The Following User Says Thank You to Bird615 For This Useful Post:
thomas11 (02-20-2018)
Old 02-20-2018, 08:22 AM   #11 (permalink)
Member
 

Join Date: Jun 2017
Location: UK
Posts: 534
I remember going to the doctor about my pimples once and got made to fill out the depression questionaire. My answer was no mate, I'm 30 years old can you refer me to a dermatologist as the tablets you prescribed are not working. They did eventually refer me. Obviously, my mood must have come over as not indicative of depression but a bad attitude.
__________________
I do not deny that the effects of the past are still with us. But I refuse to strengthen them by repeating them.
Culture is offline   Reply With Quote
The Following User Says Thank You to Culture For This Useful Post:
thomas11 (02-20-2018)
Old 02-20-2018, 08:24 AM   #12 (permalink)
Member
 
NClarke2017's Avatar
 

Join Date: Oct 2017
Location: Phoenix, Arizona
Posts: 421
You have the right to shop around for a doctor and staff you are comfortable with. That sounds extremely frustrating!
__________________
I don't just want to survive, I want to thrive.

I'm cooler on Twitter @NicoleHClarke.



#AddictionRecovery
#HolisticHealth
#Nutrition
#SoberLiving
NClarke2017 is offline   Reply With Quote
The Following 2 Users Say Thank You to NClarke2017 For This Useful Post:
Dee74 (02-20-2018), thomas11 (02-20-2018)
Old 02-20-2018, 08:27 AM   #13 (permalink)
Member
 

Join Date: Jul 2017
Posts: 517
In some cases the reason for all the questionnaires has to do with insurance reimbursement. The more documentation that can be provided the greater the reimbursement to the facility from the insurance. And in many cases it's flat out required if the facility wants to see a payment from them. As far as the mental health stuff specifically, life situations for people can change for people on a dime, and there's a huge push to raise awareness of mental health issues, and for lots of patients, they simply don't want to discuss that stuff. The questionnaire is a way to broach the subject in a way that is less intimidating for some. But there should still be a better way for everyone. I get tired of filling all that stuff out and answering the same questions all the time as well.
BlownOne is offline   Reply With Quote
The Following 3 Users Say Thank You to BlownOne For This Useful Post:
Mireille (02-20-2018), Rar (02-21-2018), thomas11 (02-20-2018)
Old 02-20-2018, 08:31 AM   #14 (permalink)
Member
 
PennyLane76's Avatar
 

Join Date: Jun 2015
Location: California
Posts: 1,424
Hi Jeff, Medicine is definitely changing. Not many med students are opting for primary care, the money is just not there and most grads have HUGE student loans to repay. Thus the increase in mid levels (PA's and NP's). Less salary. I would suggest going to a nephrologist, skipping the internist and GP. Don't know if you need a referral, keep bugging and you will get one.

It may be your clinic has a quality measure regarding mental health this year . Those can change, a big clinic here used LDL under 100 one year, then glucose control next, etc. Most of the big groups have a quality measure, so I'm speculating thats why the follow up on depression.

Best to you, let us know how it goes!
PennyLane76 is offline   Reply With Quote
The Following 2 Users Say Thank You to PennyLane76 For This Useful Post:
Mireille (02-20-2018), thomas11 (02-20-2018)
Old 02-20-2018, 08:37 AM   #15 (permalink)
Member
 

Join Date: Dec 2014
Posts: 2,905
I'd try and find another Doc office, if you can. I could see myself being a smartass on the sheet and end up being locked away for an evaluation or something.
__________________
'Dumb' it down as much as you can....makes it WAYYYY easier!!
DontRemember is offline   Reply With Quote
The Following 3 Users Say Thank You to DontRemember For This Useful Post:
Boxer1 (02-20-2018), Mireille (02-20-2018), thomas11 (02-20-2018)
Old 02-21-2018, 02:06 AM   #16 (permalink)
Member
 
MythOfSisyphus's Avatar
 

Join Date: Oct 2012
Posts: 5,117
I suppose now every doctor visit is viewed as an opportunity to 'upsell' the customer/patient some new drug. Stick to your guns! As you say, it's your body. You have to be an advocate for your own health.
__________________
I realized I could probably go on drinking like this for maybe two or three more years, or live for another two or three decades...but not both. Suddenly the choice became crystal clear.
MythOfSisyphus is offline   Reply With Quote
The Following 2 Users Say Thank You to MythOfSisyphus For This Useful Post:
Rar (02-21-2018), thomas11 (02-21-2018)
Old 02-22-2018, 05:45 AM   #17 (permalink)
Member
 

Join Date: Aug 2015
Posts: 1,518
I feel the same way with our practice or do they call it partnership these days .
Out of the 3 regular docs of about 8-10 years 2 have left and the other is part time and the partnership has joined up with the neighboring village . The personal touch I had with the previous doctors has gone and we are left with either old locums or 25 year old juniors.
I think this upsets me as none of them really know me and about my past drinking and mental issues , yes its in my notes but they don't have time to really get to know the proper history . I think this is why I have been wrongly re-established with diazepam . I of course can rip the scrip up so I must take responsibility for this .
hpdw is offline   Reply With Quote
Reply


Currently Active Users Viewing this Thread: 1 (0 members and 1 guests)
 
Thread Tools


Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off




All times are GMT -7. The time now is 05:13 AM.