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Broken bodies and bio mechanics

Broken bodies and bio mechanics

Old May 7th 2019, 5:35 pm
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Default re: Broken bodies and bio mechanics

My doctor has been doing annual blood work for the last few years, and did it recently this year, way different vs previous years, so more blood work and some tests.

Cholesterol was high for the first time ever, but should be able to manage it via diet at this point.
Sugar was high, but not diabetic, but could turn into diabetes, again diet change will likely fix this.

Thyroid is out of whack though, may explain why I am so fatigued and no amount of sleep helps, I just can't muster the energy up anymore for things.

Have to do a bladder ultrasound, and abdominal ultra sound for my liver as the blood work showed some possible signs of liver issues.

And a chest x-ray as I have had a cough for several months that wont go away.

12 months ago all the blood work came back normal, as did every blood work up prior to this year.

Going to do weekly blood work for 3 months.
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Old May 7th 2019, 7:55 pm
  #122  
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Default re: Broken bodies and bio mechanics

Originally Posted by BristolUK View Post
...The family doc gets the report from the lab and his secretary (I assume it's her) puts them in the folder. But it usually takes me prompting him that I'm there for the results. It doesn't inspire confidence but there are other things that do, so no big deal, I'm sure he'd get there without the prompt.

Today's doc, though, I don't know if she gets a printed report or whether she prints one after. But I've seen enough to know that she accesses my records on her computer. This may, of course, be her staff entering the data from printed reports from the hospital..
So, today's doc is not your usual or replacement GP?

Originally Posted by BristolUK View Post
I also know, from being asked which hospital I had it done, that she is accessing results from direct link to the hospital/health authority computer.
This is part of being joined up, and is good stuff. Everywhere seems to go about it differently, with varying degrees of success.

Originally Posted by BristolUK View Post
I mean, supposing I just went along and was happy to hear "everything stable, blood-sugar numbers very good, BP fine, (need any renewals?) see you in 6 months" and just assumed that included the ultra sound when it hadn't and maybe there was something "wrong" and it hadn't been picked up?
I don't assume anything, especially where non run of the mill subjects are on (or not on) the agenda. Not making excuses, but she's one doc, you are one of many of her patients.

Originally Posted by BristolUK View Post
I just don't get that I was called in and either she hadn't read a note that I had been referred for the ultra sound or she hadn't previously noted the referral.
​​​​So, you were called in outside of the regular six-monthly touch-base sessions?
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Old May 8th 2019, 12:53 am
  #123  
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Default re: Broken bodies and bio mechanics

Originally Posted by BuckinghamshireBoy View Post
So, today's doc is not your usual or replacement GP?
Kidney specialist. Been seeing her for about 4 years now following a suspected kidney stone that revealed reduced function.
I don't assume anything, especially where non run of the mill subjects are on (or not on) the agenda. Not making excuses, but she's one doc, you are one of many of her patients.
Sure, but this is surely where there should be some procedure in place. When I think of all the "red tape" at work that was there for a reason. What do they call it in CSI...chain of evidence? Seems fussy but important.

A doctor refers a patient for an ultra sound. They must know approximately how long it takes so set a control of some sort for two months to follow up in case nothing heard. In the event an appointment is made - and in this case it was the doctor's office who sent me the appointment details - the doctor's office could set a similar control to check the result. One assumes they'd have an idea of that too?
So, you were called in outside of the regular six-monthly touch-base sessions?
I got the letter for today's appointment in between getting the Ultra sound appointment letter and the actual ultra sound. I may be wrong in my assumption but it seemed to me that the appointment after four months instead of 6 - plus more blood work only a month after the last lot (instead of every 3 months) - was in anticipation of the ultra sound report.

But even if I'm wrong about that, had I not asked about it, that ultra sound report may have sat on the computer unseen.

Had there been the kind of procedures that sound like red tape but have a purpose, setting a control on their system to follow up the referral; perhaps an acknowledgement from the hospital to the doctor that they'd received it; the doctor setting a control when they'd reasonably expect it to happen; the hospital having issued the report or making it available on the computer maybe requiring confirmation from the doctor that it's been followed up so that resources were not wasted....any or all of these things would have prevented it being forgotten.

In another life I may have just accepted today's 'review' as being a repeat of the previous 8 or 9 times - easy to get blasé - but I probably got used to so many different health issues for my wife when she was still alive that I was more alert to it.



​​​​
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Old May 8th 2019, 11:58 am
  #124  
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Default re: Broken bodies and bio mechanics

Originally Posted by BristolUK View Post
...Sure, but this is surely where there should be some procedure in place. When I think of all the "red tape" at work that was there for a reason. What do they call it in CSI...chain of evidence? Seems fussy but important.
Yes, very important. Ok, the procedure may be there, but lacking some adequate processes in place needed to follow said procedure.

Originally Posted by BristolUK View Post
A doctor refers a patient for an ultra sound. They must know approximately how long it takes so set a control of some sort for two months to follow up in case nothing heard. In the event an appointment is made - and in this case it was the doctor's office who sent me the appointment details - the doctor's office could set a similar control to check the result. One assumes they'd have an idea of that too?
So there is some evidence that the processes are not adequately joined up.

Originally Posted by BristolUK View Post
I got the letter for today's appointment in between getting the Ultra sound appointment letter and the actual ultra sound. I may be wrong in my assumption but it seemed to me that the appointment after four months instead of 6 - plus more blood work only a month after the last lot (instead of every 3 months) - was in anticipation of the ultra sound report.

But even if I'm wrong about that, had I not asked about it, that ultra sound report may have sat on the computer unseen.
The sending of the letter was triggered by "some event". The news of this event arguably should have been broadcast to multiple destinations and acted upon accordingly.

You did your bit - reading the letter and turning up for the appointment - but there was a break in another strand of the procedure - flagging it with appropriate visibility to the specialist.

But one thing that strikes me as odd is the timing of letter. An appointment to review an event before the event has taken place? Sadly this sort of thing still happens and can go wrong due to the assumption that the event will take place, rather than confirmation that the event has already taken place.

Even the finest University hospital in Geneva suffered a similar oops! in the great "BB and the colonoscopy kit" debacle of 2016.

Originally Posted by BristolUK View Post
Had there been the kind of procedures that sound like red tape but have a purpose, setting a control on their system to follow up the referral; perhaps an acknowledgement from the hospital to the doctor that they'd received it; the doctor setting a control when they'd reasonably expect it to happen; the hospital having issued the report or making it available on the computer maybe requiring confirmation from the doctor that it's been followed up so that resources were not wasted....any or all of these things would have prevented it being forgotten.​​​​
It can be hugely frustrating to see just how disjointed things can be even within the same organisation.

But in a scenario where one needs to 'hook up' GP's to radiologists and other specialists to hospitals and back again, taking into account IT technology infrastructures, budgets (and politics) it takes on nightmare proportions.

Originally Posted by BristolUK View Post
In another life I may have just accepted today's 'review' as being a repeat of the previous 8 or 9 times - easy to get blasé - but I probably got used to so many different health issues for my wife when she was still alive that I was more alert to it. ​​​​
And that, sadly, remains the safety net.

Last edited by BuckinghamshireBoy; May 8th 2019 at 12:00 pm.
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Old May 8th 2019, 2:02 pm
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Default re: Broken bodies and bio mechanics

Originally Posted by BuckinghamshireBoy View Post
So there is some evidence that the processes are not adequately joined up.
Aside from me prompting my family doc (Family doc is what GPs are known as here) it seems to work better having a print of the report than the 'joined up' method of having it on computer.
But one thing that strikes me as odd is the timing of letter. An appointment to review an event before the event has taken place? Sadly this sort of thing still happens and can go wrong due to the assumption that the event will take place, rather than confirmation that the event has already taken place.
I don't mind that. At the registration points in all the clinics at the hospital are notices about the importance of keeping appointments. And they always call the working day before to remind the patient.

If they wait until they know it's been done and then make the appointment, there may be an unnecessary further delay. I suppose they could keep a couple of slots for such things though.

It can be hugely frustrating to see just how disjointed things can be even within the same organisation.
That's going to get me started on the government of New Brunswick.
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Old May 13th 2019, 4:13 pm
  #126  
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Default re: Broken bodies and bio mechanics

Originally Posted by BristolUK View Post
I wondered about a thread in between pissed off and made smile - what nonplussed you today?
Originally Posted by BuckinghamshireBoy View Post
...It can be hugely frustrating to see just how disjointed things can be even within the same organisation.
This latest happening almost triggered me to start the nonplussed thread which I will likely do any day now.

Having finally received the Swiss foreigner police "you are free to leave" magic paper, I forwarded copies to the Swiss health insurance company.

They replied "Ok, noted, looks like you are due for a rebate, but could you now please fill in the questionnaire?". This being the same document that I had previously pointed out was a complete waste of time as we were leaving Switzerland permanently.

Oh, what the heck? I realised that all the required information was on one page, so I completed and signed mine, OH did hers, and I sent them back via email.

The reply came back: "Dear Sir, instead of the single pages, could you please send us the entire documents, as we only have one copy of each, and they are very poorly scanned".



I did, but only after the laughter had subsided.
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Old Jun 14th 2019, 4:15 pm
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I had another colon screening invitation today.

I thought, so soon? it was only last year. But no, it was two years ago and is supposed to be every two years.
How time flies.
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Old Jun 14th 2019, 4:51 pm
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I'm hoping my doc can sort out tomorrow whatever gastro thug decided to attack me in Thailand, and liked me so much that it's come home with me. The Thai doctor was good, but the $600 worth of drugs he gave me didn't get rid of it. Mind you, I decided not to take most of them so that may have some bearing on them not working
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Old Jun 14th 2019, 4:55 pm
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Default re: Broken bodies and bio mechanics

Originally Posted by BristolUK View Post
I had another colon screening invitation today.

I thought, so soon? it was only last year. But no, it was two years ago and is supposed to be every two years.
How time flies.
Good luck with that.

Originally Posted by spouse of scouse View Post
I'm hoping my doc can sort out tomorrow whatever gastro thug decided to attack me in Thailand, and liked me so much that it's come home with me. The Thai doctor was good, but the $600 worth of drugs he gave me didn't get rid of it. Mind you, I decided not to take most of them so that may have some bearing on them not working
How much! I hope you fare better than my Mother - who picked up a gastro thug in China, which took 2 years to clear.
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Old Jun 14th 2019, 5:06 pm
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Originally Posted by Expatrick View Post



How much! I hope you fare better than my Mother - who picked up a gastro thug in China, which took 2 years to clear.
Eeek, 2 years?! Your poor mum, it must have been a very nasty bug.

I took the electrolyte stuff the doc in Thailand gave me, and the anti-cramping drug. But because I had a high fever and apparently a very inflammed throat and ears (which weren't even sore), he thought I had influenza. So as well as an injection of Tamiflu and an injection of some type of paracetamol, he gave me Tamiflu tablets, antibiotics, anti-nausea tablets (wasn't feeling sick), and 3 other drugs as well. That seemed a bit excessive and unnecessary so I back-heeled all of those. Pssst, wanna buy some drugs?
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Old Jun 14th 2019, 5:06 pm
  #131  
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Originally Posted by spouse of scouse View Post
I'm hoping my doc can sort out tomorrow whatever gastro thug decided to attack me in Thailand, and liked me so much that it's come home with me. The Thai doctor was good, but the $600 worth of drugs he gave me didn't get rid of it. Mind you, I decided not to take most of them so that may have some bearing on them not working
Ouch in all senses! Poor you.

Any hint yet as to cause - water, salad, ice-cream, mega curry etc ?

Edit: just seen your reply to EP...

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Old Jun 14th 2019, 5:27 pm
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Originally Posted by BuckinghamshireBoy View Post
Ouch in all senses! Poor you.

Any hint yet as to cause - water, salad, ice-cream, mega curry etc ?

Edit: just seen your reply to EP...
Thanks for the sympathy BB I have a pretty good idea of what sent the gut into meltdown. We booked a private long boat tour of the river and canals on my birthday. Our guide, who was lovely, bought me a coconut ice cream from a little boat that was passing. As far as I can tell by watching the vendor put the ice cream together in a plastic up, it consisted of ice shavings mixed with coconut milk, topped with stalks of lemon grass, topped with a couple of scoops of rice, then condensed milk was poured over it, and it was decorated with a liberal sprinkling of corn kernels. Nah, couldn't have been that, could it?

I struggled through half of it because I didn't want to hurt the tour guide's feelings. In retrospect, I should have hurt her feelings
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Old Jun 15th 2019, 3:28 am
  #133  
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Default re: Broken bodies and bio mechanics

Originally Posted by spouse of scouse View Post
I'm hoping my doc can sort out tomorrow whatever gastro thug decided to attack me in Thailand, and liked me so much that it's come home with me. The Thai doctor was good, but the $600 worth of drugs he gave me didn't get rid of it. Mind you, I decided not to take most of them so that may have some bearing on them not working


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Old Jun 15th 2019, 3:41 am
  #134  
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Default re: Broken bodies and bio mechanics

Originally Posted by spouse of scouse View Post
I'm hoping my doc can sort out tomorrow whatever gastro thug decided to attack me in Thailand, and liked me so much that it's come home with me. The Thai doctor was good, but the $600 worth of drugs he gave me didn't get rid of it. Mind you, I decided not to take most of them so that may have some bearing on them not working
Hope it goes away and you feel better soon.

I had a gastro infection back in 1999, took months to get rid of, and ended up with IBS from it. Never had any gastro issues before then, but that damn infection still haunts me.

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Old Jun 15th 2019, 4:23 am
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Originally Posted by Jsmth321 View Post
Hope it goes away and you feel better soon.

I had a gastro infection back in 1999, took months to get rid of, and ended up with IBS from it. Never had any gastro issues before then, but that damn infection still haunts me.
That's a bugger JS. IBS is no fun at all.

Doc has diagnosed salmonella. I'm never eating 'ice cream' again!
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