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Old 03-22-2015, 10:34 AM
 
26,590 posts, read 54,645,060 times
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I want to address the Opthamology issue presented above. I was seen at Bascom Palmer about a year ago. I have an eye condition which only 10 doctors in the US are trained to treat.

Bascom Palmer was chaos, mayhem, and filthy--not to mention they were breaking HIPAA rules all over the place with complete disregard for patient confidentiality. There were prisoners in shackles, every possible type of derelict, I was treated like a number and many of the staff were beyond rude. I was diagnosed and told I needed immediate surgery, and if I wanted to delay surgery, I would need to take massive doses of steroids. Additionally the way he wanted to perform the procedure left me feeling that it might be riskier to have it done than to forego treatment. I told the doctor I wanted to get a second opinion, and he became very rude and condescending.

I decided to not take the steroids and got an appointment with a doctor at Wills in Philadelphia a few days later. That doctor agreed with the diagnosis, but offered a very different procedure which has minimal risk. They also said that there was no reason to operate right now, as my vision is 20-20 and typically they do not operate until there are actual symptoms. (My condition was found accidentally during treatment for something else.)

I then went to LA to see another specialist at Jules Stein who agreed with the doctor in Philadelphia and was pretty stunned by the patient notes from the doctor at Bascom Palmer.

Both Jules Stein and Wills offered a quiet, comfortable, spotless environment which put me at ease. The staff were pleasant and did everything possible to make me feel comfortable and welcomed.

If I had allowed the doctor at Bascom Palmer (who is the Chief of the sub-specialty I saw him for) to operate, I would probably have lost the vision in my eye and need reconstructive ENT surgery based on the way he wanted to perform the surgery and my bone structure. I could never in good faith suggest anyone go there, and have no idea how that place makes it onto any list, let alone as #1.
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Old 03-22-2015, 10:40 AM
 
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One more thing to add to this thread...

The majority of non-US citizens traveling here for medical treatment are wealthy Middle Easterners and Eastern Europeans. Cleveland Clinic and Mayo in Minnesota are typically their hospitals of choice.

That said, I do have friends from both the UK and Canada who have come to the US for dental work. That seems to be something almost impossible to obtain on a timely manner in those countries, particularly if you want cosmetic work done.
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Old 03-22-2015, 11:45 AM
 
Location: SW Florida
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Quote:
Originally Posted by annerk View Post
I have excellent doctors here. Educated at places like Harvard, University of PA, and Cornell. None are foreign born. My PCP got my asthma under control by fixing the root cause instead of the symptoms, something my NJ doctor was unable to do in 10 years time.
I have to say that the absolute best cardiologist (electrophysiologist) I've ever encountered is foreign born, and attended medical school in his country of origin- he's of German origin. And practicing in Florida.

Not that there aren't other excellent electrophysiologists out there as well, but it's a difficult specialty and I don't think there are a lot of them.
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Old 03-22-2015, 02:33 PM
 
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Originally Posted by Travelassie View Post
I have to say that the absolute best cardiologist (electrophysiologist) I've ever encountered is foreign born, and attended medical school in his country of origin- he's of German origin. And practicing in Florida.

Not that there aren't other excellent electrophysiologists out there as well, but it's a difficult specialty and I don't think there are a lot of them.
I think there is a big difference between doctors educated in some of the European countries (Germany, Sweden, UK, Belgium as a start) than those educated in third world and developing nations. A big challenge to me is language barrier. If we can't communicate, they can be the best in the world and they will still be ineffective as far as treating me.
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Old 03-22-2015, 03:50 PM
 
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Originally Posted by annerk View Post
I think there is a big difference between doctors educated in some of the European countries (Germany, Sweden, UK, Belgium as a start) than those educated in third world and developing nations. A big challenge to me is language barrier. If we can't communicate, they can be the best in the world and they will still be ineffective as far as treating me.
Most of them should have been weeded out during residency, which all of them must do here in the U.S.
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Old 03-22-2015, 08:01 PM
 
26,590 posts, read 54,645,060 times
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Quote:
Originally Posted by chopchop0 View Post
Most of them should have been weeded out during residency, which all of them must do here in the U.S.
Don't count on it. My neighbor is an MD, from an Asian country. I can barely understand him have day-to-day chit chat, let alone discussing a technical medical issue.
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Old 03-23-2015, 05:08 AM
 
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Depends where you live, personally if I get sick I am going to Mayo. My personal experience is medical care in some areas is sub par. Nurses are poorly trained, by the way my daughter is a nurse, and that's her opinion also. If you get sick in Sebring get out of town fast.
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Old 03-23-2015, 07:26 AM
 
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I've been lucky that the few doctors that I've had to deal with were all good.
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Old 03-23-2015, 07:57 AM
 
26,590 posts, read 54,645,060 times
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Originally Posted by lynxville View Post
Depends where you live, personally if I get sick I am going to Mayo. My personal experience is medical care in some areas is sub par. Nurses are poorly trained, by the way my daughter is a nurse, and that's her opinion also. If you get sick in Sebring get out of town fast.
Mayo isn't always the best option. There isn't a doctor at Mayo or Cleveland Clinic who is trained to perform the surgery I will need in the future. It's quite possible that they wouldn't even be able to diagnose the problem and would refer me to Wills, Jules Stein, Johns Hopkins (who also doesn't have a surgeon on staff who is trained for this surgery!), etc.

When choosing a facility you need to look at what they specialize in. Just because they do heart transplants it doesn't mean they are up to speed on liver transplants. They might have a world class orthopedic program, but that doesn't mean they can treat brain cancer. I'll also add that sometimes the really big places aren't always the best. The more patients being treated, the more likely that things will slip through the cracks.
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Old 03-25-2015, 09:12 AM
 
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Annerk, can I ask you what the "root cause" of your asthma was? My friend is very sick with asthma in NY and cannot get it under control. Thanks.
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