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Old 10-19-2011, 07:25 PM
 
Location: not new to houston anymore
276 posts, read 758,222 times
Reputation: 252

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Quote:
Originally Posted by Whatsthenews View Post
I never received a letter saying that they strongly recommended I have the colonoscopy and my PCP never mentioned it next time I visited him.
.
once your dr refers you, they expect that you'll follow through or at least mention that you're not going to do it. when you go in the next time with a new problem or follow up on a different issue, they may not notice that you haven't gotten the recommended procedure (since the record won't always be sent back to the PCP). if they dont mention it, it doesn't mean they feel it isn't needed. it means they feel you are responsible enough to remember their recommendation for YOUR health. being over 50, the recommendation is to have one. you can always choose not to do so, but then you are assuming the risks. there is no reason for them to send you a letter to do the colonoscopy. to some extent, you are at a disadvantage because they know you're an RN-- they assume you know certain things (like what MAC is, the recommendations for cancer screening, the importance of certain testing) and so they do not explain as much as they should.

Quote:
Originally Posted by suzy_q2010 View Post
In many cases, the decision to treat is driven by the patient and the patient's family. Desperate folks are often willing to try anything. If the doc suggests hospice, the patient just goes to another doc.
this is very true. as a culture, we do not handle death very well. that is why such a large amount of healthcare $ is spent in the last 6 months of life. i have had way too many conversations with unwilling families and patients urging them to accept DNR (do not resuscitate) as their status in the hospital. to most of them, if there's any chance to prolong life, they want to take it--even if it means more suffering. death is just too final an outcome for them to not use every opportunity to circumvent it. i think oncologists are in an interesting situation as they have something they feel could give a patient a chance (even a 10% chance) to live and so SOME do not offer hospice early enough.
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Old 10-19-2011, 09:08 PM
 
10,452 posts, read 10,972,808 times
Reputation: 12543
Yep. I could possibly do treatment to improve my sight but I don't think it's worth it and plus, last time I ended up going blind when the treatment stopped anyway. So I figure I will just do the treatment again, get better vision, stop, and go blind again. Easier to just stay blind. It saves me a lot of time and money in the end, and doesn't give me a false sense of hope.
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Old 10-22-2011, 06:25 PM
 
Location: St. Louis
9,988 posts, read 17,904,175 times
Reputation: 14302
Quote:
Originally Posted by nimchimpsky View Post
Yep. I could possibly do treatment to improve my sight but I don't think it's worth it and plus, last time I ended up going blind when the treatment stopped anyway. So I figure I will just do the treatment again, get better vision, stop, and go blind again. Easier to just stay blind. It saves me a lot of time and money in the end, and doesn't give me a false sense of hope.
That sounds like a wise decision to me. It's like having your gift taken forcibly away from you.
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