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Some things are just hard to diagnose at this point and time. We just don't know enough.
That said, I have had some horrible doctors in my time. Ones that overlooked the obvious diagnosis for years, due to me being outside of the normal demographic. Gallstones. Undiagnosed from 9th grade til the mid 20s. Written off as drug seeking.
I was young, and didn't know how to advocate for myself.
even advocating for yourself doesnt do much. its very hard to get drs to look for causes.
I have an issue with doctors that don't or can't diagnose, do not address the symptoms that the appointment was made for, say "I don't know" then tell you to pay at the front on your way out.
1st appointment - I see a doctor for multiple symptoms that started at the same time. Doc says 'I don't know, lets get a blood test'. (OK that's a good starting point.)
2nd appointment we review the blood test. I ask what could be causing these symptoms ?
Doc says 'I don't know, let's do this other test and make another appointment for 1 month and see how you feel'. That sounded kinda goofy, but I agreed.
3rd appointment. Doctor reviews the other test and recommends a prescription medicine.
I ask 'Because of the test results, do you think I should really be taking that ?
Doc looks at the report again and says 'Oh No you shouldn't that could be bad'. (We share a pause and eye to eye moment)
Then with no more hesitation the Doctor says 'I see your blood pressure is higher than it's been, maybe we should start you on some blood pressure meds'. (my blood pressure was the lowest of all 3 appointments)
I ask 'What about the symptoms I made the original appointment for that I'm here to see you about' ?
Doc says ' I don't know, would you like me to order the blood pressure meds for you' ?
I got up and walked out.
Now 4 1/2 months later I get a bill for almost $300.00 for the 1st appointment. 4 1/2 months
I don't think I'm going to pay any bills from this doctor. I did use their time, but their time was useless.
Would you feel like you should pay for this ? and would you ?
I probably wouldn’t pay. However, it can lower your credit rating. I recently went to see a doc because I had long Covid. I self-diagnosed myself. He purported in a medical freedom group that he believed in alternative treatments. However, when I went in to see him, he became unglued that I wanted ivermectin. He acted like I was some kind of criminal. I felt horrible. He ordered blood tests and a chest X-ray and dismissed my claims that it was long Covid.
I paid the bill when I left, but was upset about doing so. I didn’t bother getting the tests, but found another doc (who didn’t charge me anything) that used the FLCCC protocols which included ivermectin, supplements and dietary changes. I started to feel much better within a few days.
Anyhow, I started messaging him on FB (he was also running for a political office) and told him that I had found a Dr that took my concerns seriously and that I was healing. I requested a refund. I had to continue messaging several times over a couple of months before he finally gave in and refunded my money. We shouldn’t allow Drs or veterinarians to scam us out of money when they don’t perform their job. It sounds like your doc was a quack to me.
I don’t think the NP/PA route is necessarily a bad one. Most NP/PAs do quite well with most routine issues and follow-up visits. Now if you have a complex issue, that’s when you probably want to see a doctor. I have to say that from my own experience, the doctor hasn’t always been able to do better than the NP/PA. The NP/PA route is also much faster. You typically need some patient experience already to do these programs and the total training is a few years as opposed to a minimum of 7 from the time you start medical school. I think going into those fields or allied health is more appealing since you can make a good salary without the insane commitment of medical school.
I don't know if you're using NP to designate naturopath, but if so, naturopaths are "doctors."
even advocating for yourself doesnt do much. its very hard to get drs to look for causes.
You have to understand the challenges confronting the healthcare medical industry today. If one breaks down diseases based on causes one breaks them down into communicable and noncommunicable lifestyle related diseases. The later comprises 70% of causes today.
Without even knowing what your cause is simply changing your lifestyle choices would help greatly with your overall health. That's all on the patient and not the doctor. People will never be happy with that. They will never be satisfied with that answer.
even advocating for yourself doesnt do much. its very hard to get drs to look for causes.
When I run across that I switch doctors. It took me a while to find a gastro who didn't assume I was drug seeking. I had other gastros tell me I was an alcoholic (pancreatitis) and I insisted upon an ERCP, I had a blocked bile duct.
BUT, I suspect just changing doctors isn't as easy now that we live in NV.
DH has had a lot of surgeries on one shoulder, and he started getting some pretty intense pain and limited mobility, the doc did whatever imaging and saw nothing, and was ready with the "not much we can do", when I followed him out in the hall "I do not feel that realize the amount of pain he is in and if there is a chance exploratory surgery can find something, I really feel it can be done", luckily he quickly agreed (there was more to the whole conversation). Sure enough he a rather large bone spur rubbing a tendon (or some soft part.)
Some doctors do suck, they are just like anyone else.
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You have to understand the challenges confronting the healthcare medical industry today. If one breaks down diseases based on causes one breaks them down into communicable and noncommunicable lifestyle related diseases. The later comprises 70% of causes today.
Without even knowing what your cause is simply changing your lifestyle choices would help greatly with your overall health. That's all on the patient and not the doctor. People will never be happy with that. They will never be satisfied with that answer.
sorry but whats a lifestyle choice? spending lots of time outside in the woods and fields and around lifestock is a terrible choice? do youknow how many drs have no idea or care about the diseases in nature? They want to treat for the easy stuff, not the stuff that has to be looked at from different angles. Do you know how many people sufferfrom lyme but drs refuse to treat when even the labs will tell you that they dont test for all strains of lyme, only 2 or 3 of the most common strains so a neg doesnt mean you are truly neg, but many drs will say see you dont have lyme youre neg. Then we have many of the other tick diseases that are spreading thu out the country. Mosquitoes, other parasites, insects etc. Allergies of allkinds. You would rather have people sit at their desks or in their rocking chairs then spend time outside. Better lifestyle choice? just easier for the medical profession. not very good for the patient.
When I run across that I switch doctors. It took me a while to find a gastro who didn't assume I was drug seeking. I had other gastros tell me I was an alcoholic (pancreatitis) and I insisted upon an ERCP, I had a blocked bile duct.
BUT, I suspect just changing doctors isn't as easy now that we live in NV.
DH has had a lot of surgeries on one shoulder, and he started getting some pretty intense pain and limited mobility, the doc did whatever imaging and saw nothing, and was ready with the "not much we can do", when I followed him out in the hall "I do not feel that realize the amount of pain he is in and if there is a chance exploratory surgery can find something, I really feel it can be done", luckily he quickly agreed (there was more to the whole conversation). Sure enough he a rather large bone spur rubbing a tendon (or some soft part.)
Some doctors do suck, they are just like anyone else.
that happened to a family member. He hadsudden pancreatitis. they couldnt find a cause so they assumed he must be an alcholic and then wrote it in his record! The family member hadnt had a drink in at least 30 years or longer. that gastro was a real gem all right( sarcastic).
sorry but whats a lifestyle choice? spending lots of time outside in the woods and fields and around lifestock is a terrible choice? do youknow how many drs have no idea or care about the diseases in nature? They want to treat for the easy stuff, not the stuff that has to be looked at from different angles. Do you know how many people sufferfrom lyme but drs refuse to treat when even the labs will tell you that they dont test for all strains of lyme, only 2 or 3 of the most common strains so a neg doesnt mean you are truly neg, but many drs will say see you dont have lyme youre neg. Then we have many of the other tick diseases that are spreading thu out the country. Mosquitoes, other parasites, insects etc. Allergies of allkinds. You would rather have people sit at their desks or in their rocking chairs then spend time outside. Better lifestyle choice? just easier for the medical profession. not very good for the patient.
Yeah, I am not going down that road with Lyme disease. About 2014 or so industrialized countries started shifting their attention to what they defined as lifestyle related diseases apart from infectious diseases. People can end up with a tick and get an infectious disease. They were separating infectious from non-infectious disease like heart disease, stroke, high blood pressure and diabetes. If you read about the soda consumption in Mexico and the diabetes surge then one gets a better picture about what they termed lifestyle choices and consequences.
Here in the US a lot of healthcare institutions instituted wellness programs that was meant to educate and monitor people and steer them to make better lifestyle choices. At my work they reduced the cost of insurance premiums accordingly if you went through a continuous education.
In countries like the UK some wanted to get more tougher because of the added cost to the NHS. They wanted to penalize some people by making them pay more. They didn't go through but .....
In the US if you are an alcoholic then you are deferred from transplant programs. Is that fair?
Yeah, I am not going down that road with Lyme disease. About 2014 or so industrialized countries started shifting their attention to what they defined as lifestyle related diseases apart from infectious diseases. People can end up with a tick and get an infectious disease. They were separating infectious from non-infectious disease like heart disease, stroke, high blood pressure and diabetes. If you read about the soda consumption in Mexico and the diabetes surge then one gets a better picture about what they termed lifestyle choices and consequences.
Here in the US a lot of healthcare institutions instituted wellness programs that was meant to educate and monitor people and steer them to make better lifestyle choices. At my work they reduced the cost of insurance premiums accordingly if you went through a continuous education.
In countries like the UK some wanted to get more tougher because of the added cost to the NHS. They wanted to penalize some people by making them pay more. They didn't go through but .....
In the US if you are an alcoholic then you are deferred from transplant programs. Is that fair?
I dont know where you are but where i am the tick diseases are treated by different specialists. Fo example if you have the misfortune of being bitten by a tick with babesosis than thats an infectious disease specialist even though its not infectious. Then chronic lyme is treated by a rheumatologist, but if its neuro lyme then we have a neurologist or cardiac then we have a cardiologist! Then there are a few in the early stages that maybe can be treated by a primary. After while it gets confusing, impossible to get an appt. and that only the diseases from 1 bug!!
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