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Old 03-27-2023, 10:28 AM
 
Location: Starting a walkabout
2,691 posts, read 1,667,531 times
Reputation: 3135

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Quote:
Originally Posted by movedintime View Post
The heart fluctuations have been a daily thing since Sept. 2022 and continue today. Averaging 25-30 a day.

With new Doctor I have worn a heart monitor ( which showed the above results) 2 more blood tests and echocardiogram (which have not gotten the results yet).

******************

Regarding Post #33

I would like to hear thoughts from other posters as well.

Pay the specialist ?
Pay the PCP ?
Pay no one ?

I have read your posts and here is my opinion, as someone who is in the health care field -

Pay the original GP. He has made attempts to find out your issues.

Ask the second doctor's office to waive the charges since it was a mistaken referral. If you want to dispute, do it with the insurer. They will demand the physician to produce the notes and he cannot do that if all he saw you was for 3 minutes and did not do anything. Make sure that your and his versions match

As to your issues, you might think you have heart issues and they may or may not be there. See a non-invasive cardiologist or an arrhythmia specialist. They will make you wear a Holter monitor. You might already have done it. At the times you have those fast or slow heart beats, mark it ( they will have a button to press). When they analyze the results, they will look carefully at the time you marked as feeling abnormal and see if the rhythm was actually abnormal. If you felt your hear racing and your heart rate was actually 80 or 90 beats per minute and in sinus rhythm then it was more your imagination of fast heart beats than actual tachycardia. Not that you are purposefully doing it but many people have symptoms that does not translate to actual abnormality. If they do find an abnormality they will work it with electrocardiogram and specialized heart conduction studies, that might even necessitate a visit to the cardiac invasive lab.
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Old 04-15-2023, 09:07 AM
 
46 posts, read 60,629 times
Reputation: 65
Quote:
Originally Posted by movedintime View Post
I hope your condition is not too serious (I know nothing about it) and gets resolved quickly but, yeah sounds like it's time for a new doctor for you too.

Maybe it is that some are letting their conditioning influence their response. It is a little surprising. I had no expectations when starting this thread, but some responses seem to be aggressive, angry, hateful. (maybe they are doctors who didn't get paid)

Once, in conversation regarding healthcare in America, I mentioned something similar to what a poster wrote about doctors only going for The Paycheck.
I said 'with politicians trying to fix healthcare in this country, maybe the Gov should pay for medical school for those who want to become doctors, with the caveat after graduation there is a limit on their salary, say 150k per year or ?) with annual col raises. (that is still a nice salary)
That would get rid of the doctors who are only there for the money and get people who really have a passion for the medical profession and a desire to want to help people.

Wow, I wasn't ready for the response to that. I was called a communist, glared at and called anti-American.

I only meant it as a simple comment in passing conversation. Oh well, takes all kinds to make the world go 'round and I guess I'm one of 'em.
A lot of responses on social media are just people's conditioning, rote conditioned responses. It's almost as if the same person is responding because it's coming from conditioning not from their unique critical thinking.
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Old 04-15-2023, 09:38 AM
 
Location: San Diego, California
1,147 posts, read 863,305 times
Reputation: 3503
Quote:
Originally Posted by runningfromnoise82 View Post
A lot of responses on social media are just people's conditioning, rote conditioned responses. It's almost as if the same person is responding because it's coming from conditioning not from their unique critical thinking.
One needs to use basic logic as a guidepost rather than judging based on emotion. Do you think that the government should pay for medical school and then have the graduate limit their salary to 150K? Where did that come from? What historical precedence did that arise from? That poster then concluded that the angry replies were from doctors. I would suggest that they are not from doctors since most doctors are not flooding the internet. You conclude that it is just people's conditioning. Almost as if the same person is responding? Like you can only conceive one person of being against it.

I post in several forums and one thing that is a common thread is how far out of touch some people's comments are about healthcare. Most of the time I have to start from scratch and take it one step from somebody knowing nothing about healthcare to explaining the process involved to where they want to get. This OP is suggesting that doctors should not get paid for underperforming. Another suggests that the government pay for school and they limit their income.

The government has paid for schooling for medical school students if they serve underprivileged communities for a certain number of years. They would go to underserved communities and when their contract was up they would leave and go back to the regular or even rich communities. There is also a military medical school that requires a commitment after graduation. Once the number of years commitment is met they can go to the civilian sector.
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Old 04-15-2023, 09:47 AM
 
Location: Middle of the valley
48,526 posts, read 34,851,331 times
Reputation: 73764
Another point is the process of determining what is wrong with someone, is influenced by the insurance coverage.

The will start with, and pay for, test which are the most common first. As things are ruled out, you proceed to tests that are for less common maladies.

I've been through this a lot. Medically I'm a zebra, not a horse.

I get a general type issue, say severe gastro symptoms (could be ANYTHING), and it turns out to be something weird, that baffles the gastroenterologist. It takes FOREVER to figure out.
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Old 04-15-2023, 09:49 AM
 
1,204 posts, read 534,274 times
Reputation: 2838
Quote:
Originally Posted by movedintime View Post
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 like your logic and if more people had such expectations and logic, the entire system could be revamped. Doctors are just people who have been "educated" about certain things (and not others). It sounds like you need a super logical doctor with good deduction skills and I have no idea how you might find one. Perhaps a naturopath could help.
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Old 04-15-2023, 10:01 AM
 
Location: San Diego, California
1,147 posts, read 863,305 times
Reputation: 3503
Quote:
Originally Posted by Mikala43 View Post
Another point is the process of determining what is wrong with someone, is influenced by the insurance coverage.

The will start with, and pay for, test which are the most common first. As things are ruled out, you proceed to tests that are for less common maladies.

I've been through this a lot. Medically I'm a zebra, not a horse.

I get a general type issue, say severe gastro symptoms (could be ANYTHING), and it turns out to be something weird, that baffles the gastroenterologist. It takes FOREVER to figure out.
Yeah, it is difficult to try and figure out what is wrong with a complicated instrument that is the human body. We can't take out an individual part to see if it is malfunctioning like we can with a washing machine. There isn't a test for localizing pain only to ask the person where it hurts. The tools we have are less than optimal. We can't take out the brain and see if that is the problem. We can with an autopsy and that is as close to definitive in terms of diagnosis that we have but the person has to be dead where we cut them to pieces in order to determine cause of death.

The recent shooting incident has a family testing the shooters brain for CTE in order to find answers. We can't test for it while they are alive.

The reason why the medical schools are highly selective is because it is very difficult and not an easy task in figuring out what is wrong with somebody. If it were easy then one wouldn't need to be so selective.
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Old 04-15-2023, 01:39 PM
 
Location: Fort Payne Alabama
2,558 posts, read 2,904,667 times
Reputation: 5014
Quote:
Originally Posted by Medical Lab Guy View Post
Y
The reason why the medical schools are highly selective is because it is very difficult and not an easy task in figuring out what is wrong with somebody. If it were easy then one wouldn't need to be so selective.
The main reason medical schools are so selective is to limit the number of doctors. This allows the limited number of physicians to charge what the market will bear with little competition. One of the reasons healthcare in the US is the highest in the world by far with the results middle of the pack.
Same with nursing school, they learned from the AMA!
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Old 04-15-2023, 03:03 PM
 
Location: Georgia, USA
37,102 posts, read 41,267,704 times
Reputation: 45136
Quote:
Originally Posted by GreggT View Post
The main reason medical schools are so selective is to limit the number of doctors. This allows the limited number of physicians to charge what the market will bear with little competition. One of the reasons healthcare in the US is the highest in the world by far with the results middle of the pack.
Same with nursing school, they learned from the AMA!
The AMA does not control the number of doctors.

The limiting factor is the number of residencies, and that is determined by Congress.

What doctors get paid is controlled by what they can negotiate with insurance companies, and there is no negotiating with Medicare and Medicaid. None of those pay the full charge. Only uninsured patients do, and they may be able to negotiate a discount if they ask.
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Old 04-15-2023, 04:13 PM
 
Location: colorado springs, CO
9,511 posts, read 6,103,034 times
Reputation: 28836
Quote:
Originally Posted by movedintime View Post
At this point I have switched doctors.

As someone said 'doctors are not Gods, I agree, they are people and if you pay people a lot of $ to do nothing, they will do nothing.

Prescribing meds that most likely would have fatal consequences is close to negligence.

I think more people should hold doctors accountable. If they do nothing, they get nothing.

So to know it's not imagining symptoms, Sept 2022 one day my heart rate started fluctuating with a high of 222 bpm and a low of 38 bpm, extreme joint and muscle pain, falling down type dizzy spells were the 3 worst symptoms.
Save yourself some time & money & schedule an appointment with a Cardiologist & a Neurologist, to discuss the possibility of Dysautonomia (especially if have received vaccines).

You don't really have grounds for not paying the previous provider though.
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Old 04-15-2023, 04:31 PM
 
Location: Prepperland
19,025 posts, read 14,205,095 times
Reputation: 16747
This is why I advocate ending licenses for physicians.

With their "license to kill" the only other remedy is a malpractice lawsuit, which shifts the cost to the patient who has to fund the premiums for insurance.
. . .
I'd rather see "Satisfaction guaranteed, or your money back!"
A doc with a lot of happy patients would be more likely to get my business...
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