Have you ever had a lithotripsy? I got one (torso) on Monday for kidney stones, and while things seemed fine for the 48 hours following the procedure, starting yesterday afternoon I've been experiencing intense, radiating pain in my upper legs and hips. Enough that I can't sleep, even with hydromorphone painkillers. I've left a detailed message at the urologist's, but while I wait to hear back, I'm wondering if this is something in the realm of "normal" or "super weird" or even "Emergency room stat". This is Quebec, so I'm not incredibly optimistic about the doctor getting back to me promptly, either. [more inside]
I work at my local County Hospital and for the last two weeks we've had a very low census. I hear rumors that the local Giant HMO and local For Profit Hospital Chain are packed right now. I also know one Local For Profit but Independent and Unaffiliated Hospital is at risk of closing right now because of extremely low census. So for folks who actually work in hospitals (and clinics?) are you seeing a change in number of patients since Obamacare started? [more inside]
I've been tasked with putting together a medical library for my small disability law firm. Doctors, what are five essential medical books that we should look at obtaining regarding general medical practice? [more inside]
The social worker at the acute-care rehab hospital where my mother is recovering from stroke suggested looking into sub-acute care centers. What should we look for? [more inside]
I'm looking for a concierge medical practice. People in this question, as well as on Yelp and other review sites, have raved about One Medical. Unfortunately, the nearest One Medical is in Berkeley and no way am I going to drive that far to see my doctor. I'd like suggestions on a good concierge doctor or medical practice in Central Contra Costa County. [more inside]
Asking this on behalf of a close friend: "What do I do when a person I do not want to be close to is dying, or believes they are dying, in close quarters?" Her roommate has diabetes and has developed significant kidney issues, and is very upset and scared. Complicating factors: my friend expects that the roommate will be unable to pay his share of rent and bills, and she does not have the means to cover them on her own. Also, she has very sound reasons for not being emotionally close to him.
Just received a voicemail from a breast surgeon's office confirming my wife's appointment tomorrow. Problem? My wife has told me nothing of this. I'm kind of pissed. My first reaction is to pick up phone and be angry about her hiding this from me, but then I took a deep breath and tried to figure out why I don't know. I don't want to cause a huge fight if she has something serious medical going on, but WTF? FWIW, my wife has a history of abnormal mammos and was biopsied once before and everything was benign. I'm going to call her shortly, but don't want to bring anger to table...how do I do that? Signed, Concerned but angered
How do you keep track of your health information? Having lived in a dozen different places during the past decade, I've lost track of all of the doctors and specialists I have seen. Realizing as I filled a prescription that Walgreens still remembers things about me from college that I had forgotten, I want to get organized. [more inside]
After experiencing an extremely nasty psychiatrist I just need to get my medical records per the request to my insurance to get partial reimbursement for the claim. [more inside]
Other questions address other nationalities/situations, or are quite dated. Looking for recommendation of good travel insurance for an EU resident visiting the US on a tourist visa. No medical problems, just looking to cover incidentals/emergencies. Thanks!
I currently work in software engineering (my background is in finance and computer science) and am thinking seriously about giving med school a stab. I'm less interested in getting into the reasons (though if you have comments on that I'm open to it), and more interested in advice and resources on making the transition. I feel terribly old to do this, but there's no time like the present, right?! [more inside]
Hey. I've had a kidney infection before, years ago. Now my kidneys ache, I'm suddenly (as of a couple days ago) nauseous all the time, and apparently I've had many/most of the symptoms of kidney disease for months now and just didn't put the pieces together. I have an appointment for Monday morning to see a doctor at my usual clinic. Am I okay to wait a few more days or is this an emergency room situation? Is there anything I can be doing in the meantime to feel less awful? [more inside]
I don't really trust that I'm getting a good eye exam from my optometrist (chain store) and felt the same about the previous two (local practice and another chain store.) Given that I'm not a doctor myself, how do I find/get a better eye exam or gain a reasonable confidence I'm getting a good exam in my current situation?
I have a close family member who I am somewhat estranged from. But he has some needs that I have the skills to help with, and I want to help. Help me help him. [more inside]
Medical Professionals: If somebody gave your office $20,000 to improve your medical records systems, what would you want done? What don't you like about the way your office's system works now? What are features you do like and want to keep? [more inside]
Hi Mefites. I'll be starting an online medical coding and billing course in January ( given by the AAPC), after graduating from a relatively well respected state school with a psychology BA in May and finding out far too late in the game that it would leave me with nil in terms of job prospects. After building up quite a bit of credit card debt and deciding that man cannot live on Hulu and Facebook alone, as I've been doing for six months, I decided to look into opportunities that required relatively little training to get started with, and happened upon medical billing, something that seems to fit me quite well. I'm tempering my enthusiasm however, because no amount of Googling seems to give me a clear sense of my path once the course is over. Help? [more inside]
I just started seeing a rheumatologist for my ankylosing spondylitis. She suggested a long term NSAID rather than just taking ibuprofen as I had been doing. She prescribed two options: diclofenac, which I tried, and Indomethacin, which I have not yet tried. I have questions about the new drug before I start it but my rheumatologist won't be able to respond for about a month. Should I see my family doctor or a pharmacist with questions about the new meds? Are either likely to be really familiar with a random medication?
I love reading nonfiction about pharmaceutical drugs, their development, use, methods of action, etc. What's out there lately that I should read? Recent books I've read inside. [more inside]
I have an interview this week - last minute - with a surgeon. I'm a newly graduated midlevel provider with minimal OR experience but I really, really want to get some. This physician is, at least what I've been told since the screening on the phone with his assistant, willing to train the right person. What might he be looking for if he's willing to train a new person? [more inside]
How do I normalize similar values from multiple medical tests with different reference ranges? [more inside]
I have had quite a lot of medical expenses this year - much of it not covered by insurance. I will speak to my accountant about tax write offs. Is there anyway to get reimbursed for any of the following out of network: blood tests (expensive tests) phone consultations dr visits vitamins travel time Thank you in advance
Who does genetic testing that is as interested in protecting my privacy as taking my money? [more inside]
One of my oldest friends just died and I'm feeling serious Crohn's pain starting to creep up again, threatening my remission. Everything in my life right now is stressful and exhausting, and I know that if I do nothing I will have a full-bore flair on my hands by thanksgiving. I need help finding a health resort/ wellness retreat on the East Coast - optimally between DC and Boston. My wealthy uncle says money is no object, so my only real stipulation is somewhere that isn't too scary/isolated for a young woman alone. [more inside]
How will Medi-Cal (Medicaid) work in San Francisco in 2014? Can you choose your doctor? [more inside]
My father is suffering from a severe concussion. He was making great progress but all of a sudden, things have worsened. I have researched/googled concussions but everything is so clinical. I'm looking for real experiences/anecdotes so I can understand what's happening to him and what we can expect. [more inside]
For the first time, I have a choice of health insurance plans at a new job. I sort of understand the differences and benefits of each, but am feeling some serious choice paralysis. [more inside]
I have large patches of raised scars and broken blood vessels across huge areas of my body. (I'm an adult in my twenties.) None of this was ever self-inflicted, nor desired in any way at any time. Can any of this be fixed medically/surgically if I save up the money? What about the purple/red marks crisscrossing my flesh? I know that laser surgery is possible for single scars, and to remove tattoos, but as for improving skin quality, I have no idea. Any insight would be greatly appreciated. Thanks!
my right thumb has been hurting on and off for years. it's at the basilar joint. I have gotten xrays and I was checked for rheumatism (which has occurred in my family) but was cleared. eventually, the doc gave up, stating some things just couldn't be explained. this is not good enough for me. [more inside]
Hello everyone, my mom was taken to a hospital by ambulance a few mornings ago when she couldn't move her legs and get out of bed. This stems from a previous issue with nerve damage and spinal problems which she's had surgery for before. She met the same doctor from her previous surgery, whom she couldn't pay, and was berated and threatened by him. [more inside]
What comes next after popular medical non-fiction? [more inside]
I am a medical writer working on a large project. Part of this project will involve posting videos of physicians along with a transcript of whatever the speaker is saying. The topic tends to be fairly technical - the physicians will be using Technical Medical Terms that could confuse the average layperson. Length of the videos varies from three to twenty minutes. [more inside]
What is the best color printer for the following use case: photos up to 5x7 of patients pre/post operation. The images will not be used for diagnosis so there is no requirement for ultra-high-quality, but the images must still be decent. Must be Mac compatible. We cannot use a professional lab as the images will be confidential. Not sure what kind of spend is required here but I'd be surprised if there wasn't something suitable under $500.
This is maybe the most awkward question I've ever asked - but I can ask the green where I could not ask the CT technician who probably could have answered it for me tonight. [more inside]
Does anyone have any experience with purchasing health insurance through the Freelancer's Union? Any feedback on the process and level of satisfaction with coverage would be appreciated. [more inside]
Negotiating self pay medical bill. I want to have an idea of how much the surgical practice/surgeon would have been paid if the patient had had insurance. How much will they get if they hire a collection agency? Do they get a percentage or just sell the debit for a fixed price? The patient is being billed 1850.00 self pay for the procedure. The procedure was at a major Boston hospital and the patient is being billed self pay due to a temporary lapse in subsidized insurance. The hospital has already written off the bill. The billing date was sometime around the end of March 2013. The patient has been told by the billing organization that represents the surgeon that they have to deal directly with the surgeon or their practice.
Are sites like this legit? Basically, they promise to negotiate your medical bills; if they save you money, they take a percentage of it (often 35% of your total savings). If they're unable to help you save, they don't charge anything. I have a super-high deductible insurance plan, and have long known that most bills can be lowered by me calling the billing department and asking. I've had bills lowered any where from 1-40%, with the knowledge that the remaining amount generally must be paid in full relatively quickly. Has anyone used a site to negotiate for them, and if so, did you feel like their negotiating was better than what you could have done on your own? Note: This is hypothetical, as I do not currently have any large medical bills looming. Assume that I do have the resources to pay a large bill in full if it saves a hefty percentage in the long run.
I'm about to finish The Spirit Catches You and You Fall Down. Before that, I read Nancy Scheper-Hughes' Death Without Weeping. What's next? [more inside]
If social media and crowdsourcing is good for anything, I figure it's to find some sort of answer to questions like these. Here goes nothing... I'm a 23 year old with cerebral palsy and while I'm very much a special snowflake in that I've been gifted with normal function as far as most of my life is concerned-most importantly in terms of intellect- there's one part of my CP that's made my life smaller and more miserable than any wheelchair could. It's affected my relationships with and opportunities for friends, dates and jobs, and for a richer life in general. Help me find a way out. Snowflake details inside. [more inside]
This phrase: "dilaceratio cruris sin Vulcera centusel. multipl." appears on a German birth certificate from the 1940s. Am I right to guess that it means something like "multiple wounds in the leg without ulcers"? If so, what are "ulcers" in this context? Infections?
What does it mean when the doctor hits your knee with the rubber mallet and you kick like a Rockette? [more inside]
So I'm a 23 year old recent college grad with a psychology degree and a long face. Why? No job, a shitty, inconsistent transcript to show for the last six years of my life ( barely eeking out a 3.0 because of significant and unrelenting problems with fatigue and depression, now somewhat under control), no work experience... oh, and I have cerebral palsy. All this helped build a brick wall almost impossible to see over, much less climb. This morning though, I managed to get bright-eyed and bushy tailed for all of five seconds after reading a Business Insider article that listed medical sonography as one of the best jobs available to those without a college degree. ( I've come to consider my degree a throwaway ( it's from a state school, it's in psychology, which makes me a decidedly un-special snowflake, and, like I said, the grades aren't frame worthy). Everything about medical sonography- the pay, the type of work, job growth and time-to-completion of the program is attractive. Trouble is, I leave much to be desired in terms of the physicality needed ( lifting, transporting patients, etc). What else can I do that offers all or many of these same benefits and is cripple friendly? [more inside]
I was at urgent care for a ear problem and the doctor only spent less than 2 minutes with me, didnt even look at the other ear, gave me a prescription and left. The nurse came in and wanted me to sign a form saying I was "satisfied with my treatment and had all my questions answered" I told the nurse I had more questions for the doctor before I would sign it. She said the doctor was not going to answer any more questions and I overheard him saying to call the police, I was amazed as I was being very polite. So I left, as I was leaving he said I was banned from the clinic. Can they do that?
I was at Panera and accidentally chewed and swallowed a plastic fork tine, approximately an inch in length. It may have broken off while I was using it to break and pick up a crouton, and I didn't notice what I'd chewed until I looked down at the fork. That was 8 hours ago. [more inside]
What are the pros/cons of using a 1.5 Tesla MRI machine vs. 3.0 Tesla MRI machine for imaging the brain, from both the patient's perspective and imaging perspective? [more inside]
I am entering causes of death into a database. On one of the death certificates from 1901 it lists "phithisis eutenca". Any ideas on what this could be? Google was no good to me. ???
I am fed up/freaked out about the cost of my health insurance... [more inside]
Let's say you have medical condition ABC that can be treated with XYZ and you live in the United States. How does one become a medical tourist, defined by going outside the country for XYZ? It seems unlikely your doctor will acquiesce to sending you out of the country to get treatment with another doctor. How does the process begin, where patients can connect with the right doctors and facilities to arrange treatment? How do people evaluate the quality of treatment and follow-up care? Are there medial tourism "groups" that specialize in particular health issues? If you did this, what was your experience like and what recommendations would you have for issues or "gotchas" to look out for? [more inside]
I have a slight curvature in my spine however, it seriously put my whole body out of alignment. I discovered my body was misaligned upon looking in a reverse mirrored image of myself when trying on a bathing suit as a 15 year old. I'm much older now, but since the problem was never treated, my skeletal structure is the same, if not worse. This presents a problem in my field of work as a performer. I'm a busty woman with slender hips and because of my bust, its more pronounced. A view of my left side from a third degree angle looks amazing. Looks feminine and tall. However, the view from the right on a third degree angle looks boyish and collapsed. I see pictures of myself performing and it makes me cringe when angles of my right side are taken. My structure look deformed and I feel is limiting my opportunities to go further in my industry. I'm having a hard time deciding which doctor to see since I don't have health insurance. I would really love to correct this problem but I don't know where to start. Please help!
My mom is in great health and decent shape for a 70-year-old and just completed 3 weeks of travel where she showed great endurance. Then she came back and "flunked" a stress-test :( [more inside]
I'm interested in exploring medical tourism for a few procedures (some significant dental work, breast reduction, hair removal), but I don't know where to start. Please help me learn more about this trend. [more inside]