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  • Originally posted by Celeste Chalfonte View Post

    You've been really happy with your care there. Why would you disrupt your relationship with your doctors (in an unrelated specialty) over something that has no impact on your health care? Especially since this apparently occurred in 2018
    If they will show that they've stopped, OK. Otherwise it's a deal-breaker.

    and hasn't affected you for the intervening 4 years?
    "First they came for the children,
    But I did not speak out,
    Because I was not a child. . . ."

    You know the rest.

    • "We must make sure we don’t give platforms to those lying to our faces." — Brian Stelter, leading by example.
    • “I have absolutely no intention of the Democrats not winning the House in November." — Nancy Pelosi, explaining power.
    • "Don't underestimate Joe's ability to fuck things up."— Barack Obama's 1st Rule of Joe Biden.
    • "Put aside all of these issues of concern about liberties and personal liberties and realize we have a common enemy and that common enemy is the virus." — Dr. Anthony Fauci, misquoting Pogo.
    • "The way I see it, there's always, c'mon, there's always money. It's there." — Elizabeth Warren, explaining socialism.
    • "The interesting thing about the Green New Deal is it wasn't originally a climate thing at all.... We really think of it as a how-do-you-change-the-entire-economy thing." — Saikat Chakrabarti, then AOC's Chief of Staff.
    • "We have to stop demonizing people and realize the biggest terror threat in this country is white men, most of them radicalized to the right, and we have to start doing something about them." — CNN's Don Lemon, showing how to stop demonizing people.

    Comment


    • Originally posted by Adam View Post
      Well, a few things:
      1. First of all, this is not my first thought about moving away from VUMC. I've actually been considering it for a while.
      2. "Really happy" is pushing it a bit. "Reasonably satisfied some of the time" would be a more accurate description. With virtually no exception, the nursing staff has been exceptional in pretty much every encounter I've ever had with any of them, although a shocking number of them can't start an IV without a bulldozer, a pile-driver, and two sledge hammers; some are terrific at it, others...not so much. Some of the doctors...well, yes and no. More on that in a moment.
      3. Vanderbilt is a gigantic campus that is difficult to navigate, plus they have multiple satellite locations. So, for example, my primary care doc is at a place called 100 Oaks, which was originally the first thing that could be called a "shopping mall" in Nashville many decades ago. Distance-wise, it's a five-minute drive for me, but parking there is a huge headache, and one invariably has to hike from one end of this place to the other (+/- a half mile, probably) when you do get there, because just when you think that you've got the right entrance down, they've up and moved someone's office to the other end of the building. So, what should be convenient very frequently isn't. The "main campus," the primary hospital, is numerous buildings spread out over about six city blocks, meaning that it's entirely possible to have a single appointment (as I did about two weeks ago) involve going to the main hospital, the Vanderbilt Clinic, Med Center East, and the Medical Arts Building because you have to get blood work in one place, see a nurse or PA in another building, get sent to a third building to see the actual doctor for whatever it is you're there for, and then have to go to a fourth building to finalize the appointment (get an Rx, go to physical therapy in my case, etc.). And parking there is an utter and complete nightmare. And then there's the pretty significant likelihood that you'll have to drive all over Creation in order to get fairly simple things done: most orthopedic stuff is sent to Vanderbilt Sports Medicine, which is in Franklin, anywhere from about 25-50 miles south, depending upon where you are, IF you're even in Davidson County, but if you need an MRI, you'll probably be sent to either Belle Meade Imaging (west) or up to Goodlettsville (north). Very seldom can one get booked into doing a routine test like that at the main hospital and do everything in one place in one day unless you came in by ambulance or on the Sikorsky.
      4. Now, to the doctors. I really like my PCP a lot, personally, but he's often just not there. On numerous occasions, his office has instead sent me to the doc-in-a-box, which actually is convenient for me and I literally could throw a rock from my front door and hit the place. And they're friendly enough people, but it's a rotating staff (apparent;y a requirement at VUMC). So when my neck started acting up last May, I was sent there, given some X-rays, told the X-rays looked fine, and was sent on my way with an Rx. When that helped some with the pain, but not completely, and my Rx had run out (they wrote it for 3X/day for 7 days, but only allowed for 11 pills), I went back, and saw a different doc, who wrote me a different Rx after she looked over my X-rays. That Rx was utterly worthless for anything other than putting me to sleep (I literally almost fell asleep standing up over a burning stove), and I ultimately went back a third time, now almost six weeks later, and that doctor put me back on the Flexiril (sp?) and after I explained that it had helped some, but not entirely, before, she looked at me and said "well that's because you have degenerative disc disease; it's plain as day on your X-rays." So six weeks of being in this agonizing pain and no one ever bothered to notice that on my X-rays?
      5. Now, prior to that, June a year ago, I developed this osteomyelitis that I'm still dealing with today, as far as the surgical wound goes. When I called up and explained the pain, I was sent to the ortho people in Franklin. At the time, it was painful but not crippling pain. The PA looked at it and determined that it must have been some sort of pulled muscle or something and gave me an Rx for prednisone. After taking that for a day or two, things were getting worse fast. I called back to the sports medicine people and explained what was going on, and they got me in a few days later, but told me to keep taking the rest of the prednisone. The doctor looked at it and said he thought it might be an infection but they needed an MRI to find out for sure. He sent me off to scheduling, and out of literally dozens of MRI machines that Vanderbilt has all around the city (and really the mid-state), no one could get me in for weeks, even though I told them that I would go where ever they needed me to go to get the imaging. I started calling back and forth all over the place trying to find an available MRI, and I eventually found one in Cincinnati, not in network so I would have to pay cash, but at that point I didn't care, but they needed an order from an MD to do the imaging. Back to sports medicine again, explained the situation, and begged them to just fax over the order because this was the worst pain in my life. The standard VUMC response came back: "go to the ER." Vandy is the go-to level-I trauma center for this region, which means that walking into the ER is sort of like sitting on the floor of the New York Port Authority in 1978. For eight hours, at least. I flatly refused and told them that they were going to fax the order or I was going to raise some serious hell in the media. They called me back 20 minutes later and said that they had found an MRI spot for me first thing the next morning ... IN THE SPORTS MEDICINE BUILDING WHERE ALL OF THIS STARTED IN THE FIRST PLACE.
      6. After all of that, I was ultimately sent to VUMC where they told me I would need a small, minor biopsy of the infection. OK, not great, but fine. Within two hours, they were telling me that I would need at least seven surgeries for this infection. I raised a stink and they eventually sent this cardio-thoracic surgeon in who said she could do one surgery and get everything taken care of, but I'd need to be on antibiotics for a while first. Fine. Let's do that. I got a PICC line put in and went home for six weeks before the surgery.
      7. Once all of that was done, and my healing from an 8.5 cm wound basically stopped healing any more, they tried to get me to a plastics guy. I went back to the wound care people who said "well, you could try hyperbaric therapy instead, but we don't have that here," though I had to pry that out of them with a 10' crowbar.
      8. I started studying on HBOT and, lo and behold, in addition to wound therapy, one of the common uses for HBOT is ... SURPRISE! Treating osteomyelitis without surgery.



      So after all of this shit that I've been going through for closing in on 16 months now, after I very specifically said that I wanted to take the most conservative approach possible (medically-speaking) first, it turns out that there is at least some possibility that I never had to get split open in the first place, drag that damned pump around for many months, and the guy who gave me the prednisone in the first place did pretty much the worst thing in the world that you can do with an infection: put it on steroids.

      So when I hear that they're giving seminars to one another about how they can make lots of money on surgeries that they just talk people into, that are not medically necessary, is it any wonder why I might think that the same thing happened to me just from a different angle? We're not talking about some bimbo who wants a boob job here: we're talking about people who are in immense pain, laid out in the ER with four IVs sticking out of them, and being told that the only way to help them is to cut them open and drill holes in their bones.

      The cherry on top is my deep ethical concerns about any place that would ever even consider having a "pediatric trans surgical unit." Holy shit! That's just unfathomable. THESE ARE CHILDREN, not some 30-year-old who has felt all their life like they were "born into the wrong body." We're talking about people who can't legally own a car because they can't legally enter into a contract for that, but they can contract to have their bodies mutilated?

      No way. Not having anything to do with it. Not sending the many thousands of my deductible and the many, many more thousands of Blue Cross money to them. Ain't happening.
      I was with you at "prednisone." Pack your bag. They nearly killed Nova in ICU with that shit - and did induce diabetes with it, when that was the one ailment he hadn't had - because they failed to diagnose a massive pleural bacterial infection, assuming because he was COVID+ that it was the reason for all that put him in ICU. It's a long story (which he amazingly survived, only to have his heart quit months later), but prednisone should not be the first answer. I also have a claimant right now who is way more disabled than he likely would have been by coccidioidomycosis ("San Joaquin Valley Fever") because the first doctor didn't rule that out before assuming the guy had developed asthma, and treated him with prednisone. Anyone who's interested in the topic can see "disseminated coccidioidomycosis" for what happens when you treat a fungal infection with steroids. I got the impression that the consultant we had examine him wanted to go wring the first doctor's neck.
      "Since the historic ruling, the Lovings have become icons for equality. Mildred released a statement on the 40th anniversary of the ruling in 2007: 'I am proud that Richard’s and my name is on a court case that can help reinforce the love, the commitment, the fairness, and the family that so many people, Black or white, young or old, gay or straight, seek in life. I support the freedom to marry for all. That’s what Loving, and loving, are all about.'." - Mildred Loving (Loving v. Virginia)

      Comment


      • If you are looking for better care elsewhere, good luck. I could write a book about my interactions with doctors and hospitals.

        Mark
        Race Card: A tool of the intellectually weak and lazy when they cannot counter a logical argument or factual data.

        "Liberals have to stop insisting that the world is what they want it to be instead of the way it is." - Bill Maher

        Political correctness is ideological fascism. It’s the antithesis of freedom. Dr. Piper

        Gender is not a "Social Construct", it is an outgrowth of biological reality.

        Comment


        • Originally posted by 80zephyr View Post
          If you are looking for better care elsewhere, good luck. I could write a book about my interactions with doctors and hospitals.

          Mark
          It's a two way street.
          If it pays, it stays

          Comment


          • Originally posted by Celeste Chalfonte View Post

            I was with you at "prednisone." Pack your bag. They nearly killed Nova in ICU with that shit - and did induce diabetes with it, when that was the one ailment he hadn't had - because they failed to diagnose a massive pleural bacterial infection, assuming because he was COVID+ that it was the reason for all that put him in ICU. It's a long story (which he amazingly survived, only to have his heart quit months later), but prednisone should not be the first answer. I also have a claimant right now who is way more disabled than he likely would have been by coccidioidomycosis ("San Joaquin Valley Fever") because the first doctor didn't rule that out before assuming the guy had developed asthma, and treated him with prednisone. Anyone who's interested in the topic can see "disseminated coccidioidomycosis" for what happens when you treat a fungal infection with steroids. I got the impression that the consultant we had examine him wanted to go wring the first doctor's neck.
            Missing Zebras is the bane of Family Practice. If you legally survive the adventure you never miss the diagnosis twice. Meanwhile, everyone in with a common cold that you order obscure testing on will cause you of padding the bill.
            If it pays, it stays

            Comment


            • Originally posted by Frostbit View Post

              It's a two way street.
              The difference is, is that their mistakes affect my health, while my mistakes don't affect theirs.

              Mark
              Race Card: A tool of the intellectually weak and lazy when they cannot counter a logical argument or factual data.

              "Liberals have to stop insisting that the world is what they want it to be instead of the way it is." - Bill Maher

              Political correctness is ideological fascism. It’s the antithesis of freedom. Dr. Piper

              Gender is not a "Social Construct", it is an outgrowth of biological reality.

              Comment


              • Originally posted by Frostbit View Post

                Missing Zebras is the bane of Family Practice. If you legally survive the adventure you never miss the diagnosis twice. Meanwhile, everyone in with a common cold that you order obscure testing on will cause you of padding the bill.
                Valley fever is not a zebra in this area. It's common as dirt. From which it comes. Probably over half the agricultural workers have it, whether or not it's symptomatic.

                A doctor who misses a VF dx in Alaska or Pennsylvania or Florida isn't a bad doctor. A doctor who has practiced for 15 minutes in Salinas and doesn't R/O Valley Fever before prescribing prednisone is pretty close to criminally negligent.
                Last edited by Celeste Chalfonte; Thursday, September 22, 2022, 6:37 PM.
                "Since the historic ruling, the Lovings have become icons for equality. Mildred released a statement on the 40th anniversary of the ruling in 2007: 'I am proud that Richard’s and my name is on a court case that can help reinforce the love, the commitment, the fairness, and the family that so many people, Black or white, young or old, gay or straight, seek in life. I support the freedom to marry for all. That’s what Loving, and loving, are all about.'." - Mildred Loving (Loving v. Virginia)

                Comment


                • Everyone act surprised



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                  FdnapmiWYAAcv4A?format=jpg&name=large.jpg
                  "Faith is nothing but a firm assent of the mind : which, if it be regulated, as is our duty, cannot be afforded to anything but upon good reason, and so cannot be opposite to it."

                  -John Locke

                  Comment


                  • May we raise children who love the unloved things - the dandelion, the worm, the spiderlings.
                    Children who sense the rose needs the thorn and run into rainswept days the same way they turn towards the sun...
                    And when they're grown and someone has to speak for those who have no voice,
                    may they draw upon that wilder bond, those days of tending tender things and be the one.

                    Comment


                    • If it pays, it stays

                      Comment


                      • First Openly Transgender Army Officer Indicted for Trying to Give Soldiers’ Medical Info to Russia


                        If it pays, it stays

                        Comment


                        • If it pays, it stays

                          Comment


                          • Sounds a little fishy to me...



                            Before you think "so what", these fraudsters have won hundreds of thousands in money and prizes.
                            We are so fucked.

                            Comment


                            • Originally posted by gary m View Post
                              Sounds a little fishy to me...



                              Before you think "so what", these fraudsters have won hundreds of thousands in money and prizes.
                              It was also a common practice to stuff ice into the fish to make them heavier for weighing and the evidence just melts.
                              If it pays, it stays

                              Comment


                              • Originally posted by Frostbit View Post
                                Speaking of "based on need," has anyone heard of the Cajun Navy?
                                "Since the historic ruling, the Lovings have become icons for equality. Mildred released a statement on the 40th anniversary of the ruling in 2007: 'I am proud that Richard’s and my name is on a court case that can help reinforce the love, the commitment, the fairness, and the family that so many people, Black or white, young or old, gay or straight, seek in life. I support the freedom to marry for all. That’s what Loving, and loving, are all about.'." - Mildred Loving (Loving v. Virginia)

                                Comment

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