Doctors
- AAAaaarrrgggh!!! (A Rant...)
(Warning!
What follows is a rant about doctors - but
this
*SHOULD NOT* be taken as a reason for anyone
else
not to see one!!! This rant is a response to some very
upsetting
things that have been happening to me during the
last 8
months, and from frustrations resulting from trying to
find
out what is going on!)
My
history with doctors...:
- Early
childhood diseases brought the doctor's visits
to the
house (yes, I'm that old...;-), and the inevitable
"shots"
of Penicillin for colds and the flu (this is now
known
to be both a useless treatment for viral diseases
and
also harmful in that overuse tends to reduce the
efficacy
of this antibiotic in the general population), with
the
usual struggle and painful result which traumatized
me and
left me with a needle-phobia that I still have...
- About
age 4-5 through early teens, leg pains brought
on more
trauma with blood tests to (unsuccessfully)
find
the cause - attributed finally to "growing pains",
whatever
that is...;-)
- In
late teens, the above problem plus joint pains
brought
the opinions that it was either "in my head"
or that
it was arthritis. It turned out to be likely that
the
cause was a lower spine problem resulting in nerve
pinching
- but this obvious answer escaped most
doctors
(and care with sitting and standing positions
generally
removed the problem for many years,
though
lower back problems have returned in the
last
few years as an issue [with "crunchy-bones", leg
pains
and numbness, and sitting discomfort]).
- Also
in late teens, bad acne led me to a
dermatologist
who treated it with x-rays(!), cortisone
shots(!),
and exposure to strong UV(!). Dangerous
quackery!
-
Kidney stones that first appeared in late teens
were
treated with large quantities of fluid (sweetened
with
Saccharine, later thought to be a carcinogen...),
and the
advice to avoid all dairy products(!) and
other
sources of calcium. (BAD advice, with dangerous
results
- good thing I couldn't leave ice-cream alone! ;-)
-
(Insert here various relatively small things like being
told
that "new glasses prescriptions require a period
of
adjustment" [which is nonsense], when the
prescription
was obviously wrong, etc.)
- A
podiatrist treated me for a "heel spur" with two
orthotics
that were unusable and expensive, meanwhile
admitting
he did not know what caused the problem.
Three
years into having one, it went away when I
figured
out the cause, which led to understanding the
(self-administered...)
cure. Fortunately, I avoided the
cortisone
shots and surgery that were to be the doctor's
subsequent
steps (a "boot" is used by others, which
results
in muscle atrophy) - and none of these
treatments
is necessary...
- A
condition which causes peripheral "lightning" in
the
eyes brought me to an eye specialist who assured
me that
I was OK (which was correct at the time), but
the
numerous fixed "floaters" that resulted from this
condition
have lasted for years and have interfered
with
vision. I went to two eye specialists who insisted
that
these were temporary, and only on the eye outer
surface,
and they gave me various drops, etc. to help
minimize
this. Both were wrong (I know what I see!),
and one
even added that I had Rosacea (I do not).
A good
local optometrist confirmed what I already
knew...
- A
request for a PSA test several years ago brought
the
response from a doctor that this was inadvisable,
since
it was too unreliable (I wished later that I had had
that
test, to have a reference number...). That same
doctor
complained about the quality of my health
insurance,
though I spent a large proportion of my
income
on it at the time - and it was "disaster" coverage
only,
which provided only for high-cost doctor-bills and
procedures
(which did little for me financially, but which
did pay
doctors who might not otherwise get paid...).
- More
recently, a request for a PSA test (with a fairly
low
"score") unexpectedly resulted in a cancer scare
from
the urologist (this one is still unresolved, with a
later
lower score delaying a biopsy), but an inquiry
into a
past UT infection cause ("men rarely get UT
infections"
- which I know to be untrue...) resulted in
three
6mm kidney stones being found (a non-acute
problem,
and I was not surprised...), with a quick
"run-up"
(due to a misunderstanding) to two general
anesthesias
with two lithrotripsies about to happen
when I
said "no". Unfortunately, three months later,
after
drinking more than usual quantities of fluids in
an
attempt to reduce the size of the stones, another
sonogram
revealed that I then (fairly suddenly...!) had
about
three times as many stones, and that the original
three
were larger(!), making lithrotripsy more difficult(!).
No blame
was here for the urologist for this, just
shock
and surprise, with no idea how this could have
happened
- but with no information forthcoming from
the
urologist during the appointment about how this
could
have happened in such a short time, and a
refusal
by him to talk with me by 'phone afterward
about
this...
- After
being sent to an ENT specialist for nasal-blockage
due to
possible allergy or chronic sinus infection, he
asked
me if I wore a beard "to conceal a small chin",
and he
seemed as interested in measuring me to check
this as
in exploring the original reason for my being there.
-
Fairly recently I had a "heart event" which turned
out to
be an atrial arrhythmia, which was treated
fairly
effectively - though a local heart specialist,
believing
that my heart vessels were clogged and that
I may
have had a past heart attack, wanted to do
a heart
catheterization to look at the heart vessels.
Unfortunately,
if problems were confirmed, he could
not do
the usual angioplasty or stent while inside, and
I would
have had to have a second(!) catheterization
elsewhere
(not a good thing to do!). Fortunately, I
went
elsewhere first, where they found no problems...
In the
process of this, I was seen by at least three heart
specialists,
NONE of which noted to me my enlarged
heart(!),
or inquired into its cause(!). I found out about
this
only by reading my records. The nurses noted my
sleep
apnea and difficulty maintaining normal blood
oxygen
levels even when not sleeping, but this was not
noted
by the "heart doctors". My neurologist finally
caught
the sleep apnea, and treatment has resulted in
the
"skipped beats" going away, a reduction in BP
(with
increased proportional difference in the two
numbers),
a very noticeable reduction in heart size
(after
only three month's use of CPAP gear), and the
likely
avoidance of eventual clot, stroke, and heart-failure
problems
(I still do not know the effects of the OSA
on my
brain, which may have been considerable...).
- About
the same time, I also began having various
neurological
problems (muscle-control problems of
various
sorts, some seizure-like events, and speech
problems).
None of my other health issues stopped
me from
doing much of anything, but this has - and I
have
been able to do little, or concentrate on much
of
anything, since this started. Having consulted three
local
neurologists, I've had everything said from "I
don't
know" (which I respect as an answer), to
"it's
in your head", to "you have a multitude of brain
deformities
that set you up for this", to "it may be
a
movement disorder", to "it may be misplaced sleep
stages",
to "it may be a form of epilepsy". With a
"diffuse"
and complex set of symptoms that fit nothing
readily,
and with a field as broad as neurology, I'm
not
surprised that I do not yet have a firm answer,
but one
supposed "expert" in a nearby city was
particularly
bad - he apparently read little of the
supplied
records and history, and with only a brief
examination
of me, declared that "it was all in my
head",
and proceeded to brow-beat, bully, and
belittle
me, and to essentially make fun of my speech
and my
condition for the rest of the appointment.
Here,
again, with the aid of the internet, I'm beginning
to
understand my own condition, and with the help
of a
(long-distance) neurologist friend, without whose
help I
would now be stuck in neurological "Limbo",
I am
receiving treatment that appears to be effective...
Bottom
line: if you have an acute condition that is well
known
and researched, treatment is likely to be swift,
generally
competent, and effective; if you have an ailment
that is
well known and easy to identify, but not thoroughly
researched,
treatment may or may not be adequate; but
if you
present a diffuse, difficult to identify set of
symptoms
for a condition that is not well understood
or
easily identified, treatment can range from barely
adequate
to terrible (and it can even be worse than the
ailment).
Ah,
well, such is the state of medical treatment early
in the
21st century - with it still as much "Voodoo" as
science,
and with some given with care, and with some
provided
poorly (or with harm), if at all...
(End of
rant...;-)