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Dispatches: Can you trust your doctor? 
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cloaked_wolf wrote:
1. Did they do a pregnancy test? That rule that I mentioned was to make sure all women had pregnancy tests (where appropriate).
2. Can I ask what medication you're on that can't be given to heavy smokers? I have some vague ideas. PM if required.

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Mon Oct 03, 2011 8:31 pm
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cloaked_wolf wrote:
jonbwfc wrote:
When I was first diagnosed with kidney stones, the GP I saw jumped to the obvious assumption I was suffering from an STD :lol:. I don't know what that says about me.

Kidney stones are supposed to be one of the worst pains known to man.

Well I can't say I've tried everything but they do hurt quite a lot. Even more than standing on a piece of lego with bare feet :) .

cloaked_wolf wrote:
I've had female patients claim it was worse than childbirth.

The first time I ended up actually in hospital with one, the specialist said something similar. "Congratulations', he said, 'You're now one of the few men who understand what childbirth feels like'.

cloaked_wolf wrote:
So depends on how you presented, how you were examined, and whether they dipped your urine. Also could be related to what's happening in your local community.

Hard water d'you think? Could be a factor. Nobody I've talked to about it seems very sure why some people keep having them tbh. To be fair to the GP in question, some of the symptoms you get after passing a kidney stone bear a superficial resemblance.


Jon


Last edited by jonbwfc on Mon Oct 03, 2011 8:46 pm, edited 1 time in total.



Mon Oct 03, 2011 8:45 pm
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The Daily Wail website has a whole list of complaints about missing xyz, or their doctor is crap. A lot of them are blatantly racist, stating that because the doctors had Asian names, they were trained abroad and it was dodgy. A lot of foreign medical schools were set up by the British, mainly in India. So if there's poor standards, blame the people who trained them! They all seem to want to scrap the NHS. But when someone says scrap the NHS, they all love it. Feckin Daily Fail readers.

I wonder how many patients will come in tomorrow, thinking they have cancer and demand scans for this, that and the other.

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Mon Oct 03, 2011 8:46 pm
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jonbwfc wrote:
Well I can't say I've tried everything but they do hurt quite a lot. Even more than standing on a piece of lego with bare feet :)

Did they give you a suppository? Much more effective than morphine for kidney stone pains! :lol:

jonbwfc wrote:
The first time I ended up actually in hospital with one, the specialist said something similar. "Congratulations', he said, 'You're now one of the few men who understand what childbirth feels like'.

Yeah it gets passed down during training. But I've independently verified this with a few patients.

jonbwfc wrote:
Hard water d'you think? Could be a factor. Nobody I've talked to about it seems very sure why some people keep having them tbh. To be fair to the GP in question, some of the symptoms you get after passing a kidney stone bear a superficial resemblance.

When I meant community, I was more alluding to outbreaks/socioeconomic status. You think more about pregnancies in underage girls in a poor area. You think more about drug misuse in a rich area. You think more about meningitis when there's a local outbreak etc. Did they collect your urinevover 24 hours (ie give you a bottle to pee into, and that's what you pee into every time you want to pee)? You're right about the stuff after passing the stone - can be very difficult to pick up.

This is one of the problems with General Practice - there aren't always hard and fast answers. Sometimes it's a "maybe" or an "unsure". You can't do investigations because you don't know what you're looking for.

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Mon Oct 03, 2011 8:51 pm
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cloaked_wolf wrote:
jonbwfc wrote:
Well I can't say I've tried everything but they do hurt quite a lot. Even more than standing on a piece of lego with bare feet :)

Did they give you a suppository? Much more effective than morphine for kidney stone pains! :lol:
My mum had the other type of stone (gull stone? dunno for sure) and in a very unfrench way she did not get suppositories but a gp with a big syringe at 2am to stab her with!


Mon Oct 03, 2011 8:54 pm
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cloaked_wolf wrote:
Did they give you a suppository? Much more effective than morphine for kidney stone pains! :lol:

No, but they probably should have and at that point if they'd said it would have helped I probably wouldn't have objected :lol:. The first time I went in with proper full on renal colic, they were practically pouring morphine into me. I don't know why people take that stuff out of choice, makes me horribly nauseous.

jonbwfc wrote:
Did they collect your urinevover 24 hours (ie give you a bottle to pee into, and that's what you pee into every time you want to pee)?

Yeah, I vaguely remember that happening one time. You'll excuse me, I'm generally so juiced on painkillers the immediate aftermath is quite hazy.

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This is one of the problems with General Practice - there aren't always hard and fast answers. Sometimes it's a "maybe" or an "unsure". You can't do investigations because you don't know what you're looking for.

It seems to me it's a probability game. They go for things that are high percentage for your age, gender etc first. Most of the time, they'll be right. Problem is when you're bucking the trend.

Jon


Mon Oct 03, 2011 9:03 pm
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The sentence i hate is "Oh it's a very common illness" as if it made people feel better.
Would you tell someone with MS, "oh it's very common amongst youths"? no. so refrain for any other condition.


Mon Oct 03, 2011 9:06 pm
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jonbwfc wrote:
It seems to me it's a probability game. They go for things that are high percentage for your age, gender etc first. Most of the time, they'll be right. Problem is when you're bucking the trend.


Pretty much. We're taught that common things are common, so that person with heartburn probably does have heartburn rather than some cancer.

TheFrenchun wrote:
The sentence i hate is "Oh it's a very common illness" as if it made people feel better.
Would you tell someone with MS, "oh it's very common amongst youths"? no. so refrain for any other condition.


It depends on what it is but a lot of things are common. The idea is to destigmatise it so you don't feel so worried, that there's lots of info out there etc, rather than some rare and exotic illness that you're definitely going to die from in the next 24 hours.

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Mon Oct 03, 2011 9:19 pm
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cloaked_wolf wrote:
jonbwfc wrote:
It seems to me it's a probability game. They go for things that are high percentage for your age, gender etc first. Most of the time, they'll be right. Problem is when you're bucking the trend.


Pretty much. We're taught that common things are common, so that person with heartburn probably does have heartburn rather than some cancer.

TheFrenchun wrote:
The sentence i hate is "Oh it's a very common illness" as if it made people feel better.
Would you tell someone with MS, "oh it's very common amongst youths"? no. so refrain for any other condition.


It depends on what it is but a lot of things are common. The idea is to destigmatise it so you don't feel so worried, that there's lots of info out there etc, rather than some rare and exotic illness that you're definitely going to die from in the next 24 hours.

Do you get to see House if it's rare and exotic? :P


Mon Oct 03, 2011 9:25 pm
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Probably not.

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Mon Oct 03, 2011 9:32 pm
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cloaked_wolf wrote:
Probably not.

Fair enough. I'll keep my boring condition that's covered by my PCT then :D

*Edit :
Edd read a book that said to keep your doctor interested have : a very stupidly funny accident or a rare but not obscure disease.


Mon Oct 03, 2011 9:34 pm
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My condition is rare. Statistically a GP is only likely to come across amnesia on average of 120 years. More common in films and unless in a specialist area unlikely to come across many others. I have had it now for a number of years and know the limitations of it so never bother the GP with it. It does not require treatment or medication so why bother him with it? It is incredible he amount of ignorance about the condition. When I am found somewhere I display atypical symptoms because it has happened so many times before there is no fear, unlike a newbie who panics.


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Tue Oct 04, 2011 12:15 am
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Really pleasantly surprised by the fast and efficient service this morning at UCLH. 5A*!


Wed Oct 05, 2011 5:49 pm
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