tag:blogger.com,1999:blog-1809371631407381115.post683035406082779443..comments2024-03-28T10:32:27.517+03:00Comments on Stories from the trauma bay: ReachDocBastardhttp://www.blogger.com/profile/12224592098492491365noreply@blogger.comBlogger26125tag:blogger.com,1999:blog-1809371631407381115.post-41875809684233058772016-04-09T23:42:18.404+03:002016-04-09T23:42:18.404+03:00Amy - I've taken care of many patients with hi...Amy - I've taken care of many patients with hidradentitis. It's a terrible condition that many doctors have probably never seen. I'm glad you were able to get a diagnosis and even more glad you found someone to treat it. DocBastardhttps://www.blogger.com/profile/12224592098492491365noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-13085319732547725082016-04-09T22:22:59.006+03:002016-04-09T22:22:59.006+03:00I have Hiadrenitis Suppurtiva and first saw a derm...I have Hiadrenitis Suppurtiva and first saw a dermatologist who wouldn't even look under my armpits and areas I was having problems (I didn't know what it was at the time). Saw a few more doctors before I was finally given a diagnosis and at one point was made to feel so horrible by one PA who said I must have been wallering in MRSA to have that many boils. (My cultures show normal flora) I've read this disease is commonly misdiagnosed for years and causes a lot of patients to suffer. Thanks Doc Bastard for listening to your patients and being the awesome Doc you are! I found one here in my own hometown and I'm doing great! Anonymoushttps://www.blogger.com/profile/01113400615136883939noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-80550137951858165792016-03-27T12:52:45.169+03:002016-03-27T12:52:45.169+03:00Wow. I am also curious about these dr.'s talke...Wow. I am also curious about these dr.'s talked about...beyond being lazy, it seems as if there must be actual incentive to not try hard to treat the patient...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-68694536733165164962016-03-23T19:14:32.008+02:002016-03-23T19:14:32.008+02:00Law student daughter, age 31, was struck with unbe...Law student daughter, age 31, was struck with unbearable lower back pain. The "doctor" at UCLA told her, "it will probably go away by itself." An orthopedic surgeon friend of the family insisted that she see a specialist. An MRI revealed a massively herniated disc with potential permanent nerve damage. Emergency surgery was successful.<br /><br />What is the motivation here, beyond (perhaps) simple stupidity? Did the MD at UCLA hesitate to refer to a specialist because there is a financial penalty for that? (Insurance is Blue Cross.) That much pain lasting for several weeks demands some kind of investigation I would think.<br /><br />Now I want to wring their necks.Joaquinhttps://www.blogger.com/profile/14218771784248121337noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-12664231655402030082016-03-22T20:18:12.438+02:002016-03-22T20:18:12.438+02:00I enjoyed that House reference. Forgive my ignoran...I enjoyed that House reference. Forgive my ignorance, but is lupus the same thing as type III hypersensitivity, where Ag-Ab complexes accumulate and can activate complement proteins on host cells? Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-11553735961591489222016-03-22T18:43:18.347+02:002016-03-22T18:43:18.347+02:00My 20-year-old son has repeatedly encountered this...My 20-year-old son has repeatedly encountered this same problem and he actually *has* a definitive clinical diagnosis, after being extensively evaluated by doctors at a highly ranked children's hospital 4 years ago. <br /><br />My son's diagnosis, Ehlers Danlos syndrome, isn't commonplace but it's not super-rare either. Its singular curse is that it inflicts continuous pain in someone who presents as a healthy, slim, vigorous young man. Doctors frequently either disbelieve him altogether or minimize the extent of his suffering. Most recently he's had a rib subluxate and it's taken almost two months to even get a doc to acknowledge that yes, the rib IS protruding and yes, this DOES need intervention. <br /><br />Long and short of my message: having the right diagnosis is no guarantee that you'll be taken seriously. And it can be very difficult to get recognition that you're even sick at all with invisible illnesses like this. Margarethttps://www.facebook.com/margaretburtonmalonenoreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-49983719997909037522016-03-18T17:56:48.140+02:002016-03-18T17:56:48.140+02:00he keeps changing the spelling of his name thinkin...he keeps changing the spelling of his name thinking that somehow makes him unrecognizable.Ken Brownhttps://www.blogger.com/profile/15166383392696452631noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-5221000330163090622016-03-18T17:16:27.346+02:002016-03-18T17:16:27.346+02:00Ha! It is indeed him. He goes by John, and sometim...Ha! It is indeed him. He goes by John, and sometimes Jhohn (strangely) and sometimes the last name, Benton.<br /><br /><br />He's googled a couple of terms and throws them around to call everyone sheeple and pretends to be an expert. An expert who, instead of sharing his vast (eyeroll) knowledge with the best minds in medicine, or authoring studies, chooses to disseminate his knowledge on the internet. <br /><br />The problem is, his schtick is easy to see through and he vastly overestimates his intellect. Cheers, nice blog, by the way!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-40731524180590958842016-03-18T16:32:43.908+02:002016-03-18T16:32:43.908+02:00Meh, this was bound to happen eventually. It looks...Meh, this was bound to happen eventually. It looks to be my Personal Troll, if I had to guess. He (or she, I suppose) makes the same type of stupid mistakes John does, including saying that I'm a rheumatologist and made a mistake in treating her condition (neither of which is true, obviously).<br /><br />Though my Troll at least knows I'm a surgeon. Hm. Maybe I'm just making more online friends. Huzzah!DocBastardhttps://www.blogger.com/profile/12224592098492491365noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-15514411634733843382016-03-18T15:59:24.908+02:002016-03-18T15:59:24.908+02:00So, it appears that your name, Docbastard, has bee...So, it appears that your name, Docbastard, has been co-opted by an anti-vaxx loon to try and give legitimacy to anti-vaxxers on a new page created on Facebook. The person who created the page is trolling pro-science pages using your name. Here is the link to the facebook page: https://www.facebook.com/Docbastard-Refutation-Station-201424216889683/<br /><br />Judging by the writing, I'm rather sure that it isn't you. I simply can't imagine you calling people 'sheeple'. Anyway, I hope it isn't you, that would be a shame.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-67933193718773316212016-03-17T03:15:29.055+02:002016-03-17T03:15:29.055+02:00Any money not spent caring for patients is profit....Any money not spent caring for patients is profit.Ken Brownhttps://www.blogger.com/profile/15166383392696452631noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-11438946748071018882016-03-16T21:57:14.579+02:002016-03-16T21:57:14.579+02:00And the HMOs do as much as they can to keep you fr...And the HMOs do as much as they can to keep you from hunting for answers when the first doctor doesn't have them. And they try to keep the doctors from even looking when faced with something not clear cut.Loren Pechtelhttps://www.blogger.com/profile/08348494458707790769noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-90899747420812508032016-03-16T12:38:28.188+02:002016-03-16T12:38:28.188+02:00Let's keep it civil, folks.Let's keep it civil, folks.DocBastardhttps://www.blogger.com/profile/12224592098492491365noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-15071623239713508602016-03-16T09:21:14.298+02:002016-03-16T09:21:14.298+02:00I had a similar situation. 10+ years of abdominal ...I had a similar situation. 10+ years of abdominal pain on the lower right side. 6+ General Practitioners who would scan my gallbladder, find nothing, and give up. the last GP said it was probably endometriosis "but there's nothing we can do so I won't send you to a specialist". <br /><br />found a new GP who took me seriously, sent me to a gynaecologist who did an exploratory laparoscopy who found that my appendix was inflamed. gynaecologist referred me to a general surgeon who removed my appendix and the pathology results came back positive for sub-acute appendicitis. 10 YEARS of pain because no one thought to listen to me when I told them the pain was in the LOWER right side of my abdomen. I'm feeling much better, except I still have some pain due to adhesions caused by the 10 years of inflammation. my appendix was wrapped up in so much scar tissue that the surgeon almost couldn't remove it laparoscopically.<br /><br />I'm incredibly grateful to my current GP because he actually listened to me.ShadowBunnyhttps://www.blogger.com/profile/17382821321769933981noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-82983539035580170322016-03-16T09:06:22.256+02:002016-03-16T09:06:22.256+02:00Wow Anonymous, preachy and judgmental much? Grow u...Wow Anonymous, preachy and judgmental much? Grow up, really? You don't even know me. I see my doctor at least every 3 months. Hypertension, Hyperaldosteronism, Pernicious Anemia, Cancer recurrence and the late effects of previous cancer treatments are always on the docket. The scaly patches on my arms and legs and that my hair has been falling out aren't that earth shattering. I was diagnosed with JRA when I was 9. Maybe it's become psoriactic. Oh, well.Lisa https://www.blogger.com/profile/09324961653370110887noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-78904324994499569862016-03-16T05:22:48.753+02:002016-03-16T05:22:48.753+02:00Good points made by everyone who's posted here...Good points made by everyone who's posted here...if things aren't working out for you, continue to seek answers. <br /><br />And, Doc, Veronica IS "better," just because she has an accurate diagnosis now. While we can't yet "cure" everything, in terms of making a chronic condition "go away," we can, almost always, take some steps to better *manage* the condition. Whether it's taking the correct medications, avoiding triggers that aggravate the condition, or getting some relief with appropriate exercise or physical therapy, anything that helps us be more comfortable and functional in our daily lives makes us "better." Scarabhttps://www.blogger.com/profile/05999961861218673544noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-52312690101968620762016-03-16T04:14:36.597+02:002016-03-16T04:14:36.597+02:00Seriously Lisa?
Again with the "I'm not ...Seriously Lisa? <br />Again with the "I'm not honest with my doctor because..."? According to you, you either intentionally withhold information from your doctors because they are too judgy or don't tell them everything going on with you because it would keep them too long. And yet your problems are not being addressed to your satisfaction. How surprising. Perhaps you could grow up, be honest about your problems, give your doctor a fighting chance to help you, and GET BETTER!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-29470250298983139962016-03-16T02:27:26.267+02:002016-03-16T02:27:26.267+02:00Well, it's good to know that even though you d...Well, it's good to know that even though you didn't diagnose her you got the point across: patients need to speak up and doctors need to listen. If they don't listen, move on.<br /><br />WednesdayAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-55708075624389577752016-03-15T22:53:55.723+02:002016-03-15T22:53:55.723+02:00I've had too many lazy doctors. A derm who to...I've had too many lazy doctors. A derm who told me my dermatitis herpetiformis (which is actually a manifestation of celiac disease in/on the skin) is controlled by dapsone, and not, in any way, related to celiac, nor do I need the celiac test, nor do I need to go gluten free since the dapsone is controlling it. Also he diagnosed me with psoriasis...My primary care doctor felt the same way about my DH and celiac - no test, just take the dapsone. Took a new PC doctor to test me for celiac (big surprise - very high positive in the blood test), and to actually care about my treatment past the dapsone. Those scaly patches that the derm thought was psoriasis? Was actually part of the DH and went away when I cut out gluten. :(Amber H.https://www.blogger.com/profile/15887246767043365130noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-78836747623925101312016-03-15T03:45:21.879+02:002016-03-15T03:45:21.879+02:00It's like you always say, Doc: if the doctor l...It's like you always say, Doc: if the doctor listens, the patient will tell him what is wrong.<br /><br />And of course, it's never lupus!Grandma Skepticnoreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-89718115659962300622016-03-14T23:20:31.808+02:002016-03-14T23:20:31.808+02:00Lisa, if it bothers you, tell your doctor. "b...Lisa, if it bothers you, tell your doctor. "but what about the ohter patients" this might sound strange but think about yourself in this situation, be selfish and take the time you need.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-50407399962510741232016-03-14T20:42:22.496+02:002016-03-14T20:42:22.496+02:00Hi Lisa - I would disagree; if your scaly patches ...Hi Lisa - I would disagree; if your scaly patches are causing you pain or discomfort, and aren't just dry skin irritation during the winter months that can be taken care of with over-the-counter moisturizers, you owe it to your doctor to let him know. Everything in your body is somewhat connected to everything else, in one form or another. Scaly patches, pain anywhere that doesn't resolve itself in a reasonable amount of time (like a pulled muscle or nasty case of gas), or anything else that isn't 'normal' and doesn't go away should at least go into your medical records for future diagnoses. I'm not a health care professional, so I could be way wrong on this, but I think it's at least helpful for docs to be able to pull together a complete picture of your overall state of health.<br /><br />If you get a doctor who isn't really listening to you this info probably won't matter anyway, but for the ones that are it might be useful.Gristle McThornbodyhttps://www.blogger.com/profile/02975916963346215706noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-13252117712038868282016-03-14T17:15:23.635+02:002016-03-14T17:15:23.635+02:00Lazy is lazy all over the world. if there is one ...Lazy is lazy all over the world. if there is one thing everyone can take away from Doc's blog, the healthcare field is no exception. (which is to say doc picks up after a lot of lazy people.)Ken Brownhttps://www.blogger.com/profile/15166383392696452631noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-66741365640824833002016-03-14T17:04:40.350+02:002016-03-14T17:04:40.350+02:00Yes, in fact, she is better because you told her t...Yes, in fact, she is better because you told her that she should be listened too. On the other hand, I don't want to talk to my doctor about the scaly patches on my arms and legs. If I talked about that and the million and a half other things that bother me, I'd have to be his only patient. He wouldn't have time for anyone else.Lisa https://www.blogger.com/profile/09324961653370110887noreply@blogger.comtag:blogger.com,1999:blog-1809371631407381115.post-9966542620147751322016-03-14T16:18:48.678+02:002016-03-14T16:18:48.678+02:00I had a patch of scaly skin on my neck for about a...I had a patch of scaly skin on my neck for about a year so I went to the doctor about it... Several doctors and a dermatologist. Everyone kept telling me it was ringworm and prescribed antifungal and steroid creams.<br /><br />It took six years for me to find out I have skin cancer and get it treated. By time I finally got it taken care of, the spot on my neck was the size of a half dollar coin and I had spots popping up elsewhere too.<br /><br />I'm thankful for doctors like you who don't just write off my family history and symptoms. The one that finally caught it only did so because he took the time to listen to me and considered the possibilities. The others didn't catch it because they just figured I was too young for cancer.<br /><br />Anyways, I just wanted to help add to your ego a bit. Continue to be awesome DocB.Anonymoushttps://www.blogger.com/profile/13878483195727539990noreply@blogger.com