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Medical topics

  1. What's new in this club
  2. holyjohnson

    Big Pharma

    the job of the pharmaceutical companies is to create and sell drugs. they made the drugs,hooked people then raised the prices.just like a dealer does.
  3. Boogieman

    Big Pharma

    I've known three people that were prescribed oxy. One had terminal brain cancer and wasn't long for this world. The other two had serious back/neck injuries. Even though neither misused both of them wound up physically addicted and had long painful withdrawals. Sad that it took so long for a President to care about the opioid crisis. If President Trump weren't elected the issue would have been swept under the rug by yet another administration.
  4. DWARREN123

    Big Pharma

    Well a good part of the fault falls on the misusers of the drugs.
  5. Paul53

    Big Pharma

    I'm not against making a profit, but a company lied to docs about oxycontin being addictive, sells the brand name and the generic, sells a drug to treat opiate caused constipation, and opiate withdrawal. Really? Colbert does a good job on this one. For years I've complained about how profit driven your health care, or lack of it, are. Criticized even by people on GT. Sorry if this offends you.
  6. All I can say is dang. My wife had a good friend that had similar problem. Not much one can do except toughen up and work your way through.
  7. So I came to visit mom at my sister’s behest. My sister said mom was going down hill fast. I got there and mom is fine. I spoke with the caregiver and she confirmed that mom doesn’t need 24/7 caregivers. Mom gave away her car, gave up (voluntarily) her credit cards, and my sister has to counter sign all checks over $250. My assessment is mom would be fine with 4 hours a day of caregiver, mainly for help running errands. She needs a life alert that is cellular based. She also desperately needs new level walk ways in front and back of the house. What she has now is dangerous. Mom has lost around 5-10% function, not horrible at age 82. My sister is hysterical, not funny hysterical, like panicking hysterical.
  8. Well, mom is back in her house with 24/7 aides. My sisters were there for the transition. I guess it will be one fire to the next. Just waiting for the next crisis.
  9. not for nothing but you`r Mom sounds like my Mom`s Mom,i`m certain they named a Hurricane after her. that`s a **** situation man,keep you`r head up and take time for yourself.
  10. Playing her usual reindeer games. Sowing misery and chaos for her enjoyment. The neurologist told her that she shouldn’t go back to her house, so in the blink of an eye, he went from hero to zero mean *******. She is going back home. She’ll hire someone to be at her beckon call. Peel her grapes, fetch her meals, draw her baths, milk baths of course. my sister there is about to wash her hands of her. This is nothing new. My mother was devastated that I would not leave, “that woman” and rescue her. She can not be helped. She is only “happy” when others are miserable. When I had a car repossessed, she laughed. she is in for a real **** show and there is not one damn thing that can be done.
  11. been awhile Tim. hows you`r Mom doing?
  12. Thanks, I’m barely holding it together. It’s starting to turn ugly with my oldest sister. Oh well, I warmed my mother, she chose not to listen. A hard price to pay as she will soon not remember how she got herself in the pickle she is about to find herself in.
  13. man,i`m sorry to hear that. is`nt there a way to get reviews for Assisted living homes in the area,maybe a better place? i`m not sure in you`r area where the best deals for housing is,in city or suburbs or what. you got broad shoulders,wish i was more help. God Bless.
  14. I thought about your question and found I am not smart enough to offer a suggestion for you. Sorry. God Bless.
  15. ***update*** Mom is in a nice place cam sister. Well, we thought it was nice. They, the staff, forgot about mom completely on Tuesday. This put them on her **** list, understandable. Mom really wants out, NOW. Mom wants to go to her home. Problem is she let the place fall down around her ears. So she can’t go back there. Besides,my sister has said she can not handle Mom’s care by herself, very understandable. Mom wants me to come back to take care of her in her house. I’ve been trying to build my practice and a life here in AZ. If NC allowed me independent practice, that might be on the table, but they don’t, so that’s off the table. Staying where she is out. She could live with my sister in Texas, along with my sister’s children who hate my mother, always have. My mom is not a people person, so there is that. Or she can live with my wife and me. We will have to buy a house for this to happen. Mom’s dementia is progressing faster than I expected. A question, Should I be looking on the outskirts or in town closer to services?
  16. Prayers to you,you`r sis and you`r mom. God Bless.
  17. Well, my sister calls and tells me mom fell and was being transported to the hospital. My sister told me mom’s leg wasn’t shortened or rotated. Turns out it IS broken. My sister is a trooper.
  18. NPTim

    Day 4 of the new practice

    Holy ****! Any guesses about how much color copies are? TRY 60¢ ****ING CENTS EACH! I almost had a ****ing heart attack! What do they use for ink? GOLD?
  19. NPTim

    Day 4 of the new practice

    So I was trying to get in touch with someone, ANYONE at the company that supplies my EMR, no soap, nada. I was going to ask them to suspend my account until I have 15 paying subscribers. Well since it is such a hassle to get in touch with them, I’ll just drop them altogether. But I can talk to anyone there. They do not return phone calls. Hang on to your seats, it’s going to be a bumpy night (ride).
  20. I am sorry for your having to go through this with a loved one. It is a miserable sentence for all involved. So far from quick and painless. Horrible to see a sentient being wither and fade away, while you are overcome with love and grief. My heart goes out to you and all people with family that must go through this. I hope your mother and your family find some way to get through this. God Bless you and yours for taking care of her.
  21. So the holidays haven’t disappointed, I found out that mom has been diagnosed with vascular dementia. Thanks cigarettes and diabetes. This more for me to chronicle the trajectory of mom’s disease, but all input is welcome. I am a slow responder to ****ty news. Yesterday, my anxiety and depression has manifested itself physically with my right trapezoid being tight as a Watch spring. My sister, the middle child, is on the front line for this. She does this for a living also, only in older folks than my mom, 83 y/o. My sister reports that she took mom to her PCP appointment. They were going to do a baseline ECG and gave mom a folded paper gown to cover her torso. My sister, the MA and the Dr. stepped out, waited and knocked then entered the room. Mom was topless and had the still folded gown placed on her shoulder and said, “I don’t think this will cover me.” In medicine we call this a sign and not a good sign. Mom was started on aricept and mom reports it has helped some. Mom has lost some executive function, can’t follow recipes and directions and is failing to pay bills. So here is the confounding issue. Mom has always had issues with paying bills. From her 30’s at least. Every once and awhile our power or water would get shut off. She has forgotten her children on occasion. The earliest example was when she forgot my sisters and me on a cold winter night tobogganing. My mother’s mother was visiting and finally asked after us. Luckily she remembered where she dropped us off. I was 4 or 5 at the time and my little feet were freezing badly. Then when I was in 4th grade she forgot me at school. She would put her cigarettes in the refrigerator on occasion. Whenever she went looking for them, my sisters and I would ask if she checked the refrigerator, it was a running joke growing up, doesn’t seem so ****ing funny now. I asked her if she wanted my wife and I to move back to NC. She said no. I offered to mover her out here, she again said no. I am her healthcare POA, we long ago had the conversation about here wishes and I am solid on them as are my sisters. Her BP and her diabetes are less well controlled, but not at all bad. My sister reports that mom has said that she doesn’t want to treat them as may only prolong things. I’m not so sure about that. Not treating HTN and DM is a slow miserable way to commit sepuku. It’s death by a thousand cuts, not at all quick. thats about it for now. I’m be posting more as it happens or I think about it. General musings, angst, etc.
  22. Sniffler

    Day 4 of the new practice

    Good luck on your venture Tim. I really hope it takes off.
  23. NPTim

    Day 4 of the new practice

    So it looks like I have to rescind my opt out of medicare. Here is the ****ed up part. If I stay opt out of medicare, I could see medicare patients. But when I rescind my opt out, I can not see medicare patients. What kind of ****ed up **** is that? By rescinding my opt out, I can always opt out later, once I have patients and can better gauge who my patients will be. Besides, if I have no patients, I can suspend my practice to do a locums gig to pay some bills. I’m good until March then I’m in deep ****. i signed up to advertise in a nearby gym. I think this will be a good investment.
  24. NPTim

    Day 4 of the new practice

    Still nothing, not a call. i had the idea to do testosterone replacement therapy. That is until I found out there were three clinics dedicated to such endeavors within one mile from my office.
  25. NPTim

    Day 4 of the new practice

    So, I moved into my new office. I really like it. im sitting in my office, minding my own business. This dizzy dame pokes her nose in and asks what I’m about. I tell her, and she tells me I need a license and where is my license. I tell her I don’t need one. She proceeds to tell me that she has opened hundreds of clinics, smaller than my room and they ALL needed licenses and where is mine. Then tells me to put posters up. I get the feeling off of this broad that she is dying to turn me in and put me out of practice, for who knows what miserable reason. so I call the licensing agency and spoke with a surveyor. She tells me I’m good to go, and not to worry. Why do some people have to be miserable ****s?!
  26. NPTim

    Career Advice

    You are ****ed dude. If it ain’t ER, it ain’t ****. i tried working in a cardiac clinic, once! I was bored out of my skull. home health was something close to ER, cool wounds. also liked cardiothorasic ICU. you could work agency or in an urgent care.
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