Doctors

[LBUSH49]

I don't under stand DR.'s my primary DR. says I need knee replacements , I had a DR. while I was in the hospital having my Blader bypass said I need one , but the DR. who did the reconstructive knee surgery says I don't first he said I was to young 50 then the second time I saw time I saw him he said I could loose my leg (Inever heard of that before ) was his feelings hurt that his work failed , when I told him I want another opinion he said fine slamming the door as he left I told my Primary DR. I want to try and get off or at least not take as many pain medications he agreed so I told my wife and my DR. what ever this DR. says no matter what that's what I'm going with , do these DR.'s want you to keep taking pain medication or do they just want you to keep coming back to make more $$$ , or was it just his operations didn't work and his feelings were hurt . He drive a Lexius , I guess I am paying for. why?

[Tarkus]

Hello,

First off any doctor that reacts that way to another opinion or three has got to go.

Don't worry about the doctors feelings, they are working for you. You may need to "hunt around" for a DR that will work with you.

It took me a long time to find one and when we worked together the pain meds started to go away.

Yes they love to prescribe the opiates, but will tell you to be careful with Valium or Ambien.

Go figure !

Regards,
Alan

[David Berg]

Most doctors hate to fail or be shown to be useless. A lot of them will take it out on you or act downright childish when this happens.

[LBUSH49]

Thank you , I thought it was me , and Tarkus , it's funny I'm on both of those medications , I'm trying to get off some of these medications , but it seems this DR.wants me to stay on meducation , that's why I'm leaving him enough is enough .LBUSH

[Tarkus]

Thank you , I thought it was me , and Tarkus , it's funny I'm on both of those medications , I'm trying to get off some of these medications , but it seems this DR.wants me to stay on meducation , that's why I'm leaving him enough is enough .LBUSH

That's still better than the opiates. If sleep is not a big problem then the Ambein is just a waste.

Valium may , on the other hand be of some value depending on if it's used for nerve type pain or as a "happy pill".

If you are taken Valium do not just stop taking it. In some that can be real bad news, I have not had a problem but know others who have.

I find It's a bad "happy pill" but works when the neuro pain gets real bad. But even then it's not a day to day thing.

Sometimes you need the Meds, it's a matter of figuring out what is working and whats not. That takes a DR. willing to go more than 20 minutes with you every 6 weeks or more.

Most important you need to trust your doctors and they need to trust you. Period.

All the best,
Alan

PS-I have been on them all atone time or another, it takes a alot of time.

[LBUSH49]

Thanks Alan, read my post on medication it will shock you ; Larry

[Tarkus]

Thanks Alan, read my post on medication it will shock you ; Larry

I did and it did !:(

Alan

[firesmurf]

LB,tarkus couldn't be more right in what he posted about your doc.any doc that reacts in such a childish manner is not one you want to have on your little 'team" of docs.any good speacialist would encourage you to seek out a second opinion,and yes they do see things as a "failure' when something doesn't go right but they have to also be willing to take on the responsibility.

believe it or not(and my ortho is the most wonderful guy ever and was just rated as one of the 'top docs" in this survey thing they do every year for mnpls st paul magazine/these surveys are all done by their peers)when right after my knee surgery was done in this past march and i ended up tearing out the inner stiches inside my knee just due to the overwhelming snappy type of icky spasms I started having after the femoral block wore off,i was leaking synovial fluid constantly thru a tiny little hole in my incision at the back of my knee where they had removed a rather huge bakers cyst?well this went on for three weeks,we kept hoping that it would finally close on its own but the leak was from the inner area tear that started the B cyst to form in the first place so there was no stopping this crap from continuing on for like ever?it was so bad I was changing actual heavy duty maxi pads that I had to use just for the absorbsion factor or I never would have left my bathroom,three or four times a day,and they were soaked,no blood or anything else,just plain old yellow synovial fluid.

well he placed me in his next morning emergent spot that he always leaves open just in case something pops up.this was after another follow up visit with him,he had to reopen the whole flippin huge incision just to be able to get back tothat spot to fix it.come to find out later that since he had to basically do a 'redo' on me,he actually waved his professional fee of what would have been for me,another 300.00.this doc also actually felt bad for me when ever i would see him.THATS my kind of ortho ya know/even tho it was really not his fault that i tore out those inner stitches,just because he had to go back in and make me have to go thru another surgery,he actually took responsibility for it anyway and waved that fee. i have never had a doc do that before,ever.

hopefully LB,you can find an ortho like mine.he really is a true top doc.considering just the amount of actual damage you have,the pain and what I am certain (just from having my screwed up knee)mobility issues as well,geez these are all very good reasons for a knee replacement,regardless of your age.i know a kid who because of severe football injury,at age 18 had to have a full knee replacement done,18 years old.so 50,i really cannot understand that part of it,this has nothing to do with age and everything to do with your ongoing pain and suffering and the actual damage to your knee.nothing else.

you are just going to have to find a doc who is willing to actually consider all the factors here and just do what needs to be done.for my dad,his double knee replacement that was done many many yars ago,gave him his life back.he goes out dancing again.with both knees having been replaced a very long time ago,it has to be over that ten year line they say is kind of the "limit'/screw the current ortho you have and see another.there are much better and more caring orthos out there.hopefully you can find one of them real soon.as usual LB,keep us all posted.good luck,marcia

[LBUSH49]

you are right Marica , I have a great primary DR. who is sending me to the best Knee DR. around my State and he is the one who is keeping a close eye on my blood work , I go to a pain clinic for my back issues , once I get my knees fixed I want off some of the med , but I also have a seziure disorder , thats why I am on the depakote that one I've been on for 7 years now , right now I'm just taking one day at a time ; Larry My primary DR. gives lectures all over the US and Canada , when you see other DR.'s going to him that's one I can trust

[LBUSH49]

Why does one DR. say my pain in my Kidney area say my problem is my back (Urologist ) and the DR. at the pain management clinic say it's something to do with my Kidneys , I wear a bag for my Urine My baldder no long works , and my Urologist I asked him how to take a Urine sample and he told me if the Bag is fairly new empty the Bag , let it fill up again and I can use that , but when I was in the hospital in my town not the Hospital he's at the DR. there said no you take that old bag off and disguard it clean the area put a new bag on then collect the urine and send that out for a culture , the pain I'm getting is in my Flank Area . When I ask the Urologist and told him the way they had me do it here then he tells me he had to go ( I think it's time for him to go ) can anyone help me here ? what do you say DR.YOUNG! LBUSH

[dejerine]

LBush, a urine sample can be either aerobic (exposed to air) or specialized for other pathogens, as in an anaerobic sample. Call the lab that will be doing your culture and ask THEM how much urine they need. Usually it is very small provided the container can be stoppered. I think you might just detach the bag, let a few drops into a specimen container and have someone immediately take it to the desk. It is disturbing how many bugs are not cultured in today's labs. One study showed 30% do not get cultured even with good technique, so it is common to just try drugs like Cipro without much regard for culture although this violates traditional methods, which required taking a sample BEFORE any medicine, so that medicine coming through the urine would not interfere with a culture. Read about CIPRO at PubMed or about urine culture. I think you will realize that most UTI's are treatable by a very few drugs and the resistant bugs are hard to treat no matter what. Fortunately drugs are so concentrated in the urine that many UTI's are cleared even if the drug does not bullseye the bug in the lab. One doc I know goes with CIPRO, and then tries the really heavy stuff if that doesn't work. You must make sure your doctor knows all the meds you are on AND that he knows what shape your kidney's and liver are in. Urine culture is a little bit voodoo, but normally you need very little urine, so you can probably get a few drops in a couple of stoppered tubes and make the lab happy. My suggestion, call the lab for instructions.