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Re: A question for Medical Doctors on the forum............
Old 05-23-2006, 10:40 AM   #41
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Re: A question for Medical Doctors on the forum............

Rich, I suspect you may be an M.D. (Pls forgive me if that's already established.) I know it is a life consuming thing to become a doctor but are we as a nation educating as many qualified people as we can to become M.D.s or only those who can really afford the tuition?
I am retired now but 10 years ago if I could have figured a way for my wife and me to maintain our lifestyle and me to become an RN, I'd have done it in a heart beat.
I also don't understand the non motivation behind those who graduate and would rather pay back the crippling tuition than to work in some less than desirable setting for 3 or 4 years. Please comment.
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Re: A question for Medical Doctors on the forum............
Old 05-23-2006, 10:45 AM   #42
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Re: A question for Medical Doctors on the forum............

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Originally Posted by Rich_in_Tampa
Razz,

So, if someone in the study has a headache, that is listed in the side-effect list, even if it was just a tension headache.
Interesting. *One of the asthma/allergy drugs I take lists as a side effect "flu." *This never made any sense to me because flu is caused by a virus, it couldn't possibly be caused by a drug. *I suppose the drug could make you more susceptible to the flu, but it still seemed odd. *

Another example is Flonase, I take for allergic rhinitis. *One possible side effect is a runny nose. *Hey, I take the darn drug to stop my nose from running! And I take Flovent for asthma. *A side effect is wheezing or difficulty in breathing. *Does that mean that the drug isn't working or does it mean it could make your asthma worse?

No matter though, both work great for me. *

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Re: A question for Medical Doctors on the forum............
Old 05-23-2006, 11:03 AM   #43
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Re: A question for Medical Doctors on the forum............

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Originally Posted by Martha
Interesting. One of the asthma/allergy drugs I take lists as a side effect "flu." This never made any sense to me because flu is caused by a virus, it couldn't possibly be caused by a drug. I suppose the drug could make you more susceptible to the flu, but it still seemed odd.

Another example is Flonase, I take for allergic rhinitis. One possible side effect is a runny nose. Hey, I take the darn drug to stop my nose from running! And I take Flovent for asthma. A side effect is wheezing or difficulty in breathing. Does that mean that the drug isn't working or does it mean it could make your asthma worse?
You got it. What you really want to know is how many patients had higher incidence of the side-effect compared to the placebo group. That is reported in clinical trials, but often not in post-marketing material.
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Re: A question for Medical Doctors on the forum............
Old 05-23-2006, 11:10 AM   #44
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Re: A question for Medical Doctors on the forum............

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Originally Posted by Rich_in_Tampa


Personally and professionally, it goes against everything I stand for, and undermines many of the reasons why I chose the profession. I am not naive but truly feel I should provide the exact same level of service for all patients regardless of ability to pay; our health care system doesn't make this easy, I admit, but I have always managed to have a mix of rich, poor, sophisticated and ignorant, paying and nonpaying patients.
Guess which ones have provided the greatest satisfaction? Hint: it's not the society crowd.
Good for you. I have a drug rep buddy who believes that this is the way it is all headed, at least for the better doctors. He has seen several doctors do this. True, I want a good doctor too but I do not plan to pay a retainer fee any time soon to have one. Fortunately it is not a problem to see most any doctor you need in my area.
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Re: A question for Medical Doctors on the forum............
Old 05-23-2006, 11:18 AM   #45
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Re: A question for Medical Doctors on the forum............

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Originally Posted by thefed
i'd pay 428 with my visa and dispute the charge. make them explain the 428 to mbna
This will not work... you got the test done... they will bill you back...
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Re: A question for Medical Doctors on the forum............
Old 05-23-2006, 12:06 PM   #46
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Re: A question for Medical Doctors on the forum............

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Originally Posted by Rich_in_Tampa
You got it. What you really want to know is how many patients had higher incidence of the side-effect compared to the placebo group. That is reported in clinical trials, but often not in post-marketing material.
Blame your federal government for this one. FDA requires pharmaceutical companies list ALL reported adverse events (medical symtoms) during all clinical trial. This can add up to several thousand people over several months or years. Each visit to the clinic for a followup requires a ton of paperwork on what medical complaints the patient experienced over the past few days. This adds up to just about anything you can imagine. Rich is correct in that you need to understand the incidence rate of these to see if they are real side-effects or just normal human noise.

Ever try to read a patient insert that you may have received from your pharmacist? All the text in that 15X12 multi, multi, multi folded little gem is also required. Two product inserts are required per shelf pack of drug in the US. One is a Physician insert and the other is a Patient insert. (Europe only requires the Patient insert). The physician insert is chock full of clinical and pharmacological information and makes great reading for those so inclined.

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Re: A question for Medical Doctors on the forum............
Old 05-23-2006, 12:14 PM   #47
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Re: A question for Medical Doctors on the forum............

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Originally Posted by DOG51
Good for you. I have a drug rep buddy who believes that this is the way it is all headed, at least for the better doctors.
I have Blue Cross Blue Shield (Fed program) and have noticed lately that more and more doctors are saying they won't participate. It worries me that I may end up having a health plan but no real "insurance."
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Re: A question for Medical Doctors on the forum............
Old 05-24-2006, 12:23 PM   #48
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Re: A question for Medical Doctors on the forum............

Rich
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Drug companies have done some great things, but generally speaking -- at the marketing and sales level -- they are not your friend.
I agree. The amount of drug commercials we see on TV here in the States or hear on the radio is astounding. Some of them actually say or list the side effects (Your nanner will fall off, digestion will be impossible, you won't be able to have a complete thought again) but they say it in this lilting and lovely voice so that we have the tendency to dismiss it, until the nanner falls off.*


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Re: A question for Medical Doctors on the forum............
Old 05-24-2006, 12:50 PM   #49
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Re: A question for Medical Doctors on the forum............

Sure, it's all fun and games until the nanner falls off... :P
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Re: A question for Medical Doctors on the forum............
Old 05-24-2006, 12:53 PM   #50
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Re: A question for Medical Doctors on the forum............

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Originally Posted by Billy
Rich
I agree. The amount of drug commercials we see on TV here in the States or hear on the radio is astounding. Some of them actually say or list the side effects (Your nanner will fall off, digestion will be impossible, you won't be able to have a complete thought again) but they say it in this lilting and lovely voice so that we have the tendency to dismiss it, until the nanner falls off.*
I like the one where they try, in a lilting and lovely voice, to say "oily anal discharge may occur." Sometimes it just doesn't sound right .
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Re: A question for Medical Doctors on the forum............
Old 05-24-2006, 01:28 PM   #51
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Re: A question for Medical Doctors on the forum............

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Originally Posted by HFWR
Sure, it's all fun and games until the nanner falls off...* :P
That is why they say see your doctor if you have an erection that lasts more than 4 hours.
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Re: A question for Medical Doctors on the forum............
Old 05-24-2006, 01:31 PM   #52
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Re: A question for Medical Doctors on the forum............

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Originally Posted by Martha
That is why they say see your doctor if you have an erection that lasts more than 4 hours.*
And your partner will probably be pretty sore too.

(Ah, those were the days....)
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Re: A question for Medical Doctors on the forum............
Old 05-24-2006, 01:41 PM   #53
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Re: A question for Medical Doctors on the forum............

If you had an erection that lasted more than four hours they say see your doctor...


But will your doctor see you ?

What do you say to the nurse/receptionist when you walk in ? Hi there I'm here to see the doctor and by the way that's a nice dress that you're wearing?

Just say that you were always very popular.
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Re: A question for Medical Doctors on the forum............
Old 05-24-2006, 01:44 PM   #54
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Re: A question for Medical Doctors on the forum............

For a second, I thought it was the guy wearing the nice dress. You know, to hide his condition.
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Re: A question for Medical Doctors on the forum............
Old 05-24-2006, 03:07 PM   #55
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Re: A question for Medical Doctors on the forum............

Quote:
Originally Posted by MasterBlaster
What do you say to the nurse/receptionist when you walk in ?
You won't have to say anything at all. You won't even need to use your finger to point out your problem.

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Re: A question for Medical Doctors on the forum............
Old 05-24-2006, 04:23 PM   #56
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Re: A question for Medical Doctors on the forum............

Quote:
Originally Posted by Rich_in_Tampa
I like the one where they try, in a lilting and lovely voice, to say "oily anal discharge may occur." Sometimes it just doesn't sound right .
"Olestra may cause diarreah and anal leakage!"

I'd rather forgo the chips or get fat, thanks.

"I'm thin! Whoops...I pooped myself!"
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Re: A question for Medical Doctors on the forum............
Old 05-26-2006, 03:38 PM   #57
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Re: A question for Medical Doctors on the forum............

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"I'm thin!* Whoops...I pooped myself!"
I can't believe where this thread has led!* Remember, we have new members all the time...* : haha! Don't we have to behave or something?*

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Re: A question for Medical Doctors on the forum............
Old 05-26-2006, 08:01 PM   #58
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Re: A question for Medical Doctors on the forum............

No.

At least if thats the case, nobody's ever told me.

As far as threads wandering a bit off their original intention, perhaps you need to read more often!
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Re: A question for Medical Doctors on the forum............
Old 05-26-2006, 08:08 PM   #59
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Re: A question for Medical Doctors on the forum............

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Originally Posted by Cute Fuzzy Bunny
At least if thats the case, nobody's ever told me.

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Re: A question for Medical Doctors on the forum............
Old 05-26-2006, 08:13 PM   #60
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Re: A question for Medical Doctors on the forum............

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