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Old 02-24-2009, 07:12 PM   #21
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So how do I find someone to perform this exam?

And how do I find someone to drive me to and fro?
Primary physician will refer to specialist.
I would check with friends first, or a neighbor, or your housekeeper. If dead end there, try local home health aide agencies to see if they have volunteer drivers for at least the transportation part.
You should not be alone under the influence of the sedative. dh2b had to sign hospital release papers affirming that he would be physically with me until the end of the test day.
I can see why. If I had tried to walk, I would have fallen right on my End Zone, no question.
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Old 02-24-2009, 07:16 PM   #22
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Primary physician will refer to specialist.
I would check with friends first, or a neighbor, or your housekeeper. If dead end there, try local home health aide agencies to see if they have volunteer drivers for at least the transportation part.
You should not be alone under the influence of the sedative. dh2b had to sign hospital release papers affirming that he would be physically with me until the end of the test day.
I can see why. If I had tried to walk, I would have fallen right on my End Zone, no question.

So another step back: how to find a primary physician?

I just love how medical recommendations assume you have a primary physician AND a spouse/SO/frakking support network.
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Old 02-24-2009, 07:23 PM   #23
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So another step back: how to find a primary physician?

I just love how medical recommendations assume you have a primary physician AND a spouse/SO/frakking support network.


First check your insurance to see who is covered . Then narrow it down by education ,age and references . I worked in Florida and we had lots of patients without spouses , SO's or close friends so your problems are not unique and the nurses ( Of the Physician or the endo center ( where the do the colonoscopy ) will be able to help you .
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Old 02-24-2009, 07:31 PM   #24
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Khan, in my mom's home town, there is a service that runs a van around and carrys folks to the doctor, pharmacy or whatever. While I think for very low income, the cost is either nothing or nearly nothing for the doctor visits, it's very reasonable for others. Check and see if your town offers such a service. For a primary care physician, that's tricky. Unless you want to establish a relationship with a physician (and I think you should in case you ever have a serious medical condition - you need someone with admitting privileges at the hospital of your choice), maybe just call the County Health Department and start there. I'm sorry I'm not much help, but seriously, consider finding a doc just so you're on someone's books should you ever need to be admitted for a serious ailment.
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Old 02-24-2009, 07:39 PM   #25
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So another step back: how to find a primary physician?

I just love how medical recommendations assume you have a primary physician AND a spouse/SO/frakking support network.
I'm assuming it (thrash me if I'm wrong ) has been a while since you have routine screenings like blood/urine lab work, Xrays, mammo, female specific exams, etc.
First and foremost - you have to think like a consumer here. You want to find and select the best doctor for your needs and stay within your health insurance limitations.
Doctor selection all depends on how your insurance works.
If you can pick your own doctor outside a network, get that phone book open or do a search on the internet for General Physician or Family Doctor in your zip code.
If you have to select from a network of doctors, find that list on the insurance company website (or directory they mailed you).
Ask around with local folks who they go to or worst case, pick one geographically closest to you. I'm not kidding - if you truly have no info resources to go by, decide if you prefer a male or female primary doctor and go from there. One visit will tell you if you are comfy, then you will have to see if they are your best choice for medical care. Trial and error will have to suffice in the absence of personal recommendations.
I found my doctors this way many moons ago. I did not grow up in this area and only had co-w*rkers to ask about doctors. I incorrectly remembered the recommended last name and ended up with 2 really great doctors (husband & wife). True story.
For screening tests, you can go to 1 primary doctor office visit for a basic physical and history, get the referrals and lab slips and go from there. Tell your primary doctor that transportation and companionship for recovery period (sedation) is not easy for you. They may have suggestions.
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Old 02-24-2009, 07:42 PM   #26
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Khan, in my mom's home town, there is a service that runs a van around and carrys folks to the doctor, pharmacy or whatever. While I think for very low income, the cost is either nothing or nearly nothing for the doctor visits, it's very reasonable for others. Check and see if your town offers such a service. For a primary care physician, that's tricky. Unless you want to establish a relationship with a physician (and I think you should in case you ever have a serious medical condition - you need someone with admitting privileges at the hospital of your choice), maybe just call the County Health Department and start there. I'm sorry I'm not much help, but seriously, consider finding a doc just so you're on someone's books should you ever need to be admitted for a serious ailment.
The whole process is exceedingly frustrating(and brings back memories of high school).

There are things that need to be done, but all the rules are unwritten and change without notice.

You need certain exams but you need a referral from a primary physician.

How does one find a primary physician?

But there is no procedure in place even if you do have insurance (I do).
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Old 02-24-2009, 07:44 PM   #27
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I'm not blaming anyone in particular; it just seems the system is totally hosed.
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Old 02-24-2009, 07:45 PM   #28
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How does one find a primary physician?

But there is no procedure in place even if you do have insurance (I do).
Who is your insurer?
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Old 02-24-2009, 07:52 PM   #29
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I'm not blaming anyone in particular; it just seems the system is totally hosed.
Think of finding medical care in small pieces, not the entire package.
I'm betting you will find a decent doctor right close by. You are very near a decent sized urban area. I live in the boondocks of East Nowhere NY and still found 2 great doctors.
It is truly up to you, as the consumer, to go forward on this.
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Old 02-24-2009, 07:59 PM   #30
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Who is your insurer?
MHBP

Mail Handlers Benefit Plan.

A high deductible with free preventive care (including annual physical).
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Old 02-24-2009, 08:01 PM   #31
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Their website should be able to help you locate a primary physician in your area: Mail Handlers Benefit Plan: Locate a Provider
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Old 02-24-2009, 08:13 PM   #32
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Call the local emergency room during a slow period (like not on a Saturday night) and ask to speak to an experienced nurse. As her for the names of the good general internists in town. Repeat at another hospital, if any.

You could take the same approach with a well-established pharmacist.

If a couple of names come up repeatedly, go for it. May or may not work out, but you can always switch.

Or PM me with your location and maybe I'll know someone nearby.
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As if you didn't know..If the above message contains medical content, it's NOT intended as advice, and may not be accurate, applicable or sufficient. Don't rely on it for any purpose. Consult your own doctor for all medical advice.
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Old 02-24-2009, 08:29 PM   #33
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Since I am still working how much time off will I need to prepare and recover? I also appreciated the links and did read them, thank-you.
I've had 2 while working. 1/2 day off the day before plus the day of the exam. I chose to have mine on a Friday to recover over the weekend, but you could be back at work the day after.
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Old 02-24-2009, 08:33 PM   #34
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Heck I had one at 10am and was back at work by noon.
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Old 02-24-2009, 08:34 PM   #35
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Heck I had one at 10am and was back at work by noon.
So you're confirming that you don't have to be conscious to sell cars?
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Old 02-24-2009, 08:41 PM   #36
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So you're confirming that you don't have to be conscious to sell cars?

Yes, just fog a mirror and you're in.
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Old 02-24-2009, 09:30 PM   #37
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No polyps, no hemorrhoids, no suspect areas. My return visit is set for 5 years.
Congrats. Had mine done a couple of years ago with no problems and doc told me come back in 5-10 years. I plan to opt for 10 years. My insurance will only pay as a wellness benefit every 10 years. If before, it comes out of my hide. No pun intended. High ded so I would pay for it all. Of course I will go earlier if I suspect a problem.
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Old 02-24-2009, 10:20 PM   #38
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When I had my physical last year I had a high CRP and extremely high white count. Doc told me to get another blood test in a month to see if it went away. Right before the end of the month, I had my first attack of diverticulitis, on an airplane over siberia...not fun. Doc here gave me (weak) oral antibiotics and one bag of IV. Counts came down, and I had to fly again, even though I could still feel something going on. When I got back, had another blood test, and the counts had skyrocketed again...spent a week in the hospital, but thankfully no surgery. At 46, I had my first colonoscopy, 2 months post episode. Doc found a bunch of diverticula. He said I cold eat whatever I wanted as long as I did not experience difficulty with it (no nuts and popcorn is apparantly the old advice they were giving...doc said the current thinking does not disallow any food that you do not have trouble with...but that's my doc...get your own advice, please).

Bottom line: Get the scope, before you get sick...and maintain a high fiber diet. If you can't do that, take your metumucil. (funny though I had been taking it already for several years since my dad also has the problem...figured it was a matter of time so I started early.).

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Old 02-24-2009, 10:27 PM   #39
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MHBP

Mail Handlers Benefit Plan.

A high deductible with free preventive care (including annual physical).
Khan--I don't know anything about your carrier, but some plans DO NOT require you to have a primary physician. You can simply choose a specialist and make an appointment. Good luck in finding a doc and in getting transportation; this is an important thing to do for yourself. My father died of colon cancer so I am particularly vigilant about this screening.

Freebird--congrats on the good result; I know you are relieved to have this done.
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Old 02-24-2009, 10:31 PM   #40
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Oh, and one more story...one of my best friends was treated for "diverticulitis" for over a year when she finally changed doctors and had a cancer screening. The screening found Stage 3 colon cancer and apparently her symptoms that were mis-diagnosed all that time. After a horrible illness including a colostomy, chemo and two surgeries, she is cancer free. Don't mess around, people.
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