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The Medical Thread: We're experts on everything else; why not?

I hope you are seeing - and listening to! - your cardiologist!

Dad has been seeing one for a while. It's probably his drinking more than anything that has exacerbated and hastened his demise. That's never going to change. Going to see him on Thursday and hope he's still around the 15th for the entire family.
 
So Hy-Vee hasn't been able to get a medication I take for about 30 days. Called around, found it at the target closest to me. $140 a month cheaper.

Jesus.


last time I shopped around, there was a grand total of $0.50 difference between the highest-priced pharmacy and the lowest.
 
So Hy-Vee hasn't been able to get a medication I take for about 30 days. Called around, found it at the target closest to me. $140 a month cheaper.

Jesus.


last time I shopped around, there was a grand total of $0.50 difference between the highest-priced pharmacy and the lowest.

Sadly not surprised. This has been true for yrs. I left practice 7 yrs ago. I had a patient who saved 160$ a month in copays after I sent him to a different pharmacy. The insurance co was connected to a pharmacy that charged him a copay that was larger than the cost of the med. had huge copays and had higher costs for meds not covered. The insurance co was BS at me and sent me multiple letters, called me to tell me I needed to tell the pt to go to the pharmacy that was connected to them. I lost A LOT of $$ in withhold because I thought he should save money so he could afford groceries.
 
Last Saturday, while walking around on the Cape, I fell on the sidewalk (because this couple walking towards me on a narrow sidewalk decided not to go single file so I could pass them so I had to go up on the curb and not sure what happened but I tripped and fell forward). I scraped both my knees - like you did when you were a six-year-old on the playground. I don't believe I broke anything as I am not having a problem walking or bending my knees. But they're sore and I can't kneel. My left knee is swollen - actually just under the kneecap. It feels funny, actually kind of numb. I'm debating about getting an x-ray to see if anything chipped or if there is anything I need to do. There are a few other little things that hurt as a result of the fall - I feel like I pulled or strained a muscle in my right forearm, probably hurt when breaking my fall. And my left thumb and left wrist are slightly bruised. Do I do that or do I just let it heal, which could take a while?
 
If it's swollen around the kneecap, that's almost certainly what I have now. I banged my knee extremely hard while playing soccer (it was a great save!) but it swelled up pretty bad. Got it checked out, negative X-rays. Said just keep it wrapped with an Ace bandage* and ice it. Ended up reinjuring it doing the same thing (another great save!) when it wasn't fully healed. This time there was no terrible bruise but it swelled again. Using Ace bandages religiously has finally gotten the swelling down to somewhat normal.

My lame-arse, holiday inn express guess is that you have bursitis. Getting it checked out isn't a bad idea. But they'll probably send you home with ice and wraps. I thought I had fractured my kneecap so I got it checked out. It will probably be swollen for a couple weeks.

* important note, I've never had to use an ace wrap in my life. Which is weird for a soccer player. Anyways. You need to wrap diagonally up then down, etc as you go around the knee. I used two wraps to compress it and help the fluid drain. The diagonal wrapping helps it stay in place and kind of makes sure you aren't making a tourniquet.

Which reminds me, time to wrap.
 
I suffer from an allergy and I can't find a remedy that will be helpful. I tried a lot of things. Now my friend recommended I buy ryaltris nasal spray from Canadian Pharmacy as it's the best med to get rid of allergy. Is it true and should I try it?
I think most folks on here will say mass quantities of fentanyl will help you. You can get it on the street corner.
 
My oldest brother, born in 1960, is about 5 years into early-onset Alzheimer’s, and was just moved into a memory care unit today. His daughter has to call him by his first name because he doesn’t respond to “Dad” anymore. He’s living through my worst fear right now, and I can’t help but wonder why dementia seems to have become so prevalent lately, especially the early-onset varieties.
 
My oldest brother, born in 1960, is about 5 years into early-onset Alzheimer’s, and was just moved into a memory care unit today. His daughter has to call him by his first name because he doesn’t respond to “Dad” anymore. He’s living through my worst fear right now, and I can’t help but wonder why dementia seems to have become so prevalent lately, especially the early-onset varieties.
I’m so sorry. I’m seeing it with an extended family member and it’s so brutal
 
Oh no... I'm sorry St Clown. I can't even fathom living through that nightmare

Im not entire sure it's any more prevalent today, but that's pure speculation on my part. I was around a lot of it growing up. If not Alzheimer's then other forms of dementia. It's my biggest fear as I get older.
 
Adding my sorry to the others. It is not fun.
Dealing with this now with my Auntie. Its not just having someone not know you or know your name. Its mourning the loss of the relationship you had with the person, the needing to be so careful not to say or do anything that causes them anxiety, worry or increased confusion. The glimpses of their former self that you can't trust because in the next minute they are gone and the conversation has caused them distress.
 
Can't imagine early onset Alzheimer's or Dementia, so sorry thats happening to your brother. I watched both of my parents mental health decline, it was awful to see them fade away.
 
https://www.wbur.org/onpoint/2023/11...ealth-care#_=_

It has taken a few yrs for people to start talking about it but OMG was it good to hear it be acknowledged. Have 4 people over the age of 86 in my family. Have watched incredibly bad medicine with lack of cohesive care, ridiculous roadblocks to people trying to practice good medicine and been told I should accept the way things are... I am unreasonable when I expect things that would have gotten people [fired, written up, or loss of licensure] if they weren't done before. Bad outcomes due to bad medicine because the money grubbers have set things up to prevent good medicine. I have averted a few disasters but stepping in but not always there or capable.

Currently one of my family is in hospital after near death d/t no one dealing with the thing that would have prevented the event, lack of timely care, and most important no coordination of care. Went from very active- walking a mile a day, running a business to intubated, MI, bypass vessel failure, kidney failure, all of which prevents treatment of another condition that will now be fatal.

I spent 3 days agitating before we could get anyone discuss how all the diagnoses affected what could be done. More importantly- it took 7 days to get anyone to discuss his full code status= they thought coding would be disastrous but no one seemed to think it was on them to discuss. They all said changing it should be top priority 4+ days ago.

NO movement from medicals on offering the change. I continued to ask. This guy is a medical mess and could crash at any time. Nothing. Finally his long time specialist got wind of this (he only rounds inhouse one time a week) and talked to the pt. The person agreed but wanted to talk to family then change their status. Staff was informed in early evening- would be "handled the next day".

The next morning nothing mentioned so family brought up again first thing. Asked multiple times to get the paper to review. 8, EIGHT, hours of waiting and being told a Dr would come in to sign- nurse had put in multiple requests (during the day, hospitalists in house) at 7p I made such a stink they called the Nursing Supervisor who managed to get someone in to sign.

Un-be-lievable. (no one can tell I am a little, just a little, beside myself about all of this)

Uffda. We need to move to a country that has a real medical system. This goes beyond I have insurance and or money to get attention.
 
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I'm sorry you have to deal with that, what an awful situation, and how lucky your family member to have you around to advocate for them. I don't have much to add as I won't pretend to know the actual delivery of healthcare better than you.

But I agree that our system is basically broken so badly that I don't know how to reasonably fix it. Like, sure we could do things. Single payer. Eliminate for-profit healthcare (somehow define that properly, whatever "properly" even means). Align processes nationally so your situation doesn't just get dropped.


Canada, Asia and Europe all have issues with their healthcare systems, but they're still orders of magnitude better than what we have here. We go on and on and on about how we're the best country in the world but... my god are we behind.
 
Canada, Asia and Europe all have issues with their healthcare systems, but they're still orders of magnitude better than what we have here. We go on and on and on about how we're the best country in the world but... my god are we behind.

i need this tattooed to my forehead. Americans are so effing dumb.

im no longer with the evil empire - which is great- but their layoffs are legit to just offshore more work and make execs more money. The sheer amount of execs there that are over 300k base pay would make people sick
 
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