Re: 3 weeks post pvp frequency/urgency problems

Ed wrote:
On Wed, 21 Jun 2006 21:32:06 -0400, "Pete" <pete@xxxxxxxxxx> wrote:

Rich256 wrote:
Pete wrote:
steve wrote:
Thanks. Temujin. Sounds a lot like where I am now. I would have just
appreciated a little more explanation and context from my uro.
Steve
Steve...that is just one more reason why I don't like doctors. Hope
you improve soon.

Pete


The good ones are too busy. If they take time it comes out of their
paycheck and they will have to drop some patients. My wife just heard
about a really good doctor. Called and was informed that she is not
taking any new patients.

Most will spend some time but they rarely will take the time to go
into great detail. If you want more you would have to offer to pay
him his going rate for extra time to explain.
That would be absurd Rich, I hope you are not serious [remember we are usually on the same page :-)]. Any friggen doctor who doesn't explain things properly shouldn't be practicing medicine. I told you I hate the bastards and their prima donna attitudes. I would bet my house that doctor Sancha isn't like that. Remember I have been to 75 doctors in my life, and the vast majority of them are assholes, and not one could hold a candle to Dr. Sancha.

Anyway I have a pretty good memory, and I believe it was you who told the story (many months ago) about the young lady doctor who cried because she couldn't spend more time with her patients (and I talked about the TV show Marcus Welby), and you also talked about some old home town doctor (who you could talk to like a real friend when you visited him years later). I think it was you for at least one of those items, if not both.

Anyway, sure things have changed in this dog eat dog, capitalistic world, but please don't imply that Steve's doctor did not have to explain things in more detail, unless Steve paid him an extra fee (so to speak). That is unadulterated bull*** IMO :-) ...Pete

Hi, Pete.

I can't help wondering what those 75 doctors thought about you!

I too have had a few docs and I have great respect for most of them.
Most seemed genuinely concerned about me, their patient. They took
some time to describe what was up. But it is a fine balance for them.
I can sense some impatience (maybe on my part just as much as on
theirs) when we get into the details of an annyoing ache in my knee
when there are life and death issues in the waiting room.

And it's a business for the docs. They have bills to pay,
responsibilities to their staff, etc., and I'm sure they look at the
costs/benefits of business decisions, as they should.

My first uro was a dud. He was fresh out of school and trying to build
a practice. He was pushing me towards surgery. That would have been a
nice piece of business for him. Just like the local garage talking you
into new CV joints that you don't need. The new uro is great (and has
a busy practice). My GP is wonderful and I trust him.

Many docs are reluctant to give the patient detailed info about the
condition in question. Maybe they feel the patient doesn't need to
know. Or maybe the doc doesn't really know. Or maybe they are
protective of what they took 10 years to learn, or maybe it's that
they like the air of mystery and power. It could also be (in some
cases) that they might say something that isn't correct any more and
the patient will start to argue with them. And that is a problematic
situation, because the doc is the expert, not the patient, otherwise
why is the patient seeing the doc?

So I think some diplomacy is needed. Let the doc tell you what he
wants to tell you, then ask questions carefully and don't take too
much time (remembering the waiting room). After the visit, do your own
research; become an expert on your own if you want. Then on the next
visit, you can ask more good questions.

Ed

When my URO signed me up for PVP he finished the conversation by asking if I had any questions. I answered that I think everything had been well covered. He then commented something to the effect that I knew more about the subject than most patients, or maybe it was all his patients.


And it is impossible to know exactly what is happening inside. A mechanic can tear the engine down and locate the problem. I had a surgeon do that. I had terrible side pains indicating appendix but all other signs said no. White cell count was normal. Finally after a day of testing he said the only thing left is to go in and take a look. Found out it was ruptured. Rather it had been leaking for a long time, gangrene destroying much of the tissue around it.
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