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Dear Group, i ma still comtemplating the idea of a hysterectomny vs an embo

.. Hear me out please, one: I want immediate results, however I am worried

about long term

efffects of a hysterectomy Bladder problems etc. I am still researching but

one thing for sure this will be my decision my ob is not leaning one way or

another. I just wish there weren't so many side effects with the embo (

cramping, slow shrinkage etc.) I have no

emotional ties to my uterus, at least for now I do want to be my ol " active

self again. Any hints please pass them along.

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Dear ,

I am not advocating hysterectomy, but there is a study about the effect of

hysterectomy on bladder function that showed no difference in a group of

women who had a hysterectomy versus a group of women who had a D & C. In fact,

the women who had a hysterectomy had less incontinence. So bladder function

does not appear to be affected. The study can be found in British Journal

of Urology, vol 67, pages 295-7, author Griffith-.

, MD

Re: (unknown)

> Dear Group, i ma still comtemplating the idea of a hysterectomny vs an

embo

> . Hear me out please, one: I want immediate results, however I am worried

> about long term

> efffects of a hysterectomy Bladder problems etc. I am still researching

but

> one thing for sure this will be my decision my ob is not leaning one way

or

> another. I just wish there weren't so many side effects with the embo

> cramping, slow shrinkage etc.) I have no

> emotional ties to my uterus, at least for now I do want to be my ol "

active

> self again. Any hints please pass them along.

>

>

> ------------------------------------------------------------------------

> Get 3 months FREE and a chance to WIN a trip to London, England when

> you receive, manage and pay your bills online with Paytrust.com!

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Guest guest

,

Have you considered a myomectomy? Embolization and hysterectomy are not the

only options. If your gynecologist hasn't suggested a myomectomy, maybe you

should find another gyn. It's worth considering. I have a 16-week size

fibroid and have been given that option, in addition to others. Personally,

I feel better about removing the fibroids and not the uterus. It's still

major surgery, but I've read enough about hysterectomies to know I don't

want one.

Anyway, it's just another option. The downside, compared to hysterectomy,

is there's chance you can grow new fibroids. So, it may or may not be a

permanent solution. I think when my fibroid warrants definite action, I

will opt for a myomectomy. If I have a recurrence, I'll probably go ahead

with embolization, rather than have another myo. Hopefully, by then, UFE

won't be quite as experimental. Or, maybe some miracle will happen where

another treatment will be available.

Good luck with your decision, whatever it turns out to be.

Re: (unknown)

Dear Group, i ma still comtemplating the idea of a hysterectomny vs an embo

.. Hear me out please, one: I want immediate results, however I am worried

about long term

efffects of a hysterectomy Bladder problems etc. I am still researching but

one thing for sure this will be my decision my ob is not leaning one way or

another. I just wish there weren't so many side effects with the embo (

cramping, slow shrinkage etc.) I have no

emotional ties to my uterus, at least for now I do want to be my ol " active

self again. Any hints please pass them along.

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you receive, manage and pay your bills online with Paytrust.com!

Stamps, checks and bills in your mailbox are history. Enroll Today!

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Guest guest

Hi Robyn! My stomach has been going down, yay!!! It has been six months

since my UAE, and tomorrow I will have my pelvic ultrasound to check on

shrinkage. My largest fibroid was in the 4.5cm range, so not large compared

to many of you, but I had numerous fibroids which caused me heavy bleeding &

cramping. There is hope! I have been dieting & walking regularly, so I

think that is helping also. Don't give up!

--Val--

Robyn Cline wrote:

> Is there anyone out there who has had a positive experience with their

> stomach going down, let me know so I can have hope and how long did it

> take, I'm only at 9 weeks. I don't care if I look like I'm 18 again, it

> would just be nice not to look pregnant. Also, if you stomach did shrink

> was your fibroid big?

>

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Guest guest

Val:

It sounds like yours was about the same size as mine. Mine was a 4 they

say. I've been running a lot and trying to watch what I eat. If you don't

mind answering one more question--did yours start going down right away or

do you remember when you noticed it and do you know where yours was

located.

Thanks,

Robyn

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  • 3 weeks later...
Guest guest

Robyn,

I forget, did you have an UAE? If so, I'm told to look for the best results

are between 3 to 6 months.

As to fibroids 'sloughing off'. I think that is not the norm and there is

no discernible way to know who or if they will.

Make sure you ask next week about the swollen stomach. Is your stomach

'swollen' as opposed to the 'pouchy' stomach we discussed earlier?. My

stomach is flat in the a.m., but as the day goes on, it appears swollen as I

eat, drink and such. But if I were concerned about this as you appear to be,

I encourage you to head to a doctor right away to find out if this is

unusual.

Barbara

(unknown)

Daphne:

It's nice you can get an answer, I have called my IR's nurse 2x to ask what

kind of fibroid Ihad, and she just keeps telling me it is in your uterine

muscle (but will never say the actual name) and it pressed your bladder

almost flat. I want mine to " slough " off, does anyone know if a fibroid

located in the uterine muscle ever does that? Nurse told me I probably

didn't need to worry about that, I would rather it did " slough " off and get

out of my body the sooner the better. Some symptoms are better, the lower

back pain is completely gone, bladder is not as weak, but I am constipated

every day. I take stool softeners every single night, and have since

February 23 when I had ufe. Because of constipation, I think it must not be

shrinking much. Also, stomach is still swollen. I think this cannot be

healthy (stool softeners every night). My MRI is next week and I'm anxious

to see if this thing has shrunk any. Is there a " normal/average " time

frame for fibroids to shrink? Am I just being impatient and not giving it

enough time? Does it usually take longer than 3 months?

Thanks.

RObyn

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Guest guest

Barbara:

That's good to hear the 3-6 months. I tend to be impatient. Mine is

swollen, at times it's even uncomfortable. Yes I will ask. Oh and I did

have the ufe.

Robyn

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Guest guest

I HEAR YOU ALL TALK ABOUT SWOLLEN BELLYS AFTER UFE AND I HAVE THE SAME AFTER

HYST. ITS WEIRD...AFTER ALL DAY I GET ALL SWOLLEN. AND SORE. I GUESS THIS IS

NORMAL DAWN

---

" Smile, It makes everyone wonder what you are up to "

>Barbara:

>

>That's good to hear the 3-6 months. I tend to be impatient. Mine is

>swollen, at times it's even uncomfortable. Yes I will ask. Oh and I did

>have the ufe.

>

>Robyn

>

>

>

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Guest guest

Robyn,

I think God put me on this earth to learn patience! (I do understand)

Swollen to me implies 'not quite right or not healthy', especially if it's

sometimes uncomforable. Check it out so that if it is something, it can be

taken care of quickly. If it's NOT anything, then you can discuss how to

fix it. If you're not getting satifactory answers, keep bugging them until

you do. They are responsible for your care, but you are responsible for

YOU! Bug them until you get answers or are satisfied or find someone who

will.

Take care,

Barbara

RE: (unknown)

Barbara:

That's good to hear the 3-6 months. I tend to be impatient. Mine is

swollen, at times it's even uncomfortable. Yes I will ask. Oh and I did

have the ufe.

Robyn

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  • 3 weeks later...
Guest guest

I don't know anything about edematous change or anything and I'm not a

doctor. Just speculating... I cancelled my myomectomy (scheduled today) so

that I could pursue a UFE but, from what I'm hearing, I don't think this is

the way to go either. I don't want " shrinkage, " I want them gone. I am

interested, however, to hear if shrinking continues past three months. I

have already gone the Lupron route and I am not impressed. If UFE offers the

same amount of shrinkage as the Lupron, I guess I need to get back on the

surgery schedule!

Rhonda

(unknown)

I just received my result to my 3-month follow up MRI. when i had ufe

fibroid was 4.0 cm., it is now 3.0 x 3.0 x 2.3 cm., so it is shrinking,

yeah!!! It also says less apparent edematous change within the fibroid

itself, do any dr's. know what that means? It says the endometrium appears

grossly within normal limits--good or bad?

Now I just wonder, do fibroids continue to shrink after 3 months, can I

expect more shrinking? Or do they kind of phase out as far as shrinking?

How long do they continue to shrink? Anybody know?

Robyn

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  • 4 months later...

" Jeanne Eisenstein " wrote:<<>>Good Day,<<I have recently been diagnosed with a myoma. My doctor has recommended that I have a hysterectomy. I am 43 with no children and fertility is not a concern. I am not emotionally attached to my uterus. However, I am seeking information from others that have been down this road. I would prefer to have a vaginal rather than an abdominal hysterectomy. The procedure would probably have to be a laparoscopic-assisted vaginal hysterectomy. However, my uterus is 17cm (or 20-week size) and my myoma is 10cm. Has anyone with a uterus and myoma at these sizes had a laparoscopic-assisted or just a vaginal hysterectomy? I've been told my uterus and myoma are too big without taking GNRH agonists and I do not consider that as an option.<<>>

I think your uterus and fibroid are indeed too big for vaginal hysterectomy and/or laparoscopy. Someone did write here about having laporoscopy for myomectomy of a 10 cm fibroid and others were very impressed that her doctor could manage to do it. Usually a bigger incision would be needed for such a large fibroid. The operation took 5 hours.

If you don't have a lot of fibroids and the myoma is in a suitable position, myomectomy may well be feasible for you. But the doctor might want you to take a GnRH agonist beforehand (I don't know if RU-486 is being used for this purpose yet).

There may be an advantage in having abdominal rather than vaginal hysterectomy if you can conserve your cervix with the abdominal surgery. I hope you will retain your ovaries as well.

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  • 2 weeks later...

Wow!!

You must have been sent from heaven; HE HE

I have been wondering lately about any advancements being made in the field

of electrophysiology; I havent heard of the information which you just

shared with me and the group, but I certainly will look into it; Your timing

is excellent too, since I will investigate this before my meeting with Dr.

Morady on Friday;

It certainly would be nice, and in fact, should be the goal of

electrophysiology to have EP studies which are less intrusive, more

definitive, and carry less risk.

Thank you!!

(unknown)

> , I'm also discussing an EP study and ablation procedure on

> Friday. I'll be seeing Dr. Rea at the Mayo Clinic in Rochester. I

> live in Iowa City and my local EP recently began using a diagnostic

> system and catheter manufactured by Endocardial Solutions, Inc.

> (ESI). The system provides electrophysiologists with a real time,

> virtual image of the electrical activity of the heart without

> contacting the heart's surface. I visited ESI's website,

> www.endocardial.com and cross-referenced the " Publications " link with

> physicians listed under the " Where to find EnSite " link. Two

> physicians at the Mayo Clinic, Dr. Friedman and Dr.

> Packer, have (between them) fifteen publications listed.

> Representative titles include: " Feasibility of Combined Non-Contact

> and Electroanatomical Mapping for Guiding Ablation of Complex

> Arrhythmias " , " Utility of Noncontact Mapping in Guiding Successful

> Ablation in Patients With Previously Failed Ablation

> Procedures " , " Feasibility of Ablation of Focal Atrial Fibrillation

> Guided by Noncontact Left Atrial Mapping " , " Localization of Pulmonary

> Vein Ectopic Activity Using a Non-Contact Mapping System " , etc.

> Being an academic at the Univ. of Iowa, I decided to seek out an EP

> who is on the cutting edge, so to speak. The doctors at Mayo are

> using state of the art equipment, are publishing their results, and

> have performed numerous procedures. I'm hopeful that Dr. Rea can

> give me some good advice. I'm presently on Disopyramide, but I still

> have frequent episodes of AF; therefore, I'm ready to take the next

> step. I'm preparing a list of questions to ask and I would

> appreciate any suggestions from the members of this group. (You can

> email me privately or through the board.) Perhaps and I can

> compare notes and provide the AFIBsupport group with some good

> feedback next week. Thanks much and keep the faith.

>

> Lynn Pringle

>

>

>

> Web Page /group/AFIBsupport

> Afibbers Database- http://www.dialsolutions.com/af

> To Unsubscribe send an email to: AFIBsupport-unsubscribeegroups

> Daily digest mode: Send a blank message to AFIBsupport-digestegroups

> Individual emails: Send a blank message to AFIBsupport-normalegroups

> Read on web only: Send a blank message to AFIBsupport-nomailegroups

>

>

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  • 3 weeks later...

I've run into some pretty serious situations and mistakes by my doctors.

Because of this, I've done my best to become an expert on my conditions. I

study and research, because of the situation you've described below.

I'm glad you're looking for a new doctor, and hope you find a good one. It

isn't enough, really. It's important to know all you can find out, and then

stick to your guns when the doctor brushes off your concerns. I know they do

their best, but they are not God, and can't possible manage enough knowledge

in the long run.

Willa

(unknown)

> Somewhere on the net I read that a possible side effect of taking a

> beta blocker is congestive heart failure. I asked my doctor

> (internist) about this when I was at his office today, and he brushed

> me off with, yes, but you just have to live with that possibility. I

> asked him if there was any test to see if I was developing congestive

> heart failure, and he said no - I would know it if I had trouble

> walking and breathing.

>

> Great. He is so frustrating - about once every four visits he acts

> like a good doctor, and the rest of the time getting an answer to

> anything is like pulling teeth. I couldn't even find out from him

> what the odds of this side effect is. Also, according to the web,

> once you have it, it is not reversible.

>

> Does anyone know anything about the odds of this? I even found web

> pages where beta blockers were highly praised as a treatment for

> congestive heart failure.

>

> Thanks,

>

> Trudy (yes, I am once again going to try to find a better doctor.)

>

>

>

>

> Web Page /group/AFIBsupport

> Afibbers Database- http://www.dialsolutions.com/af

> To Unsubscribe send an email to: AFIBsupport-unsubscribeegroups

> Daily digest mode: Send a blank message to AFIBsupport-digestegroups

> Individual emails: Send a blank message to AFIBsupport-normalegroups

> Read on web only: Send a blank message to AFIBsupport-nomailegroups

>

>

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All I have met some pretty good Dr and some not so good Drs. Quite frankly I

am getting pretty fed up with the Information that we are getting re AF. I

am now under the care of Ep that I trust. After four other guys.

What can we do!!!,

I noticed on the board that we are getting members at 2 per day that's

quite a lot of Growth over a year and this will get bigger as time goes on.

I read about a guy in the USA Ralph Nader who back in the 1970 set up a

consumer group that boycotted bad products.

Who to say in the Future that if this board get the recognition we deserve,

if drs have not got the Groups seal of approval you don't go to them,.

Regards

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  • 3 years later...
Guest guest

Yikes, I live in Tennessee! And you're right, Tenn Care is a mess.

Fortunately, I'm on my husband's insurance, or I could never afford the

doctors or all the meds I take. Still, I ran out of Wellbutrin XL and when

my husband tried to pick it up for me our check card was turned down. Our

car insurance payment came out last night, and the Wellbutrin is $50. I've

got a few 300 mg tablets, I'll just have to break them in half and take

those until payday.

cyn

At 07:22 AM 4/21/2004 -0500, Thronberry@... wrote:

>With SSI, you would be eligible for Medicaid (in the

>states that still have Medicaid...in Tennessee, they replaced Medicaid

>with an HMO called Tenn Care (one of the biggest mistakes that Tennessee

>ever made). It is possible that with SSD, you might also be eligible

>for Medicaid...I am just not that familiar with Medicaid to know...

>would suggest that you check with your local Dept. of Human Services.

>

>Hugs and prayers,

cyn

clmerritt@...

Have you noticed since everyone has a camcorder these days no one talks

about seeing UFOs like they used to?

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  • 2 months later...
Guest guest

Hi Sherry,

What a terrible thing for your friend to say to you. Why don't you tell her

you will be glad to let your pain go if she will take it...lol

Seriously...she sounds like a " nut " to me...don't mean to be cruel...but it

seems she is closing her mind to what is happening to you and not even trying

to understand it.

Please don't let her make you feel bad for being sick and hurting...you are

so right...it's a big chunk of our life.

As for what you were asking about your husband...I think someone younger than

me should answer you...lol.

My husband and I have been married for 25 years and I have sleep apnea and

wear a mask attached to a BIPAP machine at night...it makes me look like a space

alien and not too sexy...LOL

Good luck with your friend,

Kay

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  • 2 years later...

Hi there,

I would like to understand more about what "end stage" means. Also, can you elaborate on "holistic approach" to management?

thanks, anne (dad ipf 03/06)

(unknown)

Hi: This is new to me so please be patient. My husband has pulmonary fibrosis, he was diagnosed in 1999. He was doing great then in May he was hospitalized with encephalitis. Then 3 weeks ago he was doing great mowed lawn etc then spiked a 104 temp and ended up in intensive care with they believe pneumonia. Thank God he is getting better each day and xrays are improving each time. They say it is end stage at first the term freaked me out however I am understanding the term better. Any tips I would appreciate. Does anyone go with the holistic approach also? Please help.

Thank you

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Hi I'm so glad you found this group. We will answer any questions that we can. How was your husband diagnosed and where? Has he been on oxygen, and how much? At one time, we had someone who did holistic medicine, but have not heard from them in a while. Just ask, and we will answer if we can. HP 6/06l e wrote: Hi: This is new to me so please be patient. My husband has pulmonary fibrosis, he was diagnosed in 1999. He was

doing great then in May he was hospitalized with encephalitis. Then 3 weeks ago he was doing great mowed lawn etc then spiked a 104 temp and ended up in intensive care with they believe pneumonia. Thank God he is getting better each day and xrays are improving each time. They say it is end stage at first the term freaked me out however I am understanding the term better. Any tips I would appreciate. Does anyone go with the holistic approach also? Please help. Thank you Get your email and more, right on the new Yahoo.com

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  • 2 years later...

Hello to all:

There is no regulation but your facility can use an abnormal BMI -

underweight or obese / morbidly obese to get some additional reimbursement for

care.

We started documenting BMIs in the MD progress notes so that the coders that

scan the MD Progress Notes and code from the scanned document can code the

BMIs.

This is in an LTACH where we see all the admissions within 72 hours of

admission and at least once (usually 2-4 times) during their 21 - 25 day stay

since our patients are high acuity patients (TFs, TPN, Vents, Wounds, MRSA+,

hemodialysis, etc). We also document an admission Alb and if we have a PAB and

describe them as normal, mildly depleted, moderately depleted, severely

depleted. These are extra steps in our job but these things have to be

documented

with an interpretation by a licensed professional for the coders to be able

to use them. And on many patients it will increase the reimbursement for care.

You may want to figure how you can do this documentation to improve

reimbursement and not let someone else (like MDs, nurses) try to document it and

get

it wrong. Our nurses and MDs could not do it and get it correct. We tried

that.

Giles Walters, MMSc, RD, CSG, LD, FADA

Food & Nutrition Care Consultant

PO Box 204175

Augusta, Georgia 30917

**************It's only a deal if it's where you want to go. Find your travel

deal here.

(http://information.travel.aol.com/deals?ncid=aoltrv00050000000047)

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  • 3 years later...

Ah ...do not fooled by stats. Canada does not have the monstrous cost of illegals that we do. The UK and Scandanavia are struggling out of socialism that nearly sunk them into the sea. To use stats a fair comparison with peripherals must be used.

From:

Bleiweiss ;

To:

< >;

Subject:

Re: Re: (unknown)

Sent:

Mon, Nov 28, 2011 10:36:21 PM

Grace,

What about Britian and France, all of the Scandinavian Countries that are part of our Western first world allies.... " Oh Canada..... " all with parliments and democracies coming out their ears... and with better social safetynets and an economy that works for many more people than ours does for us here... Democracy combined with a Combo Socialism-Capitalism Mix... We already have one ourselves, Medicare, Social Security, and Americans Love those programs and rightful so.... It is just that our fixes and way of doing things are way too weak and a band-aid approach to what needs more deeply influencing fixes...

Do you think that the Canadians feel " Oppressed " by their totalitarian form of gov't??? That Ottawa is some chamber of horrors of repression and physical harm to outspoken Canadians???? (Then I guess Don Cherry would be in some windowless room tied to a chair getting electric shocks to goodness only knows what body parts, his hockey stick perhaps???? :-) Not a Chance! And they discuss real issues most of the time about the cost of healthcare, college and living instead of all the intentionally created simply to distract (Pay no attention to the man behind the curtain) from the real issues, hot bottom problems created by our two parties to keep us from discussing the needs of the 99%.... Ever watch CBC TV and or " The National " and other Canadian sourced intelligent

programming???? Sizuki's stuff???? Not some Chinese Propaganda Machine that's for sure..... or some chamber of horrors....

There are many good, very good viable alternatives to what we presently have and being a Great Patriot, I believe that we and America, the USA is strong enough, smart enough to engage in such debates without harming ourselves or destroying our best parts we hold so dear..... As a matter of fact, it is MHO that such debates and actions can and do make us stronger and some of the best acts of patriotism any citizen can engage in..... Have a great night as I have to run to hockey practice with our son.... Be well.

To: Sent: Monday, November 28, 2011 5:11 PMSubject: Re: (unknown)

i love my kids.. cant do the one child policy etc.what we see in china are the things we are meant to see.there is a reason why they are successful.you cant be lazy in china.you die if you are.can you imagine if in line for foodstamps and they identify you as 'unable' to work because of 'inabilities, etc' you just get killed. dont ask for what youre wishing for paul... china and its government --- not any better either... all i know is that im here and NOT there.all in peas - pun intendedgrace> > >> > > Dear Pamela and the other awseome IMP Docs....> > > Ă‚ > > > Thanx much for your courage and rugged individualism! IMHO a fundmental aspect of americanism. As I've said, this also applies to board certification- ABMS should be boycotted! Why? I can give reasons....> > > Ă‚ > > > Re- Bank of Amerika...Ă‚ Ă‚ ditch BOA and other big banks ASAP- can credit unions help in this area???> > > Ă‚ > > > I

love the Chinese quote!> > > > > > > > > > > > " Ă‚ The United States jails a larger percentage of its own citizens than any other country in the world, including those run by the worst totalitarian regimes.> > > Ă‚ The urge to save humanity is almost always a false-face for the urge to rule it. " > > > > > > - H. L. Mencken (1880-1956) American editor, essayist and philologist.> > > Ă‚ > > > Ă‚ > > > > > > zell, DO, MPH.> > > 1061 Whispering Lakes Dr.> > > Madison, GA 30650> > > > > > Ă‚ > > > Ă‚ > > > Ă‚ > > >> >>

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alice, sorry to hear... but i do think the boards are kinda silly, cme is

somethin i know we all have to do.. but make the boards fees $1.50 and i still

wont take it any day

email me offsite: tagabanawa@...

>

> A board certified doctor messed us up twice...who knows if my daughter will

survive his negligence. And his board certification has done nothing to mend my

shattered heart...nor the board certified docs who lied, covered up, for him to

the Ombudsman, etc. [He was cited...big deal....my daughter is still

sick...and knowing how doctor & #39;s kneejerk and blame patients...I will add we

did not sue...and did not file the report...the eejet board certified doctor

filed in an effort to get an emploee filed for reporting him]. So, excuse my

emotional ignorance in this area. Board certification is a false security

blanket that doctors promote.....a type of boy & #39;s club:)

>

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I am so sorry to hear about your daughter. I hope she regains

her health.

I agree, board certified docs still make some horrible

mistakes. But I would be more concerned if there was no process to check a doc’s

competence at all. It certainly is not perfect, and costs us docs A LOT of

time and money, but I don’t have a better solution to suggest.

Eads, MD

Pinnacle Family Medicine

Colorado Springs, CO

www.PinnacleFamilyMedicine.com

From:

[mailto: ] On Behalf Of alicerobertson@...

on

Sent: Monday, November 28, 2011 3:39 PM

To:

Subject: Re: Re: (unknown)

A board certified doctor messed us up twice...who knows if

my daughter will survive his negligence. And his board certification has done

nothing to mend my shattered heart...nor the board certified docs who lied,

covered up, for him to the Ombudsman, etc. [He was cited...big deal....my

daughter is still sick...and knowing how doctor's kneejerk and blame patients...I

will add we did not sue...and did not file the report...the eejet board

certified doctor filed in an effort to get an emploee filed for reporting

him]. So, excuse my emotional ignorance in this area. Board certification is

a false security blanket that doctors promote.....a type of boy's club:)

From: pricklyfinger2007

;

To: < >;

Subject: Re: (unknown)

Sent: Mon, Nov 28, 2011 10:26:57 PM

i got sidetracked with china's mention.

so i missed the boards deadline by 2 weeks... my fault i know... need to pay

$500, buy review course at $1200, books at $500, pay airfare, schedule exam,

not show up at work few days prior @2000/day and not sure even id pass...

and all for the boards to make sure i dont kill anyone...

go figure

beef..

grace

>

> Grace...your point is well taken, but I think JP is making a point about

personal liberties being taken via regulation and prestige...not really for

the good of mankind. Then I think he suggested a boycott of BOA because he

feels doing business with corporate thugs isn & #39;t, ultimately, helpful

to the average citizen? Maybe he prefers dignity above swimming thru sewage

only to find out there really is no clean water no matter how hard you swim

past boards and regulators who pretend to be looking out for us?

>

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1) Open the process up to all docs properly graduated in the specialty being allowed to "Vote" for board members. Not think alikes for the most part "recommending" their friend to a board position.

2) Open up the test design to a vote as well. New Portions and New Designs must be voted upon, "ratified" like a union contract by a majority of those whose degree are in that specialty, board certified or not. Perhaps like many here they are not board certified because they actually have legitimate concerns and gripes with the board and their test... Perhaps more docs would step up and do it "Willingly" if only they felt heard and represented....

3) Create a public form like this and or the AC User board where docs and other interested parties could discuss and debate any and all of these kinds of issues, to make sure there is a good public forum to allow voices to be heard by all including the board members. Board members who do not log on and engage a certain amount, are potentially liable to expulsion for not "caring enough" to get involved, no less share their personal ideas and perspective so those who must vote can know who they are actually voting for....

4) Last but certainly not least, immediately release a joint statement to be released in all 50 states and all major newspapers that all Medical Boards resent and will resist and challenge ANY private 3rd party insurance carrier who attempts to use their certification as a means of including or excluding any doctor on their panels. And if they don't immediately cease any and all such policies and their enforcement, they will have no choice but to take any and all carriers to Federal Court for the Misuse and Abuse of the certification that is theirs and only theirs to hand out and manage. It becomes a black eye on the boards themselves if and when anybody or any entity besides the individual patient use their "Stamp of Approval" as means to include or exclude.... And this should be similarly thrown in the face of any and all hospitals as well.....

There is a great place to start taking back your own boards instead of this hidden, removed, does not calculate or relate to the realities of the average doc under their wing.... and who get to pass judgement on them no less, NO LESS being the single most influencial commitee in terms of which docs will remain financially viable and those who will likely crash and burn in bankruptcy and poverty.... Such reasonable reforms are a great place to start to help the board bridge the interpersonal relationship gap and the huge disconnect gap that they presently have created all on their own by ignoring the pleas of those that they supposedly represent and presently DO have way too much power and control over.... because of the misuse and abusive use of their certification by other certainly less than well intended organizations.....

To: Sent: Monday, November 28, 2011 11:45 PMSubject: RE: Re: (unknown)

I am so sorry to hear about your daughter. I hope she regains her health.

I agree, board certified docs still make some horrible mistakes. But I would be more concerned if there was no process to check a doc’s competence at all. It certainly is not perfect, and costs us docs A LOT of time and money, but I don’t have a better solution to suggest.

Eads, MD

Pinnacle Family Medicine

Colorado Springs, CO

www.PinnacleFamilyMedicine.com

From: [mailto: ] On Behalf Of alicerobertson@... onSent: Monday, November 28, 2011 3:39 PMTo: Subject: Re: Re: (unknown)

A board certified doctor messed us up twice...who knows if my daughter will survive his negligence. And his board certification has done nothing to mend my shattered heart...nor the board certified docs who lied, covered up, for him to the Ombudsman, etc. [He was cited...big deal....my daughter is still sick...and knowing how doctor's kneejerk and blame patients...I will add we did not sue...and did not file the report...the eejet board certified doctor filed in an effort to get an emploee filed for reporting him]. So, excuse my emotional ignorance in this area. Board certification is a false security blanket that doctors promote.....a type of boy's club:)

; To: < >; Subject: Re: (unknown) Sent: Mon, Nov 28, 2011 10:26:57 PM

i got sidetracked with china's mention.so i missed the boards deadline by 2 weeks... my fault i know... need to pay $500, buy review course at $1200, books at $500, pay airfare, schedule exam, not show up at work few days prior @2000/day and not sure even id pass...and all for the boards to make sure i dont kill anyone...go figurebeef..grace>> Grace...your point is well taken, but I think JP is making a point about personal liberties being taken via regulation and prestige...not really for the good of mankind. Then I think he suggested a boycott of BOA because he feels doing business with corporate thugs isn & #39;t, ultimately, helpful to the average citizen? Maybe he prefers dignity above swimming thru sewage only to find out there really is no clean water no matter how hard you swim

past boards and regulators who pretend to be looking out for us?>

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Thank you so much! I guess I struggle with perceptions and expectations. Patients are advised to check that a doctor is board certified...check their hospital privileges, etc. Yet...I cannot find that board certification actually creates a better outcome for most patients. It makes so much sense on the surface...but if you scratch below that....you are left with more questions....you find yourself in a medicinal feudal system... with what often appears to be a bought and paid for title of prestige....that will become the bullied norm. That's a simplistic wrap up...possibly unfair...but overall...quite possibly accurate as far as equating board certification with supposed superior care the patient expects from it. God bless, Alice

From:

Eads ;

To:

< >;

Subject:

RE: Re: (unknown)

Sent:

Tue, Nov 29, 2011 4:45:17 AM

I am so sorry to hear about your daughter. I hope she regains

her health. I agree, board certified docs still make some horrible

mistakes. But I would be more concerned if there was no process to check a doc’s

competence at all. It certainly is not perfect, and costs us docs A LOT of

time and money, but I don’t have a better solution to suggest. Eads, MD Pinnacle Family Medicine Colorado Springs, CO www.PinnacleFamilyMedicine.com

From:

[mailto: ] On Behalf Of alicerobertson@...

on

Sent: Monday, November 28, 2011 3:39 PM

To:

Subject: Re: Re: (unknown)

A board certified doctor messed us up twice...who knows if

my daughter will survive his negligence. And his board certification has done

nothing to mend my shattered heart...nor the board certified docs who lied,

covered up, for him to the Ombudsman, etc. [He was cited...big deal....my

daughter is still sick...and knowing how doctor's kneejerk and blame patients...I

will add we did not sue...and did not file the report...the eejet board

certified doctor filed in an effort to get an emploee filed for reporting

him]. So, excuse my emotional ignorance in this area. Board certification is

a false security blanket that doctors promote.....a type of boy's club:)

From: pricklyfinger2007

;

To: < >;

Subject: Re: (unknown)

Sent: Mon, Nov 28, 2011 10:26:57 PM

i got sidetracked with china's mention.

so i missed the boards deadline by 2 weeks... my fault i know... need to pay

$500, buy review course at $1200, books at $500, pay airfare, schedule exam,

not show up at work few days prior @2000/day and not sure even id pass...

and all for the boards to make sure i dont kill anyone...

go figure

beef..

grace

>

> Grace...your point is well taken, but I think JP is making a point about

personal liberties being taken via regulation and prestige...not really for

the good of mankind. Then I think he suggested a boycott of BOA because he

feels doing business with corporate thugs isn & #39;t, ultimately, helpful

to the average citizen? Maybe he prefers dignity above swimming thru sewage

only to find out there really is no clean water no matter how hard you swim

past boards and regulators who pretend to be looking out for us?

>

Link to comment
Share on other sites

,Which Boards require that? Certainly not all as I am Board Certified and not a member of AMA or AOA. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of james peterzellSent: Tuesday, November 29, 2011 9:32 PMTo: Subject: (unknown) Jim and , Well by Gosh someone just admitted it ( the self serving nature of the certification process) and thanks for doing so! Bob Keaveny of Physician's practice had a good piece on the lack of evidence that certification leads to better outcomes/patient care. Jim, can you provide a citation for your claim that boarded Docs have ability not possessed by non boarded docs? As we all know, " data " can mean anything. Kathy and - I dont mean to pick a fight or sound critical, but you both made claims in defense of the cert, process that demand answers- the notion that a Doc can be proved dlinically competent only by a board exam is just wrong. Yes, some CME can be blown off, but not med school, parts 1-3 of licensing boards, or internship/transitional year, correct? To me, the notion that state lic. boards are going to require certification is the worst type of nanny statism and supporting turf battles. What is so unacceptable about an experienced, competent GP anyway, esp. if the patient accepts this in an informed manner? I'm with in that the insurers, hospitals and credentialers use any excuse they can to deny payment or access to us, and by us kowtowing to the cert process, we just prove we are willing to jump thru yet another hoop at our own expense. When do we ever say, enough!? And we wonder why healthcare is shockingly expensive in the US? Riddle me this- if BC is there to prove competency, why do some boards (all, even?) require association membership (AMA, AOA) for three years prior to even apply for the exam? Memebership in a trade group does NOT make anyone a better physician. Respectfully, . zell, DO, MPH.1061 Whispering Lakes Dr.Madison, GA 30650

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