Comments on: http://www.kevinmd.com/blog/2005/09/why-do-ibs-patients-have-so-many.html medical blog Sun, 22 Nov 2009 22:50:49 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2005/09/why-do-ibs-patients-have-so-many.html/comment-page-1#comment-64702 Anonymous Thu, 06 Jul 2006 14:43:00 +0000 http://clients.emmense.com/kevinmd/2005/09/18991.html#comment-64702 >>>Subtract "patients", add in "prospective future litigants".<<<<br/><br/>Oh, spare me! This sorry excuse for negligence is getting very old. More importantly, facts prove otherwise. >>>Subtract “patients”, add in “prospective future litigants”.< <<

Oh, spare me! This sorry excuse for negligence is getting very old. More importantly, facts prove otherwise.

]]> By: Anonymous http://www.kevinmd.com/blog/2005/09/why-do-ibs-patients-have-so-many.html/comment-page-1#comment-60452 Anonymous Wed, 15 Mar 2006 19:15:00 +0000 http://clients.emmense.com/kevinmd/2005/09/18991.html#comment-60452 You also didn't mention the reason that some people go from Doctor to Doctor is because some of us do have to pay for the multiple and expensive tests that are run. The last set of tests that I had, I was only making about $8 an hour and that doesn't cover a lot after other bills are paid. Besides would you really go back to a doctor that you can tell by what they say and the way they act, believes you’re a hypochondriac? They know that they can just keep on giving you different<br/>tests until you run out of money and then you have to stop. I wish they could go through<br/>just one month of what an IBS sufferer go through, and then that would change their attitude. You also didn’t mention the reason that some people go from Doctor to Doctor is because some of us do have to pay for the multiple and expensive tests that are run. The last set of tests that I had, I was only making about $8 an hour and that doesn’t cover a lot after other bills are paid. Besides would you really go back to a doctor that you can tell by what they say and the way they act, believes you’re a hypochondriac? They know that they can just keep on giving you different
tests until you run out of money and then you have to stop. I wish they could go through
just one month of what an IBS sufferer go through, and then that would change their attitude.

]]> By: Anonymous http://www.kevinmd.com/blog/2005/09/why-do-ibs-patients-have-so-many.html/comment-page-1#comment-56253 Anonymous Thu, 27 Oct 2005 06:18:00 +0000 http://clients.emmense.com/kevinmd/2005/09/18991.html#comment-56253 IBS is a diagnosis of exclusion. Until it stops being a diagnosis of exclusion you are left having to check for diseases other than IBS such as adult onset celiac disease, non-classical inflammatory bowel disease, etc... It has nothing to do with malpractice. It is simply the correct progression to exclude other disease which can present similarly. You don't like it? Research a way to diagnose IBS with 98% sensitivity and 98% specificity. IBS is a diagnosis of exclusion. Until it stops being a diagnosis of exclusion you are left having to check for diseases other than IBS such as adult onset celiac disease, non-classical inflammatory bowel disease, etc… It has nothing to do with malpractice. It is simply the correct progression to exclude other disease which can present similarly. You don’t like it? Research a way to diagnose IBS with 98% sensitivity and 98% specificity.

]]> By: Anonymous http://www.kevinmd.com/blog/2005/09/why-do-ibs-patients-have-so-many.html/comment-page-1#comment-55618 Anonymous Sun, 02 Oct 2005 15:48:00 +0000 http://clients.emmense.com/kevinmd/2005/09/18991.html#comment-55618 "Given the level of contempt SOME of the doctors posting here seem to hold their patients in"<br/><br/>Wanna know why? Subtract "patients", add in "prospective future litigants". Who needs this crap? Thanks alot sharks. “Given the level of contempt SOME of the doctors posting here seem to hold their patients in”

Wanna know why? Subtract “patients”, add in “prospective future litigants”. Who needs this crap? Thanks alot sharks.

]]> By: Anonymous http://www.kevinmd.com/blog/2005/09/why-do-ibs-patients-have-so-many.html/comment-page-1#comment-55617 Anonymous Sun, 02 Oct 2005 14:37:00 +0000 http://clients.emmense.com/kevinmd/2005/09/18991.html#comment-55617 "Given the level of contempt SOME of the doctors posting here seem to hold their patients in"<br/><br/>Not unlike the comptempt that SOME non-physicians have for doctors whom they haven't even met, eh Anon 12:19? “Given the level of contempt SOME of the doctors posting here seem to hold their patients in”

Not unlike the comptempt that SOME non-physicians have for doctors whom they haven’t even met, eh Anon 12:19?

]]> By: Anonymous http://www.kevinmd.com/blog/2005/09/why-do-ibs-patients-have-so-many.html/comment-page-1#comment-55612 Anonymous Sun, 02 Oct 2005 01:50:00 +0000 http://clients.emmense.com/kevinmd/2005/09/18991.html#comment-55612 <i>I have IBS, and I seem to go from Doctor to Doctor, and hospital to hospital, cause nobody can ever tell me what's wrong with me.</i><br/><br/>I thought you said it was IBS? I have IBS, and I seem to go from Doctor to Doctor, and hospital to hospital, cause nobody can ever tell me what’s wrong with me.

I thought you said it was IBS?

]]> By: Anonymous http://www.kevinmd.com/blog/2005/09/why-do-ibs-patients-have-so-many.html/comment-page-1#comment-55608 Anonymous Sat, 01 Oct 2005 18:44:00 +0000 http://clients.emmense.com/kevinmd/2005/09/18991.html#comment-55608 Once there is an accurate biological marker for the diagnosis of IBS just as we have for CHF or Acute MI, then maybe I'll follow the researcher's advise. Once there is an accurate biological marker for the diagnosis of IBS just as we have for CHF or Acute MI, then maybe I’ll follow the researcher’s advise.

]]> By: Anonymous http://www.kevinmd.com/blog/2005/09/why-do-ibs-patients-have-so-many.html/comment-page-1#comment-55605 Anonymous Sat, 01 Oct 2005 18:13:00 +0000 http://clients.emmense.com/kevinmd/2005/09/18991.html#comment-55605 I have not read the original article in the American journal of Gastroenterology. I wonder if the researchers have come up with the SENSITIVITY and SPECIFICITY of the history and physical exam and pscychiatric history for a certain age group and gender to diagnose somatization as the etiology of persistent or recurrent abdominal pain. The only acceptable number is 100% sensitivity and 100% specificity. Any number less than 100% deviates from the standard of care. Would Dr. Spiegel be happy with somatization as the cause of his wife's abdominal pain based on History and Physical Exam? I doubt it. When it becomes a personal problem or if it involves family members, the statistics no longer count. I would not want my daughter's persistent abdominal pain be dismissed as somatization based on H and P alone. I have not read the original article in the American journal of Gastroenterology. I wonder if the researchers have come up with the SENSITIVITY and SPECIFICITY of the history and physical exam and pscychiatric history for a certain age group and gender to diagnose somatization as the etiology of persistent or recurrent abdominal pain. The only acceptable number is 100% sensitivity and 100% specificity. Any number less than 100% deviates from the standard of care. Would Dr. Spiegel be happy with somatization as the cause of his wife’s abdominal pain based on History and Physical Exam? I doubt it. When it becomes a personal problem or if it involves family members, the statistics no longer count. I would not want my daughter’s persistent abdominal pain be dismissed as somatization based on H and P alone.

]]> By: Anonymous http://www.kevinmd.com/blog/2005/09/why-do-ibs-patients-have-so-many.html/comment-page-1#comment-55603 Anonymous Sat, 01 Oct 2005 17:56:00 +0000 http://clients.emmense.com/kevinmd/2005/09/18991.html#comment-55603 I have IBS, and I seem to go from Doctor to Doctor, and hospital to hospital, cause nobody can ever tell me what's wrong with me. It's unfortunate that due to the risk of being sued, no doctor can tell me "it's in your head". I think I would feel alot better if someone would tell me that. I have IBS, and I seem to go from Doctor to Doctor, and hospital to hospital, cause nobody can ever tell me what’s wrong with me. It’s unfortunate that due to the risk of being sued, no doctor can tell me “it’s in your head”. I think I would feel alot better if someone would tell me that.

]]> By: Anonymous http://www.kevinmd.com/blog/2005/09/why-do-ibs-patients-have-so-many.html/comment-page-1#comment-55602 Anonymous Sat, 01 Oct 2005 17:52:00 +0000 http://clients.emmense.com/kevinmd/2005/09/18991.html#comment-55602 To Anon 1219: I think Bad Shift is mocking not the patients but the researchers who don't recommend "excessive testing". I can tell that he was not thrilled by these researchers' comments because of his previous comments on<br/>his doing a lot of tests on his ER patients.(He had another bad day today at the ER.) My testing of these patients would be considered excessive as well by these researchers. To Anon 1219: I think Bad Shift is mocking not the patients but the researchers who don’t recommend “excessive testing”. I can tell that he was not thrilled by these researchers’ comments because of his previous comments on
his doing a lot of tests on his ER patients.(He had another bad day today at the ER.) My testing of these patients would be considered excessive as well by these researchers.

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