Comments on: http://www.kevinmd.com/blog/2006/03/when-is-patient-too-ill-or-old-for.html medical blog Sun, 22 Nov 2009 14:15:05 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2006/03/when-is-patient-too-ill-or-old-for.html/comment-page-1#comment-61301 Anonymous Thu, 30 Mar 2006 17:09:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20304.html#comment-61301 Why do you think all of the anon's from patients are just from one person? I'am the "old ingrate" with a bad knee but I'am NOT the majority of anon posts here. I can't claim the one you just accused me of. My posts was a long time ago. It must have really tripped your trigger,I'm glad it did. <br/><br/>I basically like Physicians, I have what I perceive as some of the best there is. But,I contented then and still do today that anyone who has ever went through knee replacement, two weeks post-op is too soon to discontinue pain meds. You can't remark on that because you obviously haven't had one.<br/><br/>Also, you most likely don't have a clue as to what is involved with having one. PT is necessary but hard. Imagine your knee bending at 75 degrees and you are working around a 9inch incision, a fresh one, and someone is forcing your knee back to 95 degrees. I had therapists telling me to insist my Doc. give me pains meds to get through therapy, and a family Doc who was outraged over ever increasing BP because of lack of pain control. My OS was 68 years old and had seemed to have lost his human compassion. So what? It happens. Get over it, I did.<br/><br/>BTW, I've never sued anyone in my life (Dr. or otherwise) so get off my ass. Why do you think all of the anon’s from patients are just from one person? I’am the “old ingrate” with a bad knee but I’am NOT the majority of anon posts here. I can’t claim the one you just accused me of. My posts was a long time ago. It must have really tripped your trigger,I’m glad it did.

I basically like Physicians, I have what I perceive as some of the best there is. But,I contented then and still do today that anyone who has ever went through knee replacement, two weeks post-op is too soon to discontinue pain meds. You can’t remark on that because you obviously haven’t had one.

Also, you most likely don’t have a clue as to what is involved with having one. PT is necessary but hard. Imagine your knee bending at 75 degrees and you are working around a 9inch incision, a fresh one, and someone is forcing your knee back to 95 degrees. I had therapists telling me to insist my Doc. give me pains meds to get through therapy, and a family Doc who was outraged over ever increasing BP because of lack of pain control. My OS was 68 years old and had seemed to have lost his human compassion. So what? It happens. Get over it, I did.

BTW, I’ve never sued anyone in my life (Dr. or otherwise) so get off my ass.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/when-is-patient-too-ill-or-old-for.html/comment-page-1#comment-61299 Anonymous Thu, 30 Mar 2006 16:49:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20304.html#comment-61299 And you wonder why medicine is a business, not a "profession" anymore.<br/><br/>It's because profit is all that motivates most of the anonymous'. And you wonder why medicine is a business, not a “profession” anymore.

It’s because profit is all that motivates most of the anonymous’.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/when-is-patient-too-ill-or-old-for.html/comment-page-1#comment-61295 Anonymous Thu, 30 Mar 2006 15:20:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20304.html#comment-61295 DOn't you do this?: I always tell the patients "I really don't hink you have (insert disease here), actually the odds are less than One percent, but I think you need (insert defensive test here) 'just in case" DOn’t you do this?: I always tell the patients “I really don’t hink you have (insert disease here), actually the odds are less than One percent, but I think you need (insert defensive test here) ‘just in case”

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/when-is-patient-too-ill-or-old-for.html/comment-page-1#comment-61290 Anonymous Thu, 30 Mar 2006 14:14:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20304.html#comment-61290 dont' advertise your defense...just do defense but pretend that it is medically necessary... dont’ advertise your defense…just do defense but pretend that it is medically necessary…

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/when-is-patient-too-ill-or-old-for.html/comment-page-1#comment-61289 Anonymous Thu, 30 Mar 2006 14:07:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20304.html#comment-61289 The nurses are RIGHT! The nurses are RIGHT!

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/when-is-patient-too-ill-or-old-for.html/comment-page-1#comment-61282 Anonymous Thu, 30 Mar 2006 06:26:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20304.html#comment-61282 Some of the nurses think I'm nuts.. I've been walking into the ER chanting "Deefense....Dee-fense" lately. Some of the nurses think I’m nuts.. I’ve been walking into the ER chanting “Deefense….Dee-fense” lately.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/when-is-patient-too-ill-or-old-for.html/comment-page-1#comment-61277 Anonymous Thu, 30 Mar 2006 04:20:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20304.html#comment-61277 chill out man! Why are you letting some old guy sitting at home rile you up? He's just an old ingrate with a bad knee that has some kind of grudge against the physicians that are inexplicably keeping him alive...<br/><br/>You're an MD! Act like it...now go practice some more defense! chill out man! Why are you letting some old guy sitting at home rile you up? He’s just an old ingrate with a bad knee that has some kind of grudge against the physicians that are inexplicably keeping him alive…

You’re an MD! Act like it…now go practice some more defense!

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/when-is-patient-too-ill-or-old-for.html/comment-page-1#comment-61273 Anonymous Thu, 30 Mar 2006 03:22:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20304.html#comment-61273 "But hey, I guess not every physician can be a good one. Someone has to be in the bottom of the curve. "<br/><br/>You are incorrigible. When will you get it? All physicians (that is, all physicians in higher risk specialties) practice some form of defensive medicine. My best friend was valedictorian of my medical school class, he practices defensive medicine (actually, he tries his best to avoid patients completely, but all academics have to be "on service" for one month). It's one thing to "take responsibility for their actions". It's another to risk your career by taking chances and not ordering defensive tests in a country which places blame for bad outcomes square on the shoulders of those who are supposed to help the sick. “But hey, I guess not every physician can be a good one. Someone has to be in the bottom of the curve. “

You are incorrigible. When will you get it? All physicians (that is, all physicians in higher risk specialties) practice some form of defensive medicine. My best friend was valedictorian of my medical school class, he practices defensive medicine (actually, he tries his best to avoid patients completely, but all academics have to be “on service” for one month). It’s one thing to “take responsibility for their actions”. It’s another to risk your career by taking chances and not ordering defensive tests in a country which places blame for bad outcomes square on the shoulders of those who are supposed to help the sick.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/when-is-patient-too-ill-or-old-for.html/comment-page-1#comment-61270 Anonymous Thu, 30 Mar 2006 02:36:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20304.html#comment-61270 I've never seen a group of people so unwilling to take responsibility for their actions as these last several commentators.<br/><br/>But hey, I guess not every physician can be a good one. Someone has to be in the bottom of the curve. I’ve never seen a group of people so unwilling to take responsibility for their actions as these last several commentators.

But hey, I guess not every physician can be a good one. Someone has to be in the bottom of the curve.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/when-is-patient-too-ill-or-old-for.html/comment-page-1#comment-61265 Anonymous Thu, 30 Mar 2006 01:51:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20304.html#comment-61265 I'm not anon 609 pm, but I laugh when I read these blogs about "the greater good" and not ordering tests for the betterment of mankind. Have we seen a single physician decry our CYA profession "for the betterment of mankind"? The system is SO FAR DETACHED from this idea is why these statements are so laughable. I actually often go home after a shift and think of a CYA test I forgot to order and have to call the ER and have the patient return to the hospital for even MORE TESTING. I don't do this to spite anyone, I'm not trying to bring down the system, this is just the mentality WE ALL HAVE in the ER, it's so ingrained in our mentality I would have to actually relearn medicine if tort reform occurred. Again, I'm not insulting anyone, I'm just presenting the realities of our system. I’m not anon 609 pm, but I laugh when I read these blogs about “the greater good” and not ordering tests for the betterment of mankind. Have we seen a single physician decry our CYA profession “for the betterment of mankind”? The system is SO FAR DETACHED from this idea is why these statements are so laughable. I actually often go home after a shift and think of a CYA test I forgot to order and have to call the ER and have the patient return to the hospital for even MORE TESTING. I don’t do this to spite anyone, I’m not trying to bring down the system, this is just the mentality WE ALL HAVE in the ER, it’s so ingrained in our mentality I would have to actually relearn medicine if tort reform occurred. Again, I’m not insulting anyone, I’m just presenting the realities of our system.

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