Comments on: Classic post: Spectrum of waiting http://www.kevinmd.com/blog/2006/08/classic-post-spectrum-of-waiting.html Tue, 14 Feb 2012 21:09:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2006/08/classic-post-spectrum-of-waiting.html#comment-66597 Anonymous Mon, 28 Aug 2006 03:46:00 +0000 http://clients.emmense.com/kevinmd/2006/08/classic-post-spectrum-of-waiting.html#comment-66597 Your doctor WILL appreciate your gift basket more than you expect. I can guarantee that if the specialist did not treat the conjunctivitis, it is because he/she is not comfortable or knows he cannot be sure of the diagnosis, particularly without a slit lamp(microscope). Antibiotics will not help most conjunctivitis, but are similarly not likely to cause any harm, your pocketbook excluded. Your doctor WILL appreciate your gift basket more than you expect. I can guarantee that if the specialist did not treat the conjunctivitis, it is because he/she is not comfortable or knows he cannot be sure of the diagnosis, particularly without a slit lamp(microscope). Antibiotics will not help most conjunctivitis, but are similarly not likely to cause any harm, your pocketbook excluded.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/08/classic-post-spectrum-of-waiting.html#comment-66272 Anonymous Thu, 17 Aug 2006 10:22:00 +0000 http://clients.emmense.com/kevinmd/2006/08/classic-post-spectrum-of-waiting.html#comment-66272 Geezzzz, I never realized how some Dr.s really feel about their patients, and to think..I just sent my Dr. a gift basket to let him know how much he is appreciated. Geezzzz, I never realized how some Dr.s really feel about their patients, and to think..I just sent my Dr. a gift basket to let him know how much he is appreciated.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/08/classic-post-spectrum-of-waiting.html#comment-66271 Anonymous Thu, 17 Aug 2006 04:39:00 +0000 http://clients.emmense.com/kevinmd/2006/08/classic-post-spectrum-of-waiting.html#comment-66271 ANON 5:48 --<br/><br/> Congratulations on all of the wonderful medical advice you receive on Kevin-md. <br/><br/> I see you are currently wedged between Dr. Mengele and Charles Manson.<br/><br/> Go to an eye specialist and get a complete evaluation-just in case you have early glaucoma-which is unlikely. You'll feel better getting some caring advice. ANON 5:48 –

Congratulations on all of the wonderful medical advice you receive on Kevin-md.

I see you are currently wedged between Dr. Mengele and Charles Manson.

Go to an eye specialist and get a complete evaluation-just in case you have early glaucoma-which is unlikely. You’ll feel better getting some caring advice.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/08/classic-post-spectrum-of-waiting.html#comment-66201 Anonymous Sat, 12 Aug 2006 21:48:00 +0000 http://clients.emmense.com/kevinmd/2006/08/classic-post-spectrum-of-waiting.html#comment-66201 I don't understand...why didn't the doc just give antibiotic drops (ciloxan/tobradex/vigamox, takes about 5 seconds to write the script, and get your complaining ass out of his office? See what happenes, he tries to do the right thing, no antibiotics, and he gets this a-hole complaining on the internet about him...don't try to help these people, just give them what they want and get them out, save enough to retire and get the hell out of this field... I don’t understand…why didn’t the doc just give antibiotic drops (ciloxan/tobradex/vigamox, takes about 5 seconds to write the script, and get your complaining ass out of his office? See what happenes, he tries to do the right thing, no antibiotics, and he gets this a-hole complaining on the internet about him…don’t try to help these people, just give them what they want and get them out, save enough to retire and get the hell out of this field…

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/08/classic-post-spectrum-of-waiting.html#comment-66200 Anonymous Sat, 12 Aug 2006 16:35:00 +0000 http://clients.emmense.com/kevinmd/2006/08/classic-post-spectrum-of-waiting.html#comment-66200 Thank you. I truly appreciate your telling me in a non hostile fashion. Not being in medicine, I didn't understand. <br/>I did think it reasonable that any Dr. ,if they see you like that, would help. If he had said that to me, I would have understood. Communication goes a long way. Thank you. Thank you. I truly appreciate your telling me in a non hostile fashion. Not being in medicine, I didn’t understand.
I did think it reasonable that any Dr. ,if they see you like that, would help. If he had said that to me, I would have understood. Communication goes a long way. Thank you.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/08/classic-post-spectrum-of-waiting.html#comment-66199 Anonymous Sat, 12 Aug 2006 15:59:00 +0000 http://clients.emmense.com/kevinmd/2006/08/classic-post-spectrum-of-waiting.html#comment-66199 1. You don't say what kind of specialist or what kind of referral<br/>2. Depending on the type of conjunctivitis, as another poster suggested, no treatment may be necessary./ Most common conjunctividites require time and patience and careful hygeine, nothing more.<br/>3. Followup may be required but not readily available with a specialist whose specialty does not include routine problems like conjunctivitis. You may think it is because he thinks your problem is "below him", he may see it as a complaint that he does not routinely treat and that if it should require further workup, like lab investigation or biopsy, he would not be able to provide that anyway. From your account, it sounds as if you tried to have a separate unrelated problem addressed during a subspecialist evaluation. That might seem like a reasonable request to you, but in reality it is not. It is not up to the patient to define the scope of a doctor's practice. 1. You don’t say what kind of specialist or what kind of referral
2. Depending on the type of conjunctivitis, as another poster suggested, no treatment may be necessary./ Most common conjunctividites require time and patience and careful hygeine, nothing more.
3. Followup may be required but not readily available with a specialist whose specialty does not include routine problems like conjunctivitis. You may think it is because he thinks your problem is “below him”, he may see it as a complaint that he does not routinely treat and that if it should require further workup, like lab investigation or biopsy, he would not be able to provide that anyway. From your account, it sounds as if you tried to have a separate unrelated problem addressed during a subspecialist evaluation. That might seem like a reasonable request to you, but in reality it is not. It is not up to the patient to define the scope of a doctor’s practice.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/08/classic-post-spectrum-of-waiting.html#comment-66198 Anonymous Sat, 12 Aug 2006 15:56:00 +0000 http://clients.emmense.com/kevinmd/2006/08/classic-post-spectrum-of-waiting.html#comment-66198 I agree with you on that. I'm not uneducated, nor did I say I expected antibiotics...just help, a check on it, since he was a Dr. too and this discharge was very purulent. In my case it was bacterial and did need tx.<br/>Bacterial conjunctivitis usually begins in one eye and often spreads to the other. If a bacterial infection is the cause, there may be some yellow pus-like discharge from the eye.<br/><br/>Viral conjunctivitis is more likely to cause a watery discharge that can be crusty in the morning but is not pus-like. Viral conjunctivitis usually begins in one eye then affects the other eye within 24-48 hours. There may also be cold-like symptoms, such as fever and a sore throat. Like colds, the symptoms tend to get worse over the first few days, and then gradually improve over the next two to three weeks. I agree with you on that. I’m not uneducated, nor did I say I expected antibiotics…just help, a check on it, since he was a Dr. too and this discharge was very purulent. In my case it was bacterial and did need tx.
Bacterial conjunctivitis usually begins in one eye and often spreads to the other. If a bacterial infection is the cause, there may be some yellow pus-like discharge from the eye.

Viral conjunctivitis is more likely to cause a watery discharge that can be crusty in the morning but is not pus-like. Viral conjunctivitis usually begins in one eye then affects the other eye within 24-48 hours. There may also be cold-like symptoms, such as fever and a sore throat. Like colds, the symptoms tend to get worse over the first few days, and then gradually improve over the next two to three weeks.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/08/classic-post-spectrum-of-waiting.html#comment-66197 Anonymous Sat, 12 Aug 2006 15:12:00 +0000 http://clients.emmense.com/kevinmd/2006/08/classic-post-spectrum-of-waiting.html#comment-66197 "wakes up with conjunctivitis and has an appointment with a specialist"<br/><br/>Well most "conjunctivitis" is not bacterial it is viral (or allergic). It does not need tx. You don't get an abx for everything. “wakes up with conjunctivitis and has an appointment with a specialist”

Well most “conjunctivitis” is not bacterial it is viral (or allergic). It does not need tx. You don’t get an abx for everything.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/08/classic-post-spectrum-of-waiting.html#comment-66190 Anonymous Sat, 12 Aug 2006 12:35:00 +0000 http://clients.emmense.com/kevinmd/2006/08/classic-post-spectrum-of-waiting.html#comment-66190 One thing I don't agree on, is having a walk in center,so people don't clog up the emergency departments, and then they leave one lone Dr. or two to man it, plus take in scheduled patients around all that. That's insane.<br/>Nor, do I understand when a patient wakes up with conjunctivitis and has an appointment with a specialist(planned appt. unrelated) and the specialist looks at it and feels he's to good to treat that...go to your PCP! One thing I don’t agree on, is having a walk in center,so people don’t clog up the emergency departments, and then they leave one lone Dr. or two to man it, plus take in scheduled patients around all that. That’s insane.
Nor, do I understand when a patient wakes up with conjunctivitis and has an appointment with a specialist(planned appt. unrelated) and the specialist looks at it and feels he’s to good to treat that…go to your PCP!

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/08/classic-post-spectrum-of-waiting.html#comment-66189 Anonymous Sat, 12 Aug 2006 12:27:00 +0000 http://clients.emmense.com/kevinmd/2006/08/classic-post-spectrum-of-waiting.html#comment-66189 I understand when my Dr. is running behind. I know that he is spending the time with someone who really needs him. He always apoligizes when I've had to wait longer. I feel for the other patient and him, because that stresses him out, to now try and get back on track and it means someone else isn't doing so well. I'll be out the door in 5 with a sinus infection. I understand when my Dr. is running behind. I know that he is spending the time with someone who really needs him. He always apoligizes when I’ve had to wait longer. I feel for the other patient and him, because that stresses him out, to now try and get back on track and it means someone else isn’t doing so well. I’ll be out the door in 5 with a sinus infection.

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