Hi Greg,

My lengthy ramblings again but I feel y'all need to take caution and
hopefully NOT enacting scenarios like chicken little and then eventually
your name gets around that you are a hypochondriac through no fault of your
own.  *And it does happen*! The member of this list from Oklahoma, with his
vast array of mdical & hom care problems and advocating for himself in the
medical realm, *only looks at him now I as a problem*.  Folks in this
country seem to have to resort to diagnosing themselves because of the
inadequacy of the medical system these days.  *Please read this all as I am
sure you might get something out of it.  Especially when I talk about
controlling autonomic dysreflexia from an unknown stimulus.*

Because I asked two questions BY my Urologist *that I was told to ask* (over
the phone) at my urologist's office my doctor ended up telling me that there
was a "star" put next to my name that I was too inquisitive or whatever and
*even she could not believe it!*  It was supposed to have been removed but
who knows!  In fact, my urologist only noticed because she was around the
computer when my name was brought up by one of her staff.

I am sure that I have written this before but it probably has been quite
some time ago.  I have been to three different Primary Care Doctors after
moving here to Tucson, Arizona (just 90 minutes south of Greg) and I have
just had it with doctors.  Someone recently summed it up with a line of
comedy about how the medical students going for MDs... don't graduate at the
bottom of the class for nothing!  Or, one could say, it is called medical
practice* because it IS practice.  LOL*

I am sure that a great majority of you see me as the eternal cynic or
pessimist but I am actually the opposite.  Before I go to any new doctor...
I usually look up where they went to school and where they did their
residency and/or internships.  And how long they have been in practice and
if they have had any malpractice suits brought up against them.  It can't
hurt to be that cautious when it comes to taking the best care of the only
body that we are given on this trip around the sun.  And during the very
first visit... have a whole list of questions ready so you do not forget to
ask them.  Remember...* they* are working for* you*... not the other way
around.  Unless, of course, any of you do get paid for going to see the
doctor!  LOL.

Not a single one of my doctors that I have had for over 20 years have
understood fully  everything surrounding quadriplegia.  Since they don't...
I avoid them like the plagues of Egypt because I have had more harm done to
me then good and they still get paid for not helping me.  Even rehab
doctors.

In sum, I do not go to my doctor's office, a clinic or a hospital unless I
am in dire straits to the point of no other option.  From experience I have
learned that it is a waste of time.  And I think you, Greg, just experienced
that.  If not before at another date over the years.  You spent several days
in the hospital and came out not knowing anything more than you did before
you went in.  *Therefore... having you on strong antibiotics for God knows
what may be doing your body more harm by resistance just because they had no
better answers for you.  That is a well-known tactic by many personnel that
essentially says go away and don't bother me.  Take these pills and you
should be OK.  OK... take them for what???*
**
I am thankful that my husband knows how to read a laboratory report and any
patient has the right for a copy of their medical records.  So, if it reads
that I have a gram-negative bacteria and my doctor has given me a
gram-negative antibiotic... that is OK.  But we have experienced the
opposite and would never have known had my husband not have the ability to
do what he does!

My AD (serious bouts) is either taken care of by keeping *Procardia or
Atenelol* on hand.  Procardia can also be taken under the tongue like
nitroglycerin.  My doctor in Brooklyn that did my surgeries for
Syringomyelia completely ignored my severe, beyond life-threatening, bouts
of AD including heartbeats so bad and so fast that I thought I was surely
going to die from that alone.  Not to mention the severe pounding headaches
like a hammer is inside your skull pounding away to get out.  Stroke level.

I spent many, many, many hours with him with questions about the surgeries
and made sure I got all my questions answered* before I chose him as a
surgeon*.  I "assumed" (BY BEING a neurosurgeon) that he knew enough about
spinal cord injuries.  I found out much, much later that he was primarily a
brain surgeon and did not study much about spinal cord injuries at all *and
also afterward admitted that he was not familiar with AD!*  What a jerk!
And from my explanation of benefits (Blue Cross and Blue Shield while I was
working) showed that he got paid $100,000 from me while nearly killing me!

I am not saying that my circumstances are any more serious than yours.  That
is just one example out of many whereby doctors egos get in the way of their
helpfulness.

I chose my last, and current, primary care physician because when I went in
to see him for the *very first time and like I do with all the docs I see
for the very first time*... I asked him if he knew about the wiles of home
health care agencies because that was of my greatest concern.  He assured me
that he knew everything about home health care agencies because of this or
that going through his residencies or by some other means.  I needed him to
be my advocate because it is his orders that are required for the home
health care itself.  HE IS THE ONLY DR over a 27 year period that did not
advocate and on my behalf and, because of his inactions, he left me in dire
straits and then had a smart ass commentary.

Believe it or not... I still have him but only use him for getting my
prescriptions ordered and for him to sign the recertification papers every
60 days for the little bit of home health care that I do get.  Would you
believe that Medicare pays him a $85 JUST FOR HIS SIGNATURE???  So, in other
words, he gets paid every two months for NOT having to see me!  I can't
believe Medicare just allows this insanity.  We are truly living in an
upside down, turned around world!

Bottom line again... I will not turn my body over to doctors or hospital
personnel unless it would kill me not to.  And since I have almost been
killed in hospitals in thousands of different ways... I am in no hurry to
get there ... even for a nebulous reason.

Good luck on finding a new doctor but doctor hopping is no fun.  And you do
not find out until later whether or not they are good for you or not.  I
assume that you know that you can look through the Yellow Pages to find your
local "doctor referral service" and call them to ask about the doctor
first.  Or sometimes the University Medical Center will give out referrals.

Lori Michaelson
C4/5 complete quad, 28 years post
Tucson, AZ

On Nov 30, 2007 3:59 PM, Greg <[EMAIL PROTECTED]> wrote:

>  I want to change my Primary Care Doc. Mine just doesn't understand my
> issues. He has always been helpful, as in doing what I asked, but just
> didn't take my AD seriously enough for me. I have been using a Dr Alcott at
> St Joseph, in Phoenix as a Specialist a few times. I'll ask her next week.
> But who would you recommend in the Phx area? My insurance needs them to be a
> Primary Care or Internal Medicine. Pacific Care, Secure Horizon. I'd like my
> docs to be connected better.
>
> The hospital gave me strong antibiotic that are killing my stomach,
> causing cramps, etc., and more Dysreflexia. I'd like to get shots or IV
> antibiotics. My Primary wouldn't change the orders. I understand since he
> didn't really get much info from the hospital as to why I'm getting them.
> But I can tell he doesn't like how much paperwork I am.
>
> Thx, Greg
>



-- 
Lori
C4/5 complete quad, 27 years post
Tucson, AZ

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