Facial mole removel; can a family physician do a good job?
Else
9 years ago
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dbarron
9 years agolast modified: 9 years agoElse
9 years agoRelated Discussions
What to do with inheritance
Comments (46)Keep in mind that every family is different and dynamics can change or be amplified after the death of a loved one. Estate law varies from state-to-state. I've included a link regarding Louisiana Estate Administration. I suggest you google Louisiana Estate Law to learn more. I am the executor of a relative's estate. I won't go into details, but it is still a huge mess and it's been almost 3 years. Here are a few things to keep in mind..... The conventional wisdom is that if there's a will, there won't be any problems. That is not true. In your case, your father could contest the will. Sure, the lawyers could say he won't be able to get anything, but the estate would still have to defend itself in the legal proceedings and court if it goes that far. Any expenses outside of "normal" probate expenses are not covered under the probate fees of an estate (in most states, the amount of money the probate lawyer and executor gets paid for their services are determined by statute). These fees will have to come out of the estate. And they can add up very quickly - just because your father won't get anything the estate still has to file motions and respond to what your father and his attorney file. Depending on your father, he could just drag things out to deplete the value of the estate. So depending on your father (and any other relatives or interested parties) they can contest the will and let me tell you that unfortunately I have found from experience that the costs associated with someone who doesn't have standing can get quite high. Just because there is a will, doesn't mean things will go smoothly. And, just because an attorney drafted the will does not mean there won't be problems. An individual can take a will they drew up to an attorney and have the attorney use that as the will (with or without changes) because "that is what they want done." The individual thinks that the will makes sense and that's that. Again, depending on the will, the circumstances of the estate, etc. the intentions of the individual will not be realized and there will be problems with the estate. Case law evolves and what was the "norm" years ago when a will was drafted may now have unintended consequences. In my family, a family member drafted a will and took it to a lawyer. It was a huge mess. In hindsight, the lawyer should have made suggestions regarding the wording of the will (for all we know he did and the advice was ignored). When wills are drafted, they sometimes are done without taking into consideration changes in family dynamics - the death and remarriage of family members, etc. The will was drafted at one point in time and it can be difficult to make contingencies for every possible situation in the future. From your post, it sounds as though your grandmother doesn't 100% understand how her wishes will be carried out by her will. In my experience with my own grandparents, I found that they had varying levels of understanding of how their will would dictate the handling of their estates, and in reality some of that did not come to fruition. It is your grandmother's estate and she can do what she wants. I don't know how your family dynamic is when it comes to discussing money, wills, etc. You could suggest to her that you both go to her attorney so you can make sure that her intentions are carried out properly. In my family, you didn't air your dirty laundry in public, and that included discussing these issues with an attorney. If your grandmother is more "old school" and this is the case, her attorney could be under the impression that everything is fine and there is not going to be a problem when in fact there could be major issues. I suggest you check if her attorney specializes in estates. Sure, any attorney can draw up a will, but you want one who knows this area of the law. If her attorney does not, then I would suggest to her she ask this attorney for the name of an attorney who specializes in estates or find one who does. If her attorney is not an estate attorney and he was your grandfather's attorney, friend, etc. she may not be willing to find another attorney (loyalty is great, but there is a place for it). I would use the analogy that you wouldn't use a cardiologist to deliver a baby to justify finding an attorney with this area of expertise. Since she has discussed the issue of the will with you, there's a chance she will be open to taking you with her to the attorney. IMHO I would think the lawyer would have given a copy of the will to your grandmother to give to you if you are the executor (in my case, I was named executor after another family member on two wills and I was given copies for my files - I guess different attorneys do it differently). This is about protecting your grandmother's wishes and making sure that she will be able to have the means to carry out her intentions if she gets into a situation where she will no longer be capable of making decisions. I hope your grandmother is doing well and her wishes are carried out as she intends. Good luck....See MoreJust shoot me now!
Comments (45)Well Pupa, the IRS says I'm a musician. Reality says I sponge off my husband. The Keeper of the Bishop is a musical contact. The only overt stress he experiences is sperm back-up when he's between polishings. New fantasy - the Gang here goes en masse to one of Keeper of the Bishop's gigs. Between sets he waddles over like he has a load in his pants expecting us to all drop ours. Gatorgirl, of course, will lead the assault... When he starts again, I'll just sit back, fantasize and smile. It'll make him nuts. Ginger, if you insist on going ethnic, a buck in a polka band I played in in college used to sing, "Round, firm, fully-packed. 18 inches hanging slack" when we'd play "Who Stole the Kieshka". He was young and stupid and HE eventually grew up to be a really nice guy. Sultana...See MoreNeed doctor info on facial skin cancer..Part Two
Comments (34)For dh's spot, I think a PCP could have done the biopsy and if the results are positive, then go to a dermatologist. It's a 45 min drive to the area of specialists we go to. I need to mention something else which is part of my question about PCP's. I've mentioned I have restless leg syndrome, and I've had it since my 20's. About 15 years ago I finally mentioned it to my late doctor, the one who did the biopsy on me, and he immediately gave me a prescription to take before bed. It was a life saver, because I had no idea a medicine would stop it. My new doctor let me continue the prescription but now I have to take a half pill more a day if I want to lay down to read during the day. My RL hits immediately, even when I'm not sleeping. At my appt. last week he upped the med by a half pill a day. Because I did a lot of research online about RLS I know there are other meds to take and I asked if I could try another one. I could tell he was looking it up on the computer and then he said to me, "I'm going to refer you to a neurologist because I'm not familiar with the medication." Then he continued to tell me they'd probably do an overnight sleep study/whatever. I looked at him and said I'm not going. Referring me to two specialists in one visit? Why couldn't he research the meds, or call his buddy the specialist where they make more money because of the referral and simply ask him what would be a good med for his patient? I'm not a doctor but I found that to be lazy on his part. He still referred me and I had to tell the lady no when she called....See MoreHealthcare providers--how do you choose?
Comments (52)"I'm not sure why there would be an incentive for a GP not to refer a patient to a specialist." The US system is different from what you've experienced in Canada and Australia so you can trust me, it's too often the case. In brief, medical groups that participate with HMOs receive capitation payments, $X per patient covered by a primary care doc. When a patient needs to see a specialist, the group is out of pocket for the cost. Thus encouraging the PCP to do as much as possible themselves (including things afield from their core competences that they shouldn't be doing). Oftentimes, PCPs who refer too much to specialists can be subject to internal criticism. An experience - about 25 years ago, when my employer was in the process of adapting to changes in the medical insurance world, we spent 2 years unwillingly in an HMO. During this period, my wife had a sports injury to her knee. She went to the PCP (the required first stop) who ordered an xray (a ridiculous step for a knee where many injuriies aren't visible in xrays) that determined nothing was broken (!). He ordered physical therapy. Two weeks passed, my wife's knee gets more painful. She calls the PCP and asks for a referral to an orthopedic surgeon. "Finish your PT and lets see how it is" was the reply. We dropped that and went directly to an independent orthopedic practice known to work on all of the college and pro athletes in our area. We saw one of the knee guys, who in 10 seconds of physical examination, said "you have a torn ACL, you knee is moving in ways it shouldn't". She had what at the time was expensive surgery and recovered to be as good as new. I submitted the bills to the insurance company and asked they be paid. They replied that because the care was given outside of the HMO system and without a referral, nothing would be covered. I sent a letter on a lawyer friend's letterhead (I wrote it, he signed it) giving them two choices - either reimburse the costs in full, or be sued for the full costs plus personal injury damages resulting from their malpractice and the misdiagnosis of the PCP. Funny thing, I head back from them in less than a week with a request that I resubmit all the bills and that they would be paid in full. We afterwards changed the PCP assigned to us and at the end of the year exited the HMO as fast as we could. A relative had a similar experience with a local HMO that's unique, Kaiser Permanente. It's a combo insurance company and captive full spectrum medical practice that's been in existence a long time, since the 1940s. His car was rear-ended at a pretty high speed in an auto accident. His Kaiser PCP examined him, said he had no need to see a surgeon, and prescribed physical therapy. Several weeks went by, the pain got worse. I suggested he go externally to a back/neck doctor. Upon exam and testing, he was found to have cracked bones in his upper neck requiring surgery to fuse them. He had the work done and submitted the bills to Kaiser. They refused to pay, I suggested the approach I'd used as per above, and they ultimately paid the costs....See MoreElse
9 years agoElse
9 years ago
PROMDLN
8 years agoAppricot Kernal Warning - Serious Side Effects: Cyanide Toxicity & Poisoning
(1)
(2)
(3)
Acute cyanide intoxication due to apricot seed ingestion.
J Emerg Med. 2013 Feb;44(2):e285-6.
Akıl M, Kaya A, Ustyol L, Aktar F, Akbayram S.
Peter (6b SE NY)
8 years agolast modified: 8 years ago- PROElse thanked MDLN
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