CT scan this morning
Pawprint
7 years ago
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Please pray for me
Comments (47)Thank you, thank you!!!!!! I was reading my old Merck Manual last night about appendicitis. Less than 50% of people have the typical symptoms, pain on lower left abdomen, fever, nausea, vomiting, etc. I have no pain or any of the other stuff. Plus on a CT scan you really cannot tell early appendicitis but since this scan was compared to one from 3 months ago the appendix has changed in size. You know, I forgot that about 3 weeks ago I may have had a UTI but I never bothered the doctor with that and that pain went away. Maybe the appendix had jumped in there to help fight some infection and so became inflamed itself. Who knows? The Merck Manual says that perhaps 15% of people who have appendix removed don't even have a bad appendix. Sometimes the pain is from something else. But, from what I understand, the standard treatment today is to laprascopically (sp?)remove the appendix because of the serious danger of rupture. Rupture can kill you. So now I am on 2 antibiotics to lower the inflammation, etc. until I can get the poor baby removed. Thanks for the prayers. See, God has been watching out for me. Thanks to you all for keeping me in your thoughts. Love from Phoenix. Eileen...See Morehave to have a CaT scan this morning...
Comments (24)Oh! sorry, brody! He diagnosed my cancer. He was right when all the other docs and radiologists thought I was crazy! lol Well, I'm here! So there wasn't anything really bad, or I figure I'd be in the hospital. I don't imagine that I will hear anything until Monday. So, I guess that IS good news! thanks for all the prayers! Liz! are you going to have any time here? Or just time to clean up after all the passengers? lol...See Morepet scan is scheduled for tomorrow morning
Comments (27)I'm bAAaack! LOL well was back 1 1/2 hours ago. lol good thing I don't have to take a plane! I'd set off everything lol . Doc's appointment is on Tuesday. thank you all!...See MoreThis is totally unacceptable - CT scans
Comments (66)I hesitate to contribute but... I'm a physician, and thought it might be helpful to clarify some things. Believe it or not, I stumbled across this looking for info about stoves (ranges). Anyway - 1. Abdominal pain is a real challenge to work up. Sometimes, a CT scan will clearly show the problem, but often, it doesn't. I'm ER by training, and I usually tell my patients that we only get an answer to belly pain in the ER about 50% of the time 2. The best study is determined by your exam. Sometimes, no study is needed. Sometimes, it's an ultrasound. A CT with intravenous and oral contrast will better show the blood vessels and organs than one without. A barium enema is only useful in rare situations. Xrays are generally not the study of choice 3. If you can't find an answer on a CT, the next option may be treat & wait; or refer (depending on the pain). Sometimes you need to go to an endoscopy, or a gyn, or colonoscopy, or urology. 4. Pain can be functional, meaning we won't find an anatomic cause for it on CTs. Or microscopic, as in celiac disease. Or allergic, as in lactose intolerance 5. Many, many physicians are poor communicators. Even as a physician, I've experienced this, and it is beyond frustrating. If you think you're annoyed - when I am imaged, I ask for copies and reports, and I like to look at my studies myself. Usually, I get someone who will help me out but occasionally I can't see the studies, get copies or get the reports. It drives me NUTS! 6. What sounds abnormal on a report may be no big deal clinically, or at least - not an emergency. It's not ever good to get information without an explanation, and it sounds like that happened to more than one of you, and for that I am sorry. An explanation can take that "slightly enlarged liver" or "ovarian cyst" from "I have cancer" to "that's a normal variant, or normal for me." 7. There is ALWAYS someone on call at your physician's office - you should be able to reach someone who can answer questions, and you can ask to speak to the physician. Don't let the front desk feint. The earlier you call (e.g. 12 PM vs 11 PM), the happier they'll be to answer your questions 8. Your doctor might say "I don't know," and that's ok. Not because you should be satisfied without an answer, but because the answer might be - there's something we haven't found. In that case, the next best question is, "what do we do next to figure this out?" 9. In terms of physicians, nurses and the health care industry as a whole: like teachers, who have been placed under a progressively more stringent set of requirements that are difficult to meet, there has been enormous economic, regulatory and social pressure placed on physicians in recent years. Patient volume has increased such that we are expected to see more people per hour with the same amount of productivity, which is virtually impossible with the inefficient computers and regulatory hurdles. Your physician, for example, is supposed to assure the government that he's counseled you on smoking, treated your blood pressure and counseled you on your weight - even if you just came in for a sore throat. It's often hard to make patients happy when they want things that aren't medically necessary. There is increasing pressure to reduce utilization (e.g. CTs), decrease antibiotic use (antibiotic resistance) and reduce pain medication (opiate / heroin epidemic). These constant pressures and others increase stress, reduce the ability to meet real patient needs, and reduce the real access patients have. I want to do the right thing for my patients, and that's my first goal, but it's not rewarded by the system, which pushes us to check boxes, not check people. We are just as unhappy as you are. At least, those of us not fresh out of residency anyway - I hope this helped answer some of the questions I see above. Darcy, I wish you luck....See MorePawprint
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