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GI is definitly a good specialty. The ones i've worked with so far in internal medicine are good guys who are making bank. 30 min with a camera up a guys ass looking at his intestines ain't bad when you're getting paid a couple hundred for a half hours worth of work. But I doubt i'll go into it. I'm not too interested in dealing with people who come to see me only when they have diarrhea or are shitting blood.
By the way, i'm too am a rag-head who can palm a basketball.
No i haven't yet. Luckily i have to wear a white coat over my shirt so if i ever am sweating through my shirt it doesn't really show. I know i'd look like a goofball with a shortsleeve shirt and i tie on but the only people who'd see me without my white coat on would be the nurses or other stduents/residents who i could care less what they think of me. The only people who's opinions matter to me are the patients and the docs who give me my grades.
That said i highly doubt i'll resort to the shortsleeve shirt and tie. Cause i know i'd feel goofy wearing it and go back to wearing long sleeves. My short term solution is going and standign under the AC vent when i get back from lunch until i'm done sweating.
roach, did you go to temple med?
something to think about before you take that hippocratic oath. the number of people having in-hospital, adverse drug reactions to prescribed medicine is 2.2 million. dr. richard besser, of the CDC, in 1995, said the number of unnecessary antibiotics prescribed annually for viral infections was 20 million. The number of unnecessary medical and surgical procedures performed annually is 7.5 million. the number of people exposed to unnecessary hospitalization annually is 8.9 million. the total number of iatrogenic deaths is 783,936. it is evident that the American medical system is the leading cause of death and injury in the United States. The 2001 heart disease annual death rate is 699,697; the annual cancer death rate, 553,251.
these are old stats...i'm sure they are worse now. anyone taking the diabetic drug in the news these days? anyway..fuck it....back to baseball.
pops, glad i didn't drop that det ov. lines holdin' steady on the late games.
something to think about before you take that hippocratic oath. the number of people having in-hospital, adverse drug reactions to prescribed medicine is 2.2 million. dr. richard besser, of the CDC, in 1995, said the number of unnecessary antibiotics prescribed annually for viral infections was 20 million. The number of unnecessary medical and surgical procedures performed annually is 7.5 million. the number of people exposed to unnecessary hospitalization annually is 8.9 million. the total number of iatrogenic deaths is 783,936. it is evident that the American medical system is the leading cause of death and injury in the United States. The 2001 heart disease annual death rate is 699,697; the annual cancer death rate, 553,251.
these are old stats...i'm sure they are worse now. anyone taking the diabetic drug in the news these days? anyway..fuck it....back to baseball.
pops, glad i didn't drop that det ov. lines holdin' steady on the late games.
Ltrain i hear what you're saying...but there are 2 sides for every story. I can't really make excuses...but from what i've seen while in school some things are explainable. For example with regards to unnecessary procedues and hospitalizations...because of our legal system and a doctor possibly losing everything because of a lawsuit, doc today will order all kinds of extra tests just to cover their ass. For example, sticking to the GI topic...if a patient comes in and said there is blood in his stool...while the doc might think its only hemmroids based on the story the patient is telling and how the blood looks, most docs will probably order a endoscopy just to cover their ass in case the bleeding is due to colon cancer.
Same thing with blood tests in the hospital...when a patient comes in he may get a shit load of blood tests, some not even closly related to his final diagnosis...but mainly just to cover all possible causes.
As far as heart disease in our country goes...that is in large part based on the lifestyle of many Americans. Smoking, red meat, alcohol....all contributes to heart disease. In addition in the clinic i've seen tons of patiends who are non-compliant with the meds which could help their situation.
I'm not saying either of us is right or wrong, but i'd say most of the doctors i've been in contact with are competant physicans who put their patients needs first. They don't order procedures or meds just for the sake of it. If extra shit is ordered, its only to make sure they rule out other possibilities so they don't miss a diagnosis.
2 sides to everything...i know that. it's not about right or wrong either. it's about questionin' some things. take for example....high cholesterol in women. high cholesterol causes heart disease which means death by heart attack in reality. how many women do you know that died from a heart attack (if you exclude 88 year old women). i never heard of a 32 year old chick droppin' over from a heart attack unless she took so much coke she blew a valve. also, take for example....so called metastatic disease. drs. say cancer spreads through the blood and that explains colon cancer sometimes leads to lung cancer. why aren't we screening blood tranfusions for "cancer particles"? (nobody caught cancer from gettin' blood).
some questions i got. sorry
Roach,
2 questions for you
1.I believe the drug companies{also food industry} are behind alot of the problems we have in this country by creating drugs which in turn lead to new problems for people, which in turn causes them to need other meds.
They want to keep everybody in a cycle of needing their meds, all for the cashhhhhhhhhh.
What is your opinion?
2.Is the cleveland clinic the best hospital for heart problems?
I have recently been diagnosed with a 3+ leaking mitral valve, which in turn has caused me to be in constant afib, which in turn has caused me to have to take that rat poison coumadin, which i dont want to really take. I cant get the cardio inversion done due to my atriua being stretched and wont hold a sinus rhythm for long, so no sense in doing that.
my cardiologist wants me to wait for the valve to get worse before sending me to a surgeon for valve replacement. I really dont want to wait for my valve to get worse and do damage to my heart, which could put me into heart failure, which cant be reversed. My thinking is if am gonna more then likely need the surgery, why waste years of my life waiting with the end result having to be surgery anyways. Might as well get it corrected now, especially so i can get off that rat poison. What do you think
Thanks
cd
p.s. one other question, i have a blown out disc in my neck above where the disc where i had a cage put in, can i have surgery on my neck while in afib or is it to dangerous?
2 questions for you
1.I believe the drug companies{also food industry} are behind alot of the problems we have in this country by creating drugs which in turn lead to new problems for people, which in turn causes them to need other meds.
They want to keep everybody in a cycle of needing their meds, all for the cashhhhhhhhhh.
What is your opinion?
2.Is the cleveland clinic the best hospital for heart problems?
I have recently been diagnosed with a 3+ leaking mitral valve, which in turn has caused me to be in constant afib, which in turn has caused me to have to take that rat poison coumadin, which i dont want to really take. I cant get the cardio inversion done due to my atriua being stretched and wont hold a sinus rhythm for long, so no sense in doing that.
my cardiologist wants me to wait for the valve to get worse before sending me to a surgeon for valve replacement. I really dont want to wait for my valve to get worse and do damage to my heart, which could put me into heart failure, which cant be reversed. My thinking is if am gonna more then likely need the surgery, why waste years of my life waiting with the end result having to be surgery anyways. Might as well get it corrected now, especially so i can get off that rat poison. What do you think
Thanks
cd
p.s. one other question, i have a blown out disc in my neck above where the disc where i had a cage put in, can i have surgery on my neck while in afib or is it to dangerous?
as far as screening blood for cancer makers i think cause of cost. each cancer prodocues specific tumor markers that would be found in our blood. For example if you had Colon cancer you'd have high levels of the CEA tumor marker in the blood. Insurance companies won't cover the costs to give blood tests that are searching for many different cancer markers.
let me preface this by saying that i'm not a doctor yet. i'm only a 3rd year student who actually is a shitty student who needed to take a year off cause i was on the verge of flunking out (but since going back to school i've been doing well).
as far as your questions go...
1) i don't think so. Every drug on the face of the planet has side effects. The bigger problem is that drug companies put millions of dollars into the development of drugs that they want to put the drug out to market ASAP. Often not enough studies are done on the drug to know the full effect. Just like the news about the diabets drug Avandia that came out this week about how it increases chances of a heart attack. As far as treating diabetes goes, Avandia was working well for patients...but there was not enough studies done on side effects. The problem with that though, is that you'll never have enough humans who'll volunteer to let you try out new medication on them.
2) From what i've read the Clevland Clinic does have a great reputation. They're actually the ones who put out that report on how Avandia increase risk of heart attacks.
As far as your condition, i really don't know, i'm not that well versed in cardiology. I do know that Coumadin is standard treatment for people with AFib. For now i'd stick iwth the med. And if you're not sure about your doctor's take on things...just make an appointment with another cardiologist for a 2nd opinion. Give him your history and bring yoru charted medical history, but leave out what your doctor's current recommendation is and see what he says...so he'll give his unbiased opinion on what you should do without knowing what your current doc recommends. Doc are like anyone else and have different opinions on how to treat things. If you're not sure your doc is doing what you feel is right just make an oppointment with another cardiologist and see what he says. If he agrees with yoru 1st guy, then that's probably the best way to go. People go and get 2nd opinions on shit like fixing their car...why wouldn't you when its your own body?
Hey Pops,
What I think would help me out with my little -2 1/2 thing I am doing is if you could help me get the Avg MOV of home teams when the opening line is between even and -150 (even though I am not using opening lines, that will be close enough I think). If that is available I will backdate and check on the games when I would have played them with a proper MOV maximizing that with my current "don't play them on consecutive nights" if they cover it.
Thanks,
What I think would help me out with my little -2 1/2 thing I am doing is if you could help me get the Avg MOV of home teams when the opening line is between even and -150 (even though I am not using opening lines, that will be close enough I think). If that is available I will backdate and check on the games when I would have played them with a proper MOV maximizing that with my current "don't play them on consecutive nights" if they cover it.
Thanks,
one game shy of the perfect storm tonight, shit with 4 runs in the 1st inning i figure it would be a cake walk, than all those chance for both teams later. but i take this kind of day any day
below is the pdws for tomorrow in the link below
updates will go to geppi shortly
nite all from another beautiful night here in vegas land
glta
below is the pdws for tomorrow in the link below
updates will go to geppi shortly
nite all from another beautiful night here in vegas land
glta
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Wednesday's plays:
AZ-2 1/2 +275 Colorado
LA -2 1/2 +258 Mil
SF -2 1/2+230 Houston
TX -2 1/2 +245 Min
Det -2 1/2 +285 LAA
Balt -2 1/2 +240 Toronto
NYY -2 1/2 +243 Boston
Wednesday, went 4-3 +$771 for the day. Makes total for 11 days: 23-30 +$2807.
-2 1/2 plays moving along nicely. If I did find a filter to make it better, I would almost be afraid not to continue like it is.
Back in the A.M. with Thursday plays.
AZ-2 1/2 +275 Colorado
LA -2 1/2 +258 Mil
SF -2 1/2+230 Houston
TX -2 1/2 +245 Min
Det -2 1/2 +285 LAA
Balt -2 1/2 +240 Toronto
NYY -2 1/2 +243 Boston
Wednesday, went 4-3 +$771 for the day. Makes total for 11 days: 23-30 +$2807.
-2 1/2 plays moving along nicely. If I did find a filter to make it better, I would almost be afraid not to continue like it is.
Back in the A.M. with Thursday plays.
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