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paradox in a box
Picture of frayedends
posted Hide Post
quote:
Originally posted by smschulz:
quote:
But as an example to folks on the forum, if there is a thread with "Does your allergy medicine give you hives?" and someone posts that they get hives from one of the meds my company makes, I am required to report it to our pharmacovigilance department with as much or little info as I can get.


Seems to me that reporting information like this would be extremely unreliable.
Any company that considers such would not be one I would trust.


I believe it’s a requirement the company inform FDA of any adverse events and investigate. If they were to get numerous reports of some side effect that wasn’t found during trials they may need new studies or investigate the lot to see if a recall is needed. In any case all companies have this requirement. But I’d assume 1 report of a non causal event wouldn’t trigger much response.




These go to eleven.
 
Posts: 12605 | Location: Westminster, MA | Registered: November 14, 2006Reply With QuoteReport This Post
His Royal Hiney
Picture of Rey HRH
posted Hide Post
quote:
Originally posted by smschulz:
quote:
But as an example to folks on the forum, if there is a thread with "Does your allergy medicine give you hives?" and someone posts that they get hives from one of the meds my company makes, I am required to report it to our pharmacovigilance department with as much or little info as I can get.


Seems to me that reporting information like this would be extremely unreliable.
Any company that considers such would not be one I would trust.


It’s a CYA for the company.
FDA: “How robust and reliable is your system for monitoring any possible adverse effect your product may be causing?”

Company: “It’s very robust. We have a system for healthcare professionals to contact our adverse reactions hotline. We have dedicated contact information for such on every packaging, every advertising, and on our website. We are so proactive in addressing any potential issue out in the field that we have as company policy which every employee is trained on that every employee is required to report back any possible adverse reaction they may become aware of no matter the circumstances of how they became aware of it. And we have a system for that. Every senior management executive gets a daily and weekly report on every adverse issue and it gets discussed by senior management every month as our quality policy dictates.”



"It did not really matter what we expected from life, but rather what life expected from us. We needed to stop asking about the meaning of life, and instead to think of ourselves as those who were being questioned by life – daily and hourly. Our answer must consist not in talk and meditation, but in right action and in right conduct. Life ultimately means taking the responsibility to find the right answer to its problems and to fulfill the tasks which it constantly sets for each individual." Viktor Frankl, Man's Search for Meaning, 1946.
 
Posts: 20249 | Location: The Free State of Arizona - Ditat Deus | Registered: March 24, 2011Reply With QuoteReport This Post
Member
Picture of goingbroke
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My old PCP retired and died and man what a mess it was to find another like him!

All these Pharma Cartel docs want to push all kinds of stuff on you and jab you with all them concoctions.

I finally found an out of network doctor and pay cash for visits! The gods were looking out for me!


***************

"A man can never have too much red wine, too many books, or too much ammunition." - Rudyard Kipling
 
Posts: 5064 | Location: South of Atlanta | Registered: July 05, 2006Reply With QuoteReport This Post
Member
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^^^^^^^^^^^^^^^^^^
Good post. I have an excellent physician and unless he gets hit by a semi I am good. Treat him well and ALWAYS say thank you after the visit.
 
Posts: 17695 | Location: Stuck at home | Registered: January 02, 2015Reply With QuoteReport This Post
teacher of history
Picture of maxwayne
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I saw my doc this morning for my annual check-up. I have been seeing him for 30 years or so. He seemed sad this morning and less talkative. He has cut back to PT and only works 3 days per week.

He is a gun guy and we have often talked about him going to SD with me, but the dates never seem to work out. I got the impression he didn't want to say good bye. I think he will be fully retired soon.

It was hard enough to find a new dentist after one of my childhood friends retired and the next guy died of a brain tumor.
 
Posts: 5703 | Location: Central Illinois | Registered: March 04, 2001Reply With QuoteReport This Post
His Royal Hiney
Picture of Rey HRH
posted Hide Post
quote:
Originally posted by maxwayne:
I saw my doc this morning for my annual check-up. I have been seeing him for 30 years or so. He seemed sad this morning and less talkative. He has cut back to PT and only works 3 days per week.

He is a gun guy and we have often talked about him going to SD with me, but the dates never seem to work out. I got the impression he didn't want to say good bye. I think he will be fully retired soon.

It was hard enough to find a new dentist after one of my childhood friends retired and the next guy died of a brain tumor.


Normally, doctors sell their practice to a new doctor.



"It did not really matter what we expected from life, but rather what life expected from us. We needed to stop asking about the meaning of life, and instead to think of ourselves as those who were being questioned by life – daily and hourly. Our answer must consist not in talk and meditation, but in right action and in right conduct. Life ultimately means taking the responsibility to find the right answer to its problems and to fulfill the tasks which it constantly sets for each individual." Viktor Frankl, Man's Search for Meaning, 1946.
 
Posts: 20249 | Location: The Free State of Arizona - Ditat Deus | Registered: March 24, 2011Reply With QuoteReport This Post
Page late and a dollar short
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My Cardiologist serves as my PCP after several attempts to find one.


-------------------------------------——————
————————--Ignorance is a powerful tool if applied at the right time, even, usually, surpassing knowledge(E.J.Potter, A.K.A. The Michigan Madman)
 
Posts: 8499 | Location: Livingston County Michigan USA | Registered: August 11, 2002Reply With QuoteReport This Post
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Since moving to Iowa every non-specialist doctor has been a pill pusher. Minimal time with doctor, questions brushed off or ignored, details provided in advance ignored, here's a prescription and come back in two weeks if they don't work.

One doctor was upfront and said he has 8 minutes per patient including dictation of notes so I'd better speak quickly. A couple 'integrative health' doctors sounded promising, but they ended up being pill pushers that happened to sell supplements on the side.

I'd love to find a doctor that did root cause analysis of issues and recommended preventative actions, but I'm not sure they exist any more in my area. The last of that type I met was an FAA doctor in the Denver area back in the 1990s.
 
Posts: 2384 | Registered: October 24, 2007Reply With QuoteReport This Post
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Corporations have taken over many practices. The above sounds like military medicine at the local AFB. When the local hospital bought 90 percent of the practices here adminstration promised to keep their nose out of the clinic. That has not happened. Volume is king. If you can afford it concierge is the way to go. There is only one concierge practice here. Google upscale communities and you will find plenty.
 
Posts: 17695 | Location: Stuck at home | Registered: January 02, 2015Reply With QuoteReport This Post
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I feel bad for some of you. When I met my wife, she was a nurse at the VA, then we married and she went on to earn her Master's and become a Nurse Practitioner, still at the VA.

I hated that, but she loved her "old vets" and told me she would not leave. I had nothing-nothing-at all, to do with the VA 'cause I KNEW they gave sub-standard care, the docs were all foreigners and I had a good doc already, who was located near my office.

Then my doc sold her practice and moved. I reluctantly agreed to go to the VA after my next doc made her last parachute jump and the chute malfunctioned.


WOW! I was surprised. Rarely had to wait, mostly American men and women as docs, but the others were just fine. They got me through some serious cancers twice and the cost was free.

My Primary loves to talk guns and shooting. The specialists I've seen have been very good. I have, so far, nothing to complain about.

Bob
 
Posts: 1708 | Location: TampaBay | Registered: May 22, 2009Reply With QuoteReport This Post
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YMMV. The local VA is fine. Others not so much. It is a retirement stop for many physicians and there are long waits for certain types of care. The VA is the largest health care system in the country. Glad you got excellent care.
 
Posts: 17695 | Location: Stuck at home | Registered: January 02, 2015Reply With QuoteReport This Post
goodheart
Picture of sjtill
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Bob, I’m very glad to hear you had good experiences at the VA. In many big systems, there are barriers to entry, to getting in quickly; but once one finds a good doc who is not overwhelmed then things tend to go quickly and well.
Wife and I are contemplating moving and the one thing that makes us most reluctant to completely give up our home in San Diego is our (especially my, with my bladder cancer) care.


_________________________
“Remember, remember the fifth of November!"
 
Posts: 18616 | Location: One hop from Paradise | Registered: July 27, 2004Reply With QuoteReport This Post
Victim of Life's
Circumstances
Picture of doublesharp
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From age 8 until age 66 I was a patient at a small family practice of 5 doctors and they were family friends. VIP treatment and then a couple died and the younger ones retired. PA's carried the load and then a hospital bought them out.

I left over mask requirements in spring 2022. Bounced around a while and then found a concierge practice. Costs a little more but treatment is 1st class and my doc is a cardiologist 1st and an internal guy 2nd. I'm 72 so they will outlive me and I think I'm set.


________________________
God spelled backwards is dog
 
Posts: 4870 | Location: Sunnyside of Louisville | Registered: July 04, 2007Reply With QuoteReport This Post
Cruising the
Highway to Hell
Picture of 95flhr
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I’m another using the VA. I have overall been pleased with the service I’ve received. There’s been a couple of Doctors that I had some issues with, and many more that have far exceeded my expectations.




“Government exists to protect us from each other. Where government has gone beyond its limits is in deciding to protect us from ourselves.”
― Ronald Reagan

Retired old fart
 
Posts: 6546 | Location: Near the Beaverdam in VA | Registered: February 13, 2005Reply With QuoteReport This Post
Member
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quote:
Originally posted by captain127:
Bring a PA myself, I can say a few things:
First I started using the local VA and they have been surprisingly good.
Primary care shortage is chronic severe and just getting worse nationwide and the smaller the town the worse it is.
Between malpractice burdens cost of education, corporate dictates and administrative issues, very few want to go into medicine anymore.
In a lot of cases payment for services is linked to documenting you offered or provided those pesky immunizations, medications and other things a patient may not want.
There is a system called meaningful use ( I called it meaningless abuse) that penalized you and paid you less if you didn’t document things like flu immunization status, current Pap or mammogram etc. if these items are not documented you get paid less. This was in an ORTHOPEDIC SURGERY practice. Do the best possible job on your broken hip or shoulder, but get paid less if we forget to ask when a ladies last mammogram was. It is infuriating, and every year more similar mandates are hatched by CMS ( the center for Medicare and Medicaid services ) a large government agency which needs to be dissolved completely.
And once CMS adopts something, the private insurance companies quickly adopt it too.
These organizations have legions of minimally trained clerks, who pick apart your charts and notes to look for ANY excuse to downgrade your payment or not pay at all.
 
Posts: 3436 | Location: Finally free in AZ! | Registered: February 14, 2003Reply With QuoteReport This Post
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