SIGforum
Doctors Continue to Fail Me Update
October 08, 2025, 01:18 PM
ZSMICHAELDoctors Continue to Fail Me Update
^^^^^^^^^^^^
Has nothing to do with Medicare. It is either the hospital or the doctor. Review panels are reserved for things like complex cancer cases when more imput is neeed. If that were the case they should have told you. Part of your problem is that you are dealing with low level employees. You can call the Hosptial Administrator and lodge a complaint.
October 09, 2025, 08:48 PM
captain127quote:
Originally posted by 12131:
Did the NP even ask you why you cannot take prednisone? Once a patient tells you he cannot take prednisone (a steroid), the immediate question should always be, “Why? What happened to you when you took it?” Some sort of side effects? Or allergic reaction? Or, in the most severe case, an anaphylactic reaction? Just forging ahead and prescribing you a different steroid, methylprednisolone, which is more potent than prednisone, without knowing the reason why you cannot take prednisone, in no bueno.
As a medical practitioner myself, why can’t you take prednisone would be my first question. I see tons of people who will tell me they are allergic to prednisone which is virtually impossible as it naturally occurs in your body. Side effects, elevated blood sugar are certainly concerns but I always try to take the time ( not always possible) to educate my patients on the difference between adverse or side effects and allergy. Far too many people list allergies which greatly limit medication choices, when they are really trying to communicate a side effect.
I worked in ER and urgent care for years, and can say the grind and demand is sometimes overwhelming- for exactly the reason you describe. Seems primary care providers don’t build in time to schedule sick visits or even seem to be interested in seeing acutely sick people anymore.
I at times did urgent care shifts where I saw 60+ people in 10 hours!
Still, taking the very limited time to talk to patients and understand them is a critical part of the job.
You can’t win- when you do take that time, then you hear the endless complaints about the wait times.
October 10, 2025, 11:13 PM
sjtillI still don’t know why the OP said he “couldn’t take prednisone”. Does he know? Remember what happened before? Yes, the practitioner should have asked for sure. As noted above, methylprednisolone is even a stronger steroid than prednisone, but both can drive blood sugars into diabetes territory—this is well known and should have been addressed.
My wife is always grateful that I accompany her to doctors’ appointments as her “advocate”. I will often advocate a course of action that the doctor hadn’t thought of.
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“Remember, remember the fifth of November!"
October 11, 2025, 01:08 AM
12131quote:
I see tons of people who will tell me they are allergic to prednisone which is virtually impossible as it naturally occurs in your body.
While it’s true that true prednisone allergy is rare, it does happen, because it’s a synthetic steroid that has similar, but not identical, structure to the naturally occurring cortisol. Any foreign substance introduced into the body can potentially trigger an allergic reaction. Allergic reaction to cortisol, however, is not possible, because it’s synthesized by your own body.
quote:
…educate my patients on the difference between adverse or side effects and allergy. Far too many people list allergies which greatly limit medication choices, when they are really trying to communicate a side effect.
Totally agree with this.
Q
October 11, 2025, 04:53 PM
jimmy123xBottom line, I've found is since Covid, almost nobody gives a crap about other people's wellbeing, even IF it is there job.
October 11, 2025, 05:37 PM
RoofussYep, nailed it !!
October 11, 2025, 07:49 PM
ZSMICHAELquote:
Bottom line, I've found is since Covid, almost nobody gives a crap about other people's wellbeing, even IF it is there job.
^^^^^^^^^^^^
I disagree. Pracitcally everyone has some good in them. Covid has nothing to do with it. Who would have imagined a year ago that Trump would effect peace in the Middle East. Cynicism and anger shorten your lifespan.
October 12, 2025, 06:53 AM
spunk639quote:
Originally posted by captain127:
quote:
Originally posted by 12131:
Did the NP even ask you why you cannot take prednisone? Once a patient tells you he cannot take prednisone (a steroid), the immediate question should always be, “Why? What happened to you when you took it?” Some sort of side effects? Or allergic reaction? Or, in the most severe case, an anaphylactic reaction? Just forging ahead and prescribing you a different steroid, methylprednisolone, which is more potent than prednisone, without knowing the reason why you cannot take prednisone, in no bueno.
As a medical practitioner myself, why can’t you take prednisone would be my first question. I see tons of people who will tell me they are allergic to prednisone which is virtually impossible as it naturally occurs in your body. Side effects, elevated blood sugar are certainly concerns but I always try to take the time ( not always possible) to educate my patients on the difference between adverse or side effects and allergy. Far too many people list allergies which greatly limit medication choices, when they are really trying to communicate a side effect.
I worked in ER and urgent care for years, and can say the grind and demand is sometimes overwhelming- for exactly the reason you describe. Seems primary care providers don’t build in time to schedule sick visits or even seem to be interested in seeing acutely sick people anymore.
I at times did urgent care shifts where I saw 60+ people in 10 hours!
Still, taking the very limited time to talk to patients and understand them is a critical part of the job.
You can’t win- when you do take that time, then you hear the endless complaints about the wait times.
Sometimes it's the vessel that contains the allergen.
October 12, 2025, 12:39 PM
12131quote:
Originally posted by spunk639:
Sometimes it's the vessel that contains the allergen.
True, the additives, preservatives or other ingredients can be the culprit, and not the actual medication itself. But true allery to the medication prednisone, although rare, is well documented.
Q
October 12, 2025, 03:38 PM
Fly-Sigquote:
Originally posted by captain127:
I always try to take the time ( not always possible) to educate my patients on the difference between adverse or side effects and allergy. Far too many people list allergies which greatly limit medication choices, when they are really trying to communicate a side effect.
I've had several docs want me to list as allergy to a couple of meds that I just have an unpleasant adverse reaction to, such as a pain med that gives me nausea. Same with foods that I have an autoimmune reaction to or FODMAP sensitivities. None of these practitioners are treating me for an emergency situation, but still I am surprised by it.
October 20, 2025, 10:20 AM
oldbill123You are not alone in being ignored. Medical is a Sh11tshow
October 20, 2025, 10:35 AM
RoofussLOL !!! That's an understatement!!!!
October 20, 2025, 08:00 PM
oldbill123Call for an ambulance. Complaint possible heart attack or stroke. Two obese women show up. Willing to help patient scoot down stairs on their butt and walk to gurney. Neither could get IV started. One eating food over the patient in the ambulance. At least they got to the hospital.
ER runs blood and urine. Abdomen CT and Pelvis with contrast. Give IV and small dose of dilaudid. Patient sent home with diagnosis complaint stomach pain and to check with PCP in a couple days. Ask about the other symptoms - shortness of breath, chills, pounding heart- they suggest virus. Lasting 2 hours ?
PCP office does not return 1st voice mail detailing situation and asking for appointment. Message left for PCP nurse detailing symptoms and asking for cardiac referral. Also not returned. Nurse practitioner is best we can do.
Also contacted Gastro Doc. No return call. Web portal has patient login deactivated- call office.
Don't get sick.
Some of the bloodwork test info has now vanished from patient portal.
October 21, 2025, 01:32 PM
billpoczquote:
Originally posted by captain127:
As a medical practitioner myself, why can’t you take prednisone would be my first question. I see tons of people who will tell me they are allergic to prednisone which is virtually impossible as it naturally occurs in your body. Side effects, elevated blood sugar are certainly concerns but I always try to take the time ( not always possible) to educate my patients on the difference between adverse or side effects and allergy. Far too many people list allergies which greatly limit medication choices, when they are really trying to communicate a side effect.
I worked in ER and urgent care for years, and can say the grind and demand is sometimes overwhelming- for exactly the reason you describe. Seems primary care providers don’t build in time to schedule sick visits or even seem to be interested in seeing acutely sick people anymore.
I at times did urgent care shifts where I saw 60+ people in 10 hours!
Still, taking the very limited time to talk to patients and understand them is a critical part of the job.
You can’t win- when you do take that time, then you hear the endless complaints about the wait times.
Thank you! That is rare these days!
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