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randomlegend
14-01-2025, 12:09 PM
Nope regarding benefits. Do you know how hard that would be?
So you think someone would fraudulently get a diagnosis to get extra help in school? Lol.
There are absolutely loads of kids getting extremely questionable private ADHD/autism diagnoses. It's such a problem that some of these companies have been shut down after being reported to the CQC.
Spikey M
14-01-2025, 12:11 PM
LOGIC CHECK.
So you think people who might be reliant on benefits could afford a private diagnosis? They're obviously too busy spending money on 110" HISENSE TVs and throwing their rubbish in the street.
You're so naive on this it's hilarious.
It costs about 2 grand to get assessed and can be done on finance. DLA can be £300-400 every 4 weeks.
Magic
14-01-2025, 12:12 PM
There are absolutely loads of kids getting extremely questionable private ADHD/autism diagnoses. It's such a problem that some of these companies have been shut down after being reported to the CQC.
There's no doubt a small minority have been misdiagnosed privately, in the same way it happens on the NHS.
Medication is really the only benefit of an ADHD diagnosis and that makes an enormous difference to quality of life.
randomlegend
14-01-2025, 12:13 PM
Which apparently is the only area where they can do that?
That doesn't work if you go private first, which I guess is the whole point of demanding an NHS diagnostic.
It all boils down to what I said: Doctors from the NHS will always do the right thing because they are morally superior. Private ones, despite having the exact same training, are all merchants who will only do whatever fills their pockets, which will usually involve doing something bad, obviously.
Most of these diagnosis farms are one doctor with an army of random alphabet soup people doing the assessments. That is inherently different to the way the NHS diagnostic system works so yes, there is a "moral" difference.
Not all private ADHD/autism services are set up like this and some of them are perfectly good. Many are not.
It's hardly surprising that once you introduce direct payment you attract the more dubious members of the profession.
It's the same with parents paying a fortune to see some Harley street rheumatologist to get diagnoses like "periodic fever syndrome" because the parents can't accept they catch viruses like every other child on earth.
Magic
14-01-2025, 12:14 PM
You're so naive on this it's hilarious.
It costs about 2 grand to get assessed and can be done on finance. DLA can be £300-400 every 4 weeks.
I'm naive? You think there's legions of fraudsters getting their children privately misdiagnosed with a brain development disorder just so they can upgrade their Sky package.
Spikey M
14-01-2025, 12:16 PM
There's no doubt a small minority have been misdiagnosed privately, in the same way it happens on the NHS.
Medication is really the only benefit of an ADHD diagnosis and that makes an enormous difference to quality of life.
ADHD is harder to get DLA / PIP for, but it can be done.
I'm not sure you need to bring morality in it. Do you think a given patient is equally likely to be positively diagnosed by either doctor?
Why not?
randomlegend
14-01-2025, 12:17 PM
There's no doubt a small minority have been misdiagnosed privately, in the same way it happens on the NHS.
Medication is really the only benefit of an ADHD diagnosis and that makes an enormous difference to quality of life.
It's not a "small minority". There is a big incentive for private companies to give people what they want because it brings in business. Parents talk and will go to the company who gave their friend's kid the diagnosis they wanted.
This is literally my job, and my wife's who is a sendco and leads a specialist resource base for kids with these problems. A LOT of these diagnoses are extremely questionable, as are the subsequent practices of these companies regarding the kinds of medications they are recommending GP's to prescribe.
Most of these diagnosis farms are one doctor with an army of random alphabet soup people doing the assessments. That is inherently different to the way the NHS diagnostic system works so yes, there is a "moral" difference.
Not all private ADHD/autism services are set up like this and some of them are perfectly good. Many are not.
It's hardly surprising that once you introduce direct payment you attract the more dubious members of the profession.
It's the same with parents paying a fortune to see some Harley street rheumatologist to get diagnoses like "periodic fever syndrome" because the parents can't accept they catch viruses like every other child on earth.
Funny part is, you are all defaulting to the MENTAL HEALTH cases when arguing why the system is correct even though, according to you, that is the only sector where it is possible to get medication with a private diagnosis only.
What about someone with anal fissures? Why would the private diagnosis alone not be ok there?
Reverse it: only mental health gets extra scrutiny because the whole thing is a racket.
Now you have a reasonable system.
Spikey M
14-01-2025, 12:20 PM
I'm naive? You think there's legions of fraudsters getting their children privately misdiagnosed with a brain development disorder just so they can upgrade their Sky package.
Yes, naive. Benefit fraud is rife in this country and this is just one strand of it. We will likely never know the numbers, because diagnosing Autism isn't straight forward.
Magic
14-01-2025, 12:21 PM
It's not a "small minority". There is a big incentive for private companies to give people what they want because it brings in business. Parents talk and will go to the company who gave their friend's kid the diagnosis they wanted.
This is literally my job, and my wife's who is a sendco and leads a specialist resource base for kids with these problems. A LOT of these diagnoses are extremely questionable, as are the subsequent practices of these companies regarding the kinds of medications they are recommending GP's to prescribe.
What's your job? You're a pediatrician. Your job is to fix things that are broken, but only in smaller people. And like most GPs, you hate complex neurological problems because they can't be fixed or entirely understood.
Magic
14-01-2025, 12:23 PM
Yes, naive. Benefit fraud is rife in this country and this is just one strand of it. We will likely never know the numbers, because diagnosing Autism isn't straight forward.
Mate come on. I don't doubt it's rife but to suggest that's the main reason why people are seeking a diagnosis in high numbers is bonkers.
Spikey M
14-01-2025, 12:23 PM
Mate come on. I don't doubt it's rife but to suggest that's the main reason why people are seeking a diagnosis in high numbers is bonkers.
I didn't say that was the case at any point.
Magic
14-01-2025, 12:25 PM
I didn't say that was the case at any point.
You said 'people often go private when they are rejected by the NHS' and when I asked why you said 'benefits'.
Bypassing the point is people aren't even getting seen at all by the NHS, hence why they are going private. So moot.
Spikey M
14-01-2025, 12:26 PM
For what it's worth, I don't even think the mum of my daughters classmate is grifting. I think she believes her daughter has autism. However, the NHS disagreed (and again on appeal) and she went off and got a private diagnosis which entitles her to benefits. Those are the facts of the situation.
Magic
14-01-2025, 12:27 PM
For what it's worth, I don't even think the mum of my daughters classmate is grifting. I think she believes her daughter has autism. However, the NHS disagreed (and again on appeal) and she went off and got a private diagnosis which entitles her to benefits. Those are the facts of the situation.
Have you seen some of the rejections? Ranges from GPs not believing it's real to needing to get a grip to bipolar to depression to female. Most of them don't even know the symptoms.
-james-
14-01-2025, 12:29 PM
Funny part is, you are all defaulting to the MENTAL HEALTH cases when arguing why the system is correct even though, according to you, that is the only sector where it is possible to get medication with a private diagnosis only.
What about someone with anal fissures? Why would the private diagnosis alone not be ok there?
The point is that you don't need to go private for anal fissures because it's very easy for it to be treated on the NHS. You'd need to suggest a condition that is a) expensive to diagnose b) relatively easy to manage on a continuing basis.
Sleep disorders come to mind, and a quick google suggests that shared care is indeed an option there and they use the same drugs as ADHD. Feel free to correct, RL.
randomlegend
14-01-2025, 12:29 PM
Funny part is, you are all defaulting to the MENTAL HEALTH cases when arguing why the system is correct even though, according to you, that is the only sector where it is possible to get medication with a private diagnosis only.
What about someone with anal fissures? Why would the private diagnosis alone not be ok there?
I don't necessarily disagree. I think there are cases where it's potentially beneficial all round, although I expect there's arguments to be made about how fair it is. Are people who can't afford the private fee going to end up bumped down the list for treatment ad infinitum whilst they are waiting for assessment, whilst those who can pay the small (comparative to the cost of treatment) private assessment fees overtake them in the queue?
As I said, I think things like ADHD/autism where the diagnoses are inherently subjective are actually less appropriate for this sort of system.
But it is bullshit that people seeking these diagnoses have access to this pathway when NOBODY else does, purely as a way to hide the fact the government have completely failed to deliver an appropriate service.
The point is that you don't need to go private for anal fissures because it's very easy for it to be treated on the NHS.
Yes even if you wanted, you cannot go private. Why?
But it is bullshit that people seeking these diagnoses have access to this pathway when NOBODY else does, purely as a way to hide the fact the government have completely failed to deliver an appropriate service.
That I agree with. Until the NHS gets their shit together though, people should be allowed the alternative. Waiting one and a half years is madness.
-james-
14-01-2025, 12:37 PM
Not sure I get your point but you definitely could get your anal fissures treated privately, fwiw
Spikey M
14-01-2025, 12:38 PM
You said 'people often go private when they are rejected by the NHS' and when I asked why you said 'benefits'.
Bypassing the point is people aren't even getting seen at all by the NHS, hence why they are going private. So moot.
I said benefits, help at school and care plans, if we're going to be honest.
£400 a month is not chump change. If you think your kid has autism, you want that money. You also want the help at school. Ultimately, it's the job of the NHS to assess if they do or do not have Autism. Where the answer is no, that should be the end of it. You certainly shouldn't be able to pay a private company a couple of grand to contradict that. Not least because their is obviously a financial insensitive for them to do so.
The reason people want the diagnosis doesn't even matter. Some will be genuine, some won't, the outcome is the same.
randomlegend
14-01-2025, 12:51 PM
Yes even if you wanted, you cannot go private. Why?
That I agree with. Until the NHS gets their shit together though, people should be allowed the alternative. Waiting one and a half years is madness.
One and a half years :harold:
NHS waiting lists for ADHD/autism assessments for kids round here are 5+ years.
Lofty
14-01-2025, 01:04 PM
Also there are adults in their 50s getting privately diagnosed and then getting arrangements at their jobs like 'must work with headphones on at all times, cannot be approached with additional work' despite managing alright before.
I'd suggest the majority of FM players have some level of ADHD/Autism going on, maybe we should all get diagnosed regardless of how well we've coped so far in our adult lives.
One and a half years :harold:
NHS waiting lists for ADHD/autism assessments for kids round here are 5+ years.
I was going by what James had said. That's madness.
Also there are adults in their 50s getting privately diagnosed and then getting arrangements at their jobs like 'must work with headphones on at all times, cannot be approached with additional work' despite managing alright before.
There is definitely lots of piss taking. In the University, kids could get extra time for exams if they had a doctor say so. Won't you know, apparently 40% (and rising) of our students had mental health issues.
With that said, I would prefer if they cut all the nonsense accomodations instead of trying to stop people from getting diagnosed.
Lewis
14-01-2025, 06:04 PM
Magic presumably isn't old enough to access any financial benefits due to having only been born yesterday.
As the most mentally deficient member of our board, I think that his opinion should be considered on this matter.
Magic
14-01-2025, 06:54 PM
As the most mentally deficient member of our board, I think that his opinion should be considered on this matter.
Don't be too hard on yourself bro.
Luke Emia
14-01-2025, 08:04 PM
I'm not an expert in this guys. I’m Spikey. I literally only know what the mum was harping on about and reading between the lines. This is what she did to get the diagnosis she wanted. I assume she isn't alone.
Updated it for you.
Yevrah
14-01-2025, 08:19 PM
Businesses profiting from diagnosing kids with Autism explains a lot.
Dquincy
15-01-2025, 09:22 PM
Get complete control over which school your child goes to. Extra funded help at school. Extra benefits.
This is the theory. The reality is somewhat different.
Lewis
15-01-2025, 10:36 PM
https://i.imgur.com/k2TIRyK.jpeg
The 'hard' actually quantifiable conditions have increased pretty much as you would expect, and the 'soft' wishy-washy my child is a cunt conditions have exploded because of perverse incentives. The government could simply revert back to the 2016 welfare system and save itself tens of billions lol.
Gray Fox
15-01-2025, 10:40 PM
A girl in my daughters class went through assessment for autism for years. The NHS said nope, not autistic. So the mum went private. Had the diagnosis within a couple of months.
I suppose some people just skip the NHS and go private to jump the queue. They're also potentially getting a soft diagnosis'.
Disability benefits, extra help at school (in theory, if not in reality), care plans, etc.
My Mrs started working with SEN kids towards the end of 2023 and a few weeks in said it opened her eyes about our youngest. He ticks a lot of boxes that the kids she also works with do. We got onto the school and his teacher agreed that she thought something was there, but the 'SENCO lead' had to do the report. The report then gets sent off to the relevant people who will look into the evidence provided and seek out their own info. This was filled out in March time. We only just received a copied in response to the school last week, telling them their report was shite.
We are now in the same position of looking at getting him a private diagnosis, because the other way is reapplying and waiting 2+ years(low end estimate) again. It does exactly feel like you almost have to buy the diagnosis. We want him getting the help and an EHCP in place before they start buggering about with SATS and secondary school.
It's hard to be sure as neither of us are near qualified to insist that he is on the spectrum, but potentially waiting years to get any answers from the NHS has us looking.
EDIT: Seems I've missed a new page.
Magic
15-01-2025, 10:41 PM
Mind and claim your millions of benefits xxx
niko_cee
15-01-2025, 10:44 PM
Without wanting to be dismissive of the whole thing, don't you have to be fairly far gone beyond 'ticking a lot of boxes' to actually get these plans?
Gray Fox
15-01-2025, 10:45 PM
She's not up to ask but I believe you need the diagnosis to get the plan. Hence why paying for it becomes so appealing.
-james-
17-01-2025, 09:09 AM
Had a cold the other week, blew my nose at some point which made my ear start ringing and it's not stopped. :uhoh:
I have had ear infections/ear drum perforations before so I'm hoping it's something like that rather than my brain thinking I need to hear this high pitched noise for the rest of my days.
I'm bored of this stage of the flu which is consistently blocked nose and mouth breathing when sleeping. I woke up at 4am with the Sahara in my mouth and congested sinuses. Not to mention the unending fatigue which still leaves me knocked out after any movement.
Dquincy
17-01-2025, 09:50 PM
She's not up to ask but I believe you need the diagnosis to get the plan. Hence why paying for it becomes so appealing.
This is correct. However, based on my limited experience with it, once you have the EHCP, it's still no guarantee that it will make drastic changes to the child's support t school.
Jimmy Floyd
18-01-2025, 12:55 AM
I'm bored of this stage of the flu which is consistently blocked nose and mouth breathing when sleeping. I woke up at 4am with the Sahara in my mouth and congested sinuses. Not to mention the unending fatigue which still leaves me knocked out after any movement.
High quality chicken stock (not sure if they do this in Deutschland but presumably they do). For best results run some pepperoni or chorizo through the cooking, and black pepper.
This is correct. However, based on my limited experience with it, once you have the EHCP, it's still no guarantee that it will make drastic changes to the child's support t school.
They’re needed if you want to move to an SEND school, we get a lot of kids getting them for Y6 so they don’t end up in a mainstream high school.
Living where I do in a shithole and mixing with various characters from different backgrounds, I can tell you that it’s not always fair with benefits.
You see people in the UK who genuinely have mental health issues getting no support. So they go towards drugs and alcohol.
You see people from abroad with mental health issues getting all the mental support and benefits financially.
I’m not trying to sound like Donald Trump here but it’s true. If you go to the inner cities and chat to people.
Labour are saying mental health issues aren’t enough to keep people out of work, I don’t think they’ve ever had a mental health issue themselves. I hope they never will.
Giggles
18-01-2025, 09:32 AM
High quality chicken stock (not sure if they do this in Deutschland but presumably they do). For best results run some pepperoni or chorizo through the cooking, and black pepper.
I don’t have a dose at the minute but that sounds nice.
High quality chicken stock (not sure if they do this in Deutschland but presumably they do). For best results run some pepperoni or chorizo through the cooking, and black pepper.
Basically a good chicken soup? I could be down with this.
Woke up this morning to discover my coccyx has blown to bits. Brilliant.
Spikey M
18-01-2025, 10:11 AM
You know you're getting old when sleeping becomes a high impact sport.
Lofty
18-01-2025, 10:32 AM
Could be shagging.
Jimmy Floyd
18-01-2025, 01:54 PM
Basically a good chicken soup? I could be down with this.
Yeah, but with the emphasis on good, and don't both with the knodel unless you're really up for some starchy action.
Yevrah
18-01-2025, 02:05 PM
Chicken Soup treats Flu? Get yourself a YouTube channel Jim.
Jimmy Floyd
18-01-2025, 02:13 PM
It can blast its way through* any respiratory illness if the stock you use is good enough quality.
*relieve the symptoms of in some circumstances, in my experience.
Yevrah
18-01-2025, 02:53 PM
"What they're not telling you about chicken soup - the conspiracy to keep you sick!"
Giggles
18-01-2025, 03:11 PM
Are you buying a high quality stock or boiling up a chicken carcass?
Nursery have been messaging for weeks about having cases of chicken pox, my daughter woke up with a few spots this morning, pretty sure that’s what it is. Half term so I’m off so doesn’t really matter but I’d planned a pub trip tomorrow afternoon with Baz and The Reid that I can’t go to if she’s off nursery with spots.
Taking bets on how many days it is until I have it. Hearing about it from Baz the other week, I can’t say I’m thrilled by the prospect.
So you was going to pick you daughter up from the nursery, half cut from a daytime session on the lash? :facepalm:
Have we lost Baz to WoW, or have phonics/randrew driven him off the cliff edge?
So you was going to pick you daughter up from the nursery, half cut from a daytime session on the lash? :facepalm:
Of course not, my wife was going to pick her up.
randomlegend
18-02-2025, 08:00 PM
Nursery have been messaging for weeks about having cases of chicken pox, my daughter woke up with a few spots this morning, pretty sure that’s what it is. Half term so I’m off so doesn’t really matter but I’d planned a pub trip tomorrow afternoon with Baz and The Reid that I can’t go to if she’s off nursery with spots.
Taking bets on how many days it is until I have it. Hearing about it from Baz the other week, I can’t say I’m thrilled by the prospect.
Did you not have it as a kid? It's rough as an adult.
Nope, and after years of working with kids, I just assumed I have some sort of natural immunity to it. I guess we will find out if that's true in the next few days. Hope spots have gone a little like blisters, which, I am told means it's more than likely the pox
Chicken Pox was brutal for my youngest, but the older one coped okay, a bit of itchiness. The ballache of them being off nursery was a nightmare as well.
Thankfully it’s fell in half term so I’m off anyways. So far you wouldn’t know she’s ill. She told me her spots were itchy this morning but hasn’t been itching or mentioned them since. She’s currently dressed up as mini mouse, eating crisps and has just asked we watch ‘just the songs’ from Nightmare Before Christmas. It’s a welcome rest bite from playing with her Bluey house
I have marks on my forehead from scratching chicken pox spots.
-james-
20-02-2025, 02:18 PM
Had a cold the other week, blew my nose at some point which made my ear start ringing and it's not stopped. :uhoh:
I have had ear infections/ear drum perforations before so I'm hoping it's something like that rather than my brain thinking I need to hear this high pitched noise for the rest of my days.
It's somewhat intermittent but this is still going on. The main thing I have deduced is that caffeine makes it significantly worse. Just had my first coffee in a week and it's cranked it way up.
niko_cee
23-02-2025, 05:56 PM
lol at this study coming out and saying that the long term health implications of vaping are seriously bad. Who'd have thought? An excellent selection method for mass extermination.
Not much of a victory lap given the obviousness but I’ll take it nonetheless.
Lofty
23-02-2025, 10:23 PM
One obvious problem as soon as it became a thing was people just switched to vaping constantly instead of smoking at intervals, so no surprise that is terrible for the lungs.
Giggles
24-02-2025, 03:37 AM
I smell an incoming tax.
I smell an incoming tax.
Our Government launching their own study on the back of MMU's findings is a precursor to that I would think. I wonder if they will go as far as banning flavours, which I would be completely fine with as it'll cut off the obnoxious candy floss crowd at their knees.
The radical left will tax it before you can say "The last capitalist we hang shall be the one who sold us the rope."
niko_cee
24-02-2025, 11:24 AM
Vaping should probably be a prescription only thing to help people get off the cigs. The kid focused flavours are obviously insane, but people want their FREEDOMZ so good luck putting the genie back in the bottle.
Yevrah
24-02-2025, 11:45 AM
I thought the flavours were going this year anyway.
Spikey M
24-02-2025, 12:05 PM
Not much of a victory lap given the obviousness but I’ll take it nonetheless.
Indeed. But they all count.
Next up, these weightloss jabs.
Those at least have an actual (massive) benefit.
Spikey M
24-02-2025, 12:12 PM
They do indeed. But in 5 - 10 years? I'm not sure when this stuff became so FAFO.
It has been around since 2017 and went through the same approval process any other drug goes through. I'm not saying that it is impossible that we find some bad side effects in the future, but this is nothing like smoking or vaping or drinking alcohol.
The quite excellent RFK seems to be on your side on this one. If fatties start dying left and right after becoming thin, I'll definitely give both of you your e-victory.
randomlegend
24-02-2025, 12:33 PM
It has been around since 2017 and went through the same approval process any other drug goes through. I'm not saying that it is impossible that we find some bad side effects in the future, but this is nothing like smoking or vaping or drinking alcohol.
The first drug in the class (exanatide) has been approved since 2005. It's not as effective as the newer ones but likely to have similar long term side effects profiles.
I thought the flavours were going this year anyway.
That's gone very quiet. When they proudly confirmed the beginning of the end for disposables a little while ago, they completely omitted the flavour ban, which was previously on equal billing to the disposables ban when it was all initially announced a year previous. So I'm inferring from that that it's not happening anytime soon.
Boydy
24-02-2025, 06:29 PM
It's not gonna be good for GROWTH when all the vape shops closed on the high street.
phonics
24-02-2025, 06:42 PM
Considering 95% of them are just money laundering facilities then maybe it might be?
Shindig
24-02-2025, 06:49 PM
Most of the ones around here double-up as phone repair shops.
Giggles
24-02-2025, 07:26 PM
The radical left will tax it before you can say "The last capitalist we hang shall be the one who sold us the rope."
You are some can of piss.
phonics
24-02-2025, 09:37 PM
Can of vape.
Cans probably made of responsibly recycled aluminium sourced by vegans as well. Cuck.
Magic
26-02-2025, 10:35 PM
Got norovirus, nearly shat myself whilst spewing so did the switcheroo as I thought it would be better to clean up sick than watery black shit but I was quite impressed how I heaved in my mouth and took it back down again. Fuck yeah.
Two weeks ago, I woke up with some sort of nerve hip pain. After a few days it moved towards my crotch. Putting my shoes on and getting in the car is torture. Took last week off exercise but it hasn't really gotten any better. I'm planning to go back to exercise this week (with some painkillers), see how it goes. Might have to go to the doctor. :(
Spikey M
25-03-2025, 03:01 PM
That's really more of a Noctor issue.
Noctors here are $500 per minute. I'll just cut my own leg.
-james-
31-03-2025, 12:58 PM
Looking into getting offishul ADHD diagnosis. Reckon it's a slam dunk tbh. GP reckons 12-18 months to get seen so looking into private options. Magic you've gone through it haven't you? Any hot tips?
Pissed about for a couple months before going private. Appointment within a week, diagnosed in two, prescription should be in hand this week.
I went with one of the more reputable sounding private clinics, about 800 quid so far before medication costs, but the assessment still felt like a fairly surface level box-checking exercise. I'm not too fussed, I just want the drugs really, but I am a little worried the NHS will lol me out the door when I ask them to take on the diagnosis.
Two weeks ago, I woke up with some sort of nerve hip pain. After a few days it moved towards my crotch. Putting my shoes on and getting in the car is torture. Took last week off exercise but it hasn't really gotten any better. I'm planning to go back to exercise this week (with some painkillers), see how it goes. Might have to go to the doctor. :(
Exercise does not make it worse, but the pain is still there.
Do I go to a regular doctor first, straight to a physical therapist, or should I be looking at some other specialist? randomlegend
phonics
31-03-2025, 01:54 PM
If you're looking for health care advice I'd say that you owe him 342 dollars.
Spikey M
31-03-2025, 02:00 PM
You've just robbed Nico of the opportunity to offer legal advice though. :nono:
niko_cee
31-03-2025, 02:15 PM
My advice would be find an actual lawyer.
I'll take the £342 though.
Made an appointment with some "sports medicine" lad. Hope he has a good time with all of my life savings.
Jimmy Floyd
31-03-2025, 02:32 PM
I can sell you a gasket if that would help, or a liquid gasket maker, if your hip isn't the exact shape of a Case International front gear cover.
Sir Andy Mahowry
31-03-2025, 02:40 PM
Top of the range of course, Pepe needs the best/most expensive.
Do you price match alibaba?
niko_cee
31-03-2025, 02:54 PM
That guy in the warehouse might if you cans sort him out with some stock photos.
That guy in the warehouse might if you cans sort him out with some stock photos.
Groin pics incoming.
Got an X-ray, then doc came, saw it, moved my leg around, said he saw nothing. Next step either getting an MRI or doing physical therapy and asked me what I preferred. I asked him what he thought (what with that being his job and everything) and basically sat on a fence and left in less than ten minutes. MRI sounds expensive so chose physical therapy. Went today. $100 per session :happycry:
Lofty
02-04-2025, 07:26 PM
Glad to see the system of 'what do you, the layman, think?' is the same across the pond.
randomlegend
02-04-2025, 07:37 PM
Involving the patient in the decision making is good communication and good medical practice.
Patients often absolutely do have ideas about what they think is going on or what they're hoping to get out of an interaction and knowing those things are really useful.
If the patient goes in worried about a specific diagnosis, it's important to know what that is so you can address it. If you're terrified the lump on your knee is cancer but that concern is never brought up, even if you're given another explanation, you're very unlikely to be entirely reassured. Whereas if the doctor knows you have that worry they can give you a good explanation as to why that's very unlikely to be what's going on; much more likely to be reassuring.
If you go in wanting an MRI and then are sent away with a physio referral without an MRI ever being mentioned you might feel pissed off your expectations weren't addressed or met. Knowing you want an MRI means you can either explain why it's not going to be helpful or why it's not this step but the next step or why actually that's not an unreasonable thing to want and we can put a referral in.
They're not literally asking you to do their job, come up with all the answers and make all the decisions. They're finding out your worries, your expectations, your thoughts so they can be addressed and you can come to an outcome which is both medically reasonable but you're also satisfied with.
In some cases there is just no right answer and it's good practice to give the patient the pros and cons and let them make a decision; particularly where they're paying out of pocket and have to factor in the financial aspect (fortunately something I don't have to deal with).
Lofty
02-04-2025, 08:28 PM
What if they are Nurse Practitioners or whatever they are called? I mean if you go in and clearly describe your symptoms and are then asked what you think the problem is I think it's fair to be a bit miffed, if I knew that I'd have told you. If I google it before the result will be I'm dying, that is always the answer.
randomlegend
02-04-2025, 08:33 PM
What if they are Nurse Practitioners or whatever they are called?
Then good luck.
I owe $523.26 for my five minute doctor appointment. :happycry:
I had not being to a fucking doctor in 15 years, I am not going to one in the next 15.
randomlegend
18-04-2025, 06:56 AM
Presumably you've been well looked after by the altruism of your insurance company.
Jimmy Floyd
18-04-2025, 07:12 AM
If doctors earn $7,000 an hour you should be on the next plane to Des Moines.
Presumably you've been well looked after by the altruism of your insurance company.
They covered $900 out of the very fair $1100 for an x-ray. :harold:
Thing is, I know what my insurance covers (basically fuck all below $5000) so no surprise there, while these healthcare cunts can charge whatever they want and everyone is supposed to just bend over and be grateful for their service to humanity.
Anyway, my leg still hurts but I decided to beat the pain via sheer willpower.
If doctors earn $7,000 an hour you should be on the next plane to Des Moines.
Bill says 45 minute visit. He spent five minutes, ten at most with me. I guess they charge you for the pleasure of sitting in the waiting room.
Quite strange to be on first name teams with the doctor, you must go a lot.
Spikey M
18-04-2025, 11:55 AM
:D
Sir Andy Mahowry
18-04-2025, 03:51 PM
That's Bam's best post by a country mile.
Disco
18-04-2025, 04:01 PM
Even then he spelt it wrong.
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