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New Year resolution

30A Skunkape avatar
Skunky
1,167 views
Happy New Year everyone. I wanted to take a minute and let everyone know of an incident I was involved in Friday, and how it made me think I should suggest a New Year's resolution for everyone. I was at the hospital doing internal medicine consults-typically orthopaedists don't feel like figuring out how to control diabetes, so they call internal medicine to do it for them, or similar scenarios. I was called by anesthesia regarding a lady in the outpatient surgery area who was being evaluated for cataract surgery occuring 1/8/02. Her blood pressure was 205/110, and if that means nothing to you, let me just say that is wickedly high. So I went to see her-very nice lady in the room with her husband, healthy all her life (or so she thought), felt fine. Said she had been told over the years her blood pressure was high but went to the doctor so irregularly nothing was done about it. I did a physical exam and she was fine. So I am filling out some paperwork, discussing the need to fairly quickly give this woman some medication with the nurses, and somebody shouts "She's locked herself in the bathroom". It was our lady! I ran to the bathroom door and peeked inside a small gap and could see her on the floor. "Open the door!" I was shouting, and I could see her flailing at the deadbolt without being able to reach it. Somebody showed up with a key and we found her on the floor, unable to get up but awake and no evidence of her having hit her head. We put her on a stretcher to bring her to the ER, and while on the stretcher I did a quick exam. I noticed she had no ability to move her right arm or leg...she had a stroke. Later that day, I learned she had a large bleed inside her brain which neurosurgery was going to evacuate. meanwhile, her poor husband was crying and crushed mentally. So what is the point of all this? Simple-please resolve to go to the doctor's office this year and get a physical exam. This lady may very well die, and at a minimum will be left with severe brain damage, and it was TOTALLY avoidable. Now her husband is in a living hell, and it was totally AVOIDABLE. If she had just gone to the doctor and been put on some medication she would probably be getting ready for her eye surgery tommorow;instead, she is in the ICU hooked to a ventilator, in dire straights. Think about it:(

Replies

25
Miss Kitty avatar
Meow
#2
:( I have a physical once a year. Thank you for looking out for us.
skippertoo avatar
Beach Fanatic
#3
Good Post ! :clap_1:
picky
#4
Thank-you, Dr. Skunky. I will show this to Merman, who--in typical British fashion--thinks that a physical once every ten years is sufficient. I haven't been able to budge him from this old habit but maybe your post will. He has the greatest professional respect for you, so, who knows, you've probably saved me a lot of grief down the road.

May I also add about the importance of annual mamograms for women? In the space of one year three very dear women friends of mine have had brushes with breast cancer, one of whom lost a breast needlessly because she skipped a year between mamograms. That's frightening.
Lady D avatar
SoWal Insider
#5
Thank-you, Dr. Skunky. I will show this to Merman, who--in typical British fashion--thinks that a physical once every ten years is sufficient. I haven't been able to budge him from this old habit but maybe your post will. He has the greatest professional respect for you, so, who knows, you've probably saved me a lot of grief down the road.

May I also add about the importance of annual mamograms for women? In the space of one year three very dear women friends of mine have had brushes with breast cancer, one of whom lost a breast needlessly because she skipped a year between mamograms. That's frightening.

Well, I have an appointment with my gastroenterologist Thursday of this week to see if he thinks I have an acid reflux problem or if I need to go farther as to finding out if my problem is heart related. I have been so stressed my stomach is in a knot. I have always been one who thinks the worst. My husband's insurance will not cover a mammogram for me but every other year as I am not 50. I too work with someone who has gone through 8 weeks of chemotherapy for breast cancer and is now scheduled for surgery for a lumpectomy on January 24th and then has to undergo radiation after that.
rapunzel avatar
Beach Fanatic
#6
Thank-you, Dr. Skunky. I will show this to Merman, who--in typical British fashion--thinks that a physical once every ten years is sufficient. I haven't been able to budge him from this old habit but maybe your post will. He has the greatest professional respect for you, so, who knows, you've probably saved me a lot of grief down the road.

May I also add about the importance of annual mamograms for women? In the space of one year three very dear women friends of mine have had brushes with breast cancer, one of whom lost a breast needlessly because she skipped a year between mamograms. That's frightening.

I used to work at a clinic devoted totally to breast reconstruction, and I can second this...few people realize that only one out of six breast cancer patients needs a mastectomy. Those people that need mastectomies are usually people with genetic anomolies that make them prone to breast cancer or people who didn't have yearly mammograms. Breast cancer is so curable when caught early that a mammogram is nothing to be afraid of...not having one is. Of the hundreds of women I worked with, only two were lost to recurrence of the disease. Both of them found their lumps in the shower.

Well, I have an appointment with my gastroenterologist Thursday of this week to see if he thinks I have an acid reflux problem or if I need to go farther as to finding out if my problem is heart related. I have been so stressed my stomach is in a knot. I have always been one who thinks the worst. My husband's insurance will not cover a mammogram for me but every other year as I am not 50. I too work with someone who has gone through 8 weeks of chemotherapy for breast cancer and is now scheduled for surgery for a lumpectomy on January 24th and then has to undergo radiation after that.

One of the ladies who lost her fight was from Tennessee, and her insurance wouldn't cover a PET scan to determine whether radiation and mastectomy were sufficient or she needed chemo. She, like so many of us would, chose to go with the statistics and not have chemo. She had metastatic disease to her spine and by the time the tumor showed symptoms it was too late. Tennessee and Kansas have the worst insurance laws in the country. If I lived in either place, I'd be writing letters to my state rep/senator and volunteering with the local chapter of the Komen Foundation. Insurance companies in those states wouldn't even pay for breast reconstruction...and there is a federal law that requires them to do so.
FYI, LadyD, if you call the Komen foundation, there is probably a place that will do a mammogram for around $100 if you are self-pay. And if you have a family history of breast cancer or have a questionable self-exam, your insurance company will authorize a mammogram for you with prior authorization.
Ocean Lover avatar
bean
#7
Thanks, I've been meaning to make an appt for a mammogram. I looked up the number, wrote it on a post it and stuck it right where I'll see it. I'll call tomorrow.
Lady D avatar
SoWal Insider
#8
Thanks, I've been meaning to make an appt for a mammogram. I looked up the number, wrote it on a post it and stuck it right where I'll see it. I'll call tomorrow.


I go to Baptist East Hospital for my mammogram. I had one barely over a year ago. Mine showed absolutely nothing. They started using a new procedure back about 3 or 4 year ago called CAD. Has anyone else had this used on them?


Computer-aided detection (CAD). In traditional mammography, your X-rays are reviewed by a radiologist, whose skill and experience play a large part in determining the accuracy of the test results. In CAD, a computer scans your mammogram after a radiologist has reviewed it. CAD identifies more suspicious areas on the mammogram, but many of these areas may later prove to be normal. Still, using mammography andCAD together may increase the cancer detection rate.
dbuck avatar
Beach Fanatic
#9
Thanks Dr. Skunky for looking out for us. I will quit putting off having the dreaded colonoscopy and make an appointment, soon.
Lady D avatar
SoWal Insider
#10
Thanks Dr. Skunky for looking out for us. I will quit putting off having the dreaded colonoscopy and make an appointment, soon.

I had one back in January of this year. I was totally asleep. Whatever they used on me to knock me out had me asleep before they finished injecting it in my IV. I woke up immediately after the colonoscopy and was able to get dressed and leave. And I was not nauseated at all. The one I had 10 years before the anesthetic made me so sick I could not eat for 3 or 4 days. I also have to have a sigmoidoscope every 5 years. The worst part of a colonoscopy is the stuff you have to use the day before. All that nasty laxative you have to drink. Yuck. If I can do it you can.;-)

Edited

Gypsea avatar
Beach Fanatic
#11
Thanks for the reminder Dr. Skunky ~ sorry about your patient.
dbuck avatar
Beach Fanatic
#12
I had one back in January of this year. I was totally asleep. Whatever they used on me to knock me out had me asleep before they finished injecting it in my IV. I woke up immediately after the colonoscopy and was able to get dressed and leave. And I was not nauseated at all. The one I had 10 years before the anesthetic made me so sick I could not eat for 3 or 4 days. I also have to have a sigmoidoscope every 5 years. The worst part of a colonoscopy is the stuff you have to use the day before. All that nasty laxative you have to drink. Yuck. If I can do it you can.;-)

The day before is what I dread . . . that AND the IV. :eek:
Lady D avatar
SoWal Insider
#13
The day before is what I dread . . . that AND the IV. :eek:

Needles are not my favorite either. :creepy:
peapod1980 avatar
percy
#14
Thank-you, Dr. Skunky. I will show this to Merman, who--in typical British fashion--thinks that a physical once every ten years is sufficient.
Uh-oh. I didn't even know I was British. Thanks for the nudge, Skunky. I need to do this. I get my mammos as I should, I get my well-woman exams yearly, but I can't even recall my last routine physical. This year, it's a deal.
SoWal Insider
#15
Thanks for this info. & important reminders that are sometimes inconvenient.

I've just taken this past week off from work (vacation?) to have blood work done, get established with a physical therapist for back pain, & make numerous other dr. (mammo.) appointments. I figure this was a must do rather than having some funn. This way, I'll be sure to enjoy life.

Guess I should think about the colonoscopy too.:blink:
ItzKatzTime avatar
Beach Fanatic
#16
When I first read this I had to get off real quick. It just hit me like a ton of bricks thinking about that woman on the floor...locked in the bathroom. I cried for 30 minutes. So much emotion going on these days. What a good time to start thinking :nono1: NO....doing something about outr health. January 2007! Let's all remind each other of the consequences of letting it go....and the rewards of taking care of ourself. Thanks so much Skunky for sharing this with us.

I worked for four OB/GYN's in New Orleans off Napoleon Street (a block from Baptist Hospital)...and one thing I learned is that one pap smear a year may not be enough. We had a wonderful patient, who came in once a year for the works....healthy young woman...everything always looked great. Then one year, six months after her one year check up, a problem brought her back in....she had ov cancer.
It was very sad.

So again, THANKS Dr. Skunky!!!!

;-) Kat
rapunzel avatar
Beach Fanatic
#17
All this talk about breast cancer, and Kat's mention of ovarian cancer brought something else to mind that I don't think many people know about...BRCA testing. BRCA1 and BRCA2 are the two genetic markers for hereditary breast and ovarian cancer. If anyone has a family history of breast cancer, and especially any incidence of ovarian cancer or male breast cancer at all, take a look at this link.

http://www.myriadtests.com/provider/hboc-testing-benefits.htm

These test are so valuable, they allow people to be proactive, and there are so many things that can be done these days to insure BRCA+ people live long and healthy lives. If anyone is interested, PM me and I'll gladly point you in the direction of more information on the subject.

Edited

Jdarg avatar
SoWal Expert
#18
Check on your tetanus shot status- I got mine re-upped at the GYN a few years back because they asked. I never would have remembered.

Also bone density scan.
KISH7374 avatar
Beach Fanatic
#19
I also have a story about the high blood pressure. The day after Thanksgiving I took my wife to the hospital with severe back pain. She twisted wrong and could hardly stand. The hospital did the regular work up and found that she had high blood pressure. This is very abnormal for her. They thought that it was due to the back pain but after medication it still did not go down. They were very concerned and made her set up a followup appointment. She could not get in to the doctor until after Christmas. She finally went in and found that her blood pressure was still high. In fact it was higher then when she was in the hospital. The doctor did a EKG and found that half of her heart was enlarged. They set up more tests and did blood work and a ultrasound and various other tests. They would not do a stress test until they knew why the blood pressure was high or why the heart was enlarged. We are waiting for the last results this week and then they will set up a plan of attack. She has been very healthy and this really comes as a shock. So please get a physical often and avoid the hell that we are going through.
30A Skunkape avatar
SkunkyAuthor
#20
An update on the patient I told you all about. She is awake and alert in the ICU, was removed from the ventilator yesterday. Her condition is such that she is being transferred to a standard room today.:clap_1: While she has permanant neurological damage, it looks like she might have a pretty good outcome. I have no doubt that she is doing well because she had a stroke in the hospital...had she been at home, she probably would be much worse off.
Miss Kitty avatar
Meow
#21
Thanks for the update! :D

Kish...thank goodness for the checkup! Hope your wife continues to stabilize!!!

Edited

SoWal Insider
#22
I also have a story about the high blood pressure. The day after Thanksgiving I took my wife to the hospital with severe back pain. She twisted wrong and could hardly stand. The hospital did the regular work up and found that she had high blood pressure. This is very abnormal for her. They thought that it was due to the back pain but after medication it still did not go down. They were very concerned and made her set up a followup appointment. She could not get in to the doctor until after Christmas. She finally went in and found that her blood pressure was still high. In fact it was higher then when she was in the hospital. The doctor did a EKG and found that half of her heart was enlarged. They set up more tests and did blood work and a ultrasound and various other tests. They would not do a stress test until they knew why the blood pressure was high or why the heart was enlarged. We are waiting for the last results this week and then they will set up a plan of attack. She has been very healthy and this really comes as a shock. So please get a physical often and avoid the hell that we are going through.
:eek:
kathydwells avatar
Darlene is my middle name, not my nickname
#23
I also have a story about the high blood pressure. The day after Thanksgiving I took my wife to the hospital with severe back pain. She twisted wrong and could hardly stand. The hospital did the regular work up and found that she had high blood pressure. This is very abnormal for her. They thought that it was due to the back pain but after medication it still did not go down. They were very concerned and made her set up a followup appointment. She could not get in to the doctor until after Christmas. She finally went in and found that her blood pressure was still high. In fact it was higher then when she was in the hospital. The doctor did a EKG and found that half of her heart was enlarged. They set up more tests and did blood work and a ultrasound and various other tests. They would not do a stress test until they knew why the blood pressure was high or why the heart was enlarged. We are waiting for the last results this week and then they will set up a plan of attack. She has been very healthy and this really comes as a shock. So please get a physical often and avoid the hell that we are going through.

So sorry about your wife, and hate that you are having to go through this. I hope that everything will be alright. Sending thoughts and prayers your way.

Skunky, thanks for the update on the patient. I hope that she will be ok as well!!!
KISH7374 avatar
Beach Fanatic
#24
Thank you. I will keep you updated. We ahould get preliminary results today or tomorrow.
audie avatar
fartblossom
#25
kish - wishing your wife the best..

skunky - unfortunately we see this a lot at work too, people not getting help or going to the dr until it is almost too late. that's why i faithfully go to the dr every year - we have everything in our family but cancer. i even started getting mammos at 35 because of my mom's probs (thanks a lot momma).
Lady D avatar
SoWal Insider
#26
When I first read this I had to get off real quick. It just hit me like a ton of bricks thinking about that woman on the floor...locked in the bathroom. I cried for 30 minutes. So much emotion going on these days. What a good time to start thinking :nono1: NO....doing something about outr health. January 2007! Let's all remind each other of the consequences of letting it go....and the rewards of taking care of ourself. Thanks so much Skunky for sharing this with us.

I worked for four OB/GYN's in New Orleans off Napoleon Street (a block from Baptist Hospital)...and one thing I learned is that one pap smear a year may not be enough. We had a wonderful patient, who came in once a year for the works....healthy young woman...everything always looked great. Then one year, six months after her one year check up, a problem brought her back in....she had ov cancer.
It was very sad.

So again, THANKS Dr. Skunky!!!!

;-) Kat

What kind of symptoms was she having? This is giving me the creeps reading all this stuff.

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