Road Cycling · Public discussion

ot--any surgeons here

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Road Cycling
Published
16 January 2008
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22 January 2008
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ilaboo
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  1. or any other medical people--reason is that i see not only on the usenet but
    others--questions that really should be evaluated and no seems respond to
    the ? with any medical expertise.

    how do you handle the questions that really need further workup?

    example--cool belly --possible abdominal anyuism?
    weekness in quads--myastenia gravis?
    tennis elbow--who knows

    Im a physician assistant now retired

    peter


  2. Quoted message said:

    or any other medical people--reason is that i see not only on the usenet
    but
    others--questions that really should be evaluated and no seems respond to
    the ? with any medical expertise.

    how do you handle the questions that really need further workup?

    example--cool belly --possible abdominal anyuism?
    weekness in quads--myastenia gravis?
    tennis elbow--who knows

    Im a physician assistant now retired

    peter

    When you worked as a physician's assistant, was spelling important? Why is
    it no longer important to you?

    Quoted message said:


  3. On Wed, 16 Jan 2008 07:57:55 GMT, "ilaboo" <[email hidden]>

    Quoted message said:

    or any other medical people--reason is that i see not only on the usenet but
    others--questions that really should be evaluated and no seems respond to
    the ? with any medical expertise.

    how do you handle the questions that really need further workup?

    example--cool belly --possible abdominal anyuism?
    weekness in quads--myastenia gravis?
    tennis elbow--who knows

    Im a physician assistant now retired

    peter

    First, it's myasthenia gravis, with an 'h', and the symptoms usually
    occur in the facial muscles. Drooping eyelid, double vision,
    difficulty swallowing.

    It can sometimes be treated by plasma apheresis, in which the agent in
    the patient's plasma is removed and replaced with donor plasma and
    saline. Other treatments include IVIG immune globulin (MG is an
    autoimmune disease), and surgical removal of the thymus gland.

    I -seriously- doubt that weakness in the quads after cycling a few
    miles is MG.

    I also doubt that cool belly equals abdominal aneurysm (spelling).

  4. Peter said:

    or any other medical people--reason is that i see not only on the usenet but
    others--questions that really should be evaluated and no seems respond to
    the ? with any medical expertise.

    how do you handle the questions that really need further workup?

    example--cool belly --possible abdominal anyuism?
    weekness in quads--myastenia gravis?
    tennis elbow--who knows

    Im a physician assistant now retired


    ....

    The abbreviation "IANAD" seems appropriate here. Diagnosing via an
    internet forum seems to be asking for a malpractice suit. And most
    medical professionals are busy enough to not need the extra effort
    involved in armchair practicing on UseNet.

    HTH

    --Karen D.
    I'm a city planner, not a doctor

  5. When you worked as a physician's assistant, was spelling important? Why is

    Quoted message said:

    it no longer important to you?

    it is but the air forcr ripped it out of me--i used to win spelling bees all
    the time

    sorry for my typos i actually taught usenet users are tollerant of these
    things

    no one could read my medical charts and i assure you my patients really
    apprciated it--there where times i was asked to write charts to protect
    patients privacy

    pter

    Quoted message said:
    Quoted message said:


  6. supr thanks to all who responded--really gave me a lot to think about

    thanks again
    peter

  7. "ilaboo" wrote: (clip) Im a physician assistant now retired
    ^^^^^^^^^^^^^^^^^^^^
    Is a physician assistant someone who works in a hospital place? Mostly, I
    have heard people who assist physicians called "nurses." When you were a
    "physician assistant," did you make diagnoses, or mainly hand the doctor
    things to work with?

  8. Leo Lichtman said:

    "ilaboo" wrote: (clip) Im a physician assistant now retired
    ^^^^^^^^^^^^^^^^^^^^
    Is a physician assistant someone who works in a hospital place? Mostly, I
    have heard people who assist physicians called "nurses." When you were a
    "physician assistant," did you make diagnoses, or mainly hand the doctor
    things to work with?

    PA is an actual job description.

    http://en.wikipedia.org/wiki/Physician_assistant

    I'm not in the medical profession. I have just seen this before.


  9. Quoted message said:

    When you worked as a physician's assistant, was spelling important? Why is

    Quoted message said:

    it no longer important to you?

    it is but the air forcr ripped it out of me--i used to win spelling bees
    all the time

    sorry for my typos i actually taught usenet users are tollerant of these
    things

    no one could read my medical charts and i assure you my patients really
    apprciated it--there where times i was asked to write charts to protect
    patients privacy

    Quoted message said:

    pter

    Peter, your writing isn't "typos." Your writing is practically
    undecipherable. People understand spelling mistakes, but I find I spend time
    simply trying to figure out what you are trying to get across. That is why
    spelling matters. You write "cabish" and mean "capisce" but I sit here
    trying to figure what the word is---is it "cabbage"? You write "taught"
    which IS a word, but phonetically, you are trying to say "thought."

    It is almost as if you are not writing in English. If you were a physician's
    assistant, then you ought to have more pride than to spell phonetically and
    hope that people can figure out what you mean. You are actually proud that
    no one could read the medical charts? Now, that's just scary!

    I can't keep it up. I am dropping out from reading your posts. It is harder
    to decipher your posts than it is to figure out what the occasional person
    whose first language is not English is trying to say. Those are the people
    who get "understanding" and "tolerance." Not the people who say they know
    better but are simply too lazy to make their posts legible.

    Pat in TX


  10. Quoted message said:


    "ilaboo" wrote: (clip) Im a physician assistant now retired
    ^^^^^^^^^^^^^^^^^^^^
    Is a physician assistant someone who works in a hospital place? Mostly, I
    have heard people who assist physicians called "nurses." When you were a
    "physician assistant," did you make diagnoses, or mainly hand the doctor
    things to work with?

    When I was in the Army, we had lots of them. They are not nurses; they are
    mostly diagnosticians, I would say. I remember that several physician's
    assistants would be used to see patients at Darnall Hospital at Fort Hood.
    Once one made up his mind, he would go to the doctor and get approval for
    whatever treatment he wished to use. It was a way to stretch the available
    doctors, get quality care to the patients, and see a higher patient load in
    a day.

    Pat in TX

    Quoted message said:


  11. "ilaboo" <[email hidden]> wrote in message
    news:7Oijj.4305$YW6.2731@trndny07...

    Quoted message said:

    or any other medical people--reason is that i see not only on the usenet
    but others--questions that really should be evaluated and no seems respond
    to the ? with any medical expertise.

    how do you handle the questions that really need further workup?

    example--cool belly --possible abdominal anyuism?
    weekness in quads--myastenia gravis?
    tennis elbow--who knows

    Im a physician assistant now retired

    peter


    you get what you pay for. leave it at that and common sense.
    sometimes Doctor's are murderers too. but they cannot be sued when they are
    backed by medical sector money
    some here maybe have experience with that. I am thinking Cancer in
    particular.

  12. "ilaboo" <[email hidden]> wrote in message
    news:xsvjj.5285$rV6.1898@trndny06...

    Quoted message said:

    When you worked as a physician's assistant, was spelling important? Why is

    Quoted message said:

    it no longer important to you?

    it is but the air forcr ripped it out of me--i used to win spelling bees
    all the time

    sorry for my typos i actually taught usenet users are tollerant of these
    things

    no one could read my medical charts and i assure you my patients really
    apprciated it--there where times i was asked to write charts to protect
    patients privacy

    pter

    Quoted message said:
    Quoted message said:


    Get out of here. you are a troll lol
    Gov't taxes at work here along with token idiot inclusion in the work force.

    Quoted message said:
    Quoted message said:


  13. "Pat" <[email hidden]> wrote

    Quoted message said:

    Peter, your writing isn't "typos." Your writing is practically
    undecipherable. People understand spelling mistakes, but I find I spend
    time simply trying to figure out what you are trying to get across. That
    is why spelling matters. You write "cabish" and mean "capisce" but I sit
    here trying to figure what the word is---is it "cabbage"? You write
    "taught" which IS a word, but phonetically, you are trying to say
    "thought."

    It is almost as if you are not writing in English. If you were a
    physician's assistant, then you ought to have more pride than to spell
    phonetically and hope that people can figure out what you mean. You are
    actually proud that no one could read the medical charts? Now, that's just
    scary!

    I can't keep it up. I am dropping out from reading your posts. It is
    harder to decipher your posts than it is to figure out what the occasional
    person whose first language is not English is trying to say. Those are the
    people who get "understanding" and "tolerance." Not the people who say
    they know better but are simply too lazy to make their posts legible.

    Pat in TX

    Amen!

  14. Quoted message said:

    no one could read the medical charts? Now, that's just scary!

    not really--if you had vd or any other sensitive medical isssue or you just
    wanted your provider to hve the info that it's nice to ahve someone that
    could write a note that no one could read

    i cannot tell becasue of privacy isssues that a lot of people really
    appreciated what idid

    sorry about spelling and typos

    promise to take more care

    hth
    peter

  15. i had my own clinics, er, did my own lab including xray, filled what
    prescriptions where needed, etc--did it all
    all of my charrts however where ultimately read by my supervising md--also
    major medical studies where done on PA's when we first started the
    profession, --i was included in one.

    things today are totally different

    i was the only medcical person

    i worked in very isolated places where md, hospitals where a long way.

    hth

    pter


  16. Quoted message said:


    I'm not in the medical profession. I have just seen this before.

    actually i have a NY state license as a Physician Assistant

    hth
    peter

  17. ilaboo said:

    actually i have a NY state license as a Physician Assistant

    So does Bill Baka.

  18. promise to take more care

    Quoted message said:
    Quoted message said:
    Quoted message said:

    >>>>>>>>>>>>>>>

    When?

  19. Bill Sornson said:
    ilaboo said:

    actually i have a NY state license as a Physician Assistant

    So does Bill Baka.

    I thought Bill was only licensed to practice in California...
    --

    Paul D Oosterhout
    I work for SAIC (but I don't speak for SAIC)

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