General Medical issues thread

[VPS]

Have been at the hospital for follow up on elbow for over an hour. Have yet to see anyone. Just been bounced around 4 different reception areas.

Went to the main outpatient clinic reception. They sent me to registrar review. 40 mins in that line and then sent to fracture (where outpatients should have sent me), then got sent to imaging.

Now had xrays and waiting in fracture clinic for the doctor.

That would have annoyed your boss and might have been worth it

 

[kookaburra75]

Have been at the hospital for follow up on elbow for over an hour. Have yet to see anyone. Just been bounced around 4 different reception areas.

Went to the main outpatient clinic reception. They sent me to registrar review. 40 mins in that line and then sent to fracture (where outpatients should have sent me), then got sent to imaging.

Now had xrays and waiting in fracture clinic for the doctor.

Understand what you're going through. MrsK broke her wrist before Christmas and we went through the shuffle around the place. The outcome from her treatment, including getting a plate in her wrist, was excellent and the care was great.

 

[Katie]

Had a procedure on Monday afternoon and spent the night in hospital; specialist normally recommends that for this procedure. With the joy of day surgery and fasting from 8am, not going in for the op until 4:30 or so, I was up in the ward after 7. The anaesthetologist came to visit sometime after and luckily rustled up some dinner for me, so I finally ate at about 8:15pm.

The admissions nurse was so worried about taping a non-removable piercing (sensitivity to adhesives), I've been slightly amused to discover my main adhesive issue was with one of the heart monitor thingos the anaesthetic nurse put on my ribcage. And they didn't bother taping the piercing in the theatre. She was also insistent that I not try to go to the loo alone after getting back to the ward; I buzzed the nurse to ask to go to the loo, she unplugged me from the drip and oxygen, opened the door, lifted the loo lid and pointed at the buzzer if I had issues.

FIL fell over going to the loo in hospital back in August, delaying his return home by at least a week. I think in the end he "just" bruised his ribs, but he was bloody sore afterwards. I may be more mobile than an 85yo in heart failure, but it reminded me of the last time I was in hospital overnight (when the Teen was born 19 years ago) and getting different directions from the nursing staff.
Actually, not just nurses, my specialist and the anaesthetist gave me different fasting advice; I followed the anaesthetist's as he let me have clear fluids until just before arrriving at hospital.

I doubled down on medical treatment and had a cortisone injection in my hip on Weds. I regretted that on Thursday, maybe it was too big a week of medical things, but good to just get it done.

 

[Pushka]

Have been at the hospital for follow up on elbow for over an hour. Have yet to see anyone. Just been bounced around 4 different reception areas.

Went to the main outpatient clinic reception. They sent me to registrar review. 40 mins in that line and then sent to fracture (where outpatients should have sent me), then got sent to imaging.

Now had xrays and waiting in fracture clinic for the doctor.

In some ways it's a shame your boss wasn't treated to all the delays! Might make him rethink his demands in future.

 

[tgh]

Semaglutide in the news but wait..there is more… never let truth impede a good story ?

From the Australian today :
Taking semaglutide, which is sold under the brand names Ozempic and Wegovy, was found to reduce the risk of cardiovascular problems such as a stroke or heart attack by 20 per cent.
New research, led by University College London and published in The Lancet, found that weight loss accounted for only one third of this reduction, meaning that the drugs also act directly to prevent heart disease.
Experts said the “profound” findings showed that the drugs should not be restricted to severely obese patients, and suggested that the average Briton would benefit from taking them.

https://www.theaustralian.com.au/health/medical/weightloss-jabs-reduce-risk-of-heart-attacks-regardless-of-weight/news-story/1a544eb60ba9bbfc10d15cc1b4af22a5

Increased vision impairment reports linked to semaglutide: analysis of FDA adverse event data - BMC Medicine

Background Semaglutide, a GLP-1 receptor agonist widely prescribed for type 2 diabetes and obesity, has recently raised concerns about its ocular safety. This study aimed to investigate the association between semaglutide use and vision impairment using data from the FDA Adverse Event Reporting...

bmcmedicine.biomedcentral.com

 

[Himeno]

That would have annoyed your boss and might have been worth it

He wasn't there. He did get some "good" news though.

Got a message from my line manager/ASM just as I left the hospital to check up how things were going and he relayed the news to the store manager.
Last week the ED doctor said 2 days off, arm in sling then 2 weeks of light duties with no weight through broken arm while waiting Orthopaedic review.

Orthopaedic doctor said no work until 6 weeks after injury (another 5 weeks), then 5kg lift limit for 6 more weeks. After seeing the doctor, they moved me over to physio to get some exercises to do.

I showed the doctor the paperwork the work systems spat out yesterday (recovery plan). He looked at it, said "I don't know what I'm meant to do with this", then just wrote the medical certificate with the time off and light duty limits like he normally would.

Went into work to give them the paperwork. Store manager said to fill in the workers comp paperwork (which he had been trying to avoid), only for me to note that I had already filled in most of the form yesterday and he was just handing me the form that I had printed out and put on his desk.
All that was left was to sign said form. He then asked when I have to go see them again and when the physio appointment is.
I don't have to see the specialist again unless something happens to the arm, and the physio is exercises to do at home.
I'm not going to tell him about the GP appointment, which I made before the arm injury when the GP auto call back system started bugging me about seeing him after they got the hospital report following my ED visit for post viral cough.

In some ways it's a shame your boss wasn't treated to all the delays! Might make him rethink his demands in future.

I'm thinking of contacting the "Team Experience Partner" (HR) and "InjuryCare Partner" for the zone about his repeated desire to attend medical appointments with staff. I know of at least 2 other staff members he has said he needed to go with them to their appointments. I think he did go for one of them. The other has avoided it by saying their case manager was going.
Store > Group (8-11 stores per group) > Zone (3-5 groups per zone). The "Team Experience Partner" and "InjuryCare Partner" work with the Zone manager, the bosses, bosses boss.

 

[RooFlyer]

Experts said the “profound” findings showed that the drugs should not be restricted to severely obese patients, and suggested that the average Briton would benefit from taking them.

Semaglutide was developed as a treatment for diabetes. The weight loss benefit was only recognise later. For awhile GPs could not prescribe it for weight loss but that’s changing now - I’m not sure if the limitation has been done away with, but my GP said he didn’t have a problem with it.

My cardiologist said sometime ago that this stuff will be the new statin. I know some people have problems with statin in particular but just a “universal“ drug that you will take just to help prevent bad things from happening. Yes, I know that’s the lazy way out but it still would be good to prevent a lot of ill health.

Yes, I know that’s the easy way out but it would be good to prevent a lot of ill health.

I just wish they’d put Mounjaro on the PBS. $400/month

 

[prozac]

Think I have picked up a skin infection from hospital. Crease on back of left knee is red, slightly open and crystaline discharge. Probably got it from sitting in the armchair in my cabin not wiped down diligently enough from previous inmate.
Thoughts on treating with betadine or something else?

 

[tgh]

Thoughts on treating with betadine or something else

Iodine will certainly help sterilise the skin surface as a first response but not much help inside..
The crystalline discharge suggest something already inside requiring a medical response.
A pharmac_ can be a good first stop for non scrip ointments.
After that penicillin or a scrape to id the bug from a gp
Catching it in hospital suggests medical intervention sooner rather than later

 

[JohnK]

Mum had twisted bowel in July and needed emergency surgery and at the same time her hernia. They found traces of old scar issue which may have been there since childhood. Mum still still struggling.

On weekend dad went to hospital with twisted bowel and they performed emergency surgery. They were concerned he might not wake up after procedure but dad is in recovery now and all looks OK. They cut 78cm of the bowel and glued it back together. Still has 2.4m bowel remaining. Dad had not been to toilet for 5 days. They did say that bowel looked black in places and again possibly from childhood.

I wonder if this had anything to do with dad suffering from severe constipation for the past 7-8 years to the point he did not want to eat.

Im going to Sydney tonight to visit dad in hospital. I wonder if this curse is ever going to be lifted.

 

[prozac]

Mum had twisted bowel in July and needed emergency surgery and at the same time her hernia. They found traces of old scar issue which may have been there since childhood. Mum still still struggling.

On weekend dad went to hospital with twisted bowel and they performed emergency surgery. They were concerned he might not wake up after procedure but dad is in recovery now and all looks OK. They cut 78cm of the bowel and glued it back together. Still has 2.4m bowel remaining. Dad had not been to toilet for 5 days. They did say that bowel looked black in places and again possibly from childhood.

I wonder if this had anything to do with dad suffering from severe constipation for the past 7-8 years to the point he did not want to eat.

Im going to Sydney tonight to visit dad in hospital. I wonder if this curse is ever going to be lifted.

Might be an idea to add Benefibre to their daily diet. Keep it all light and fluffy and moving.

 

[Quickstatus]

They sent me to registrar review. 40 mins in that line and then sent to fracture

sounds like any fracture would have healed by the time you saw the Dr.

My boss wants to go to the appointment

Not sure how that would help.
The whole point of paying WC is to offload the responsibility of how to get the worker safely back to work.

 

[Quickstatus]

statin in particular but just a “universal“ drug that you will take just to help prevent bad things from happening

The benefit of Statins is overstated IMO.

Drug companies are very clever in extending the use of its drugs by getting eligibility rules relaxed
Statins is one
gabapentins another
slow release opioids another
and now ozempic and its facsimiles

There will always be "success stories" about the above drugs to keep promoting these medicines - good benefit for some, little to no benefit for majority and harm to some while the drug company profits keep increasing whether their drugs work or not..

 

[Quickstatus]

I followed the anaesthetist's as he let me have clear fluids until just before arrriving at hospital.

The days of fasting forever before an op is hopefully going to be a thing of the past.
In reality the fasting regimes were not based on science but an overblown concern to reduce the risk of aspiration of stomach contents into the lungs during anaesthetic which can be life threatening.

All hospital should have siptillsend as a general policy

 

[mrsterryn]

The days of fasting forever before an op is hopefully going to be a thing of the past.
In reality the fasting regimes were not based on science but an overblown concern to reduce the risk of aspiration of stomach contents into the lungs during anaesthetic which can be life threatening.

All hospital should have siptillsend as a general policy

Many decades ago I was booked in for a Cesarean, nil by mouth from the previous night. However on the day for the surgery, doctors went on strike and my surgery instead of being 7 am ended up being early evening. I was finally allowed a few chips of ice but I haven't forgotten that , it was horrendous
Glad to hear they have alternatives nowadays

 

[Quickstatus]

it was horrendous

Sadly the medical profession has done a lot of harm in the past. Preop fasting is one.

Stay away from Drs.

 

[mrsterryn]

Sadly the medical profession has done a lot of harm in the past. Preop fasting is one.

Stay away from Drs.

I will say my colonoscopy prep has definitely improved over the years. Husband who is on more checks due to pancreatic cancer high risk , even those pre test requirements have improved significantly in a few years.

 

[Quickstatus]

I will say my colonoscopy prep has definitely improved over the years

It used to be glycoprep where you have to drink 3 litres.
I remember one patient presenting to ED with a complaint of being allergic to glycoprep. She had diarrhoea.

The best way to antagonise the ward nurses is to give them an immobile patient for bowel prep.

 

[Pushka]

I will say my colonoscopy prep has definitely improved over the years. Husband who is on more checks due to pancreatic cancer high risk , even those pre test requirements have improved significantly in a few years.

That's good to know. I vomited with the preop stuff last time, 10 years ago. And kept it up all day. Not diarrhoea . Contacted the surgery on morning of procedure and they didn't want to cancel. So they did a wash out when I got there. Which I actually preferred to the vomiting.

I had the preop bowel prep previously for robotic surgery and it was fine. But not this time.

 

[prozac]

I will say my colonoscopy prep has definitely improved over the years. Husband who is on more checks due to pancreatic cancer high risk , even those pre test requirements have improved significantly in a few years.

I enjoy the taste of the pico-prep. Is that weird?