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Josh, so Rich Klepal trying is still trying to play football?

  • Nashnole said...

    For many years now, statistically, well over half of all diagnoses and procedures, are either incorrect, or done wrong. It is widely known Drs, especially those who work for and are primarily pad by clinics and medical centers "err" on the side of prescribing the most expensive and protracted procedures, and get this, whether they are needed or not. It happened to me with my liver cancer diagnosis. I was VERY aggressively pushed toward a full transplant, when the second opinion I received was it was not an option that needed to be considered at all. Of courser the $350,000 price tag had NOTHING to do with the offensive stance of the liver clinic, and never mind I would be paying thousands of dollars a month in medicine costs and tons of follow visits. Rich is by all means correct in getting a second and even a third opinion. He just needs to get them totally independent from the original, as the second guy, could easily just support his fellow professional colleague to keep him from legally being called out$$$$$$$$.

    You read all the time in the press, how insurance company's are the villain and are to be excoriated as ice holes who only exist to steal money and harass Docs. Bullshit. The Docs do not want anybody as a curb to their often illegal and unethical practices, all in the pursuit of the almighty dollar.

    Some Docs are great, and truly have their patients best interest uppermost in their efforts. Many do not. Sooooo, get those INDEPENDENT second opinions, and ignore the initial guy telling you: "I will be happy to recommend a nice physician to take a look at you" prolly his cousin or relation by wedded punishment.

    Not every provider is like that. In fact, I would say the vast majority are not like that. I've been surrounded by primary care physicians my entire life and can guarantee you that they all care about their patients very, very much. Don't let one bad egg ruin your perception.

    I'll tell you this, doctors are about to feel a significant financial squeeze, which ill likely ripple down to medical schools. Don't be surprised if several private clinics and hospitals close over the next 10 years.

    fsukum

  • Nine concussions!? I didn't realize he's had that many.

    I don't care WHAT the 2nd, 3rd, or 4th doctor says; shut this boy down.

    napoleon

  • I respect your personal experience. However, the macro dynamics dictate much as I've laid it out. I belong to a support group and I can tell you most have had similar experiences. What I cite is not an isolated incident at all. Even my own GP has cautioned me to be cognizant of the "clinic mentality". Doesn't mean the Docs don't care, but they have directives to maximize revenue.

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  • Nashnole said...

    I respect your personal experience. However, the macro dynamics dictate much as I've laid it out. I belong to a support group and I can tell you most have had similar experiences. What I cite is not an isolated incident at all. Even my own GP has cautioned me to be cognizant of the "clinic mentality". Doesn't mean the Docs don't care, but they have directives to maximize revenue.

    Every business tries to maximize revenue and every business has their bad eggs, so to speak. The view on the medical field, I am sad to say, is definitely misconstrued. I brought this same sentiment up with family members who are medical professionals and they set the record straight. I shared your same views towards doctors, on car "doctors", until I realized I was off base. One bad mechanic tainted my view on their business. I've since realized not every mechanic is out to lighten your wallet. A majority of medical professionals aren't going to risk their careers with malpractice to earn a buck. Some do, most do not.

    Seeking a second opinion or even a 3rd opinion on important medical matters, such as surgery, should be done by everyone, regardless of how well respected or trusted your primary care provider is.

    This post has been edited 2 times, most recently by fsukum on 1/22/2013 at 10:03 AM

    fsukum

  • It really is an awful situation, regardless of the outcome of a second opinion.

    After thinking about it, I'm not really sure where I come down on this. My instinct is that he should be counseled of the risks very clearly by everyone involved in his care. He may be 18, but he's still a kid who thinks he's invincible.

    However, if his dream is to play football, who can take that away from him? Race car drivers, MMA fighters, boxers, cops, the military...all work dangerous jobs and we revere them constantly.

    IMO there is enough evidence to support that playing 4 years of D1 football after 9 concussions is a risky life decision.

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    WillyDees

  • My point is, if he gets that second opinion and get approval to play how can Jimbo MDQ him? All a doctor can do is give the kid tests and use proper equipment, if he's healed up enough he passes. At that point it's up to him, and you know that he'll be told how foolish it would be for him to play again. But in the end if he passes all of his tests it will be his decision, the Supreme court has rules LONG ago that we cannot do anything for anyone in their best interests if they don't want it done..

    Noleville

  • fsukum said...

    Every business tries to maximize revenue and every business has their bad eggs, so to speak. The view on the medical field, I am sad to say, is definitely misconstrued. I brought this same sentiment up with family members who are medical professionals and they set the record straight. I shared your same views towards doctors, on car "doctors", until I realized I was off base. One bad mechanic tainted my view on their business. I've since realized not every mechanic is out to lighten your wallet. A majority of medical professionals aren't going to risk their careers with malpractice to earn a buck. Some do, most do not.

    Seeking a second opinion or even a 3rd opinion on important medical matters, such as surgery, should be done by everyone, regardless of how well respected or trusted your primary care provider is.

    Agreed on much of what you say. But again your example is more of a microcosm than of the field in toto. National statics over decades cite a somewhat different picture. MOST Docs are indeed professional in their approach. Some Medical Centers and Clinics are known to be bastions of semi-fraudulent practices. Private Practice Docs and yes, some clinicians are straight up and to be applauded for their forthrightness.

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    Nashnole

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    WillyDees