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Is it time for me to find a new cardiologist
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Javier
medicine forum addict


Joined: 20 Jun 2005
Posts: 99

PostPosted: Sun Jun 25, 2006 10:40 pm    Post subject: Re: Is it time for me to find a new cardiologist Reply with quote

Heck, with a cardiac issue it's always best to be cautious and make the
call. The one time I don't make the call the the smoke won't be from
the BBQ.
Jeff wrote:
Quote:
"Javier" <rojasj@gmail.com> wrote in message
news:1151171908.238686.102100@g10g2000cwb.googlegroups.com...
Jeff,

The reason I called them was becuase I felt discomfort in my left arm.
Had I felt discomfort in my right glute or had an ear ache I would have
called my PCP. From my point of view I made the right call. Yet, I
feel as if I had called the fire department because I smell smoke and
then having the FD tell me to call 411 and ask them what I should do.

Javier

There is no question that calling the cardiologist was the right thing to
do. However, I think the cardiologist office responded properly. They told
you it is not cardiac in nature. It is like learning that the smoke is from
the BBQ next door. There may be zoning violations or health violations, but
it is not up to the fire department to determine if that is the case. Or
maybe the neighbors should invite you over for some hot dogs or better yet,
ribs.

Now, if you think the cardiologist's office didn't ask you all the questions
they have or that you should have spoken to the cardiologist, that is a
different issue.

Jeff


Jeff wrote:
outsor@citynet.net> wrote in message
news:449d3205$0$76286$4d5ecec7@reader.city-net.com...
Any of your doctors are paid consultants. If you feel that any one of
them is not producing the services purchased then fire them. Part of
finding a new one is to clarify exactly what services when and how
delevered is to be expected.

Yeah, but is it fair to expect a cardiologist to know and treat arm
problems? Certainly, it was appropriate to call the cardiologist's office
because pain radiating to the arm is a sign of cardiac problems, but it
is
not appropriate to expect him to treat problems that fall into the realm
of
physical therapists, arthropods or primary care docs.

Jeff
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Jeff
medicine forum Guru


Joined: 25 Mar 2005
Posts: 1313

PostPosted: Sun Jun 25, 2006 5:38 pm    Post subject: Re: Is it time for me to find a new cardiologist Reply with quote

"Javier" <rojasj@gmail.com> wrote in message
news:1151197156.089549.300340@i40g2000cwc.googlegroups.com...
Quote:
I have to disagree wiht you Jeff. If I didn't have any prior history of
cardiac problems I would be on your side. However, since I do I felt I
was better off asking than calling my PCP only to be told to call my
cardiologist.

Read my reply again. I said it was appropriate for you to call the
cardiologist's office.

Jeff
Quote:

Jeff wrote:
outsor@citynet.net> wrote in message
news:449d3205$0$76286$4d5ecec7@reader.city-net.com...
Any of your doctors are paid consultants. If you feel that any one of
them is not producing the services purchased then fire them. Part of
finding a new one is to clarify exactly what services when and how
delevered is to be expected.

Yeah, but is it fair to expect a cardiologist to know and treat arm
problems? Certainly, it was appropriate to call the cardiologist's office
because pain radiating to the arm is a sign of cardiac problems, but it
is
not appropriate to expect him to treat problems that fall into the realm
of
physical therapists, arthropods or primary care docs.

Jeff
Back to top
Jeff
medicine forum Guru


Joined: 25 Mar 2005
Posts: 1313

PostPosted: Sun Jun 25, 2006 5:36 pm    Post subject: Re: Is it time for me to find a new cardiologist Reply with quote

"Javier" <rojasj@gmail.com> wrote in message
news:1151196993.028916.250940@p79g2000cwp.googlegroups.com...
Quote:
George,

First off, no I didn't know I had to touch base with my PCP. If it was
something other than my left arm I would have. Perhaps I value my life
too much to waste time bouncing from one dr to another. Oh by the way,
my pcp told me to call my cardiologist and talk to him, so I did the
right thing in the first place.

I do beleive you made the right call, both figuratively and literally.

One thing that I can see that may lead to a problem in perception of the
issue is that you apparantly had pain in the night and waited until the
morning to call. I am wondering if the cardiologist's office thought that
this is not acute pain and felt that it is unlikely to be heart-related
pain. I think this may have been an issue for the cardiologist's office.
However, I haven't seen any posts that bring this fact up, so I don't think
it entered into our discussion.

I think I am able to understand how you feel. I think you feel that the
cardiologist's officed should have done more, like explain why it is
unlikely to be heart pain, and why you should contact your PCP again.

On the other hand, I understand how the cardiologist's office feels that if
it is not heart pain, you should work with your PCP, because they can't help
arm pain if it is not cardiac.

Honestly, I think that the problem is the way the cardiologist's talk to
you, which probably should have been more professional.

Jeff

Quote:
Perhaps I'm not as banged up as you and thus I don't spend much time in
and out of a doctor's office. I didn't make a mistake you idiot, I
made a good judgment call you are just too stupid to figure that out.

Secondly, if you can't add anything that is worth while to this posting
do us and the rest of the world a favor, call your PCP and ask for
something that will take care of your PMS or better yet put a gun in
your mouth and blow your brains out.



George wrote:
You expect the people on this NG to think you honestly don't know (as
everyone else knows) that your PCP is supposed to be contacted in such
situations? You should consult your PCP first because he/she is better
qualified to make medical evaluations than you or a specialist who
doesn't
know your history, are. Instead, you decided to bypass your PCP and
diagnose a possible cardiac event yourself, then you're pissed that the
cardiologist, who probably has many demands on his time, didn't treat you
like a cardiac case as you "deserved"?

First you made a mistake, now you whine that things didn't work out the
way
you thought you deserved. Do your busy cardiologist a favor and switch
to
another provider.



"Javier" <rojasj@gmail.com> wrote in message
news:1151171908.238686.102100@g10g2000cwb.googlegroups.com...
Jeff,

The reason I called them was becuase I felt discomfort in my left arm.
Had I felt discomfort in my right glute or had an ear ache I would have
called my PCP. From my point of view I made the right call. Yet, I
feel as if I had called the fire department because I smell smoke and
then having the FD tell me to call 411 and ask them what I should do.

Javier
Jeff wrote:
outsor@citynet.net> wrote in message
news:449d3205$0$76286$4d5ecec7@reader.city-net.com...
Any of your doctors are paid consultants. If you feel that any one
of
them is not producing the services purchased then fire them. Part
of
finding a new one is to clarify exactly what services when and how
delevered is to be expected.

Yeah, but is it fair to expect a cardiologist to know and treat arm
problems? Certainly, it was appropriate to call the cardiologist's
office
because pain radiating to the arm is a sign of cardiac problems, but
it
is
not appropriate to expect him to treat problems that fall into the
realm
of
physical therapists, arthropods or primary care docs.

Jeff

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Jeff
medicine forum Guru


Joined: 25 Mar 2005
Posts: 1313

PostPosted: Sun Jun 25, 2006 5:22 pm    Post subject: Re: Is it time for me to find a new cardiologist Reply with quote

"Javier" <rojasj@gmail.com> wrote in message
news:1151171908.238686.102100@g10g2000cwb.googlegroups.com...
Quote:
Jeff,

The reason I called them was becuase I felt discomfort in my left arm.
Had I felt discomfort in my right glute or had an ear ache I would have
called my PCP. From my point of view I made the right call. Yet, I
feel as if I had called the fire department because I smell smoke and
then having the FD tell me to call 411 and ask them what I should do.

Javier

There is no question that calling the cardiologist was the right thing to
do. However, I think the cardiologist office responded properly. They told
you it is not cardiac in nature. It is like learning that the smoke is from
the BBQ next door. There may be zoning violations or health violations, but
it is not up to the fire department to determine if that is the case. Or
maybe the neighbors should invite you over for some hot dogs or better yet,
ribs.

Now, if you think the cardiologist's office didn't ask you all the questions
they have or that you should have spoken to the cardiologist, that is a
different issue.

Jeff


Quote:
Jeff wrote:
outsor@citynet.net> wrote in message
news:449d3205$0$76286$4d5ecec7@reader.city-net.com...
Any of your doctors are paid consultants. If you feel that any one of
them is not producing the services purchased then fire them. Part of
finding a new one is to clarify exactly what services when and how
delevered is to be expected.

Yeah, but is it fair to expect a cardiologist to know and treat arm
problems? Certainly, it was appropriate to call the cardiologist's office
because pain radiating to the arm is a sign of cardiac problems, but it
is
not appropriate to expect him to treat problems that fall into the realm
of
physical therapists, arthropods or primary care docs.

Jeff
Back to top
Javier
medicine forum addict


Joined: 20 Jun 2005
Posts: 99

PostPosted: Sun Jun 25, 2006 1:01 am    Post subject: Re: Is it time for me to find a new cardiologist Reply with quote

Yes, you are right about that. I've noticed an overall decline in the
way they treat people so it's time to move on.


outsor@citynet.net wrote:
Quote:
Any of your doctors are paid consultants. If you feel that any one of
them is not producing the services purchased then fire them. Part of
finding a new one is to clarify exactly what services when and how
delevered is to be expected.
Back to top
Javier
medicine forum addict


Joined: 20 Jun 2005
Posts: 99

PostPosted: Sun Jun 25, 2006 1:00 am    Post subject: Re: Is it time for me to find a new cardiologist Reply with quote

Remember I didn't asking him to treat my arm, I asked if this is
something I should be worried about.

Jav


Jeff wrote:
Quote:
outsor@citynet.net> wrote in message
news:449d3205$0$76286$4d5ecec7@reader.city-net.com...
Any of your doctors are paid consultants. If you feel that any one of
them is not producing the services purchased then fire them. Part of
finding a new one is to clarify exactly what services when and how
delevered is to be expected.

Yeah, but is it fair to expect a cardiologist to know and treat arm
problems? Certainly, it was appropriate to call the cardiologist's office
because pain radiating to the arm is a sign of cardiac problems, but it is
not appropriate to expect him to treat problems that fall into the realm of
physical therapists, arthropods or primary care docs.

Jeff
Back to top
Javier
medicine forum addict


Joined: 20 Jun 2005
Posts: 99

PostPosted: Sun Jun 25, 2006 12:59 am    Post subject: Re: Is it time for me to find a new cardiologist Reply with quote

I have to disagree wiht you Jeff. If I didn't have any prior history of
cardiac problems I would be on your side. However, since I do I felt I
was better off asking than calling my PCP only to be told to call my
cardiologist.


Jeff wrote:
Quote:
outsor@citynet.net> wrote in message
news:449d3205$0$76286$4d5ecec7@reader.city-net.com...
Any of your doctors are paid consultants. If you feel that any one of
them is not producing the services purchased then fire them. Part of
finding a new one is to clarify exactly what services when and how
delevered is to be expected.

Yeah, but is it fair to expect a cardiologist to know and treat arm
problems? Certainly, it was appropriate to call the cardiologist's office
because pain radiating to the arm is a sign of cardiac problems, but it is
not appropriate to expect him to treat problems that fall into the realm of
physical therapists, arthropods or primary care docs.

Jeff
Back to top
Javier
medicine forum addict


Joined: 20 Jun 2005
Posts: 99

PostPosted: Sun Jun 25, 2006 12:56 am    Post subject: Re: Is it time for me to find a new cardiologist Reply with quote

George,

First off, no I didn't know I had to touch base with my PCP. If it was
something other than my left arm I would have. Perhaps I value my life
too much to waste time bouncing from one dr to another. Oh by the way,
my pcp told me to call my cardiologist and talk to him, so I did the
right thing in the first place.

Perhaps I'm not as banged up as you and thus I don't spend much time in
and out of a doctor's office. I didn't make a mistake you idiot, I
made a good judgment call you are just too stupid to figure that out.

Secondly, if you can't add anything that is worth while to this posting
do us and the rest of the world a favor, call your PCP and ask for
something that will take care of your PMS or better yet put a gun in
your mouth and blow your brains out.



George wrote:
Quote:
You expect the people on this NG to think you honestly don't know (as
everyone else knows) that your PCP is supposed to be contacted in such
situations? You should consult your PCP first because he/she is better
qualified to make medical evaluations than you or a specialist who doesn't
know your history, are. Instead, you decided to bypass your PCP and
diagnose a possible cardiac event yourself, then you're pissed that the
cardiologist, who probably has many demands on his time, didn't treat you
like a cardiac case as you "deserved"?

First you made a mistake, now you whine that things didn't work out the way
you thought you deserved. Do your busy cardiologist a favor and switch to
another provider.



"Javier" <rojasj@gmail.com> wrote in message
news:1151171908.238686.102100@g10g2000cwb.googlegroups.com...
Jeff,

The reason I called them was becuase I felt discomfort in my left arm.
Had I felt discomfort in my right glute or had an ear ache I would have
called my PCP. From my point of view I made the right call. Yet, I
feel as if I had called the fire department because I smell smoke and
then having the FD tell me to call 411 and ask them what I should do.

Javier
Jeff wrote:
outsor@citynet.net> wrote in message
news:449d3205$0$76286$4d5ecec7@reader.city-net.com...
Any of your doctors are paid consultants. If you feel that any one of
them is not producing the services purchased then fire them. Part of
finding a new one is to clarify exactly what services when and how
delevered is to be expected.

Yeah, but is it fair to expect a cardiologist to know and treat arm
problems? Certainly, it was appropriate to call the cardiologist's office
because pain radiating to the arm is a sign of cardiac problems, but it
is
not appropriate to expect him to treat problems that fall into the realm
of
physical therapists, arthropods or primary care docs.

Jeff
Back to top
George
medicine forum Guru Wannabe


Joined: 02 May 2005
Posts: 102

PostPosted: Sat Jun 24, 2006 7:49 pm    Post subject: Re: Is it time for me to find a new cardiologist Reply with quote

You expect the people on this NG to think you honestly don't know (as
everyone else knows) that your PCP is supposed to be contacted in such
situations? You should consult your PCP first because he/she is better
qualified to make medical evaluations than you or a specialist who doesn't
know your history, are. Instead, you decided to bypass your PCP and
diagnose a possible cardiac event yourself, then you're pissed that the
cardiologist, who probably has many demands on his time, didn't treat you
like a cardiac case as you "deserved"?

First you made a mistake, now you whine that things didn't work out the way
you thought you deserved. Do your busy cardiologist a favor and switch to
another provider.



"Javier" <rojasj@gmail.com> wrote in message
news:1151171908.238686.102100@g10g2000cwb.googlegroups.com...
Quote:
Jeff,

The reason I called them was becuase I felt discomfort in my left arm.
Had I felt discomfort in my right glute or had an ear ache I would have
called my PCP. From my point of view I made the right call. Yet, I
feel as if I had called the fire department because I smell smoke and
then having the FD tell me to call 411 and ask them what I should do.

Javier
Jeff wrote:
outsor@citynet.net> wrote in message
news:449d3205$0$76286$4d5ecec7@reader.city-net.com...
Any of your doctors are paid consultants. If you feel that any one of
them is not producing the services purchased then fire them. Part of
finding a new one is to clarify exactly what services when and how
delevered is to be expected.

Yeah, but is it fair to expect a cardiologist to know and treat arm
problems? Certainly, it was appropriate to call the cardiologist's office
because pain radiating to the arm is a sign of cardiac problems, but it
is
not appropriate to expect him to treat problems that fall into the realm
of
physical therapists, arthropods or primary care docs.

Jeff
Back to top
Javier
medicine forum addict


Joined: 20 Jun 2005
Posts: 99

PostPosted: Sat Jun 24, 2006 5:59 pm    Post subject: Re: Is it time for me to find a new cardiologist Reply with quote

Yup,

I think they are going bye..bye. It's not5 like I call them every day.
In a year I've called twice.


outsor@citynet.net wrote:
Quote:
Any of your doctors are paid consultants. If you feel that any one of
them is not producing the services purchased then fire them. Part of
finding a new one is to clarify exactly what services when and how
delevered is to be expected.
Back to top
Javier
medicine forum addict


Joined: 20 Jun 2005
Posts: 99

PostPosted: Sat Jun 24, 2006 5:58 pm    Post subject: Re: Is it time for me to find a new cardiologist Reply with quote

Jeff,

The reason I called them was becuase I felt discomfort in my left arm.
Had I felt discomfort in my right glute or had an ear ache I would have
called my PCP. From my point of view I made the right call. Yet, I
feel as if I had called the fire department because I smell smoke and
then having the FD tell me to call 411 and ask them what I should do.

Javier
Jeff wrote:
Quote:
outsor@citynet.net> wrote in message
news:449d3205$0$76286$4d5ecec7@reader.city-net.com...
Any of your doctors are paid consultants. If you feel that any one of
them is not producing the services purchased then fire them. Part of
finding a new one is to clarify exactly what services when and how
delevered is to be expected.

Yeah, but is it fair to expect a cardiologist to know and treat arm
problems? Certainly, it was appropriate to call the cardiologist's office
because pain radiating to the arm is a sign of cardiac problems, but it is
not appropriate to expect him to treat problems that fall into the realm of
physical therapists, arthropods or primary care docs.

Jeff
Back to top
Jeff
medicine forum Guru


Joined: 25 Mar 2005
Posts: 1313

PostPosted: Sat Jun 24, 2006 3:37 pm    Post subject: Re: Is it time for me to find a new cardiologist Reply with quote

<outsor@citynet.net> wrote in message
news:449d3205$0$76286$4d5ecec7@reader.city-net.com...
Quote:
Any of your doctors are paid consultants. If you feel that any one of
them is not producing the services purchased then fire them. Part of
finding a new one is to clarify exactly what services when and how
delevered is to be expected.

Yeah, but is it fair to expect a cardiologist to know and treat arm
problems? Certainly, it was appropriate to call the cardiologist's office
because pain radiating to the arm is a sign of cardiac problems, but it is
not appropriate to expect him to treat problems that fall into the realm of
physical therapists, arthropods or primary care docs.

Jeff
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Andrew B. Chung, MD/PhD
medicine forum Guru


Joined: 25 Mar 2005
Posts: 8540

PostPosted: Sat Jun 24, 2006 3:23 pm    Post subject: Re: Is it time for me to find a new cardiologist Reply with quote

Javier wrote:
Quote:
Here's the story.. I started feeling some slight discomfort in my left
bicep last night, so this morning I decided to call my cardiologist and
ask them if it was anything to worry about. Now, I knew the discomfort
it was probably not an issue since it didn't happen while I was
exercising and it came and went when I was simply walking around or
standing still. As a matter of fact I just felt it and I'm sitting
one the coach with my notebook pc on my lap.

I spoke with his nurse told her what I felt, her reply was that it was
probably not cardiac but that the usual procedure is for me to call my
PCP and let him know and then he will tell me if I should call the
cardiologists office. "In other words don't call us nless your PCP
tells you to".


Ok, I could understand if I was walking into their office without a
referral from my PCP but I was simply calling them. I've been going to
their office for over a year and thought I had a good relationship with
them but I guess not.

So, is this the usual thing after a year or is it time for me to move
on?

It really depends on your level of dissatisfaction. Noone knows this
except you and GOD.

Prayerfully in Christ's amazing love,

Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/TheLife
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outsor@citynet.net
medicine forum Guru


Joined: 11 Sep 2005
Posts: 569

PostPosted: Sat Jun 24, 2006 2:18 pm    Post subject: Re: Is it time for me to find a new cardiologist Reply with quote

"Yeah, but is it fair to expect a cardiologist to know and treat arm
problems? Certainly, it was appropriate to call the cardiologist's office
because pain radiating to the arm is a sign of cardiac problems, but it is
not appropriate to expect him to treat problems that fall into the realm
of
physical therapists, arthropods or primary care docs."

A doctor provides purchased services, just like the guy who fixes your
car. All informed people know pain in the left arm can be a symptom of a
cvd problem. The doc who provides the cvd related consultation was paid
to consult thusly. More likely the payment, if any, from the health plan
in effect for phone consult is far less then an office visit. The
customer gets to decide if services purchased were delivered. The nurse
was in no position to detrermine the signifsignificance of the arm pain
and a cvd person would not be calling a physical therapist to evaluate cvd
implications. If he had called his gp most likely he would have been told
to go to the er just to make sure, where a cvd person would be on hand if
required; the very service purchased in the first place and for which a
full consult fee would then be paid.
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outsor@citynet.net
medicine forum Guru


Joined: 11 Sep 2005
Posts: 569

PostPosted: Sat Jun 24, 2006 12:37 pm    Post subject: Re: Is it time for me to find a new cardiologist Reply with quote

Any of your doctors are paid consultants. If you feel that any one of
them is not producing the services purchased then fire them. Part of
finding a new one is to clarify exactly what services when and how
delevered is to be expected.
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