6 ms·

One mistake is getting a surgery "just to see." Then you get your REAL pain.

polar8 4y ago
What do you mean?
taneq 4y ago
People... do that? Have unneeded surgery just for curiosity's sake? There are far easier, cheaper and safer ways to entertain oneself.
- sroussey 4y ago
  Doctors if baffled by a condition will want to do a surgery eventually, because they want to literally “see” what’s going on. When they did that to my sister they discovers that her arteries were fine but capillaries had died off and the muscle was dead, so cutting into it caused a new cascade of issues. Diabetes can be awful. She did not survive long after that.
- eurasiantiger 4y ago
  It’s almost like for-profit healthcare created incentives to perform unnecessary high-risk operations.
  - bckr 4y ago
    Don't think so. People often can't get treatments that they need because insurance won't cover it.
    - eurasiantiger 4y ago
      Who exactly are the people you’re referring to, and how much of total hospital visits are by those people? (e.g. locally, nationally, globally)
      - clarkevans 4y ago
        Health insurance providers have guidelines that need to be followed by doctors for almost every intervention (procedure, medication, etc.). Typically those guidelines are evidence based, that is, there must have been a study that shows the intervention was helpful for a given diagnosis. Even then, the guidelines may not reflect the studies that your doctor is using as the basis for their treatment plan. If you have a rare disease, this is problematic since there is often little evidence applicable to your treatment. Quite often patients will get a denial first, and then the doctors have a "peer to peer" where they must justify the intervention to the insurance company; often these peer to peer requests are also rejected. Finally, there is an appeal process with more extensive documentation requirements, which may take 10 days (and this is the expedited timeline). During those ten long days, the medical condition of the patient may be rapidly changing. There is suggested legislation regarding peer-to-peer problems, namely cases where the doctor assigned by the insurance company isn't even qualified to understand the medical condition or its treatment. See https://twitter.com/OffWhiteCoat/status/1559609045027266566 https://twitter.com/OffWhiteCoat/status/1559609045027266566 I don't know the prevalence of insurance denial cases. However, from discussions with my care team, the initial treatment denial by insurance companies is "standard operating procedure". If an application for treatment doesn't check every single box in the procedure guideline, it is denied pending peer to peer, and then quite often to appeal. By the time an appeal succeeds, the treatment may no longer be relevant.
- andrewflnr 4y ago
  More likely "see if this helps" than "just for giggles".
- rippercushions 4y ago
  You literally don't know what you're getting into sometimes. I had an essentially harmless cyst in my wrist, the doctor suggested draining it with a needle on the spot. "Sure, how bad can it be?" I'm completely unbothered by needles, always figured my pain tolerance was decent and they did local anesthesia anyway. Turns out that it was a big needle and the anesthesia basically didn't work: the instant the needle punctured my skin, I felt like I had been body slammed and a wave of nausea washed over me. I'd always figured people fainted because they were somehow scared of needles, but this hit me so hard that I could feel the room start to spin and my vision dim, and I had to lie down for a while. I was fine within minutes, but with something like shoulder surgery, a similarly casual decision could easily lead to weeks of agony.
mightybyte 4y ago
I was contemplating surgery years ago because the first doctor I went to said if I wanted to get back to the way I was before the injury I had to have surgery. Thankfully the second doctor I went to said, "You can get surgery if you want, but I'm not going to do it for you. Surgery is for fixing things that impact your everyday life. This doesn't impact your everyday life." I was able to get back to the activities I was doing before the injury without surgery. So grateful for that doctor's advice.

What do you mean?

People... do that? Have unneeded surgery just for curiosity's sake? There are far easier, cheaper and safer ways to entertain oneself.

sroussey 4y ago
Doctors if baffled by a condition will want to do a surgery eventually, because they want to literally “see” what’s going on. When they did that to my sister they discovers that her arteries were fine but capillaries had died off and the muscle was dead, so cutting into it caused a new cascade of issues. Diabetes can be awful. She did not survive long after that.
eurasiantiger 4y ago
It’s almost like for-profit healthcare created incentives to perform unnecessary high-risk operations.
- bckr 4y ago
  Don't think so. People often can't get treatments that they need because insurance won't cover it.
  - eurasiantiger 4y ago
    Who exactly are the people you’re referring to, and how much of total hospital visits are by those people? (e.g. locally, nationally, globally)
    - clarkevans 4y ago
      Health insurance providers have guidelines that need to be followed by doctors for almost every intervention (procedure, medication, etc.). Typically those guidelines are evidence based, that is, there must have been a study that shows the intervention was helpful for a given diagnosis. Even then, the guidelines may not reflect the studies that your doctor is using as the basis for their treatment plan. If you have a rare disease, this is problematic since there is often little evidence applicable to your treatment. Quite often patients will get a denial first, and then the doctors have a "peer to peer" where they must justify the intervention to the insurance company; often these peer to peer requests are also rejected. Finally, there is an appeal process with more extensive documentation requirements, which may take 10 days (and this is the expedited timeline). During those ten long days, the medical condition of the patient may be rapidly changing. There is suggested legislation regarding peer-to-peer problems, namely cases where the doctor assigned by the insurance company isn't even qualified to understand the medical condition or its treatment. See https://twitter.com/OffWhiteCoat/status/1559609045027266566 https://twitter.com/OffWhiteCoat/status/1559609045027266566 I don't know the prevalence of insurance denial cases. However, from discussions with my care team, the initial treatment denial by insurance companies is "standard operating procedure". If an application for treatment doesn't check every single box in the procedure guideline, it is denied pending peer to peer, and then quite often to appeal. By the time an appeal succeeds, the treatment may no longer be relevant.
andrewflnr 4y ago
More likely "see if this helps" than "just for giggles".
rippercushions 4y ago
You literally don't know what you're getting into sometimes. I had an essentially harmless cyst in my wrist, the doctor suggested draining it with a needle on the spot. "Sure, how bad can it be?" I'm completely unbothered by needles, always figured my pain tolerance was decent and they did local anesthesia anyway. Turns out that it was a big needle and the anesthesia basically didn't work: the instant the needle punctured my skin, I felt like I had been body slammed and a wave of nausea washed over me. I'd always figured people fainted because they were somehow scared of needles, but this hit me so hard that I could feel the room start to spin and my vision dim, and I had to lie down for a while. I was fine within minutes, but with something like shoulder surgery, a similarly casual decision could easily lead to weeks of agony.

mightybyte 4y ago

I was contemplating surgery years ago because the first doctor I went to said if I wanted to get back to the way I was before the injury I had to have surgery. Thankfully the second doctor I went to said, "You can get surgery if you want, but I'm not going to do it for you. Surgery is for fixing things that impact your everyday life. This doesn't impact your everyday life." I was able to get back to the activities I was doing before the injury without surgery. So grateful for that doctor's advice.