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Am I wrong to be mad?

 
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Lao Wai



Joined: 01 Aug 2005
Location: East Coast Canada

PostPosted: Mon Jan 29, 2007 2:13 am    Post subject: Am I wrong to be mad? Reply with quote

Hey,

So, I just got back from the doctor and am pissed off (I'm in Hong Kong). A little background info...When I get a cold, I'm only sick for about 3 days. All symptoms disappear except for a dry cough. This happens EVERY TIME. The dry cough goes on and on and on....Hence why I go to the doctor. Anyway, most doctors have prescribed me a powder inhaler called symbicort. It's a bronchodilator. It works like a charm EVER TIME. So, when I went to this doctor I explained my history, and what other doctors have prescribed. He then told me he was going to give me some medicine but not the inhaler. I asked why not. He said because it's only prescribed for asthma. So, I asked him about the medicine he wanted to prescribe. He said it's a bronchodilator. So, I was confused. If they're both bronchodilators, why not give me the one that I know has worked very well in the past. I was just asking questions, not being a jerk. He then told me that I came in DEMANDING medication and that he wouldn't prescribe the inhaler. I knew he was pissed. He said he'd waive the consultation fee and I could go to another doctor. I said, okay, well you're the doctor so I'll go with what you want to do. (Even though I was pissed).

So, I get home and have looked up the pills he's prescribed to me (3 days worth...yay) along with cough syrup (doesn't work), throat lozenges (told him I don't have a sore throat), etc. You know what the pills are indicated for?? ASTHMA! The reason he told me he wouldn't give me the inhaler was because it was indicated for asthma.

I knew he didn't want me questioning him and could tell he was pissed off. I've never had a doctor like this before. Most times when I tell them previous meds I've taken, they agree and say it's quite effective. My previous doctors have also explained how the meds work, etc. This guy just wanted me to nod my head like a good little boy and keep my mouth shut.

So, was I in the wrong to be questioning him? I wouldn't like people telling me how to teach, but....


Last edited by Lao Wai on Mon Jan 29, 2007 3:54 am; edited 1 time in total
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Boodleheimer



Joined: 10 Mar 2006
Location: working undercover for the Man

PostPosted: Mon Jan 29, 2007 2:17 am    Post subject: Reply with quote

ni de daifu hen bu hao!
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Lao Wai



Joined: 01 Aug 2005
Location: East Coast Canada

PostPosted: Mon Jan 29, 2007 2:23 am    Post subject: Reply with quote

KWhitehead wrote:
ni de daifu hen bu hao!


Your doctor is very bad? Is that what you're saying? My Putonghua is not great.
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RACETRAITOR



Joined: 24 Oct 2005
Location: Seoul, South Korea

PostPosted: Mon Jan 29, 2007 2:49 am    Post subject: Reply with quote

Maybe he's getting a kickback from a pharmaceutical company to prescribe their medication. I've heard that used to happen (which is code for still does) among doctors and pharmacists in Korea.
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Grimalkin



Joined: 22 May 2005

PostPosted: Mon Jan 29, 2007 3:32 am    Post subject: Reply with quote

Your inhaler is only treating the symptoms of your asthma. I suspect the doctor has given you pills for the underlying cause. If he has he's a very good doctor!


Are your pill prednisolone (generic name maybe the brand name is different) or some other form of oral steroid. If they are that makes a lot of sense!


Hope you feel better soon. Smile
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Lao Wai



Joined: 01 Aug 2005
Location: East Coast Canada

PostPosted: Mon Jan 29, 2007 4:10 am    Post subject: Reply with quote

Grimalkin wrote:
Your inhaler is only treating the symptoms of your asthma. I suspect the doctor has given you pills for the underlying cause. If he has he's a very good doctor!


Are your pill prednisolone (generic name maybe the brand name is different) or some other form of oral steroid. If they are that makes a lot of sense!


Hope you feel better soon. Smile


Thanks for the comments. As far as I know, the inhaler I wanted is the corticosteroid, not the pills he gave me. My previous doctors have had high praise for it, and have prescribed it for the exact same problem I went to this doctor for. On the net they also say this is like a wonder drug for Airway Hypersensitivity (AHA). Again, my previous doctors had already explained this to me. This doctor I went to today did not want me to ask any questions at all.

The two pills are Singulair and Theophylline, both of which are indicated for Asthma. And, from what I can see, Singulair and Theophylline are both meant to be taken as a long term treatment for asthma or allergies. I thought the doc said I didn't have asthma (that's why he wouldn't give me the inhaler) yet both the pills he gave me are for asthma...but only 3 days worth?

I'm a practical person. I like to stick with what I know works. Anyway, if he had told me 'these pills are great, they're just as effective as the inhaler and faster...' I would have had no problem. I think my main problem is that he didn't feel that he should have to explain anything to me. I know he is the doctor and has the brains, but a little more info. about the meds would have been nice. My other docs (also in HK) always tell me a bit about any medication they prescribe.

Anyway, I'll see if this helps. Maybe it will work in 3 days. Then I'll come back on here with my tail between my legs.
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Lynns



Joined: 19 Mar 2006
Location: Korea

PostPosted: Mon Jan 29, 2007 4:31 am    Post subject: Reply with quote

You're right, three days worth of Singulair is useless. My son is on Singulair and it's a longterm preventative med, quite effective too, but it doesn't relieve asthma symptoms--for that you need the inhaler.
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Sash



Joined: 08 Aug 2006
Location: farmland

PostPosted: Mon Jan 29, 2007 6:28 am    Post subject: Reply with quote

I've had experiences with deaf doctors too.
Find a good doctor and stick with him/her!!
I hope the new meds do end up working though.

Good luck!
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bluelake



Joined: 01 Dec 2005

PostPosted: Mon Jan 29, 2007 6:52 am    Post subject: Reply with quote

Quote:
Theophylline


Interesting note: theophylline is also found in coffee; I read once that if someone has an asthma attack and does not have an inhaler that they should drink a cup of coffee, because of the theophylline.
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ChopChaeJoe



Joined: 05 Mar 2006
Location: Seoul

PostPosted: Mon Jan 29, 2007 6:53 am    Post subject: Reply with quote

Doctors (all professionals actually) don't like to be told their business by laymmen. You tell the doctor your symptoms, medical history, ect. they make the diagnosis and prescription. You stepped on his toes.

it happens.
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supernaut



Joined: 04 Jan 2007
Location: Nova Scotia

PostPosted: Mon Jan 29, 2007 7:04 am    Post subject: Reply with quote

ChopChaeJoe wrote:
Doctors (all professionals actually) don't like to be told their business by laymmen. You tell the doctor your symptoms, medical history, ect. they make the diagnosis and prescription. You stepped on his toes.

it happens.


Doctors are basically legal drug pushers and the OP basically wanted drugs from a different source, that's my 2 cents anyway.
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Lao Wai



Joined: 01 Aug 2005
Location: East Coast Canada

PostPosted: Mon Jan 29, 2007 7:15 am    Post subject: Reply with quote

ChopChaeJoe wrote:
Doctors (all professionals actually) don't like to be told their business by laymmen. You tell the doctor your symptoms, medical history, ect. they make the diagnosis and prescription. You stepped on his toes.

it happens.


I think you're right about stepping on his toes. I didn't mean to, but I wasn't too impressed with his manner. I'm an inquisitive person, I want to know why. My other doctors were good at this. They'd say something like 'this is a relatively new drug, but it's highly effective and works a lot faster than other treatments...' Or, they've said 'you've got a few options...I could prescribe A but it's side effects are blah...so, I recommend B'. I kept waiting for this doc to say...'You shouldn't use an inhaler because you'll become dependent on it...or something like that' If he had said that I would have been fine with it. But he really gave me no reason as to why he refused my request. To me, if felt like Dad saying 'Because I said so!' or 'Just because!'.

I've been to other doctors in Hong Kong and have been throughly impressed with them. Not so with this guy (and not because I didn't get what I wanted). He didn't want to talk to me about it. In fact, his whole demeanor became more agitated. He was wearing a surgical mask and he started breathing faster. In the end, he basically wanted me gone (hence the offer to waive the consultation fee). It's funny, I usually consider myself to be fairly passive BUT, not when it comes to my health, and a topic I've read up on quite a bit (and not Wiki articles either).
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Grimalkin



Joined: 22 May 2005

PostPosted: Mon Jan 29, 2007 12:13 pm    Post subject: Reply with quote

It's clear from the meds the Dr. has prescribed u that he considers u to be a mild asthmatic who has had a sudden exacerbation.

In that case their is a certain logic in giving you oral med for only a 3 day period. As oral med has a much higher dose than inhaled (up to 50 times) he expects that your symptoms will be brought under control much more speedily.


This is consistent with another Dr. having prescribed u Symbicort if.....


...if you have been instructed to take symbicort only when you have symptoms.


If you are supposed to take your symbicort regularly whether or not you are symptomatic then that is a different case. The corticosteroid in your symbicort is only effective in treating the underlying cause of your asthma if it is taken regularly.

If you are taking it only for symptomatic relief then you are only getting the benefit of the bronchodilator effect. If u really are only a mild asthmatic that is all u probably need.

if your asthma is moderate to severe then u should be using ur inhaler regularly whether u are having symptoms or not.

(Sorry for the bad typing i'm in a rush)
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Lao Wai



Joined: 01 Aug 2005
Location: East Coast Canada

PostPosted: Mon Feb 05, 2007 4:35 am    Post subject: Reply with quote

Hey,

Not that anybody probably cares but...the three days of pills the doctor gave me did help....for those 3 days. Now that they're all gone, it's back to my crap cough again. So, it's off to another doctor for me. Maybe this one can actually help me.
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Howard Roark



Joined: 02 Feb 2003
Location: Canada

PostPosted: Mon Feb 05, 2007 1:43 pm    Post subject: Reply with quote

I had the same problem when I got to ENGLAND. So it can happen here in the west too.

I have an overactive bladder. It's not any kind of infection, just feel like I have to pee a lot.

I had a great urologist in Korea who prescribed very effective medication for me. Overactive bladder is quite a common and simple problem. There are 5 or 6 medications doctors typically prescribe.

Well, when I got here (England) and ran out of medicine my problem got very bad. Not having a doctor, I went to the ER at the local hospital. The doctor was completely dense. He told me he had no idea what kind of medicine I was talking about, that there was no such thing as medication for overactive bladder. He tried to tell me I had an infection and gave me Canestan cream - which is for fungal infections. I pleaded and argued with this man, to no end.

I had to wait a week to get an appointment with my boyfriend's doctor. She gave me the medicine I wanted without any problems and said it was odd that the doctor at the ER didn't help me.

That trip to the ER cost me $100. I had a very rough first week in jolly old England because of that obtuse ER f**ker.

P.S. I really like England, don't get me wrong.
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