February 8, 2012

Finding The Right Dcotor

Dr. Schreiber of San Augustine giving a typhoi... 

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Parents have an enormous responsibility to do whatever they can to make sure that their child is taken care of every step of the way. The best way to do that is to get them started with a good pediatrician as soon as they can. It’s important that parents find a doctor who is both helpful and happy to help. Developing  a relationship with a doctor will allow the kids to go through all the ups and downs without any of the real setbacks.

The first step for parents is trying to find a doctor that you can trust and someone who you can count on and whose opinion matters to you. You should start by looking for a referral from a family member or friend. These people may have had young kids that are still going to the same doctor. If you trust their opinion then you may trust their judgment in doctors.

Another thing is to ask a doctor you trust to find a pediatrician for you. There are plenty of doctors who would be happy to give you a referral for a colleague who will provide a sound medical opinion for your child for the formative years of their life. These kids are important and you don’t ever want to take a chance with a doctor you do not trust.

If you cannot find a doctor through those first two methods than you can certainly try finding a doctor just through your insurance company. But either way there is no excuse for being without a doctor.

 

You Need Insurance on Your Side to Fight the Good Fight

Life is carefree until the day that a terminal disease enters the picture. You can live in a healthy manner, making all the right choices, but sometimes, your number comes up anyway. Nothing can prepare you for the really bad news you might receive from your doctor one day. Nothing, that is, except for health insurance. Having insurance is the only real way of standing a chance when the doctor’s bad news includes the words, “terminal illness.”

When it is a diagnosis that involves cancer or imminent renal failure due to hereditary factors, the sad fact is that most doctors can’t accurately tell a patient how much longer they’ve got to live. They can be candid and honest, but research shows that doctor’s estimates on remaining lifespan in the case of terminal disease tend to be overly optimistic. There’s no way to turn that into good news.

One way to realistically prepare for such news is to stack the deck in your favor. In this case, that involves making sure you’ve got the best health insurance money can buy.To fight a terminal disease and stand a fighting chance, you need expert medical care. This can involve operations to remove the malfeasance, an unfortunate amount of time spent in a hospital, and more medication prescriptions than you might have thought possible. But they’re all necessary.

Health insurance can help you to afford these essential medical procedures, without which your chances of being healthy, or even surviving, are quite low. It can also ease your mind’s worry about costs when you need to be focused on your recovery efforts. Check out online insurance quotes, because you’ll need the best medical care available to help fight your battles. You’ll find the most competitive quotes by utilizing the vast researching power of the internet, whose reach extends far beyond your town or city’s somewhat limited insurance choices. In this case, a comparative, competitive quote could save your life.

How to Choose a Pediatrician

If you have just had a baby or have recently moved to a new city and you have children, you may need to find a pediatrician for them. It is important that you find one and get accepted on his patient list so that everything is in place before your child gets sick.

Choosing a pediatrician is a difficult task. The first thing you should know is if the doctor is certified by the American Board of Pediatrics. If the doctor has been in practice for more than a few years, he should be certified.

One of the best ways to find a good doctor is to ask neighbors and acquaintances, who you trust, who their doctor is. Ask them these questions while making your decision.

How gentle is the doctor with children? A doctor who works gently with children genuinely cares about their health and well-being.

How does the doctor interact with children? He should talk directly to them, ask them questions about their illness, and then really listen to them. He should not show impatience or be condescending to either you or your child. Does he answer all of your questions? Do you feel rushed during the examination?

Take other things into consideration. Observe his office. Does he separate his sick patients from his well patients? Does he have toys or books for children to play with while waiting to be seen? Is his office clean and tidy?

Check out his staff. Are they cheerful, friendly, and gentle with children? How do they handle children who don’t want to get their shots? Does the office seem understaffed?

When calling the doctor’s office, notice how easy it is to get through on the telephone. Ask how long it takes to get an appointment when your child is sick. Ask about co-payments, if they accept your insurance provider, what the office hours are, and how you can reach the doctor for either routine questions or urgent problems.

Keep in mind that your choice of doctor is not permanent. You may change doctors any time you are dissatisfied with the care you are receiving.

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Don’t Believe Drug Advertising

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Advertising is a powerful tool. It makes us crazy for cars, clothes, vacations, homes, and food. Companies spend millions of dollars on making sure the consumer is enticed by their product. The pharmaceutical industry is no different than the big name food chain. They spend a lot of money to get you to take your existing medication and replace it with the new flashy medication. Certainly you do not want to be hasty in your decision to go with a medication or not but what you do want to do is to make sure that you think about everything before you waltz into your doctor’s office and demand that he give you the new medication.

You have to keep in mind that if something isn’t broke then there is no reason to fix it. If your doctor puts you on a heart medication and it seems to be working there is a danger in taking you off that heart medication and going with something else. Changing for the sake of changing doesn’t do anyone any good. Your doctor knows that so don’t be surprised if you ask and he flat out tells you he will not make the change.

You also need to ask yourself why you think you need to change medications. For instance if you are on a heart medicine and a blood pressure medicine but then you see a combination drug on tv, does that mean that you need to be on that combination drug? Are the two medications that you are taking not working for you? Would this combo drug work better? You might find that going to a combo drug will help with the one drug that wasn’t working well but then hurt you by not taking the drug that was working well in the first place. It might be better not to rock the apple cart.

If you really believe a medication can be helpful you should bring it up to your doctor at your next visit but don’t be fooled by the advertising, not everything makes sense for you.

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Understanding the Prior Authorization

There used to be a time when you would get a drug prescription from your doctor, take it to your local pharmacy, wait ten minutes and then take your medication home. Well, those days are long gone. Getting a prescription from your doctor is no longer the key to getting the medicine you want or need. Now, the most important thing is running the medication past your insurance company and hoping and praying that they pay for it. If you have ever heard the words “prior authorization” then you understand that sometimes getting the script is a problem, but perhaps you don’t know why. There is a reason for prior authorizations.

When an insurance companies goes through there drug list they set parameters for each drug. They decide if they pay for it, how much they pay for it, and at what age they pay for it. Occasionally they make exceptions for patients who meet some specific criteria. Let’s say a 40 year old woman is having a severe bout of acne. Perhaps she has tried all the over the counter treatments but there were of no help. She sees her doctor and her doctor gives her a script for some heavy duty acne cream. The pharmacy may try to bill it to the insurance company but the insurance company requires a prior authorization.

The reason is they don’t have it in their guidelines that a woman over the age of 25 should experience acne problems so they won’t cover the medication. They will then require that the doctor call them and tell them the exact reason why she is in need of such an expensive and unusual cream for her age. The doctor will have to say the right things. To say she suffers from acne may not be enough but to say she suffers from chronic acne may be all that is needed. Sometimes they will come back and reject the claim outright and then it’s up to the doctor and the patient to decide what is the next best course of action which may include a new prescription.

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Getting a Second Opinion

One of life’s worst moments is to be diagnosed by your doctor with a life-threatening illness. There is a feeling of panic that cannot be described by any other event in your life and there are more than a few emotions that will run through your veins. But once the dust has settled you begin to start asking yourself “is this really accurate?” It’s a fair question as there is no way of knowing what the doctor is seeing and if there are right and with your health you can’t take any chances so you then decide to get a second opinion. This is one of the smarter moves you can make but you have to be careful or you could end up getting the short end of the stick on the diagnosis.

The first thing you want to do is stay away from a doctor referral for a second opinion. There is nothing wrong with the doctors your doctors know expect that they have a personal relationship. It might be difficult for a colleague to go against the diagnosis or treatment plan your current doctor has laid out, unless it happens to be 100% wrong.

So the next step is to go to the hospital that has been rated as the best for your condition. So finding the hospital in your area that has the best oncology staff is where you should go. Your second opinion really should be the final opinion so head to someone who you believe to be an expert on the subject. Make sure you let your doctors office know you will be seeking a second opinion and that you need the records sent over to the other doctors office. They should be understanding that you need to keep the other doctor as up to date as humanly possible.

Make sure that you are completely upfront with your new doctor about what was said and why you are seeking a second opinion. Hopefully you find the answers you are looking for.

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Differing Opinions on Diagnosis

If your doctor has told you that you have a life threatening disease like cancer or ALS or Parkinson’s, you are probably thinking about treatment options and how you will adjust to your life with this disease. But ultimately you must be curious about the diagnoses itself. This cannot be an easy conclusion to take at face value, and while you certainly trust your doctor you cannot possibly trust that he hasn’t made any mistakes. And you shouldn’t. Your health is far too important to ever just take a doctors word for it. But what if that second opinion turns up completely different? It’s rare and most doctors can see and identify the same things, so what do you do then?

Well the first thing is not to panic. This has happened before. Usually with huge things like a tumor of something that has an conclusive test you wouldn’t get two different diagnosis but for other, less obvious diseases there is always the risk you run that you are not going to get the same diagnosis twice.

Make sure you talk with both of your physicians and see if there may have been anything that could have been compromised. Perhaps there were abnormalities in the lab. Perhaps there was blood that was contaminated. The other thing is to find out what both doctors did. Did they test for the same things? Did they perform the same in office examination? You have to make sure you are clear on what exactly is happening here and make sure that both doctors were on the same page.

You should have them talk to one another. As a professional courtesy they should talk to one another and determine where they were different in their diagnoses. If this still does not give you the answers or satisfaction you need then make sure to take your case to a world renowned hospital. Take it to a place that will give you exactly what you are looking for. There is an answer out there.

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Staying Away From Maintenance Medications

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One of the highest costs in the health care industry is the amount of money you spend on prescription drugs. As the years go on not only will you be on more drugs because of the declining age but also with the way doctors are prescribing more maintenance medication for people. Whenever you are visiting with your doctor and your tests come back that suggest you might need to go on a medication there are a few things you might want to keep in mind so that you may be able to avoid being on maintenance meds. It’s a slippery slope when you start on one.

Start by asking your physician why they believe you belong on a maintenance medication. What tests did they do? How bad were the results? How long have they felt this way? These are all very important questions because it gives you a better sense of how the doctor is thinking. They may be feeling that you have been showing poor results on the last two tests and the current test you failed poorly and so they are putting you on meds now. However, you may find that this was your doctors first instinct.

You want to ask your doctor if he would be ok with you possibly trying to improve your personal health before you got yourself on medication. Sometimes just getting more consistent exercise or getting a better diet in place is enough to keep yourself off of maintenance meds. Now what might happen is your doctor suggest that you take the medication anyway. If this is the case then ask your doctor if it’s possible for you to start showing signs of improvement by dropping weight or writing a food log to track the meals you are eating just to see if the doctor is interested in cutting you back on your medication once you have proven that you are committed to helping yourself. If the doctor says no and you feel like you should you can always ask another physician because maintenance meds aren’t for people who take care of themselves.

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Why You Shouldn’t Always Trust Your Doctor

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Often times you get sick and need the attention of a doctor for a something to cure it. Usually it’s nothing more than an antibiotic, but once you go to the pharmacy and fill it you forget completely about what it is you are taking. Do you know why a doctor gave you that particular drug? Do you even remember what it is called? It doesn’t seem important because you trust that your doctor knows what they are doing but that doesn’t mean that there aren’t reasons to be concerned and double check your medication.

First thing is that a doctor sees close to 15 to 20 patients on a typical office day. If the office is a rather busy office he is seeing much more. They always have a system in place to be organized but he is dealing with a multitude of things including conditions that are taking his attention due to the severity of it and then he’s dealing with calls from pharmacies, drug reps, and hospitals all looking for a bit of his time. Often times he hears of your condition then writes the script for the medication several minutes later. You would like to think that the doctor has been diligent in making sure he has gotten it right but that doesn’t mean he has. It’s a fact that doctors make mistakes too. That’s why knowing the names of the drugs you are being prescribed is so important. A simple conversation with your doctor can help clear up matters.

Start by asking him the brand name of the medication he’s prescribing and then write it down along with the generic name. Then ask why he prescribing the drug? What are the reasons why he chose this drug over any other drug? This isn’t just for safety purposes but it’s also for the peace of mind in knowing your doctor is on the same page with how you are feeling and what you might think it wrong. Your body is your most vital asset, so make sure you do your best to monitor what goes into it.

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