Watch out with cold meds if on BP meds

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   / Watch out with cold meds if on BP meds #31  
I'll give you that.. however... if their attitude is such that I don't get any benefit from theeir vast training... then it isn't helping me much. On the flip side.. most of the stuff i go in for is probably fine for the level of training a PA/NP has.. most of my stuff is simple farm injury.. screw thru hand.. tetnus shot.. animal bite/wound.. etc. I'm sure if I got something exotic.. the attending would see me.. or consult.. etc.. ( Though I will give my NP props for diagnosing a problem for my wife that 3 other MD's brushed off as her age / arthritis, when in fact it was a simple viral infection! )

Soundguy
 
   / Watch out with cold meds if on BP meds #32  
Having a wife and sister that are nurses who deal with the medical community for the last 35 years is enough to convince me that, if a person goes to the doctor often enough, they will eventually kill you by prescribing more and more medicine until something reacts horribly with something else you're taking.

Soundguy, your example of the guy wanted to prescribe a tranquilizer without ever looking at the very thing you came to see him about is exactly the sort of thing I'm talking about.

I have no problem going to them when there is something wrong, such as bullet though hand, broken bones, bad cuts, etc. But to routinely darken their doorstep? Not on my life. I have seen too many lives ruined by prescription drug addition. Take a look at how many prescription pain-killer addicts there are.

Bring back bloodletting. It probably was safer.
 
   / Watch out with cold meds if on BP meds #33  
cp1969 said:
Having a wife and sister that are nurses who deal with the medical community for the last 35 years is enough to convince me that, if a person goes to the doctor often enough, they will eventually kill you by prescribing more and more medicine until something reacts horribly with something else you're taking.

Soundguy, your example of the guy wanted to prescribe a tranquilizer without ever looking at the very thing you came to see him about is exactly the sort of thing I'm talking about.

I have no problem going to them when there is something wrong, such as bullet though hand, broken bones, bad cuts, etc. But to routinely darken their doorstep? Not on my life. I have seen too many lives ruined by prescription drug addition. Take a look at how many prescription pain-killer addicts there are.

Bring back bloodletting. It probably was safer.

You've pretty well described the kind of backwards logic and phobias that account for the scandalous death rates in this country from heart disease and cancer.

Pain killer addiction? Give me a break. If you don't want to be addicted to pian killers, don't take them. But doc, what about the pain? Hey, if you want to play John Wayne.....you gotta be tough like John Wayne. Pain hurts. And if you think you're too tough for pain relievers....well, it just because you've never had real pain. Trust me. (And you're talking to the most conservative prescriber of pain meds you'll ever meet.)

Seriously, I hear all this stuff about 'chemicals' and 'prescription drugs' that are just enourmous generalizations. And they sound a little hollow coming from people who don't currently need them. We'll see how they feel when a prescription medicine allows them to breath, or stops their angina, or saves their vision or saves one of thier children. Until you've been in those shoes, its a little hypocritical to pontificate about the dangers of modern medicine. You'll only bad mouth it until you can't live/breath/walk/see without it.

And don't get me wrong. This sort of thing doesn't hurt my feelings. As a good firend of mine who is a cardiologist said, 'why should I hate McDonalds or Reynolds tobacco, they just bought me a vacation home.'

I feel the same way. Do what you want. Ignore routine healthcare. It doesn't hurt ME a bit.:D
 
   / Watch out with cold meds if on BP meds #34  
That's the point--I am doing fine without it. And I have seen many people, who in my opinion, would have been better off if they'd have done likewise. I don't stay away because of any John Wayne machismo on my part; it is simply a conclusion that I've come to as to the most probable way for me to remain healthy. To me, that means taking as few prescriptions as possible, and preferably none. To avoid the prescriptions, I avoid the prescribers.

I'm not talking about the person with diabetes or congestive heart failure. What I am talking about is people who, because they have insurance, go to the doctor far more often than is necessary. Many times, they come away with a new prescription. Before long, they have a medicine cabinet stuffed to the gills with all the crap they're taking. One guy I work with carries a whole bottle full of pills to work and a written schedule for when to take what. For one (I can't remember what it was for), he was exhibiting something like 8 of the 10 possible adverse side effects listed for that medication. I asked him at what point he would quit taking it and his response was that his doctor prescribed it, how could he NOT take it. He did, however, challenge his doctor on the next visit and got it replaced with something else. I am convinced, though, that had I not pointed this out to him, he would have continued to obediently take his meds and continue to suffer. People seem to forget that there are two people involved in this doctor/patient relationship and the patient, having more at stake, should take an active part in it as well.

I have a sister who is a hypochondriac. My other sister and I were distraught at watching her physical condition deteriorate, so we intervened and found 33 active prescriptions in her medicine cabinet. She was, literally, a zombie the few hours of the day when she was awake. She was so out of it that she could not even attend our father's funeral. I was flabbergasted at two things--first, that any human being could survive ingesting that amount of chemicals, and second, that anyone would prescribe that much medicine to any one person in the first place. We forced her to go to see a different doctor and start from scratch.

It was successful for a while. But since her medical costs are covered by very good insurance, she can't or won't stay away from doctors and her condition is almost back to where it was. I dread the telephone ringing because I know this can't continue much longer.

And George, if you don't think there is a problem in this country with people hooked on unnecessary prescription pain killers, I don't know what to tell you. I can point you to one person who is in jail over it and two others who do nothing but make the rounds from one doctor to another to get prescriptions for the stuff. Do you not get emails advertising Vicotin, etc, usually from Canada? Why would they be doing that if there wasn't a market?

I'm not demeaning all the good people such as yourself who make up the bulk of the medical community. It's like the saying about lawyers, though: Not all lawyers are bad, it's just that 99% of them give the rest a bad name. (That's a joke!)

I am not suggesting anyone style their health care arrangements based upon what I do with mine. Only that one should keep an open mind about it.

Cheers!
Cheers!
 
   / Watch out with cold meds if on BP meds #35  
cp1969 said:
That's the point--I am doing fine without it.

That's great. It's ideal. But here you are in a thread about people who are on medications, not because they want to be but because they need to be, declaring how prescription medications are some kind of taboo. Not only is it a bit inconsiderate but it is so broad as to be almost meaningless. What do you mean by 'prescription medicine'? That encompasses everything from nerve pills to chemotherapy.

And I have seen many people, who in my opinion, would have been better off if they'd have done likewise.

And you may well be right. I don't know what data you've used to draw your conclusions. But again, it is so broad as to be meaningless. Do you avoid vitamins? Or just antibiotics? See what I mean?

it is simply a conclusion that I've come to as to the most probable way for me to remain healthy. To me, that means taking as few prescriptions as possible, and preferably none. To avoid the prescriptions, I avoid the prescribers.

A healthy person saying that they avoid medicines is kind of like a person who lives in New York city saying they avoid polar bears for health reasons. You know a polar bear can kill you.

As far as avoiding prescribers, again, more power to you. But it is funny to see people who wouldn't miss a service interval on a $15,000 tractor refuse to have thier cholesterol or blood sugar checked and won't get a colonoscopy after the age of 50...... all things that can significantly prolong life. And the only one who can really do that right for you is a "prescriber."

I'm not talking about the person with diabetes or congestive heart failure.

So you're saying all these "prescription drugs" that are no better than leeches and are going to look silly to future generations are okay.....if you need them? Now that makes sense.

What I am talking about is people who, because they have insurance, go to the doctor far more often than is necessary. Many times, they come away with a new prescription.

That is a process that takes two. Doctor and patient. Most of what you are talking about is antibiotics. Antibiotics are over prescribed. That's what's leading to problems like MRSA. Doctors need to prescribe less, patients need to quit demanding them. But "prescription drugs" covers a LOT more than antibiotics.

Before long, they have a medicine cabinet stuffed to the gills with all the crap they're taking.

Well, if they need it, they need it. If they don't they don't. I feel sorry for people who have to take a lot of medicines.

One guy I work with carries a whole bottle full of pills to work and a written schedule for when to take what. For one (I can't remember what it was for), he was exhibiting something like 8 of the 10 possible adverse side effects listed for that medication. I asked him at what point he would quit taking it and his response was that his doctor prescribed it, how could he NOT take it. He did, however, challenge his doctor on the next visit and got it replaced with something else. I am convinced, though, that had I not pointed this out to him, he would have continued to obediently take his meds and continue to suffer. People seem to forget that there are two people involved in this doctor/patient relationship and the patient, having more at stake, should take an active part in it as well.

Wow, maybe you should have gone to medical school! First, the notion that any medicine should or can be without adverse effects is just silly. Second, just because you have an adverse effect with a medicine doesn't mean you can't or shouldn't take it. Chemo has terrible adverse effects, but you still take it if you need it. Every other medicine on earth is the same.

And I can't count how many times patients have hurt themselves by following the advice of their neighbors, Oprah or Dr. Gott. I never cease to be amazed how someone trusts 'medsthatkill.com' and not their doctor. And the net outcome of your 'intervention' with this patient resulted in him taking the same number of pills.....prescription pills. Ane he was exactly right, he needed to keep taking them if his doctor said so. The moral: Trust your doctor. If you can't, get a new one. If you can't find one you trust, live with the consequences of thinking you know it all.

I have a sister who is a hypochondriac.

That's very sad. It sounds like she has somatization disorder. I see tons of it. It is very hard to treat, nearly impossible. And her doctors are between a rock and a hard place. If we don't 'do' anything, we're accused of being heartless and cold. If we 'do' something, we run the risk of over prescribing or ordering too many tests. Combine that with the fear of being sued by these folks (whose complaints are endless) and you have a recipe for disaster.

It was successful for a while.

Bingo, that's the way it works. New meds, new doc, new tests always generate short term improvement and then its back to the same old business. It is virtually incurable. And if you find her a doctor who won't prescribe anything else and won't do any more tests, she will call him a heartless jerk and find another doctor.

Hypochondriasis and somatization disorder, however, have almost nothing to do with the overall prescribing practices of physicians.

And George, if you don't think there is a problem in this country with people hooked on unnecessary prescription pain killers, I don't know what to tell you.

Did I say it wasn't a problem? Of course not. Like I said, you will not meet a physician who is more conservative with narcotics than I am. Seriously.

But again, you're off base here. This is not some 'prescription drug' problem and has nothing to do with the vast majority of 'prescription drugs' that are being used. Narcotics abuse is a crime. People who abuse narcotics are criminals. Doctors who knowingly assist narcotics abuse are criminals. And as you say, there are plenty of ways to get them without a doctor. And in a society where sudafed has to go behind the counter because people are making meth out of it and kids are getting high huffing cat pee, narcotics abuse is a society problem and a culture problem as much as it is a medical problem.

But it has nothing to do with your next door neighbor taking Lipitor to cut his chances of a stroke or heart attack in half. Nothing.

I am not suggesting anyone style their health care arrangements based upon what I do with mine. Only that one should keep an open mind about it.

That's fine, and i'm not offended because I don't have any health issues (yet) and I'm not on any prescription drugs, but this thread was started by people who are, and they really probably aren't interested in you, me or anyone else telling them what a dim view we have of the entire pantheon of prescription drugs. The folks here with high blood pressure who are diligent about controling it are adding healthy years to thier lives by taking their meds properly. I would hate for any of them to get the idea that they don't need what they and their doctor have determined that they need, or even feel somehow weak or inferior because they are doing what is best for them.
 
   / Watch out with cold meds if on BP meds #36  
Pardon me, but this is a thread about the interaction of medications. That is the exact issue I was pointing out and that adverse drug interaction is not limited to simply blood pressure and OTC cold medications.

Am I out of line to point that out? If so, too bad. "Here you are in a thread..." as if I had no business commenting on the subject because I am not either a.)a physician or b.) a drug user. George, your attitude comes across as "How dare a layman question a God-like physician!"

Well, I'm not only questioning--I'm done with questioning. I've already answered the questions I had. When it comes to my health, I will call the shots. I will research things as best I can and that may indeed result in my being prescribed something, but rest assured I will not blindly trust the medical community. They have lost my trust completely.

Spare me any more lecturing. I'm not your patient or your kid.
 
   / Watch out with cold meds if on BP meds #37  
cp1969 said:
Pardon me, but this is a thread about the interaction of medications. That is the exact issue I was pointing out and that adverse drug interaction is not limited to simply blood pressure and OTC cold medications.

Right. but how could one have an interaction if they aren't on medicine? These folks are on medication. They need to be. And if they are taking them, its because they want to be.

Am I out of line to point that out?

It didn't seem to me that that's what you were pointing out. It seemed to me you were lumping all prescription meds in the same bad basket. Maybe I'm wrong. I've been here in the office all day trying to keep people off prescription medications and I don't have time to go back and look.:rolleyes:

"Here you are in a thread..." as if I had no business commenting on the subject because I am not either a.)a physician or b.) a drug user.

I think it is funny whenever someone challenges someone elses assumption that the challenged party trots out this rights issue ("as if I had no business"). You made a point. You have all the 'business" in the world to do so. But if you do so in a public forum, doesn't anyone else have the same 'business' to disagree with you?

My point was, and still is, that you kind of came in with what I felt was a 'holier than thou' attitude about medications in a thread about people who are ON medications. It really comes as no surprise to anyone that healthy people don't need pills. So there had to be some other point you were making and now you are trying to act as if you weren't making a point. But I seem to remember a comment about the virture of bloodletting....remember?

George, your attitude comes across as "How dare a layman question a God-like physician!"

If that's the way it came across to you I can hardly argue with it and I won't. Doctors hear it a lot. It comes with the territory. Some docs are worse than others but it comes natural after 4 years of college, 4 years of med school and anywhere from 3-8 years of residency training. Not because we feel we're better than anyone else but because the simple truth is that it actually takes that long to get a grip on this stuff and if you haven't spent the time you simply cannot fully grasp all there is to understand about it. And I'm just an FP. There are so many specialists whose knowledge is leaps and bounds beyond mine.

But its not just doctors. There is no way I can fully understand the concepts of what most of you do if you've been doing it a long time. That's just life.

And I would not have presumed to say the sort of things you said to me about electricity to an electrician. Some people know when they're are out of their element. Some don't. The ones who don't often accuse those who are IN that element of being arrogant. I would hardly feel that way if a journeyman electrician corrected me about something I said about wiring a house. He understands it. I don't. In that regard, he IS God-like compared to me.

Well, I'm not only questioning--I'm done with questioning. I've already answered the questions I had. When it comes to my health, I will call the shots.

Good for you. As they say, the man who defends his own case has a fool for a lawyer.

I will research things as best I can and that may indeed result in my being prescribed something, but rest assured I will not blindly trust the medical community.

Again, that's admirable. But it is also narrow minded and naive. Much like firemen and plumbers, you'll need the medical community one day and if you need them bad enough you'll trust them with your life. And I know for a fact that there are plenty of good folks on this website who've been in that same position. I have no desire to trust anyone else with my health either, but I know I'll have to at some point.

I don't care what people do with or to themselves. But those who won't trust, who can't take advice, and who won't help themselves have no right to whine when it all comes down on them.

They have lost my trust completely.

They? Sigh. Who is they?

Kind of ironic that you feel like you are being 'lectured' when you come on a public web site and slander a man's whole profession (I'm not the only doctor here either, just the noisiest one) and then call him for acting 'God-like' when he challenges you for talking about things about which you have limited understanding. Talk about arrogance.

I'm not your patient or your kid.

And for that I am eternally greatful.
 
   / Watch out with cold meds if on BP meds #38  
I guess the words "spare me" didn't register?

It would seem natural that you would take offense to my questioning the legitimacy of the physician/pharmacist/drug manufacturer partnership that passes for medicine today since your livelihood depends upon it. You certainly give the impression that you are not concerned about helping people when you say, "I don't care what people do with or to themselves." You've said that same thing, twice now. I would certainly hope you don't really mean that.

And you did it again: You called me arrogant for "...talking about things about which you have limited understanding. Talk about arrogance." For starters, how can you possibly know how limited my understanding may or may not be? You just presume that I can't possibly know as much about my own health as you, because of...what? My not being a physician? In your electrician analogy, if you want to treat an electrician as a God, that is your business, but I would suggest you need to broaden your understanding of the world around you, just like patients need to broaden their understanding of their own medical treatment. I'm not an electrician, either, but I can and do do my own wiring work.

Note that I never attacked you personally, but what I have said, and will not back down from are:

1. Too many people take too many medications in this country and many people's lives are made worse, not better, because of it.

2. I do not believe the current medical system puts as much emphasis on the patient's health as it does the financial aspects of getting paid for the patient's care.

I did not come to these conclusions lightly. They are the result of many years of observation of the medical treatment of people I've known and the observations of wife and sister during their careers in health care. BTW, these two women feel exactly the same way as me. And, if the shoe does not fit in your case, don't wear it! I am not naming you, George, as an offender in this regard. As I said, it's the other 99% that are giving the rest of you a bad name. (again, that's a joke, George. Lighten up.)

You can have the last word.

(ps -- Did you really mean 'eternally'? That's an awfully long time. Until I expire would be soon enough, don't you think?)
 
   / Watch out with cold meds if on BP meds #39  
I think this thread has strayed from the original purpose and it's time to close it.
 
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