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Here is a real winner of a cardiologist...

Discussion in 'Action Alerts and Advocacy' started by Kati, Apr 1, 2013.

  1. Kati

    Kati Patient in training

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    "Why I’m skeptical of the growing number of disability beneficiaries" DAVID MOKOTOFF, MD | PHYSICIAN | MARCH 29, 2013


    My office consultation for the 50 year-old woman was her complaint of chest pain. I could not help but glance at her insurance and it was for Medicare. I have always been fascinated with what types of disability people have which qualifies them for Medicare and SSD, (Social Security Disability), before the usual age of 65. To say that I have observed bizarre and inequitable awards would be a gross understatement. In this case, my patient was on disability because of hepatitis C. Really?


    Now despite being a cardiologist, I know a thing or two about hepatitis C infections. You see my deceased wife died from it, in 2004, along with an unhealthy dose of alcohol abuse. CDC data from late 2012, placed the number of people in the US with chronic Hepatitis C infections at 3.2 million. My patient had gone through interferon therapy, had chronic elevation of her liver enzymes, but was not jaundiced, and was gainfully employed as a massage therapist. Her liver had never failed.



    If you guessed that this case was unusual, you would be wrong. I have seen hundreds of middle-aged patients who appear healthy enough to hold down a job, yet are receive Medicare and SSD for diagnoses like fibromyalgia, chronic low back pain, post –traumatic stress disorder, multiple sclerosis, and chronic fatigue syndrome, (to mention just a few.) And yet the truly disabled often have a difficult time qualifying for these benefits. I have many patients who at young ages cannot work, although they might want to, due to advanced and severe heart disease. They never get SSD before they died. I do what I can to help these folks with forms, attestations, etc.; but in my experience they don’t get it until they retain a SSD attorney to help them appeal denials and navigate the bureaucratic morass of applications and hearings.

    ... Etc

    Feel free to answer
    http://www.kevinmd.com/blog/2013/03/skeptical-growing-number-disability-beneficiaries.html
     
  2. Ema

    Ema Senior Member

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    Blood is boiling...glad to know I am not "truly" disabled in the eyes of this idiot.

    Grrr.

    Ema
     
  3. Valentijn

    Valentijn Activity Level: 3

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    I'm used to seeing this sort of shit about ME/CFS and such ... but maybe someone should let this dinosaur know that MS is acknowledged as being a real, disabling, and deadly disease. He must not have cracked a medical journal since 1980.
     
    The Spitfire, Hugocfs and Kati like this.
  4. Kati

    Kati Patient in training

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    I have responded. for those who feel too sick to respond perhaps you could +1 my answer.
     
    leela, Little Bluestem and Valentijn like this.
  5. Kati

    Kati Patient in training

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    And tried to reply to the guy who replied to my message; linking to the MEICC and quoting Laura Hillenbrand- but I was moderated. i am not totally sure why. ah well. These people are not ready for mere reality that some folks are so neglected out there they have no health care.
     
  6. JT1024

    JT1024 Senior Member

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    Just added +1 Kati. There are still dinosaurs like this out there.
     
    Kati likes this.
  7. Valentijn

    Valentijn Activity Level: 3

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    I think their Disqus is malfunctioning. Looks very odd to me now, and can't see votes.
     
  8. PhoenixBurger

    PhoenixBurger Senior Member

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    This just shows the importance physicians put on "clinical" presentation. Clearly there is something I am missing when it comes to their training in this regard. How a patient presents clinically is clearly detrimental to many diagnoses. But its almost as if doctors can't see past how you look. This must be a symptom of "reactive" versus "proactive and preventative" medicine. When you're so entrenched in "reactive" medicine, you wait until the patient is disabled enough to be presenting with an obvious disease. There is no such thing as "pre MS" or "pre cancer" or "pre ALS" .... yet every person who eventually gets these diseases goes through I believe a very very long period of "pre" disease. Its a period when prevention can mean the difference between life and death. Yet doctors don't have the first clue as to what prevention means. Its not in their vocabulary until after something like a heart attack has occurred. So a patient shows up "looking" healthy yet very well could be "Pre ALS" ... symptomwise. And they are sent home healthy because they haven't yet begun the 2 year spiral towards death.

    "Come back when its too late. You look healthy right now, and you're not sick enough for me to bother with you"

    PB
     
    Living Dead, maryb, adreno and 3 others like this.
  9. Shoesies

    Shoesies Senior Member

    I would like to answer with a big fat kiss my A**.
     
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  10. SilverbladeTE

    SilverbladeTE Senior Member

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    Only 2 ways they learn:
    1) get them, kick them HARD in the balls until they squeal and ask:
    "Now then, didums, is that disabling sickness and distress, or not?
    Does this make you feel symapthy and compassion for those in pain?
    If not, do you want more of the same until it is?" :p

    2) they must suffer some horrible malady themselves or their loved ones.

    #1 is actually far more merciful and gets through to most numbskulls :p
    very serious and tragic comment on the Human Condition as it is for many doctors :/

    look at recent stance of many idiots who were anti gay marraige/rights until THEIR children or such "came out of the closet"
    EXACTLY the same thing.
     
    Dmitri likes this.
  11. Shoesies

    Shoesies Senior Member

    Oh ho SilverbladeTE..you are right! DH was less than sympathetic prior to his getting sick. He now has the same thing I do (or he did for a long time and just recently presented with the flu-like and cognitive symptoms). That thinking treatment was too expensive if not covered by insurance...went poof like magically delicious Lucky Charms.
     
  12. snowathlete

    snowathlete

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    as my brother would say, "what a numpty".
     
    leela likes this.
  13. PhoenixBurger

    PhoenixBurger Senior Member

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    Its funny you say this. I was sitting in with an infectious disease specialist several months back, and he said to my face: "No offense, but are you sure you aren't just imagining all of this?" I text my buddy about 5 minutes later, and he replied "Kick him in the balls and then ask him - are you sure you're not just imagining the pain?".

    Number 2 is right. I've thought about it myself. NONE of the doctors who act like this have yet experienced what its like to deal with their own profession on this level. Plain and simple.
     
  14. Kina

    Kina Moderation Team Lead

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    Some people are just plain stupid. :mad:

    It's too bad that drivel like this gets published. :mad:

    Kati and Valentijn -- good job of setting the record straight. :)
     
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  15. Hugocfs

    Hugocfs Senior Member

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    I'm used to seeing this sort of shit about ME/CFS and such

    Valentijn LOL, I suspect you are a repressed and severely inhibited person, please get help so we can learn what you are really thinking and trying to express.​
     
  16. Koivy

    Koivy

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    My blood is boiling. Thank you Kati for writing a repsonse for those who cannot. I have voted it up! Since I cannot write, I am going to send the articles to the Invisible Disabilities Association and hopefully they can comment too!
     
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  17. Little Bluestem

    Little Bluestem Senescent on the Illinois prairie, USA

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    “social media’s leading physician voice”. If that is true, we are in more trouble than I thought.

    Does this doctor think that the woman with hepatitis C could have afforded interferon therapy without Medicare? Does he think she would still be working without treatment?

    I’ll bet he did not ask the people on Medicare and DDS if they had hired a SSD attorney. I think most people require one to help them appeal denials and navigate the bureaucratic morass of applications and hearings. Why should heart patients get special consideration?

    I +1ed Kati’s and Valentijn’s comments. I don’t belong to any of the groups that are allowed to comment, so I could not leave one.
     
    snowathlete likes this.
  18. Kati

    Kati Patient in training

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    Great points Bluestem. I wonder how Obamacare will change all that, if at all?

    The comment from the cardiologist just shows how disrespected fibromyalgia and ME(CFS) are in the medical world. That won't chamge in a cople of das, however governments and gov agencies have the capacity to change lots of minds only if they wanted to.
     
  19. MishMash

    MishMash *****

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    Most people who get SSD are paid on the basis of their income prior to becoming ill. So a young person, or a poor house wife is going to have to get by on $8000 or $10,000 a year. That's a beggar's life. I wonder if the good doctor knows the numbers. Probably a Romney supporter. Watches Fox News, doesn't know where Libya is on a map.

    In fact, if they really wanted to cut waste in medicine, they should start with the over-payment of specialists like cardiologists. Average yearly income: $400,000. Are they really worth that much? Or are they just welfare queens and insurance scammers? How much does a cardiologist make in Canada or UK? I'll bet it isn't half that. Obamacare intends to cut salaries such as his, and raise it for internists. I'll bet the cardiologist thinks he's a "socialist."

    But having said that, I know a guy who is an out-and-out scammer, who got SSD, and basically he is an alcoholic and drug addict. No program is perfect. He is a loser who gamed the system. Then people with hidden diseases, hard-to-diagnose are not believed. Or in his case, misunderstood.
     
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  20. snowathlete

    snowathlete

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    that is a great idea. we should do that more often!
     
    Valentijn likes this.

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