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Re: BV, metronidazole allergy, no insurance From: Anna Meenan, MD (annam@uic.edu) Tue Mar 19 10:28:05 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman: "Malpractice Claims On-Line" Previous message: Dr. Rupak Ranjan Roy: "Re: antiphospholipid antibody syndrome Which labs to look at or order?" In reply to: DoctorJoe@aol.com: "Re: BV, metronidazole allergy, no insurance" Next in thread: Braun, R. Daniel: "Re: BV, metronidazole allergy, no insurance" I know what you mean Joe. Just had a pt. of mine die recently. She was under 5 ft tall, weighed 250, smoked 4 packs of cig per day (how does anyone even have time in the day to smoke 80 cigs?!), and came in here DEMANDING that we fill in all the forms for her prescription assistance programs. Very indignantly said "We don't PAY for our medicine. The day she came in here dying, her husband (who smokes just as much and does all his drinking at the neighborhood bar where it costs 10X as much as if he just bought a bottle and took it home) was rude to our nurses who were busy trying to save her life. He'll probably try to find a reason to sue us now. Seems like every kid i see on Medicaid comes in here sipping on a McDonald's cup. There is an epidemic of encopresis in this county because no one will feed their kids anything with fiber in it. For what they spend on one Happy Meal I can cook for and feed my family of five. I saw a Dateline or 20/20 special on people going to Canada to get their medicines. They were mostly complaining about the cost of the arthritis meds and there wasn't a single one who weighed less than 300 lb in the story. It just gets discouraging some days. -- Anna Meenan, MD At Tue, 19 Mar 2002, DoctorJoe@aol.com wrote: > >In a message dated 3/19/02 12:42:40 AM, ainsron@sbcglobal.net writes: > ><< I find it interesting that often the patients who complain the most >about the cost of their medicines are also the smokers, the individuals >who buy the latest vitamin fad at the health food store, the obese >patient who buys all the wrong foods at the grocery store, etc. and >they don't think twice about their discretionary spending, just the >prescription drug costs. I may be off base with this particular >patient, but the trend is something I also see in my own practice. >> > >I see it all the time... I'm starting to think there is a "syndrome" of what >I've been calling "self-indulgence." > >They CAN'T "make themselves": >1) stop smoking >2) start exercising >3) stop eating whatever tastes good >4) stop drinking real "cokes" or "cold drinks" or "sodas" > >It's like all they live for is self-indulgence, -gratification, whatever. It >tastes good, eat it. It takes work, avoid it. > >They always have money for cigarettes and junk food. But they're "poor" and >have no insurance, no steady job, etc. Often, they have a nebulous >"disability" and take an SSRI and maybe even oral narcotics for some sort of >"arthritis" or "disc" problem. Also, they don't seem to have intact families >necessarily, but I need to look at that a little harder. > >I see this over and over again. They want a pill or a potion to do something >RIGHT NOW with NO EFFORT on their part. > >Anyone spot that as a "syndrome" yet? > >Joe P. Next message: Dean Huffman: "Malpractice Claims On-Line" Previous message: Dr. Rupak Ranjan Roy: "Re: antiphospholipid antibody syndrome Which labs to look at or order?" In reply to: DoctorJoe@aol.com: "Re: BV, metronidazole allergy, no insurance" Next in thread: Braun, R. Daniel: "Re: BV, metronidazole allergy, no insurance"

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