INSIDE LAKESIDE
Log In or Register

Check your spam/junk folder for activation e-mail after you register.

Advancements in Medical Diagnosis

Page 1 of 2 1, 2  Next

Go down

Advancements in Medical Diagnosis

Post by CheenaGringo on Sun Jan 27, 2013 11:02 am

http://video.msnbc.msn.com/rock-center/50582822#50582822

I found the above video fascinating and the doctor unusually candid.

CheenaGringo
Share Holder
Share Holder

Posts : 6699
Join date : 2010-04-17

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by Trailrunner on Sun Jan 27, 2013 1:58 pm

WOW!!! CG, thank you so much for posting this. I think it deserves to be cross-posted to the tech or Mirador sections (or both) because everyone needs to see this. This is amazing and I guess the technology is here and all we have to do is embrace it. Oh yeah, and have a doctor hip enough to be able to do it too. woo hoo

Yesterday Dr. Ramon Garcia, the cardiologist, showed me an EKG machine the size of a pack of cigarettes that you simply point at your chest over your heart and touch the skin and it reads you heart and EKG and allows you to send, record, download to your computer from a chip, etc etc. He said he paid $400 US for it recently but it probably would be cheaper by now.

Now, just using you smart phone for labs, EKGs, skin signs, etc. . .I am really impressed!

Thanks again for posting.
avatar
Trailrunner
Share Holder
Share Holder

Posts : 5515
Join date : 2011-04-18

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by espíritu del lago on Sun Jan 27, 2013 2:34 pm

Does anyone think insurance will pay for this? Shocked
It should be interesting to watch as this technology becomes more mainstream.
avatar
espíritu del lago
Share Holder
Share Holder

Posts : 3891
Join date : 2010-04-05
Humor : Sarcastic

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by E-raq on Sun Jan 27, 2013 4:18 pm

Wow, cool, however maybe we don't want to know everything. Both I and a former colleague are now refusing to even go to the doctor unless we have actual symptoms. It's working for her and for me. Neither of us have any chronic diseases which need monitoring. Every now and then I take my B.P. which is usually way on the low side unless I'm stressed out. Even in the emergency room when they were about to cut my leg open it was only 140 over 90.

What abut prescriptions you might ask. Well she writes her own, and I get my controlled substances from Dr. Lastra. The only show in town. They're just for pain, due to my neck problems.


Last edited by E-raq on Sun Jan 27, 2013 4:19 pm; edited 1 time in total (Reason for editing : Geebus H. I'm now writing like my nose is stuffed up, which it is.)
avatar
E-raq
Share Holder
Share Holder

Posts : 1999
Join date : 2012-05-27

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by joec on Sun Jan 27, 2013 4:37 pm

E Raq quote - "I get my controlled substances from Dr. Lastra. The only show in town."

Do you mean he's the only qualified Dr. in town?

joec
Share Holder
Share Holder

Posts : 1217
Join date : 2012-11-01
Age : 73
Location : West Ajijic
Humor : Sometimes

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by E-raq on Sun Jan 27, 2013 6:21 pm

joec wrote:E Raq quote - "I get my controlled substances from Dr. Lastra. The only show in town."

Do you mean he's the only qualified Dr. in town?


No John, strike three, you're off the team. He's the only Doctor in town licensed to give prescriptions for codeine pills and the like. Whoa there dude, what are you on today? You been sneaking into my supply of Lertus with codeine or what?
avatar
E-raq
Share Holder
Share Holder

Posts : 1999
Join date : 2012-05-27

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by ferret on Sun Jan 27, 2013 9:21 pm

WOW! A great video!...and a fascinating concept. There go some Tech jobs on the road to becoming obsolete.
I'm still waiting for the body scan and healing machine that was first seen on Star Trek.
avatar
ferret
Share Holder
Share Holder

Posts : 3978
Join date : 2010-05-23

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by joec on Sun Jan 27, 2013 11:39 pm

E-raq wrote:
joec wrote:E Raq quote - "I get my controlled substances from Dr. Lastra. The only show in town."

Do you mean he's the only qualified Dr. in town?


No John, strike three, you're off the team. He's the only Doctor in town licensed to give prescriptions for codeine pills and the like. Whoa there dude, what are you on today? You been sneaking into my supply of Lertus with codeine or what?

So, what's tne big deal about codeine. There are many stronger drugs and Doctors at Lakeside write scrips for controlled substances all the time. I asked if you thought he was a qualified Doctor. maybe you do, but I know people who won't go to him anymore because of misdiagnosis.

joec
Share Holder
Share Holder

Posts : 1217
Join date : 2012-11-01
Age : 73
Location : West Ajijic
Humor : Sometimes

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by ferret on Mon Jan 28, 2013 8:21 am

John it's the Lertus part that is restricted not just the codeine.
There's a whole world of Doctors out there who have managed to misdiagnose an ailment. Not surprising when you think how complicated the human body is. Still, they are our best chance for knowledge and help but they ain't perfect by a long shot. Perfect would be a miracle.
avatar
ferret
Share Holder
Share Holder

Posts : 3978
Join date : 2010-05-23

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by Trailrunner on Mon Jan 28, 2013 9:23 am

IMHO, we have waaaaaay more misdiagnoses here than I've ever seen or heard of in my life. And the reason is that many of these docs just pull diagnoses out of the clear blue sky. Most do not request tests.

In the US, depending on your chief complaint, you are sent for appropriate labs, xrays, etc before you are given a diagnosis. Not here. Docs here just go. . . . . .hmmmmmmm and they pluck some magic thing out of the air and send you on your way with a prescription - which often doesn't work.

I've seen too many people here die before their time for 2 reasons: 1- they waited way too long to seek help and 2 - they were misdiagnosed at least once! Don't let that happen to you. Seek help as soon as you realize you are sicker than you should be, find a good diagnostician, and get some appropriate tests done first to take in with you. You don't need a prescription here to go to the labs or get xrays. Old people don't have the luxury of time while they plow through different docs and different diagnoses.

People complain about Juan Pablo because he orders too many tests. . .duh.
avatar
Trailrunner
Share Holder
Share Holder

Posts : 5515
Join date : 2011-04-18

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by ferret on Mon Jan 28, 2013 10:06 am

Trailrunner, many people don't know what tests to order. A catch 22 situation.
avatar
ferret
Share Holder
Share Holder

Posts : 3978
Join date : 2010-05-23

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by Trailrunner on Mon Jan 28, 2013 10:48 am

Simple, then go to JP. Or ask your doc which tests are needed to CONFIRM his/her diagnosis and go get those tests done before filling any prescriptions.

avatar
Trailrunner
Share Holder
Share Holder

Posts : 5515
Join date : 2011-04-18

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by ferret on Mon Jan 28, 2013 1:31 pm

That makes sense but I thought you said to get the tests first and then go and see the Doctor armed with the information. Whatever...lab tests are a very necessary part of a proper diagnosis. IMHO, it would be a good idea to have a battery of lab tests done when you're healthy so that you have a general baseline with which to compare results.
An example being your normal white cell count since the Doctors argued that I couldn't possibly have appendicitis with a white count at 10,500...until I got their attention laying on a gurney in Emergency that it was normally 4,000. After the operation, I was told that I had the most rotten, intact appendix that the surgeon had ever seen.
It's important to know what's NORMAL for YOU.
avatar
ferret
Share Holder
Share Holder

Posts : 3978
Join date : 2010-05-23

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by Trailrunner on Mon Jan 28, 2013 5:35 pm

If you know what tests to get, do it first or ask your doc first what tests he/she recommends you get for a proper diagnosis. If not, do it after to confirm the diagnosis.

For most of us who have lived in our bodies for 50, 60, 70 years, we have a generally good idea what might be needed. If you have flank pain and are peeing a lot, get a urinalysis, if you think you have intestinal bugs, get a fecal exam, if you're hocking up green loogies take one to the lab and ask them to run a culture on it (that way you can get the appropriate antibiotic prescribed), if you twisted your ankle or fell and still have pain after there shouldn't be pain get an xray etc etc etc.

Good idea Ferret! Get labs done when you are healthy for a baseline.
avatar
Trailrunner
Share Holder
Share Holder

Posts : 5515
Join date : 2011-04-18

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by Chapalamed on Mon Jan 28, 2013 5:37 pm

I see a lot of good points that were brought up under this topic.
With new technology and testing in general there are certain things to remember.

As a doctor we are taught that there are different diseases/conditions that are diagnosed in different manners. Some are diagnosed clinically(physical exam and history), others radiologically( X-Rays, CT scans), others with Labs(blood work, culture) and while others are diagnoses made by excluding all others possible diagnoses(i.e. FIBROMYALGIA).
Your doctor should be able to explain to you how and why a diagnosis has been made with whatever information he has.

Although getting "BASELINE" labs can be a good idea, it can be costly and most patients would have to pay OUT OF POCKET for it. If a patient's medical history merits some diagnostics (i.e. Diabetes) then I order them and explain why I did so and what I expect to find or rule out.

Now with any new technology or diagnostic tool, a well-trained healthcare provider will take into account the SPECIFICITY and SENSITIVITY or any particular exam. We have to take into account the statistical validity of a test or diagnostic tool when we use it. Let's just remember that there are always false positives and false negatives and the potential for human/lab error always exists. I particularly like to go into a Diagnostic clinic and see how they run the operation before I send my patients to an Lab to get diagnostic work done.

With the new technology, I will be very interested to see the statistical validity of what seems to be such a great tool for a very good price.
Seems almost too good to be true.



avatar
Chapalamed
Share Holder
Share Holder

Posts : 193
Join date : 2012-12-21
Location : Chapala

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by Dr. Sam Thelin on Mon Jan 28, 2013 10:56 pm

Really? Very interesting.

E-raq wrote:
joec wrote:E Raq quote - "I get my controlled substances from Dr. Lastra. The only show in town."

Do you mean he's the only qualified Dr. in town?


No John, strike three, you're off the team. He's the only Doctor in town licensed to give prescriptions for codeine pills and the like. Whoa there dude, what are you on today? You been sneaking into my supply of Lertus with codeine or what?

Dr. Sam Thelin
Share Holder
Share Holder

Posts : 332
Join date : 2012-12-18
Location : Chapala

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by Ms.Thang on Mon Jan 28, 2013 11:26 pm

Raq, does Dr. Lastra tell you that he is the only doc that can prescribe Lertus )and the like) ?

Ms.Thang
Share Holder
Share Holder

Posts : 1097
Join date : 2012-04-22

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by slainte39 on Mon Jan 28, 2013 11:35 pm

Dr. Sam Thelin wrote:Really? Very interesting.

E-raq wrote:
joec wrote:E Raq quote - "I get my controlled substances from Dr. Lastra. The only show in town."

Do you mean he's the only qualified Dr. in town?


No John, strike three, you're off the team. He's the only Doctor in town licensed to give prescriptions for codeine pills and the like. Whoa there dude, what are you on today? You been sneaking into my supply of Lertus with codeine or what?

Dr. Thelin, do you believe this to be so?

slainte39
Share Holder
Share Holder

Posts : 7212
Join date : 2010-07-22

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by Ms.Thang on Mon Jan 28, 2013 11:39 pm

It is not so. Where do people get this kind of idea?

Ms.Thang
Share Holder
Share Holder

Posts : 1097
Join date : 2012-04-22

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by ferret on Tue Jan 29, 2013 12:09 am

Controlled medicines II, III, IV, and V cannot be obtained or sold in Mexico without the buyer presenting a valid prescription from a recognized federally registered local Mexican doctor

So, I guess the question is whether all Doctors are federally registered...or is that a special hoop that just some Doctors jump through.
Dr. Lastra has "pain management" written on the outside of his clinic. He switched the medication that my hubby was on for three years (on the coast) because of his hip and my hubby had less pain up to and until a month after he had the hip replaced. Now, he takes no pills and is pain free.
We have confidence in him...YMMV.
avatar
ferret
Share Holder
Share Holder

Posts : 3978
Join date : 2010-05-23

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by Ms.Thang on Tue Jan 29, 2013 1:19 am


Dr. Lastra has a licenciatura in medico cirujano, same as any other general practicioner.

You can check any doctors credentials here:

http://www.cedulaprofesional.sep.gob.mx/cedula/indexAvanzada.action

Ms.Thang
Share Holder
Share Holder

Posts : 1097
Join date : 2012-04-22

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by Dr. Sam Thelin on Tue Jan 29, 2013 3:36 am

Lertus can be purchased over the counter without any prescription by anyone. Lertus is Diclofenaco.

Lertus CD can be prescribed by any doctor having a cedula and pre-printed prescriptions having the doctor's name, address, and cedula pre-printed on it. Lertus CD does not require the bar-coded prescriptions that would be needed for most other opiates because it is a mixed medication containing both codeine and diclofenaco (50mg and 50mg). There are also a few others that can be given without the bar-coded prescriptions such as buprenorfina.

The bar-coded prescriptions for more controlled medications are available to doctors willing to go to the trouble of obtaining them, keeping the records of them, and being responsible with them.

Dr. Sam Thelin
Share Holder
Share Holder

Posts : 332
Join date : 2012-12-18
Location : Chapala

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by Trailrunner on Tue Jan 29, 2013 8:32 am

Ms.Thang wrote:It is not so. Where do people get this kind of idea?

This is a valid question, Raq, where did you get this idea? Did Dr. Lastra tell you this or did you pull it out of thin air?
avatar
Trailrunner
Share Holder
Share Holder

Posts : 5515
Join date : 2011-04-18

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by Chapalamed on Tue Jan 29, 2013 10:01 am

Since I haven't met or looked-up any other local physician's credentials I can't comment on what each can or cannot prescribe. I will say this. I have training and experience both in the U.S. and in Mexico with pain management. There are quite a few other ways to manage pain other than by prescribing "PAIN" medications. Controlled PAIN MEDS, which are usually OPIOIDS(Morphine, Codeine, Vicodin), are only one of many options a doctor has to manage pain. For somebody to have a "Diploma or Certification" in such areas such as Toxicology, NUTRITION or PAIN MANAGEMENT, a doctor does not need to do a long Fellowship or Sub-specialty here in Mexico. Some physicians do have training that is more in depth and may have a sub-specialty.

Having training as a family physician in the U.S. I oversaw and managed pain for every type of patient. From simple leg fractures to patients with herniated disks to patients with Fibromyalgia. Most can be managed by a PCP but there are a few patients that may need to be evaluated and managed by an anesthesiologist/pain specialist.

I haven't encountered any problem with any of the medications that I have written for pain management thus far.
Although this is a good point I think that it merits another THREAD. This is way off course from the original post.
avatar
Chapalamed
Share Holder
Share Holder

Posts : 193
Join date : 2012-12-21
Location : Chapala

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by ferret on Tue Jan 29, 2013 1:44 pm

Thanks for all the input. Very interesting.
Interesting link Mrs. Thang...unfortunately I have to know more information than I have in my hand to find out more information.
Is there an easier way? Like the equivalent of the CMA or AMA (Canadian or American Medical Association)?
avatar
ferret
Share Holder
Share Holder

Posts : 3978
Join date : 2010-05-23

Back to top Go down

Re: Advancements in Medical Diagnosis

Post by Sponsored content


Sponsored content


Back to top Go down

Page 1 of 2 1, 2  Next

Back to top

- Similar topics

 
Permissions in this forum:
You cannot reply to topics in this forum