Me & my speech.

Posts tagged ‘Art’

#30- Growing PAIN Problems

More here continuing from #29- OUR Responsibilities! MY medical file, which I didn’t make, could have eliminated that mistreatment, with my files of prescriptions showing every drug I ever got as well as the hospitals & doctors I used.

Why Problems Have Grown

While some places like those that treat for Physical Therapy work to make sure that the pain a patient feels is more accurately assessed by the details they request in the questionnaires they share with the patients.  There have been multiple the times when I’ve gone to a doctor’s office and they have not even done what a physical therapist does NO MORE than what they always do.  This could be related to:

  • Doctors’ FEARS OF LAWSUITS as shared previously-
    • Likely because of their fear of being hassled by patients who could sue them with sexual molestation, a legal matter, for the doctor touching the patient.
  • The TIME FOR PATIENT CARE HAVING DIMINISHED with the National Healthcare Laws and Regulations for doctors-
    • Causing more reliance on technical reports INSTEAD OF getting or viewing visuals or blood tests with numerical comparisons for more accurate assessments.
    • Even though the doctor should do further investigation beyond sending the patient to get an X-ray or other test done by a technician that has no idea where the problem really is AND has no time to make an accurate assessment unless the doctor or patient shares more than basic details it is likely the issue has not been brought to their attention.
      • These are problems leading to doctors making mistakes in assessing my pain.
      • As the previous record of Rhapsodie’s Visual Detailing Pain & Variations demonstrates in accord with my lower LEFT arm, as well as my information of relational pain in accord with a bloody urinary tract infection and my left shoulder rotator cuff situations.

But why aren’t doctors doing more to make more accurate assessments?

As a patient I did not keep a record for the doctors to view, I did not take the time to prepare so that the doctors had a real reason to care.  A person seeking a new car often does more work before shopping than I did in going to the doctor’s.  We have to do more or we could suffer for not taking care.

While I have been treated for diabetes melytus since the age of 5, but for the last 20 years my sugars with the Minimed Insulin Pump and my personal diet and sugar care have kept my Hemoglobin A1C levels in a range that a normal person has.  This means I do not have eye, limb, nerve, or kidney problems.  Consistent visits with my Diabetic Care & Resource Center has also assisted me in getting ideas that have assisted me in living without more diabetic problems.

I’m sorry, we are all unique aren’t we, so why should we expect the doctors to be able to make accurate estimates when there is a big, PAIN, gap in their association requests?

Just because our medical system makes a recommendation to do something in making an assessment it does not mean that it is being done correctly either so we all have to make sure we are taking the time effort and energy to make sure our care is appropriate in getting to the issue or we could suffer huge from inaccurate assessments.  Even more than taking the time to get the accurate assessments.

Even spending more time than it may take to get the accurate assessments. OH yes, and please remember that if you get older than college age, and are younger than retired the doctors will do more than is necessary to care for you.  SO you have to pay, pay, pay, and pay to get anything done before you die from their inaccurate ASSessments. I’d take my care to a garage and a problem would be mentioned that they say is going to cost me a certain amount, I’d go and do research.  I’d contact other garages to see if I get the same or a similar estimate without telling them about the other garage visit.

Garage mechanics would likely be insulted if you brought them a report from another garage UNLESS it was a home garage or something, but our doctors suffer under the ‘government’ and the information they get controls all of their patients.  SO

  • research your doctors,
  • avoid any with ratings below 4 stars, and
  • try to get to them before they have a single falsified report shared from a previous doctor.  AND
  • make sure to get copies of all the reports, these are simplified info sheets not saying anything, but it’s better than nothing because at least it testifies to you having ‘gone to the doctor.’

But because you aren’t allowed to have your own files make sure to get those WITH EVERY SINGLE VISIT TO THE DOCTORS and ADD YOUR PRESCRIPTIONS, DENTAL VISITS, and ANY of your own NATURAL TREATMENTS.

THE END! For Now!

Previous Associated Posts

Please forgive me, but you’ll likely want to right click and open in a new tab, because the click link MAY NOT WORK.

#01. Inaccurate PAIN Assessments CAN CAUSE MORE BODY DAMAGE

#02- PAIN Assessments Corresponding with UTI’s

#03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance

#04- Inaccurate PAIN Assessments with JUST Rate Pain from 0 to 10

#05- Inaccurate Doctoral PAIN Assessments based on Guesses

#06- Inaccurate PAIN Assessments because of no Patient Pain Understanding

#07- Inaccurate PAIN Ratings with NO Applicable Associations

#08- Inaccurate PAIN Assessments MADE a BIT Better

#09- Detailing Diaries Could Limit Inaccurate PAIN Assessments

#10- A PAIN & Injury Diary MAY Change Inaccurate Doctoral ASSESSMENTS

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

#26- Your healthcare is YOUR HEALTHCARE!

More here continuing from #25- Infectious PAIN VariancesSo if a doctor makes a care statement, they should also have a reason to give me as well as a general detail so I can get their understanding to a better degree. 

BUT if I them to do that for me, I should work to take care of myself also.  They can’t make a correct diagnosis if I go in without a list of things to talk about. In youth the list wasn’t really needed but as an adult, your healthcare is YOUR HEALTHCARE!  Really how can a doctor treat you if they don’t know what they are looking for AND they don’t know details of test types?

On January 4th 2018- MEDICALNEWSTODAY, by Christian Nordqvist discussed information in the article What is osteomyelitis? For Rhapsodie if her doctors knew of the reality of the pain the pertinent points shared here would be of great value.

“The signs and symptoms of osteomyelitis, bone infection, depend on the type. They commonly include:

  • Pain, … and swelling, redness, and tenderness in the affected area [Yes for Rhapsodie, right calf, left arm, left calf, and right arm.]
  • Irritability, lethargy, or fatigue [Yes for Rhapsodie!]
  • Fever, chills, and sweating [Yes for Rhapsodie!]
  • Drainage from an open wound near the infection site or through the skin [NO for Rhapsodie, no open wounds!]

Other symptoms may include swelling of the ankles, feet, and legs, and changes in walking pattern, for example, a limp.” [Yes for Rhapsodie!]

Rhapsodie knows she had an infection and thinks one is growing again, but the healthy life she’s tried to live without lack of treatment means her body continues fighting infections tremendously.

“The physician will examine the affected body part for signs of osteomyelitis, including tenderness and swelling. They will ask about recent medical history, especially any recent accidents, operations, or infections.

Tests may include:

  • Blood tests: High levels of white blood cells usually indicate infection. [NEVER DONE FOR RHAPSODIE]
  • Biopsy: The physician takes a small piece of tissue to test which type of pathogen – bacteria or fungi – is causing bone infection. This helps find a suitable treatment. [NEVER DONE FOR RHAPSODIE]
  • Imaging tests: An x-ray, MRI, or CT scan can reveal any bone damage. [DONE WRONG FOR RHAPSODIE]
    • The damage may NOT be visible for 2 weeks on an X-ray, so
    • more detailed MRI or CT scans are recommended if the injury is RECENT.”

And our fiddlefarden medical system does things in reverse.  You go in with an injury and an X-ray is done, if they think there may be something to consider an MRI or CT is done.  BUT those tests are only good if the technician making the report doesn’t rewrite what the X-ray report really showed or they didn’t stuff in what a doctor wrote previously…

Associated Posts

Please forgive me, but you’ll likely want to right click and open in a new tab, because the click link MAY NOT WORK.

#01. Inaccurate PAIN Assessments CAN CAUSE MORE BODY DAMAGE

#02- PAIN Assessments Corresponding with UTI’s

#03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance

#04- Inaccurate PAIN Assessments with JUST Rate Pain from 0 to 10

#05- Inaccurate Doctoral PAIN Assessments based on Guesses

#06- Inaccurate PAIN Assessments because of no Patient Pain Understanding

#07- Inaccurate PAIN Ratings with NO Applicable Associations

#08- Inaccurate PAIN Assessments MADE a BIT Better

#09- Detailing Diaries Could Limit Inaccurate PAIN Assessments

#10- A PAIN & Injury Diary MAY Change Inaccurate Doctoral ASSESSMENTS

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

 

#23- Relational Corresponding PAIN Chart Part- A- Section 1 through 4a

More here continuing from #22- Patient’s & Doctor’s NEED to Communicate Well  A 2nd idea could be useful in fixing the issue with pain ratings, is having a combined medical Relational Corresponding PAIN Chart Part A & Part B, for the doctors to use while the patients are also doing their work with their Picture PAIN Diaries with timelines.  There are some ideas that just require doing a little bit of work and there are aspects that involve more work and this is one of those things needing more work because it comes with Part A & Part B

While the previously shared picture diary ideas can provide ways for technicians making assessments of X-rays, MRIs, CTs, and Ultrasounds to do more accurate work. The picture diary idea along with The Schmidt Stinging Pain Scale ALTERED by Rhapsodie’s Ideas, of using common practices, would not greatly switch or change any present medical care, other than to get an accurate overall assessment of pain by improvements done in comparisons.

b- Needle PartsInstead of using bee stings, the alteration would be based on shots and lab assessments using needles, with the simple question ‘Please rate your pain” after giving shots of certain types to patients, AND adding that information to their assessment.  The work of use of needles of varying definition and size with a large variety of patients will have both the differences of the application, the person doing the application, and the patient. The needle length, cannula, and the needle gauge, density, can greatly vary with locations of use and types of use.  Yes these things mean other variables beyond the body.

I’ve been a type 1- diabetic, with diabetes myelitis, since I was 5. Over the years I learned to take shots almost painlessly, in the fatty areas of my body. Nerve endings are closest to muscles, so when shots are taken rubbing a finger over the skin can show muscle placements. ALSO if the skin is taunt there is less likelihood of friction resistance and bruising which is also painful. BUT some shots are more painful, like if they go into muscles or joints, so those are additional variables beyond who is giving the shot, the needle density gauge being used, the location for the shot, and the skill of the shot giver.

But if I as a patient get lab technicians who ask me about pain with the use of a needle and my mom does with the same person, my mom with her lower pain tolerance suffers pain way more than I even notice it.   AND because of the ability to have professional conjunctions with the millions of other people that also have needles used on their bodies in various forms through life there can be more accurate individual pain charting made.  With the Relational Corresponding Pain Chart there are specified records needed.

Relational Corresponding PAIN Chart Part A– Section 1 through 4a

  1. Who is applying the needle, what are their application ratings, and what application are they doing?
    • Some people have worked to perfect their use of needles to keep their patients from suffering,
    • some have a specified type of work they do regularly, and
    • others have a broader range for types of care that they do.
  2. What needle is being used?
    • Length– is from the point to the reservoir.
      • This generally varies in accord with the location for the insertion AND the body mass type in that area of insertion.
    • Gauge– is the thickness of the amount being inserted it generally shifts with the capacitance as well as the needs in situation too.
      • This varies with the type of collections AND the type of medicines being shared.
    • Reservoir– This is the body capacity of the needle, in many cases a reservoir varies but the length and gauge can be the same as another of a different size.
    • Purpose Type – A bone needle would be a different type than a fluid needle.
    • Location for use-
      • When I have low sugar shot of sugar the needle gauge is thicker so my shuddering and shifting body doesn’t break the needle into my body.
      • When I take an insulin ‘shot’ it’s a much smaller gauge, but with being still there’s no need for the thicker gauge.
  1. Have individuals list other information that can vary ratings for them. This is in the chart at number INDIVIDUAL PATIENT present life RATINGS as averages of information like last sleep and emotions plus other information that can be added is of use.
    • Activity & Exhaustion vary blood flows and likely also pain levels.
      • When I’m excited or busy working, my blood is flowing hard, I can bump or bruise myself and hours later realize what happened, possibly.
      • When I’m tired I can bruise or injure myself and it generally feels like worse pain, like because my cells are tired too.
        • When my sugar gets low, or another gets drunk, the blood is thinner so it doesn’t coagulate as easily so less bruising BUT also less pain.
    • Blood flows can also vary with emotions, because the chemicals released in the bloodstream from emotions can also shift how the blood acts. When my sugar is low my blood is thin, less food in it, it flows faster that’s different from epinephrine/adrenaline hormone because that faster blood is food filled.
      • Adrenaline–  “a hormone secreted by the adrenal glands, especially in conditions of stress, increasing rates of blood circulation, breathing, and carbohydrate metabolism and preparing muscles for exertion: Also called epinephrine.” (https://www.bing.com/search?q=adrenilin&pc=MOZI&form=MOZLBR )
      • [E]pinephrine “[ep″ĭ-nef´rin]- a hormone produced by the adrenal medulla; called also adrenaline (British). Its function is to aid in the regulation of the sympathetic branch of the autonomic nervous system. At times when a person is highly stimulated, as by fear, anger, or some challenging situation, extra amounts of epinephrine are released into the bloodstream, preparing the body for energetic action. Epinephrine is a powerful vasopressor that increases blood pressure and increases the heart rate and cardiac output. It also increases glycogenolysis and the release of glucose from the liver, so that a person has a suddenly increased feeling of muscular strength and aggressiveness.”
      • Does Exercise Cause an Adrenaline Rush? “Regular exercise training can increase your mood. With regular exercise comes a reduction in the levels of epinephrine at rest…depletion of epinephrine on a daily basis that can come from being over-stimulated can lead to fatigue. Less fatigue can mean a happier mood.”

      • Animal Instincts of the Human Body…“Essentially, what …was not adrenaline blocking any pain sensors, but the fact that [the persons] attention was engaged so strongly in other activities that they were distracted from the feeling pain… Subjects infused with adrenaline reported an increase in pain if their sole focus was on their pain, and would report a decrease in pain if they were distracted while the painful stimulus was administered.”

b- 0-10 pain rating INFO Capture A

Relational Corresponding PAIN Chart Part A– Section 4

4. Gather individual patient ratings corresponding to the needle user; the needle in use, type of use, and the body area of location use. The 3 variables shift here with…

Associated Posts

Please forgive me, but you’ll likely want to right click and open in a new tab, because the click link MAY NOT WORK.

#01. Inaccurate PAIN Assessments CAN CAUSE MORE BODY DAMAGE

#02- PAIN Assessments Corresponding with UTI’s

#03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance

#04- Inaccurate PAIN Assessments with JUST Rate Pain from 0 to 10

#05- Inaccurate Doctoral PAIN Assessments based on Guesses

#06- Inaccurate PAIN Assessments because of no Patient Pain Understanding

#07- Inaccurate PAIN Ratings with NO Applicable Associations

#08- Inaccurate PAIN Assessments MADE a BIT Better

#09- Detailing Diaries Could Limit Inaccurate PAIN Assessments

#10- A PAIN & Injury Diary MAY Change Inaccurate Doctoral ASSESSMENTS

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

 

An Artistic Epic’s Ad.

How do you describe art?

Do dot to dot

Sisters of the Bloodwind by Ava D. Dohn

reading from thought to thought!!!

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