Me & my speech.

Posts tagged ‘Education’

#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

#28- More ACCURATE ASSESSMENTS with Good Reporting, Filing, & Reviewing

More here continuing from #27- Good COMMUNICATION a NecessityBUT everything with these tests depends on the technologists and the lab technician’s accurately reporting AND the doctors & their medical teams accurately gathering and filing reports AND reviewing them accurately also.

Better Medical Technical Assessments

There are multiple areas for getting technical assessments medically.

  • Blood Tests,
  • Picture Assessments,
  • BMI (Body Mass Index) assessments, and

these are only a few of the areas where more work is needed to make assessments correctly.  In some cases the assessments are just wrong because they do not have the detail needed to be accurate.

A BMI takes a government assessment of weight corresponding to the body and uses that to suppose if you are healthy or not.  But did you know that BMI is only using your weight and height for making the assessment of your health?  But Farmer John who is out in the garden 8 hours per day with a weight of 200 at a height of 72 inches (6 feet) of height could be way healthier than Everette Pike at a height of 72 inches (6 feet) of height with a weight of 190 could be a lot unhealthier.  The BMI doesn’t differentiate based on accurate assessments, it is only used for generalized measures based on generalized estimates of the public.

Body Composition tests which measure the water mass, bone + organ mass, fat mass, and muscle mass can result in much more accurate health assessments.  If Farmer John has– 28% muscle & 48% water & 18% bone + organ mass then the fat levels for him are at a 6% level, meaning he is very, very healthy.  But the so called healthier Everette Pike according to the BMI estimates could be a person who doesn’t do much more than sit in front of the computer and work.  With the exact same heights these men are inaccurately assessed when BMI is the only factor of health assessment.  Because weight is the only subset in differentiating and making the estimate of health.

WHY ISN’T THERE A MORE ACCURATE PAIN ASSESSMENT?

Yes the doctors do try to determine how much a person exercises, but do they ever ask about the chores you are doing outside of walking?

Everette Pike in the body composition test results in 12% muscle & 32% water & 20% bone + organ mass then the fat levels for him are at a 36% level, meaning he is very unhealthy.  Because of his youth and the loose clothes he wears the BMI assessments show him at a healthier level than farmer John.  But he is less hydrated, has a way higher fat on body amount, and is not burning the food with the muscle either.  His results from the body composition test could help doctors advise him to exercise more and could assist him in resisting heart diseases and organ problems also.

And these were only examples, what if a woman had a body composition test done that showed 12% muscle & 68% water & 16% bone + organ mass then the fat levels for her would be at a 4% level, meaning she is oddly out of proportion for being alive.  And it could cause doctors to make more accurate assessments of problems she is sharing with them.

Reducing the Doctor’s Fear of LEGAL Hassles

Oh yes I have complaints about the technical assessments done, because there are no variances in the assessments from the hospitals who I’m planning on suing for malpractice, liability, and long term disability resulting from lack of good care.

  • THEY have misdiagnosis part of my permanent file,
  • they have made technical ASSessments THAT WERE WRONG,
  • they have made me suffer lies about drug abuse,
  • they have let my family think that the doctors who believed the falsified reports are accurate in their diagnosis and
  • that I am a hypochondriac because the ONLY estimates they look at are the ones that SIMPLE TO SEE.

Which may mean I’ll need to wait until I’m dead, and my family sues, or I’m treated because they have misfiled and inaccurately billed my insurance and me among other things. But I can sue them for liability, because of lack of proper actions and miscommunication, this will vary because of the law changes, but it’s useful because I can act without dying or getting the accurate diagnoses which I can’t pay for now.

BUT YOU CAN SAVE YOURSELF, AND YOUR DOCTORS CAN WORK TO MAKE MORE ACCURATE DIAGNOSIS WITH THEIR WORK & YOUR’S ALSO!

Our Responsibilities

So all of the work of our healthcare has been handed to strangers, doctors, technicians, nurses, pharmacists, and the government BUT we all have responsibilities for our selves, BUT do we take care of our responsibilities for our selves and our families?

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

 

#27- Good COMMUNICATION a Necessity

More here continuing from  #26- Your healthcare is YOUR HEALTHCARE!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.

In continuing from the previous page we see how the tests and lab work is done as part of the doctor’s work.  If the assessments and actions with the tests are done well then the problems can grow. Beyond that there needs to be great communication between the doctors and the lab people and the technicians. For instance how can the doctor know that there’s a bone biopsy needle for a small suction bit that can give good results with less painful costs unless there is that communication?

How will the MRI person make a report accurately when there were two broken limbs, but the doctor didn’t tell them of that? Even if the patient says something and the technician doesn’t see a notification in the doctor’s report then the MRI is a waste of time and money for everyone.  Look at the other tests here with Osteomyelitis (Bone Infection) from MedicineNet.com, by John P. Cunha.

  • Osteomyelitis is an infection of bone.
  • A delay in diagnosis or treatment of osteomyelitis can lead to permanent deficits

There are several different ways to develop the bone infection of osteomyelitis. The first is for bacteria to travel through the bloodstream (bacteremia) and spread to the bone, causing an infection. This most often occurs when the patient has an infection elsewhere in the body, such as pneumonia, an abscessed tooth, or a urinary tract infection that spreads through the blood to the bone…In adults, the symptoms often develop more gradually and include

  • fever, [Yes for Rhapsodie!]
  • chills, [Yes for Rhapsodie!]
  • irritability, [Yes for Rhapsodie!]
  • swelling OR redness over the affected bone[s], [Yes for Rhapsodie!]
  • stiffness, [Yes for Rhapsodie!] and
  • nausea. [Yes for Rhapsodie!]…

The diagnosis of osteomyelitis begins with a complete medical history and physical examination. During the medical history,

  • the doctor may ask questions about recent infections elsewhere in the body, [DONE but doctors will only hear of 1 or 2 not more.]
  • past medical history, [Yes for Rhapsodie!]
  • medication usage, [Yes for Rhapsodie!] and
  • family medical history. [In Rhapsodie’s medical file]

The physical examination will look for areas of

  • tenderness, [Yes for Rhapsodie!]
  • redness, [Yes for Rhapsodie!]
  • swelling, [Yes for Rhapsodie!]
  • decreased or painful range of motion, [Yes for Rhapsodie!] and
  • open sores. [NO for Rhapsodie!]

The doctor may then order tests to help diagnose osteomyelitis.

None of these is specific for osteomyelitis but they can suggest that there MAY BE SOME INFECTION in the body. [NEVER DONE FOR RHAPSODIE] …After an area of bone is identified with possible osteomyelitis, a biopsy of the bone may be obtained to help determine precisely which bacteria are involved, and the culture of this can indicate the best choice for antibiotic treatment.

The information is very good in comparison with the other, but it also added the detail that the bone scans done COULD show osteomyelitis not that they would.  The only way to do that is to get an accurate diagnosis is to do a biopsy of the bone. And that sounds horribly painful, if bone core is exposed that can be easier, but not if it’s buried. Bone skin and bone does feel pain, the outer area between the skin and the core may not feel as much because the nerves are centered near moving blood not ‘callused’ bone formations but I know every time a splice grows from a fracture.

BUT everything with these tests depends on the technologists and the lab technician’s accurately reporting AND the doctors & their medical teams accurately gathering and filing reports AND reviewing them accurately also…

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

 

#22- Patient’s & Doctor’s NEED to Communicate Well

More here continuing from #21- Improve Medical Assessments & Limit Legal Hassles  But there is NO way the doctors have used to relate to me that they can use in making accurate assessments. That’s not a complicated or difficult step to take it just requires taking time to care, keep records, and process them PLUS working to learn outside of your own present knowledge. Let your patient’s speak so you understand them.

Getting Patient COMMUNICATION is Necessary to Help Eliminate More Problems

For me my problems have been made worse with the lack of accurate measuring, the lack of accurate record keeping, and the lack of my own care in recognizing the issues that caused injury before I felt pain which was delayed until infection resulted weeks or months later.  That’s why when I find my pain is totally reduced with use of ANTIBIOTICS the fear of relational problems with infections are added to my reasons to pursue future courses of action against doctors and medical services.

And unless the doctors and medical services work with the patients there will not be good assessments.  Rhapsodie’s Ideas for the Relational Corresponding PAIN Chart works in harmony with the Picture PAIN Diaries with timelines, also somewhat described below as well as being fully demonstrated in the previous posts under Rhapsodie’s Visual PAIN Diary starting on this site at present from #11- 2013 and continuing into #18- February 2018.

This can assist both patients and doctors to have pain measures that are more accurate in making assessments with averages of pain gathered through time.  This could require that the doctors give patients a way to form diaries of pain and it can help patients to make their own pain pictorial diaries more relational for doctors.  BUT the pain diaries will not be useful if the doctor doesn’t take the time to look and read through the charted information of the patient.

PLEASE REMEMBER these assessments with the ratings can shift and vary as well as the pain types BUT the doctor’s may gain some more accurate information if the details are related in a way that they will understand more accurately.  These are only ideas for tools to assist them with their care.

For Patient’s BETTER Pain Assessment Preparations can correspond to Better CARE

As previously mentioned the question of ‘How much pain are you in? Followed by the rate your levels from 0 to 10,’ by doctors and medical people isn’t good enough for accurate assessments of pain. We need more accurate understanding like:

  • Savage’s information, previously shared, about getting relational pain assessments.
  • General Visual Charts like shared by the National Institute on Pain Control (NIPC) information would produce a better chart for time and pain by patients.
  • The Visual Detailing PAIN Diaries with timelines of pain in a form like flipbooks or picture runs could help the doctors to be more accurate in making diagnosis’?
  • Using a Relational Corresponding Pain Chart to relate individual pain assessments of 0 to 10 ratings that is more than personally understood by doctors.
    • Rhapsodie details this more below.

The points above are areas that can be used to improve all pain assessments, but how can a relational corresponding pain chart be built to improve present systems?

Work For Medical People & Doctors

BUT the doctor’s may gain some more accurate information if the details are related in a way that they will understand more accurately.  These are only ideas for tools to assist them with their care. These ideas can work together with allowing doctors more understanding of their individual patient’s pain values AND showing them images they may miss in just ‘seeing’ a patient for 10 minutes every 3 to 36 months.

1st- Visual Detailing with Picture PAIN Diaries with timelines
  • Patients-
    • What is hugely beneficial with that is the fact that the instant you suffer you can start making up a relatable visual for doctors to flip through or see in assessments,
    • EXAMPLE

b. Picture Diary Example

  • Doctors & Medical People-
    • this will be greatly assisted by doctors providing you a method to use as a time & feeling pain diary-
      • especially if you have a prepared action outline for your patient’s to use, so
      • you’ll have an easier time seeing what they share.
    • Visual testing-
      • For testing like with an ultrasound of that arm it is likely to cause minimal pain, it is safe, and it is non-invasive.  Also it is cheaper than an MRI or a CT scan, but you can waste time and money if you are not looking correctly.
      • It’s easier to get an accurate test if you, doctors are accurate in asking for what you are testing AND your testers/ technicians/ radiologists are looking at the correct places in reviewing the pictures..

Visual testing can improve if there are relatable pictures from the feelings you and I have with the actual areas and parts of our problems that the doctors & medical people don’t accurately get with generalized assessments.

2nd- Relational Corresponding Pain Chart

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

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

 

#21- Improve Medical Assessments & Limit Legal Hassles

More here continuing from #20- For Doctors & Medical People to Work On Continuously  … AND this is only the actions for medical people to practice AND there are benefits including limiting legal hassles as well as improving patient/ customer care.

  • Reducing the Doctor’s & Medical Service Groups Fear of LEGAL Hassles
    • Doctor’s & Medical Service Group’s HAVE TO DO THEIR WORK PROPERLY because the continual IT HAS TO BE A KNOWN ISSUE crap causes more legal issues.
      • How can you know any issue if you don’t take the time, effort, and energy to make a real determination of the issue?
      • How can you do your work properly if you are not:
        • Making proper assessments?
        • Listening to the patient?
        • Making sure to read accurate records?
        • Making sure to make accurate records?
        • Really investigating issues?
          • A patient who is paying to see doctors is not shittingly wasting money for your crappy assessments.
          • A patient who is spending time, energy, effort, to get assessments is not suffering to see you to get nothing from you.
        • You are wasting your time in having the patient come again and again instead of working to get to the real issue instead of the real issues taking place.
          • More visits by a patient take more of your time,
          • More visits by patient’s progressively worsening also mean more likelihood for lawsuit.
          • More visits by patient’s progressively worsening are also cutting more time for care of other patient’s you may have also increasing your problems for lawsuit.
        • So the issues for lawsuit grow with the lack of care for patients growing.
          • National Healthcare is SHIT!
          • Health Insurance control of the healthcare industry is SHIT!
          • WE the PEOPLE suffer our own stupidity in allowing others to care for us when we should be caring for ourselves.
            • But this causes a doctor to fear also, at least it should, because I will not go to a doctor unless I determine I need to, thus, they will lose business and that’s mean less money for them to be in business.
          • Patient’s like me who have real problems left untreated are more likely to sue, because years of suffering & the lack of good medical care increase problems that could have been avoided with work of doctors done right in the 20th century that are being done wrong in the 21st.
    • If a patient is satisfied you may not get a single reward other than their payment to you out of it, then again you may get more if you request it.  BUT you are guaranteeing costs added to you by not taking care of your patients correctly.
      • There are malpractice suites, AND
      • there are also liability suites that can be for any liability you are guilty for costing the client problems.

CARE & Actions versus lawsuits

2- CARE & Actions versus lawsuits

Rhapsodie has the idea of the Relational Corresponding Pain Charting because her suffering is only increasing with NO CARE and a body that is gradually getting worse in multiple areas. For Rhapsodie care is not a drug, it is work done to fix problems that are truly in existence. That situation has a consistency to symptoms in comparison with what others have suffered and with a previously diagnosed disease that Rhapsodie can’t officially name for you, but she calls it Whoops disease.

But there is NO way the doctors have used to relate to me that they can use in making accurate assessments. That’s not a complicated or difficult step to take it just requires taking time to care, keep records, and process them PLUS working to learn outside of your own present knowledge. Let your patient’s speak so you understand them…

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

 

#18- February 2018- With Updated Assessments & Images

More here continuing from #17- Rhapsodie’s Visual PAIN Diary- April 2017 Because months have passed since my last entry I’m adding details from the present situation and the pain shifting.  A situation which the doctors have listed as chronic pain, they’re stupid about that, but then they only read what others share with them before making a diagnosis. The February 2018 post demonstrates how the so called ‘chronic pain’ isn’t, it’s in fact circumstantial driven by life AND lack of proper treatment.

There has been a reduction in pain because I do not do much of anything.  My huge 583 square foot tiny home doesn’t make me move a lot to do anything.  The pain that I feel is taken care of by not doing anything, that’s not healthy but it sure saves money and stupid drugging by doctors who prescribe damaging drugs instead of taking care of the problems OR prescribing natural treatments to take care of problems. The misdiagnosis and lack of investigative care are leading to problems beyond the initial ones.

I’m going to show pictures of present pain at times with comparisons from the past, but there’s not of added detail because those were shared in previous posts.  Please think of the value of having doctors who do better work with pain assessments and how that may also help you!

2017 Body Pain Picture

b- April 2017 Pain Pictures Colored

2018- Body Pain Picture

You’ll notice in comparing the images that the pain has decreased, this makes sense with the depreciation of movement and the season of winter.

b. Feb. 2018- Pain Changes

You can see how the spread of the pain has varied; now the lower left calf feels like it’s splitting over and around the talus, the center bone of the ankle. The right calf is stiffened with clumps that can be rubbed painfully away, likely it’s because of core clotting outside the bone. The upcoming pictures demonstrate how the bone shifting with the legs have damaged things.

b. Lower right calf pain & bent bone

b. Lower Left calf bones & Pains

Dr. Gingras determined that the right calf outer bone was bending and arthritis was possible in the left knee area, so it doesn’t surprise me that the pain nerves at the connections of those areas suffer also. Problems grown from lack of care are barely discernible now, but they are likely to just get more and more damaging in the years to come even if the doctors do a fully accurate treatment.

If you logically feel out the results from the ‘found’ problems and you look to the pain issues resulting from the lack of proper treatment you can see why these problems are growing.  I felt like the doctors didn’t want to do anything even when they offered to do surgery to treat the blood clotting on my right calf.  It may have been I read the situation incorrectly, but my primary care doctor should have received notification of that recommendation and I’m not sure that was done either. Maybe my strong pain tolerance threatened their assessments of their own accuracy in diagnoses.

Hip & Knee Problems CREATED from lack of care

This image shows the problem areas and new areas of pain that are inconsistent in amount but they have grown from a lack of care.

b. 2 Hip & Knee Problems created

I’m not sure if you could read the info under the pictures so I’m adding an enlarged version here, but the credits for the figures are shared above:

b. Clipped- Bone issues with lower legs

Arm Problem Extensions

Previously we discussed how the problems with the uses of the left arm increased the problem possibility for the Left Arm Rotator Cuff.  Now the wrist and the elbow are arthritically threatened, because as shown previously rheumatoid arthritis results from lack of care as well as other things.

Images displaying the previous injury and the resulting problems after the fall of 2014 completing the re-seperation.  But here is another image of the scar that resulted from those sets of treatment:

b- Rhapsodie's Left Forearm view when arm is in front of neckThis assists in demonstrating how the internal injury spread is a great possibility and that helps explain the problems that have extended to near the wrist and near the elbow now and this is only the scar remaining from the original surgery when the bone shoved through the arm.

So here I am at the beginning of 2018 before doing anything with Spring or Summer having trouble pulling silverware out of the drawer at times AND being unable to do much more than hold my left arm as I do everything.  That is except typing, which I do with my arm braced on a support and with pain suffering for days beyond any work like that.

b. Feb. 2018- Left arm updatesThese results from inaccurate examinations and reporting have been enhanced by inaccurate pain assessments.  That’s why Rhapsodie has ideas that can assist in helping the doctors who ask us as patients to rate our pain on a scale from 0 to 10 to get better information…

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

 

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