Me & my speech.

Posts tagged ‘medical’

#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

#29- OUR Responsibilities!

More here continuing from #28- More ACCURATE ASSESSMENTS with Good Reporting, Filing, & Reviewing  … 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?

Unhealthy Patient Diets Can Add to Pain Problems

Unhealthy diets can cause us to have deficiencies in our systems that significantly add to problems with our growing bones.

Yes, I said growing.

http://www.boost-bone-density.com/causes.html  is a site that is very informative about bone growths. Including information corresponding to bone density is a massing of bone cells in smaller amounts of space, my dense bones for many years suffered almost no pain. Injuries which have caused my bones to repeatedly work to fix themselves, could be causes for why I now know a lot more about weather pain, but my self treatment seems to keep the pain from being too bad presently… it is not only a continually good diet, but it also is ginger which is a natural anti-inflammatory.

Diets of

  • white flower foods, (with the flour a sugared starch with NO value other than it is not sugar),
  • high sugar (cane sugar is often bleached, and strained so that all we get are the sweet remainders left behind from the health of the cane),
  • highly processed foods with the added chemicals that can break the natural body, and
  • lots of physical inactivity also can add to the problems grown for us as a people.

Many of us begin trying to live healthy after we have lived in fun for many years. But how many of us are suffering from our fun, with possibly injuries or problems that add cause to our reasons for suffering pain?

Blah, blah, blah… yes I talk too much, sorry. But you may also find that the use of nature can enhance your health. For me the old Dr. Jarvis treatment of unpasteurized cider vinegar and local honey has resulted in me avoiding the medicines for Acid Re-flux, Allergies, and possibly arthritis also. The previous Bone Density link shares information about how chemicals treating Thyroid conditions actually do not add value to bone building in the body.

All of our natural care for ourselves is another addition to the information we should share with our doctors.  They also may be ignorant of us because they skin a small sheet of information about us.  And the longer we have been treated the more fiddling files there are about us for our doctors to review.

So we should

So we all should have

  • a list of our medications, even the natural ones we use instead,
  • a list of all our self treatments & when,
  • a list of all the doctors we have visited & when,
    • a list of the doctor associated hospitals also,
  • diagnoses they have made,
    • medications they have prescribed for what,
    • tests they have done, for what, and when those were done, AND
  • other information.

This way we keep a medical record for our lives and for a reference to use in sharing with others.

The value of our own records

For us the value is a binder of work we’ve done for ourselves.  AND this assists us when we seek out new doctors, did they get reports from all your doctors about all your medications or were there missing files that they need to have?

And you know why this is my recommendation?

It’s because I’m not anyone but me, there is no guide in their files designating me for them.  The sense of this is because a lot of doctors I’ve visited recently tend to generalize me with all other diabetics they have treated, but I am me not them. So generally there is at least 2 minutes of every 10 minute visit with a doctor telling them to check my A1C records, to do the research, that I am healthy.  And there are still doctors that do not look beyond their past knowledge of other people before they start estimating me and the pain I have been living with.

While my:

  • records of my lower caloric intake have been ignored?
    • With the body situations of having eaten very little for over 3 years that could be effecting my bones, joints, organs, and other body areas too.
  • records of balanced food consumption have been ignored?
    • With my work to eat balanced amounts of food diminished by no hunger.
  • comments about skin, hair, body, and other problems have been put to the side because only one issue at a time can be taken into account.
    • IT HAS TO BE A KNOWN ISSUE
      • What idiocy, how can you know any issue if you don’t take the time, effort, and energy to make a real determination of the issue?
    • My words aren’t heard!

AND I’ve used the internet for RESEARCH also

Research for me includes having looked at

  • Osteomylitus, [NO TESTS done for this yet]
  • Respiratory Alkalosis, [NO TESTS done for this yet]
  • Diabetes Insipidus, [NO TESTS done for this yet]
  • Microscopic Waterborne Parasites/ Organisms, [1 TEST done for this INCORRECTLY] and
  • Hyponatremia water–electrolyte imbalances, [NO TESTS done for this yet]

which ALL fit me somewhat.  The Respiratory Alkalosis was proven not to be asthma AND Diabetes Insipidus have bone weakness associations; the Osteomylitus may have been acquired with walking around barefoot and having a nasty prickly bite me the inflammation in my right calf started about 2 months after that.  There has been no other work by doctors, beyond believing the lies of technician’s who were too overworked in reports, reading of information, and going through so many files.

AND because I don’t want to insult them with asking for tests for these, because the microscopic parasite test I asked for was a work done by so many to find the test.  BUT the LAB SHOULD HAVE SAID “Go to the hospital, we can’t do that here LIED!” And this lie has made my whole family get infected also, I lost my Walmart job because of the disease, BUT my family sacrificed so I could go to college.

Then I fractured my right calf and have had more falls, likely increased in intensity because the parasite has altered my whole system.  AND because of the lies added to my files which have caused doctors to think I’m a ‘drug addict’ instead of them treating me like I’m trying to get healthy again. 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…

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

 

#25- Infectious PAIN Variances

More here continuing from #24- Relational Corresponding Pain Chart Part A- Section 4 & Part- B- Sections 5 & 6  Doctors have more reason to take care in their estimations making diagnoses because beyond injury pain can grow infectious pains from lack of proper treatment…

 

It is hard enough to have an issue that causes pain, a broken on my left foot next to the smallest toe that was dislocated in the 2000 car accident, took over 4 months to stop hindering my steps.  No my toe did not hurt when I was in bed, but walking is a part of life, and walking with a smaller broken toe can be done, it can still cause pain.  The injured toe, as healing, didn’t remain isolated away from life so there were times when it got bruised while it was healing.  Areas that are exposed to injury can suffer more pain as well as more associable issues with infection.  This can cause more pain issues also, the UTI examples are infections of various types for many situations.

Doctors often run a temperature on people, but what about people who do not have normal body temperatures?  The Disabled World, Feb. 21, 2018, article about temperature says that an adult person who has “normal body temperature ranges in the mouth (oral) [that] is about 36.8°C (98.2°F)” temperature normal, then the concern because “[a] temperature over 38°C (100.4°F) most often means you have a fever caused by infection or illness.” This means that the normal temperature person has changed temperature 2.2oF to 2.7oF in order to have a high temperature. “[A] fever is indicated when body temperature rises about one degree or more over the normal temperature.

https://www.disabled-world.com/calculators-charts/degrees.php

My normal is 97.3oF to 97.7oF using a mouth thermometer, which means that at 99.1 OR 99.5 I would be in fever. The hyperthermia has not been heard by the doctors because they ASSume that the normal is the same for me just like it is for everyone else. AND it is NOT! For over a year now I’ve had temperatures more than a degree over normal, and that’s one of the only infection sign I know has been tested for and there are other tests.

Defining Care Information So Patients have more knowledge

In general when doctors ask me if I have any questions, I don’t have any at that moment.  For me questions arise in the time after their care AND in association with taking the time to work on understanding what is shared along with why they made the comments they did.  So 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…

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

 

#24- Relational Corresponding Pain Chart Part A- Section 4 & Part- B- Sections 5 & 6

More here continuing from #23- Relational Corresponding PAIN Chart Part- A- Section 1 through 4a

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:

  • the needle user,
    • Better training and more practice should mean less pain.
  • the type of use need,
    • Emergency care done in the dark is not the same situation as a blood withdrawal done at a lab, AND
  • the reason for body area location, insertion site, use with the needle.
    • Type of Shot or Withdrawal
      • A shot for insulin is done in an area of body fat not muscle in general,
      • A blood withdrawal for a lab is generally done in an area with blood vessels close to the skin, and
      • An immunization shot is often taken in a more muscled area of the body.
    • Location of insertion,
      • Where the needle is inserted will effect the pain results also depending on the nerve areas in the body of the insertion site.
        • People who are familiar with giving their own shots can know what different areas of nerve feelings effect results from inserting in the wrong locations.
          • When I get shooting pain, it’s because I’ve inserted my insulin needle where there are blood vessels, the blood that comes out after removing the point proves me correct.
          • Number areas are safer for insertions with less nerves.
        • Examples
          • A dentist giving Novocain shot does it at the mouth, allowing at least the 15 to 30 minutes to numb it for the patient before they do more work.
          • A doctor giving Novocain for numbing a spine will put it near or at the spine THEN making sure that the 15 to 30 minutes of time to numb it for the patient is allowed so the numbing is done before they do more work in the nerve center, most painful if hurt location, of the body.
            THEN

Relational Corresponding PAIN Chart B– Section 5 & 6

5. Chart ratings from use for the individual with how their specified ratings and other averages correspond from the previous ratings gathered for other individuals.

  • The more consistently that this is done, the more correspondence for having rating scales used by individual patients.
  • This means if the ratings of 0 to 10 are used with the needle and the other variables above corresponding to other patients then there can be more consistent scales for doctors in reference to every individual.

6. The ratings charted will then fit onto an average for corresponding the individual in pain scale against the generally associated averages which means people who fit outside the norm can be related to more realistically with their pain ratings and the care for them can be more accurate.

b- 0-10 pain rating AVERAGES capture B

You can see how the variations in pain for the exact same situation can cause the doctors to have made inaccurate assessments.  The Relational Corresponding PAIN Chart Part A & Part B,can then give the doctors a better reason to associate what they hear and see with the care work they do.  And the patient’s can get better care for their needs also especially when their Picture PAIN Diaries with timelines are made so when the doctor views their pain remarks they also gain a better evaluation with their decisions.

Compiling information

Compiling the information will work best with computers that can assist in averaging and adding information into formula sheets that will provide quick estimates for doctors to review about individual’s pain tolerances.  THEN when the patient works and builds their visual pain diaries they are not only creating visuals of what has been happening, but they are also adding details that are not easily assimilated in a 10 minute visit.  It’s also possible that these compilations can assist doctors with the internet, email records, and other automatic systems for taking and keeping records.

I mean the mechanic can plug a little box into the computer of a modern car to get a better idea of what’s happening with its systems. An accountant can have budgets from multiple areas, businesses, and financial processes share information with it.  A personnel system has computers that keep information about employees, pay scales, hours, and medical information also.  There is a net work of systems that are used to assist all of these fields and we have not good system for getting pain estimates from individuals.

I remember the one time I was questioned in kindergarten about the feel of the tetanus shot. For me I said one, there was nothing to correspond that pain to, I only realized in watching the many students of my age group that went through the line before and after me how much some were hurt.

b- Average pain ratings corresponding- Kindergarten Tetnus

Yes there are also the Dolorimeter tools for measuring pain tolerances, but it’s my conjecture that their use failures come with associated costs and the inexactitude of application styles by the wide variety of users.  Plus the lack of consistency different testees with the situations for testing could damage relations with those pain assessments, so the work with the needle doesn’t need to be a needle but there needs to be other relations that correspond, like are shown in the information posts about the Relational Corresponding PAIN Chart sections.

Rhapsodie’s Relational Corresponding PAIN Chart shifting variables can be more acclimated because of the ways and the frequencies of the assessment that could be done among a large variety of people.

Doctors have more reason to take care in their estimations making diagnoses because beyond injury pain can grow infectious pains from lack of proper treatment…

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

 

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