Finger in Po.. Mexico or "one up the bum, no harm done!"

110 posts in this topic

After reading this thread,  this was a startling reminder about the importance of a periodic prostate exam so I spoke with my husband today about having a prostate exam and he agreed to having it done.  

 

Unfortunately, my dad died 31 years ago of  prostate cancer.  He lived 5 years after his diagnosis and opted for no treatment for his cancer. 

 

Reading this thread, reminded me of this episode of Family Guy about Peter's Prostate Exam.

 

 

Peter takes the doctor who did the prostate exam to court.

 

 

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Listen up, you youngsters! It could be worse! You could be a (paid ) witness to this stuff! When I was 23-ish, I ended up in Port Stanley, Falkland Islands/Islas Malvinas and bluffed my way into a job as a Spanish-speaking interpreter.

At that time, there was a joint Govt venture between the British Govt and Argentine Govt and they had committed to building a new runway and airport. The engineers and workers were a mixture of Brits, Irish, Argentines and Chileans.

The local police boss, John Smith, interviewed me and it turned out I was absolutely useless and unqualified for anything related to the construction work. But I had been travelling around and had learnt decent street Spanish.

I got the job.

 

Now, they had their NHS there, just like in the UK, and the doctor was Indian!

One day, a Chilean worker was ill and we went to the doc and I was the interpreter. He had piles!!

So, as the doc put on a white glove-thingy, I had to interpret live what he was doing!! The doc used medical language and I just translated non-medically "  mierda, culo..." etc!!!

:lol::lol:

 

PS: ( no pun intended )----that was the airport that got the shit bombed out of it during the 1982 " conflict."

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Had to do both earlier this year, my HA said to me that I need a bowel check because of my age, so I produced a sample in a lovely little tube with the Spatula provided. At the same time I was having Diahrrea 2 -3 times a week so my specialist said I needed a Colonoscopy to make sure nothing was wrong. I was certain that it was a side effect of my medication. I took the stuff they gave me and did that clean my Bowels out. I had an MRT first and I was praying I wouldn't shit all over their nice clean machine before going for the Colonoscopy. I survived but I don't want to do that again.

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Yeah.. if you get offered the "camera down and the camera up"... you wanna make sure they do the camera down bit first!    :ph34r:

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31 minutes ago, French bean said:

I was certain that it was a side effect of my medication.

 

ok this is more of a rant but...THIS!

 

WHY do doctors seem to have less of a clue about side effects from medication than patients do?  I've encountered this more times than is even remotely reasonable.  And yeah, even when I spelled it out as "well you prescribed this, and I took it, and this new thing is a common side effect of that medication so...eh?  maybe?  that's it?", it still led to all kinds of crazy tests which all proved inconclusive, whence they simply didn't care any more and gave up entirely.  But never mind the side effects, right?

 

I sometimes want to be a doctor.  Most seem to have ZERO debugging skills and it's actually the core - or what should be the core - of what medicine is about - verifying/eliminating the obvious and narrowing down where things are going wrong, for real.  Not just "I'm ignoring loads of information that's staring me in the face, but I did some stuff, stabbed around a bit, now I'm stumped, so never mind".

 

 

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They give you a tablet that fixes your ear ache but it gives you the shits... then he gives you tablets to dry up the shits... then sells you laxatives as you cant shit no more!

 

 

I am mega fucking pissed of at the "Urologists" at the hospital I am being mis-treated in...

 

Was taken in by amulance... Ultrasound.. Abdominal MRI and then General anestetic to fit a stent...   6 weeks or so with a stent in place thats caused nothing but discomfort and permanent bleeding...   

Appt to remove stent and stones next week... 

 

Why the hell couldnt they have just dragged the stones out instead of fitting the stent?   

 

They had to do a japseyeoscopy to put the thing in there... they could have simply done the whole proceedure at the begining... 

 

 

Oh yeah... I forgot... In and out in a day or two doesnt earn them wonga!   

 

 

 

 

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yeah...precisely.

 

I know it's not always easy, especially depending on locale, but second or even third opinions can be very important.  My FA told me for TWO YEARS that my fibroid tumor could not possibly be causing my symptoms, but the radiologist who evaluated my mri, and the surgeon who did a simple ultrasound (my FA had done ultrasounds too, mind) - both of them said in so many words: "yeah.  that thing is pressing on your colon directly and it's also pushing your uterus over to your bladder, so of course you have these symptoms - erm...duh - it's as clear as day"

 

I like my FA very much.  But not so much that I won't go behind his back to be sure he's right.  I have to live in this body, he doesn't.

 

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1 hour ago, SpiderPig said:

Was taken in by amulance... Ultrasound.. Abdominal MRI and then General anestetic to fit a stent...   6 weeks or so with a stent in place thats caused nothing but discomfort and permanent bleeding...   

Appt to remove stent and stones next week... 

 

Why the hell couldnt they have just dragged the stones out instead of fitting the stent?   

 

 

A coworker of mine is going through the same thing.  Collapsed at work end of September, taken in by ambulance, stayed there a couple of days, got fitted with a stent and last Monday had the op to get the stent out.  I don't know either why they don't just remove the stones.  Before they put the stent in they were making him drink a lot and jump on the stairs trying to make him pass the stone.  When that didn't work, they put the stent in.

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15 hours ago, SpiderPig said:

Why the hell couldnt they have just dragged the stones out instead of fitting the stent?  

Guinea Pig? :ph34r:

 

14 hours ago, LeonG said:

... they were making him drink a lot and jump on the stairs trying to make him pass the stone.

WTF ? These are doctors?

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I have worked in urology, and need to tell you that the drinking large of amounts of fluid and jumping you so criticize is an accepted form of early treatment of stones in the urinary tract.

There are some caveats:

The patient must be medicated for pain and given relaxants, as well as be physically capable of this.

This course of action will only work for smaller stones and "sand", as determined by ultrasound diagnostics.

It will only be tried as an initial measure, but works in many cases.

 

Please consider the fact that natural passing of stones - especially with proper medication - causes far less damage to the kidneys and urinary tract that *any* invasive procedure.

 

The way the doctors proceeded here very probably was correct.

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Always ready to be educated, Metall. But jumping up and down when you are in agony... to get gravity on your side... right. I wouldn't exclude them getting women in labour to do likewise. You can always give it a go. Rolls eyes heavenwards. .

I am not a doctor. IANAD.

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9 minutes ago, optimista said:

WTF ? These are doctors?

 

Yes, they were even making fun of him for being out of breath jumping up and down the stairs and he told them, look, it's not like I do this every day.

 

1 minute ago, Metall said:

Please consider the fact that natural passing of stones - especialy with proper medication - causes far less damage to the kidneys and urinary tract that *any* invasive procedure.

 

Years ago I saw something on the news on a (then) new technology where they shoot rays at the stones to break them up.  Is that not effective?  I would think that it should be easier to pass sand than to pass a chunk of a stone.  

 

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12 minutes ago, optimista said:

Always ready to be educated, Metall. But jumping up and down when you are in agony...

 

That is why I love living in a wonderful age of painkillers, muscle relaxants etc.

*thinking of the dentist*

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5 minutes ago, LeonG said:

Years ago I saw something on the news on a (then) new technology where they shoot rays at the stones to break them up.  Is that not effective?  I would think that it should be easier to pass sand than to pass a chunk of a stone.

 

Yes, the shock wave destruction of *large* kidney stones definitely is done (with a risk of damaging the kidney).

But you *still* have to pass the resulting debris.

The procedure is NOT a catchall for every stone! Not every type of stone can be broken up this way etc.

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1 minute ago, Metall said:

Yes, the schock wave destruction of *large* kidney stones definitely is done (with a risk of damaging the kidney).

But you *still* have to pass the resulting debris.

The procedure is NOT a catchall for every stone!

 

So what is the purpose of the stent exactly?  Can the stone pass through the stent?

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A stent is always meant to keep a passageway (or an artery when used in the brain or heart) open.

I don't know the size of stent and stones involved here, but it sounds like preventing cramping of the urinary tract could let the stones/sand pass.

It also prevents backup of urine which can in itself damage the kidney.

It always is tricky. In a nutshell however, the technology to deal with what can be some of the worst pain a person can experience is pretty advanced.

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I always understood that stents are used to keep the ureter open.  A stone en route causes lots of inflammation, swelling and subsequent narrowing of the ureter which can be a problem in and of itself as this too can block the flow of urine out of the kidneys.

 

I've not heard of it being used as an aid to passing a stone though - possible I guess but never heard of that.

 

my understanding of "normal" treatment for a stone that's too large or otherwise stuck is the use of ultrasonic waves that pulverize the stone so it can pass.  My veterinarian had this done and he said it was very painful, and he still had pain when passing the smaller bits after the blitz.  Still better than suffering kidney damage or undergoing surgery

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By the time one becomes aware of a stone, it is usually on its way from the kidney to the bladder. Ejected by the kidney, it isually then blocks or partially blocks the narrow passage... 

The backlog or urine causes pressure and swelling in the kidney ...     That when its "Climb the wall" time...

 

The Stent, so my doctor claims is to allow the urine and fluids to drain and allow time for the kidney swelling to reduce..

 

My problem is that I feel as if they could have pulled the stone out of the tube and fitted the stent to assist with drainage ( general anaestetic) then after 48hrs, remove the stent and catheter  under a local anaestetic..

 

As for pain killers...   Not were offered and was told that if I needed any, then i needed to consult my GP...  ( yet again, more money out of my pocket... my GPs time wasted as he needed to find out my "Case history"  thus one less patient that got seen on the day of my visit to my GP... )

 

 

 

 

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