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Aerows

(39,961 posts)
Sun Jun 16, 2013, 07:54 PM Jun 2013

I was asking for advice

because I have an ear infection and it dawned on me that the "doctor" that I went to never even took my temperature, my blood pressure or did anything but get pissed that I flinched when he seized my ear that is infected.

I still have an infected ear, I asked for advice, and got locked out of my own thread in GD because I blurted something I shouldn't have, but I was getting very good information. Naturally that would be a thread I get locked out of.

http://www.democraticunderground.com/10023029750

Here's the thread

28 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
I was asking for advice (Original Post) Aerows Jun 2013 OP
Through the years, increasingly, BP and temperature have been taken. NYC_SKP Jun 2013 #1
Thank you :) Aerows Jun 2013 #2
Mine were never taken. I explicitly Aerows Jun 2013 #3
Did they diagnose you with an ear infection? Heddi Jun 2013 #5
So you were Dx'ed with swimmer's ear Heddi Jun 2013 #6
Wouldn't you think the damn Aerows Jun 2013 #8
antibiotics aren't appropriate for swimmers ear Heddi Jun 2013 #16
Because I don't have swimmer's ear Aerows Jun 2013 #19
antibiotics still may not be appropriate Heddi Jun 2013 #21
Thank you, Heddi. Excellent information. Aristus Jun 2013 #9
Look, I couldn't even take pain medication Aerows Jun 2013 #10
Good advice but they should have taken vitals exactly because then it is an objective fact. uppityperson Jun 2013 #17
It really depends on the Dr Heddi Jun 2013 #4
I went in and stated Aerows Jun 2013 #7
if you are unhappy, then complain to the dr Heddi Jun 2013 #18
Sorry :( Aerows Jun 2013 #20
That was me. Aristus Jun 2013 #11
I wish it was ear wax Aerows Jun 2013 #13
Yeah, they definitely didn't do a thorough exam. Aristus Jun 2013 #14
Okay, i forgot Aerows Jun 2013 #15
Well, based on your history and symptoms, Aristus Jun 2013 #22
Shit Pharyngitis Aerows Jun 2013 #23
Feel better... Aristus Jun 2013 #24
There is a shot Aerows Jun 2013 #25
Not from me. I'd treat you with oral antibiotics. Aristus Jun 2013 #26
Except I've had Pharyngitis twice Aerows Jun 2013 #27
I just used gonorrhea as an example of conditions treated with IM medications. Aristus Jun 2013 #28
I'll see what happens Aerows Jun 2013 #12
 

NYC_SKP

(68,644 posts)
1. Through the years, increasingly, BP and temperature have been taken.
Sun Jun 16, 2013, 08:04 PM
Jun 2013

And weight and height if my primary care office.

If I complained of an earache, which could obviously have an infection behind it, I would expect both to be taken.

Not that you asked, but I've found a hot pack to be helpful with the pain.

My grandmother used to heat salt in a sack in the oven. These days I can use a microwavable pack.

I hope it feels better soon!

Heddi

(18,312 posts)
5. Did they diagnose you with an ear infection?
Sun Jun 16, 2013, 08:44 PM
Jun 2013

People sometimes get ear-aches from buildup of wax, or a foreign body, or water in the ear, or a host of other things that aren't actual ear infections, otitis media or otitis externa.

i haven't read your other thread in detail but I notice that you keep typing "I told them I had an ear infection" but was that confirmed by the Dr? Maybe your ear hurt for another reason

Heddi

(18,312 posts)
6. So you were Dx'ed with swimmer's ear
Sun Jun 16, 2013, 08:52 PM
Jun 2013
http://www.mayoclinic.com/health/swimmers-ear/DS00473

You say you feel like you have a fever...but you haven't taken your temperature? You *might* not have a fever. I know it feels like you do, but you might not.

Last week I had a stomach virus. Burning up then freezing cold, cold sweats, whole nine yards. CERTAIN that I had a fever.

My temp was never above 99.0

Buy a thermometer. Don't go based on how you 'feel". It's summer, people feel hot. AC is on, people feel cold.

I'm not trying to be offensive or be an asshole, but I see people in the ER All day and night who swear they have a fever of 106...and they've got normal body temperature. Or people who complain that their heart is racing and it's a steady 62 sinus rhythm. Or that their blood pressure "feels" high and it's not. Or whatever.

we call the way people describe how they feel as subjective, because it's an opinion and can't be verified. I can't verify that you have pain, and I have had patients with multiple broken bones with a BP of 120/70, so BP is not an indicator of pain.

But things like temp and BP and heart rate, those are objective, because they can be measured and verified. I can't verify that you're in pain, but I can verify that your heart rate is 120 and your BP is 201/80.

If you're concerned about your temp, go to Walgreens and buy a $5 digital thermometer.
If you're concerned about your BP (not as an indicator of pain, though), get it checked free at walgreens.
 

Aerows

(39,961 posts)
8. Wouldn't you think the damn
Sun Jun 16, 2013, 09:03 PM
Jun 2013

Doctor's office would take my temperature? I wasn't there for pain meds or pretending. I have an ear problem. I want some appropriate antibiotics. For $150 they could stick a thermometer in my mouth, wouldn't you think?

Heddi

(18,312 posts)
21. antibiotics still may not be appropriate
Sun Jun 16, 2013, 09:34 PM
Jun 2013

if you have viral infection. I'm just going on what you said...diagnosed with swimmers ear

Aristus

(66,409 posts)
9. Thank you, Heddi. Excellent information.
Sun Jun 16, 2013, 09:06 PM
Jun 2013

I was dancing around the concepts of 'subjective' and 'objective', but I failed to mention those words themselves.

Getting b/p checked at Walgreen's is good. Getting it checked at the local fire station (where around here, they'll do it for free; your tax dollars at work) is also good. I tell my patients 'who knows how often those drug store machines are maintained and calibrated? At the fire station, you've got a well-trained professional, and well-maintained equipment.'

 

Aerows

(39,961 posts)
10. Look, I couldn't even take pain medication
Sun Jun 16, 2013, 09:12 PM
Jun 2013

if I wanted to since I'm allergic to most of it, if that is what you are thinking. MY EAR HURTS. I don't understand why I have to justify that. I'm not a hypochondriac that claims they have everything under the sun. I have an ear infection. WTF.

uppityperson

(115,677 posts)
17. Good advice but they should have taken vitals exactly because then it is an objective fact.
Sun Jun 16, 2013, 09:28 PM
Jun 2013

Anyone going to a doctor should have wt and bp taken. The problem here is that the office did not take vitals.

Heddi

(18,312 posts)
4. It really depends on the Dr
Sun Jun 16, 2013, 08:42 PM
Jun 2013

I will state that I'm an Emergency Room RN, so I'm pretty particular about vitals and such.

A few years ago, my husband (who's also an RN) went to an ENT (ear nose throat) MD because of a goofy looking patch on the back of his throat. They didn't take any vitals, not a pulse or anything. I thought it was odd, but it makes sense that they didn't because he wasn't complaining of a fever, or aches, or anything (turns out the goofy patch was his tonsils re-growing after being removed 20+ years earlier). But we were still disconcerted enough about the lack of vitals that we called and made a complaint with the office manager. she said "He didn't make an appointment because he was sick, he wanted to be seen for the patch on his throat" ??? okay. Well, I know I've had plenty of patients present to the ER with new-onset high blood pressure, or tachycardia, or other really serious problems because of how their vitals appeared in their Dr's office....bp's of 220's/100's, heart rates in the 200's....stuff like that. So her response was not acceptable to me and we chose not to continue to see that Dr after that.

If you're unhappy with the treatment you received, call them and let them know.

I think someone in your other thread stated that ear infections rarely cause temps. That's true, but what if it wasn't an ear infection? I would have expected that if I presented with any sort of discomfort that basics would be taken.

Hell, I get all that checked when I go in for a routine pap....

 

Aerows

(39,961 posts)
7. I went in and stated
Sun Jun 16, 2013, 08:59 PM
Jun 2013

"I think I have an ear infection".

Would your first inclination be to blow me off after I said it hurts in one ear specifically or would you take my temperature and blood pressure and do the things normal doctor's offices do?

I had to pay 150 for this guy and 35 dollars for ear drops that didn't help, and now? I'm going to have to pay some more to go to my normal doctor who couldn't see me last week because he himself was ill (and no, I don't fault him for that). That's how I ended up with this overpriced idiot

Heddi

(18,312 posts)
18. if you are unhappy, then complain to the dr
Sun Jun 16, 2013, 09:29 PM
Jun 2013

everyone in this thread and the other is telling you the same thing. Don't get angry at me, because I would have taken vitals. Call or write that drs office, you know, the people you should be angry at, not Du'ers who are all telling you you're right, but you're still being hostile towards us!

Aristus

(66,409 posts)
11. That was me.
Sun Jun 16, 2013, 09:15 PM
Jun 2013

BTW, LOVE RN's! My Dad was a surgical RN.

Every so often I get a complaint of ear pain, and I take a look, and they have a massive cerumen impaction. My team cleans it out, and voila! pain gone! And their hearing improves, too.

If their TM's are bulging outward, but everything else looks normal, I presume a simple viral case of eustachian tube congestion, which a few days of ibuprofen will take care of.

 

Aerows

(39,961 posts)
13. I wish it was ear wax
Sun Jun 16, 2013, 09:22 PM
Jun 2013

That isn't the problem. My throat is also having problems on that side, I said so, but again, no one gave a crap in that office. They didn't even look in my throat.

Aristus

(66,409 posts)
14. Yeah, they definitely didn't do a thorough exam.
Sun Jun 16, 2013, 09:25 PM
Jun 2013

Not to boast about such things, but I could have figured you out pretty quickly, and treated you, and the problem appropriately.

 

Aerows

(39,961 posts)
15. Okay, i forgot
Sun Jun 16, 2013, 09:27 PM
Jun 2013

My throat also hurts on that side, and again, I explained that. Now what in the hell do I have to do when I go to get someone to at least check to see if I might have a fever or I might have an issue that requires antibiotics?

Aristus

(66,409 posts)
22. Well, based on your history and symptoms,
Sun Jun 16, 2013, 09:35 PM
Jun 2013

I'd say it was a fairly garden-variety case of viral syndrome, which, as I said earlier, antibiotics won't touch. What I do in these cases is treat the symptoms until the patient gets better on his or her own. That's the way it works with simple, uncomplicated viruses like, for example, the common cold.

If on oral exam I saw whitish purulent discharge at the back of your throat, I'd treat you for acute bacterial pharyngitis (and get a specimen for testing, as I explained earlier). A little Penicillin VK, unless you were allergic, and you'd be fine again.

 

Aerows

(39,961 posts)
23. Shit Pharyngitis
Sun Jun 16, 2013, 09:40 PM
Jun 2013

I've had that before. That's what it probably is. Jesus. Now let's get on with the antibiotics so I can get back to running and feeling better.

And none of that oral crap, because it never works on me. Hurray, a shot in the butt for Aerows. I'm so pleased.

Aristus

(66,409 posts)
26. Not from me. I'd treat you with oral antibiotics.
Sun Jun 16, 2013, 09:50 PM
Jun 2013

An intramuscular shot is usually reserved for more powerful antibiotics, like Rocephin, that are used for things like gonorrhea.

 

Aerows

(39,961 posts)
27. Except I've had Pharyngitis twice
Sun Jun 16, 2013, 09:54 PM
Jun 2013

and both times, because of my bodies resistance to antibiotics, it took the old shot in the ass. I'd rather just get it the hell over with, and avoid being sick for several weeks knowing it won't work.

And I can assure you that when I was 10 and 17 - neither time did I have gonorrhea.

Two days, I'll be better. I can deal with the shot in the ass.

Aristus

(66,409 posts)
28. I just used gonorrhea as an example of conditions treated with IM medications.
Sun Jun 16, 2013, 10:13 PM
Jun 2013

And antibiotic resistance is one of the reasons I order a culture and sensitivity. The lab report will give me a list of antibiotics that will kill the pathogen. I only go the IM route if the bug is resistant to all the oral meds that are available to me.

 

Aerows

(39,961 posts)
12. I'll see what happens
Sun Jun 16, 2013, 09:17 PM
Jun 2013

I'm apparently going to have to go to my regular doctor to sort this out. At least I know they will take my temperature, blood pressure, and etc.

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