September 19, 2007 - 12:28am
How can a doctor tell if you dont have anything wrong with your back?I really dont think that doctor's know what they're talkin' bout. Just to prove, me and my girlfriend was in a car wreck back in Aug. 05', this dude rear-ended us while we were stopped at a red light, he was going probably a little more than 45 mph,and knocked us into the woman's car in front of us. The woman was about 8 to 9 months pregnant so they took her on to the hospital, well my dad came and took us because we didnt want to ride in the ambulance which as ppl have told us we shouldve so we couldve got more money than $1,000.00 ea. but anyway, when we went to the hospital me and her both started having problems with our backs and necks. My pain isnt as bad as my girlfriends, me and her both have been to the hospital several times as they say its not cause of the wreck that it must be something else. So Im guessing that prove's that doctors really dont know what is wrong with anybody when theyre sitting there crying and the doctor still cont's. to push and poke on ur back and neck, making it hurt even worser then they wont give you nothing but Ibu 800mg So I'm just trying to prove my point about doctors not knowing what the heck theyre talking about when they take all kinds of xrays and mri's and all they want it to take your money and not giving u anything. If anyone else feel's the same way please let me know.
September 19, 2007 - 12:16pm
#2
First, taking an ambulance
First, taking an ambulance to the hospital for evaluation might get you more money in order to cover the ambulance bill, but I think it is a mistake when people start looking at automobile accidents like they do the lottery.
Normal MRI, x-rays, CT scans are the norm in soft tissue injury of the back (ie. whiplash). The cause of pain in whiplash injury is not well understood. The appropriate treatment is NSAIDs, acetaminophen, physical therapy, and local modalities like heat, topical agents, hydrotherapy, and TENS unit may be helpful as well.
An abnormal MRI, x-ray, CT scan does not always indicate the cause of back pain. Many people over 40 will have some degenerative spinal changes on an MRI, even when they have no signs or symptoms of any back problems and are completely pain free.
The poking and proding are necessary to determine if there are any neurological deficits (signs of injury to the nerves or spine), impaired range of motion, palpable muscle spasms, etc, which may provide information about the nature of the injury and the etiology of your back pain.
You are also seeking continuing care from an inappropriate source. After the initial hospital emergency room evaluation, you should follow up with a primary care provider who can provide ongoing treatment and referrals. The hospital emergency department is not designed to provide comprehensive management or ongoing care.
I don't feel that doctors are needlessly poking on patients. I think most doctors, when prescribing opiates on a daily basis, would like to have documentation that a problem exists, through xrays or MRI's. What do your MRI's and XRays show? I don't know what else to tell you, other than if you feel like you are not getting adequate care, ask for a referral to a pain specialist. Your doc may or may not grant this request.
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