[golfing eagles]

Originally Posted by Stu from NYC

Knew that was coming.

I tried to resist---I really, really tried. I even waited 7 seconds (a good 7 seconds) before typing, but let's face it, he walked right into that one

[JMintzer]

Originally Posted by golfing eagles

Hmmmm.......what makes me qualified?????? Let's start with

Then, without posting my entire CV, let's just summarize with AOA graduate Univ of NY, 35 years in practice board certified in Internal Medicine, Retired Chief of Staff of my Community Hospital and Associate Professor of Medicine at SUNY Upstate.

So, just to be fair, what makes you qualified to challenge that????

That being said, you should have a "complete" physical every year----that means seeing your physician, and having whatever lab and screening tests are indicated for you as an individual. That's not what the OP was looking for. He/she was interested in a location that runs a panel of unnecessary tests without a clear indication---the problem is that this often gives useless and false information that only leads to more tests, some of which might be invasive.

PS----did you read post #3 on this thread?

[daniel200]

There are several medical facilities in Florida that do extensive “executive” physicals. The UF Health Douglas Williams Executive Health Program is one that I would recommend. It takes a two of days of your time. It is also customized for your particular situation. This is a thorough physical staffed by people who specialize in this program.

Its not cheap and is not covered by insurance. If my memory is correct it was $3,400 in 2020.

You can google it for contact info

[Lillyangel]

Originally Posted by golfing eagles

I tried to resist---I really, really tried. I even waited 7 seconds (a good 7 seconds) before typing, but let's face it, he walked right into that one

I have heard many so-called doctors say some really stupid things. Bottom line, they are taught very little about nutrition and most of them these days just want you to pop a pill. They have no time to get to the true cause of the problem. Scream all you want about your worth, but actually, I believe you need to seek counseling for your control and self-esteem issues.

[retiredguy123]

Originally Posted by Lillyangel

I have heard many so-called doctors say some really stupid things. Bottom line, they are taught very little about nutrition and most of them these days just want you to pop a pill. They have no time to get to the true cause of the problem. Scream all you want about your worth, but actually, I believe you need to seek counseling for your control and self-esteem issues.

I think that doctors know a lot about nutrition and weight control, but they also know that their patients will not follow their advice, so they don't waste their time on it. There is a current television ad where a young woman with type 2 diabetes is happy and dancing around because she is taking a new fangled drug that has reduced her A1C. The problem is that the woman is obviously at least 100 pounds overweight, and, if she lost that weight, she may not need any drugs at all.

[Stu from NYC]

Originally Posted by Lillyangel

I have heard many so-called doctors say some really stupid things. Bottom line, they are taught very little about nutrition and most of them these days just want you to pop a pill. They have no time to get to the true cause of the problem. Scream all you want about your worth, but actually, I believe you need to seek counseling for your control and self-esteem issues.

Guess you do not like doctors or is it just so called doctors?

[spinner1001]

Originally Posted by golfing eagles

Hmmmm.......what makes me qualified?????? Let's start with

Then, without posting my entire CV, let's just summarize with AOA graduate Univ of NY, 35 years in practice board certified in Internal Medicine, Retired Chief of Staff of my Community Hospital and Associate Professor of Medicine at SUNY Upstate.

So, just to be fair, what makes you qualified to challenge that????

That being said, you should have a "complete" physical every year----that means seeing your physician, and having whatever lab and screening tests are indicated for you as an individual. That's not what the OP was looking for. He/she was interested in a location that runs a panel of unnecessary tests without a clear indication---the problem is that this often gives useless and false information that only leads to more tests, some of which might be invasive.

PS----did you read post #3 on this thread?

Whoosh.

Relativism is in fashion now but very dangerous. Facts matters. Opinions not so much.

[golfing eagles]

Originally Posted by Lillyangel

I have heard many so-called doctors say some really stupid things. Bottom line, they are taught very little about nutrition and most of them these days just want you to pop a pill. They have no time to get to the true cause of the problem. Scream all you want about your worth, but actually, I believe you need to seek counseling for your control and self-esteem issues.

Bottom line: You have absolutely no clue what you are talking about. To quote Luke Skywalker from Star Wars episode 8---"Everything you have just said is WRONG". Please tell me all you know about medical education and the curriculum at over 100 medical schools in the US. Please tell me about all the really stupid thing doctors say, which would mean you have more medical knowledge than they do to be able to judge their statements. Tell me your basis for the claim that they just want you to "pop a pill"---is that based on your years of experience diagnosing and treating patients or just something you just picked up on some talk show????? (Probably "The View") Tell me how physicians have "no time" to get to the cause of the problem. I have seen some really ignorant posts on TOTV over the years, but congratulations on making the top 3. And that's with ignoring your idiotic personal attack because it was so off base and without merit that it isn't worth mentioning any further.

PS: Are you off your neuroleptics and other psychotropic meds??????

GET HELP!

[paulat585]

Originally Posted by retiredguy123

What is a health screener?

This type of service: https://discover.lifelinescreening.c...jFai_z2gCK4j6s

[Golfer222]

Could not agree with Golfing Eagles more.

As a board certified cardiologist I have seen many more complications from unnecessary testing than I care to imagine. Usually the docs succumbs to patient pressure or "just to be sure"

Case in point- screening stress test with no symptoms or risk factors for CAD. Stress test comes back mildly abnormal ( of which 40-50% do) , onto a nuclear stress test with again a mild abnormality (30 % false positive rate) , onto a heart cath in which a spiral dissection of a coronary occurs obligating a coronary bypass.

Now did anybody really do this patient any favors.

[golfing eagles]

Originally Posted by Lillyangel

I have heard many so-called doctors say some really stupid things. Bottom line, they are taught very little about nutrition and most of them these days just want you to pop a pill. They have no time to get to the true cause of the problem. Scream all you want about your worth, but actually, I believe you need to seek counseling for your control and self-esteem issues.

Originally Posted by Golfer222

Could not agree with Golfing Eagles more.

As a board certified cardiologist I have seen many more complications from unnecessary testing than I care to imagine. Usually the docs succumbs to patient pressure or "just to be sure"

Case in point- screening stress test with no symptoms or risk factors for CAD. Stress test comes back mildly abnormal ( of which 40-50% do) , onto a nuclear stress test with again a mild abnormality (30 % false positive rate) , onto a heart cath in which a spiral dissection of a coronary occurs obligating a coronary bypass.

Now did anybody really do this patient any favors.

We both know that, but you didn't answer the important questions:

Are you a "so-called" cardiologist?
Do you say "stupid" things?
Are you ignorant of nutrition?
Do you do nothing but make your patients "pop pills"
Do you ignore the cause of their problem?
Do you "scream about your worth"
Do you have "control" and "self-esteem issues"

I'm still having trouble wrapping my head around that post
What do you think?----Delusional? Organic Personality Disorder? Multi-infarct dementia?
Or perhaps the etiology is more in your field of expertise---such as a cardiac output of 1.1 L/min so that whatever cerebral cortex she actually has is severely hypoperfused. Might make a good case study in NEJM

[blueash]

Originally Posted by golfing eagles

We both know that, but you didn't answer the important questions:

Are you a "so-called" cardiologist?
Do you say "stupid" things?
Are you ignorant of nutrition?
Do you do nothing but make your patients "pop pills"
Do you ignore the cause of their problem?
Do you "scream about your worth"
Do you have "control" and "self-esteem issues"

I'm still having trouble wrapping my head around that post
What do you think?----Delusional? Organic Personality Disorder? Multi-infarct dementia?
Or perhaps the etiology is more in your field of expertise---such as a cardiac output of 1.1 L/min so that whatever cerebral cortex she actually has is severely hypoperfused. Might make a good case study in NEJM

Please stop this attack on the person who does not agree with your approach to health care. I am frankly saddened that you seem to want to diagnose someone as mentally ill and suggest that need to get medicated now because they see things differently than you do. And to suggest they are not getting enough blood flow to their brain then posting your rolling on the floor thing like that is funny.

I suspect that if a chiropractor got on this forum and told all of us that they went to DC school and ran a large practice and that they means they know best about health care and those who disagree need help NOW you would not agree.

Knowledge does not give you permission to go on to arrogance nor does it give wisdom. Maybe you could wait longer than seven seconds before you feel the need to reply.

[jswirs]

Originally Posted by golfing eagles

OK, let's play devil's advocate. Why would you need or want "that kind of 'complete' physical exam"????

We don't do stress tests for the fun of it---we need a reason, especially since the false positive is 10-12% as is the false negative rate. Translation---if you get on a treadmill for the fun of it, there's a 10-12% chance you will end up with a cardiac catheterization.

Unless you are female or have some unusual bone disorder, you don't need a DEXA scan

Coronary artery calcium scoring has become popular for those with high LDLs, not a routine screening test

Bottom line, when it comes to medical tests, there are screening tests and diagnostic tests. They should NOT be confused with each other. Yes, there are places that make a lot of $$$$ by doing "complete" (also known as unnecessary) testing, many in Florida (probably only second to California). But fair warning---when it comes to medical testing, MORE is not usually BETTER.

I would be guided by your primary care physician as to what type of testing is indicated in your particular case

That is good advice, of which I am pleased to hear.

Other than a yearly physical, I stay away from doctors / testing sites, etc., until there is a NEED. Even then, much due diligence is required. For example, in my lifetime I have had several orthopedic type problems due to being very physically active. I have seen doctors who prescribe pain pills, surgeons suggesting operations, doctors specializing in "Pain" injections. Most times a good Physical Therapist can resolve or minimize structural problems. But, there is much work involved, and it sometimes takes months. Bottom line: The body wants to, or tries to heal itself. A good MD will help that process to occur, however, there are health professionals out there (including , and maybe especially, dentist) that treat you like a number and are more interested in what your insurance will pay for. One needs to do extensive research lest you engage with a "Profit over People" specialist.

[golfing eagles]

Originally Posted by blueash

Please stop this attack on the person who does not agree with your approach to health care. I am frankly saddened that you seem to want to diagnose someone as mentally ill and suggest that need to get medicated now because they see things differently than you do. And to suggest they are not getting enough blood flow to their brain then posting your rolling on the floor thing like that is funny.

I suspect that if a chiropractor got on this forum and told all of us that they went to DC school and ran a large practice and that they means they know best about health care and those who disagree need help NOW you would not agree.

Knowledge does not give you permission to go on to arrogance nor does it give wisdom. Maybe you could wait longer than seven seconds before you feel the need to reply.

ARE YOU KIDDING??? DID YOU READ HER POST?????

Of all people, you know exactly how stupid that post was.
"The person who does not agree with your approach to health care."?----This is not MY approach to health care, I gave THE approach to health care , the standard that every qualified physician should follow. I'm excluding the quacks in holistic and alternative medicine. And on what basis does that poster get to agree or disagree? I suppose she could invoke the often misquoted Thomas Gray poem and claim "Ignorance is Bliss" You do practice evidence based medicine, don't you???????

My attack????? You mean my counter---the post basically attacked all physicians---then me in particular. I think you know there was no way I wasn't going to respond.

And finally, the example you hold out for comparison is a chiropractor? A CHIROPRACTOR????---have you lost it???? Who in our profession could care less about what a chiropractor has to say?

I know we have disagreed on issues of political leanings and religious tolerance before, but this is professional now. Please enlighten me---what was your specialty again??????

PS: It took less than 7 seconds after I saw this one.

[CoachKandSportsguy]

Originally Posted by mntlblok

The world kinda runs on asymmetric information, eh? But educating yourself can be an awful lot of trouble. Such a dilemma. :-)
.....
Have since learnt that such strategy is not rare. Ashamed of what I know of some in my own profession. Be careful out there. And good luck. No easy answers.

asymmetric information is very, very true. . . the more you know, the more posers you see. . .
the more posers you see . . . the more you think of FL as a third world country

my south american colleague made the same point with all FL doctors. . one isn't sure if they are unnecessarily billing for extra services due to the low reimbursement for medicare. . if they can't profit from price, they profit from volume.