Unexpected Medical Treat Coming** ( update 4/30 )**

Nor do they get a commission, kickback, or gift from so called "Big Pharma" for prescribing a particular medication. Most of the time they don't even get free samples to give to patients.

All of that went away about 30 years ago, along with the "education sessions" where the sales reps gave away a ton of free food.

Which is why people see so many commercials on TV for medications. The pharmaceutical companies are directly advertising to patients to get them to ask their doctors for specific drugs.

Medical care is big business, Revenue for Mayo Clinic last year was 17.9 Billion. The physicians are salaried so no benefit for them to order unnecessary tests.
 
Pharmaceutical sales reps are still giving away samples, lunches, and swag. That hasn’t changed. My wife was a rep for years. She still has friends that do it. She is now a Nurse Practitioner and on the other end of things. She talks to reps that sell different drugs for neurological disorders.
 
Medical care is big business, Revenue for Mayo Clinic last year was 17.9 Billion. The physicians are salaried so no benefit for them to order unnecessary tests.
Not quite the truth about being salaried. They are here too. The docs are salaried yes...but two things the conglomerates they work for. obe work them like rented mules.more so the specialists than the family practitioner. Not that they don't have good docs...they do. My eye surgeons I have had have been worked to death first guy was great. I've had a lot of dealings with them. anewfter 2 years he finally decided to get some vacation time. 1st week off in 2 years. My new eye surgeon sees 40-45 patients a day in the office... divide that up...about 15 minutes per patient. Then the other thing...if they send you to another specialist...it will be another in house guy. Keeps the money in house. Being worked like that makes for a lot of turnover. A lot of your office visits are handled by Nurse practitioners and physician assistants....I don't know how y'all feel but if I have a cardiac visit I want to see the cardiologist. seeing the NP or PA costs the same...but they pay them less than the Docs...more profit for the corporation. Medicine has changed over the last 40 years. and BTW if you have tests ordered...they are done in house too. Call me jaded. But it is about the money... Patients are all but guaranteed. We're getting older!
 
Maybe regional, but where I worked that all went away in the late 1990s. A few of my wife's doctors have limited supplies of samples, but none of mine did.

Since we're now in Texas, we've had to get all new medical providers so I have no idea what it's like down here.

Pharmaceutical sales reps are still giving away samples, lunches, and swag. That hasn’t changed. My wife was a rep for years. She still has friends that do it. She is now a Nurse Practitioner and on the other end of things. She talks to reps that sell different drugs for neurological disorders.
 
I have been very fortunate with my medical care. The various specialists (endocrinologist and nephrologist are the main ones; cardiac consults for my transplant program) have been excellent. They take good care of me and are good at educating me. I don't have to enjoy this crud; I do have to appreciate it.

Post bypass, I had some Afib which delayed my release, and they did a follow up consult about 6 months later involving a 2 week monitor. Good results, nothing negative, and it was a big step to transplant clearance. I suspect that a big driver for some of the things described above is malpractice exposure. My doctors have expressed some anger at things they have had to address that other doctors screwed up.
 
One of my grandfathers had a pacemaker implanted, quite a few years ago. When he came out of the anesthesia he realized it was in or near his right shoulder and would interfere with shouldering his shotgun. Made the MD switch to the other shoulder. Grandfather outlived three pacemakers, back in the 1960s-70s.
 
I was at the service dept at the Toyota dealership when my AFIB decided to hit. Suddenly so short of breath I got ambulanced to the hospital. Had a procedure called a cardiovert where they shocked it back into rhythm. Been a couple of years, have some meds, everything going good.
 
PVCs used to be considered an immediate threat and required treatment. As more research was done, that was found to not be the case.

The old rule used to be six or more PVCs a minute required treatment, but that's not at all the case now.

My cardio guy told me my PVC was not going to kill me. So far he has been right.
 
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I do have AFIB, I would up in the hospital, and nearly died. Crash team hand to be called. I had to take the blood thinners, but shortly after I discussed with my Cardiologist having a "Watchman" implanted in my heart, in the left arterial appendage, where the blood pools and clots form which causes strokes. The Watchman procedure was done as an outpatient, was implanted similar as having a Stent placed, and went home within 6 hours of the implant. I need no blood thinners, but I do still take an 81 gr aspirin daily.

While I still have AFIB incidents, they are seldom and I just rest, sit down and relax, maybe some cool water to sip on. The incident will easily pass, I have only had two within the past year now.
 

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