[petrolhead_chn]

Originally Posted by VIKINGTILLDEATH

Which city and area are you based?
I can help if you are based in Pune.
Regards.

Thank you very much vikingtilldeath. I am based out of Chennai.

[Shivanshu]

Any physio therapist from Indirapuram, Ghaziabad?

[pgupta]

Originally Posted by arindambasu13

If you are familiar with south Bangalore (Jayanagar area), there is a big hearing and vertigo clinic on Ashoka Pillar Road, Jayanagar 3rd Block. Its next to the Ezone showroom on that road. Ive heard its quite popular and well known. Don't remember the name of the clinic off hand though.

Thank you so much for the info. I have been searching for one in Bangalore for some time. I came to know one in Kolkata and the other one in hyderabad but was unable to find one in Bangalore. If you recall the name please let me know. Anyways I will go and visit this place this weekend. Thanks again !

[bravo82in]

Originally Posted by petrolhead_chn

Hi! Good morning. Yes. I have already consulted few doctors and started medications. But every doctor we've consulted have offered different opinions and I am baffled. So I thought I could take some words from here.

The multiple options in Medical field has caused more harm than good. I see no reason for consulting multiple Doctors for same problem unless the first treating doctor is unable to treat you or your are not satisfied. Cross consultation only causes confusion. Would suggest visiting a reputed doctor in your area and stick to his/her advice

[petrolhead_chn]

Originally Posted by bravo82in

The multiple options in Medical field has caused more harm than good. I see no reason for consulting multiple Doctors for same problem unless the first treating doctor is unable to treat you or your are not satisfied. Cross consultation only causes confusion. Would suggest visiting a reputed doctor in your area and stick to his/her advice

Your statement is on the nail and I completely acknowledge the same.

Readers, kindly bear with me for the long post. We lost our baby about 2yrs back in the end of its term (fetus died 2days before the date of delivery) and it was a boy. We trusted the doctor so much that we neither sent the fetus for autopsy not questioned the doctor for the miss on treatment. Upon consultation with references from family members, we were blamed as to why the autopsy wasn't done on the fetus or why the C-Sections wasn't performed by 34weeks itself knowing that the sugar levels are high. Some even suggested why wasn't my wife admitted to hospital to keep sugar in control and so on.

So when we hear such controversial suggestions/questions, it gives us a feel that maybe there is somebody out there who can outperform others and do a favourable treatment. After two years and a lot of thoughts my wife has conceived now but the sugar levels are quite high (Fasting 196/ PP 285). The initial scan reveals that the fetus is less than 6weeks and no heartbeat yet. The gyn whom we consulted asked us to wait for another 2 weeks and come back with a scan again. She is now on insulin but the sugar levels are still at 225 range. We are worried if the fetus might have already encountered any damage with such sugar levels. With such tension prevailing in family all we want to hear is some encouraging statements from knowledgeable persons and hence multiple consultations. We are going back to the diabetologist tomorrow again for a consultation.

[falconion]

Originally Posted by petrolhead_chn

Your statement is on the nail and I completely acknowledge the same.
.

Please consult with a Endocrinologist or Diabetologist along with a Dietitian. Medicines can control glucose levels to a certain extent, but remaining is by diet and exercise. Having a daily meal plan for breakfast, lunch, and dinner along with monitoring at home of glucose levels of fasting, before meal and 2 hour after meal while maintaining a chart will greatly help in controlling your wife diabetes. This will also help in effective division of insulin doses throughout the day.

I hope you find a doctor who will spend a few extra minutes to find a solution.

Wish you all the best!

[Chetan_Rao]

A good thumb rule is to trust a doctor who is willing to patiently study and understand your entire medical history (including hereditary history wherever applicable) and not just current symptoms/condition before recommending a plan of action.

There are more than one way of arriving at a symptom, and most doctors these days are too focused on the number of patients they treat than the number they treat 'right', for obvious reasons.

[petrolhead_chn]

Originally Posted by Chetan_Rao

most doctors these days are too focused on the number of patients they treat than the number they treat 'right', for obvious reasons.

I 100% agree. In fact when our gyn suggested we immediately see the diabetologist to change from tablets to insulin, I called up our usual doctor's clinic and asked for an appointment. The girl at the phone directly asked me to go visit the doctor's hospital if it is emergency and did not give us the appointment. I still drove down there, ignored the girl's frowns and yet met the doctor as a last patient.

Originally Posted by falconion

but remaining is by diet

Thank you falconion. Diet is where I am struggling to keep up with. Though I have received a diet chart from the doctor, it seems too difficult to adhere to and my wife easily gets stressed out and tends to deviate.

[bravo82in]

Originally Posted by Chetan_Rao

A good thumb rule is to trust a doctor.

If u have faith in your Doctor believe me 50% treatment is done. Your mental status and faith plays a big role in healing

Originally Posted by petrolhead_chn

I 100% agree.

Originally Posted by Chetan_Rao

most doctors these days are too focused on the number of patients they treat than the number they treat 'right', for obvious reasons.

100% wrong. The 'obvious reason' is never the reason, unless its a charitable or a government hospital where the bulk of patients is huge. For most doctors in practice it's the quality of care that matters.

[Chetan_Rao]

Originally Posted by bravo82in

....100% wrong. The 'obvious reason' is never the reason, unless its a charitable or a government hospital where the bulk of patients is huge. For most doctors in practice it's the quality of care that matters.

I spoke from personal experience in the family, my sister suffered for years because some of the best doctors in the country couldn't figure out what exactly was wrong with her; not for a lack of time, money, patience or faith from us.

The one who finally managed to treat her spent several hours talking not just to her but the entire family to get a complete picture of the root cause. This was a couple decades ago and he's been our family physician since.

Quite a few doctors we met along the way were the who's who of their professions, fat load of good that was to us when most of them thought they were know-it-alls who couldn't learn anything from talking to the patient or her family. Some had the temerity to actually say that to our faces when we insisted that her diagnosis, treatment and prognosis be explained to us.

To each his own I guess. I prefer a doctor willing to patiently collaborate and explain stuff over someone who thinks I should shut up because he knows better.

[bravo82in]

I am not an engineer and I cannot learn electronics engineering in one or two meeting of few minutes each. Same holds true to Medicine. It's so vast that no doctor can 'patiently collaborate and explain stuff' to a non medico in a few minutes. The doctor will ultimately treat you with his knowledge and experience and not based on your understanding of the disease process. When decision making is required all Doctors help you make an informed choice.

[Chetan_Rao]

Originally Posted by bravo82in

I am not an engineer and I cannot learn electronics engineering in one or two meeting of few minutes each. Same holds true to Medicine. It's so vast that no doctor can 'patiently collaborate and explain stuff' to a non medico in a few minutes. The doctor will ultimately treat you with his knowledge and experience and not based on your understanding of the disease process. When decision making is required all Doctors help you make an informed choice.

I'm not sure if you're being intentionally obtuse, or I'm unable to explain myself clearly. I'll give you the benefit of doubt and take it upon myself.

I see that you either missed or conveniently overlooked context in my previous comment where I clearly mention that the patient in question was treated over a period of YEARS, not a few visits. We spent close to a year each with some of those doctors, and some themselves referred us to others when they ran out of ideas.

I don't expect to become a doctor overnight or want to fact-check, cross-question or second guess a doctor at every minor step (if that's what I wanted, I'd rather stay home and self-medicate, won't I?), but I do expect my doctor to explain clearly (and patiently) what's wrong with me, how it may have happened (depending on his reading of my medical history) and how he thinks it can best be cured or managed.

If that's too much for a doctor, no offense, I'd rather find another for whom it isn't. You may be happy to trust someone blindly just because they're formally qualified in a certain profession (and you're perfectly entitled to your choices), but personal experience has taught me to prefer asking my questions and stay adequately informed throughout the process.

[FrozeninTime]

Originally Posted by Chetan_Rao

A good thumb rule is to trust a doctor who is willing to patiently study and understand your entire medical history

I agree partially but with caveat. A lot of people suffer from this seek a specialist syndrome. They come with trivial complaints and waste time which could have been given to appropriate patients. In the end the patient who requires more time is denied and they come disappointed either with treatment or diagnosis. They Then seek another specialist and finally if no cure patient blames mordern medicine.

My advice is go to a primary physician or your family physician first rather than seeking specialist directly. But this is not applicable in all cases though.

I have seen lot of post lauding bank staff putting so called extra hours for this noble cause but seldom I have seen same appreciation towards persons working in medical field who put long hours without battling eye and receive physical injury from relatives of same patient they are treating due to their want for instant result.

[ksmrsm]

Originally Posted by bravo82in

I am not an engineer and I cannot learn electronics engineering in one or two meeting of few minutes each. Same holds true to Medicine. It's so vast that no doctor can 'patiently collaborate and explain stuff' to a non medico in a few minutes.

I disagree. If the doctor is truly interested in the patients welfare and not in making money, he or she would take some time to explain the problem and the treatment to the patient. The best doctors who I have met have all done this. This not only brings in a comfort factor to the patient but also brings in more trust in the doctor.

Please do not be offended by this observation. It is only my personal experience that I am sharing here.

Originally Posted by Chetan_Rao

The one who finally managed to treat her spent several hours talking not just to her but the entire family to get a complete picture of the root cause. This was a couple decades ago and he's been our family physician since.

Quite a few doctors we met along the way were the who's who of their professions, fat load of good that was to us when most of them thought they were know-it-alls who couldn't learn anything from talking to the patient or her family. Some had the temerity to actually say that to our faces when we insisted that her diagnosis, treatment and prognosis be explained to us.

To each his own I guess. I prefer a doctor willing to patiently collaborate and explain stuff over someone who thinks I should shut up because he knows better.

I agree with you a 100%. I have had this experience when me and my family were involved in a major car crash in the outskirts of Mangalore. The doctors not only listened to me and my assessment of the situation but also did the initial treatment as per my instructions. Later they also took time to explain their treatment to us.

I am not a Doctor or a medical professional, but have learnt a lot in the past by listening to these kind and understanding people.

[petrolhead_chn]

Doctors are pure professionals. They work for money or rather incentives too. But having said that it is their least responsibility to explain in simple terms. Agreed they may have seen umpteen number of patients with same cases. But that is what doctors do with all due respect.

Take my earlier case for instance, the gyn to whom we surrendered did the worst of what she could. After about two years and looking back, we find few critical areas where we were mislead/unexplained treatments a few of which listed below-

1. The gyn should have referred us to a diabetologiest immediately upon noticing high sugars. Instead she kept changing the insulin doses and reassured us. Had she given us a hint/explained we could have taken consultation from a diabetologist.

2. In the last weeks of term, the fetus weighed about 4.5kgs and we ran to her to operate immediately. I was so much in stress looking at the state of my wife unable to even move around. But the gyn just said all is well (just 2 mins of screening, no talks and done) and eventually the fetus died.

3. Today all the doctors state that the baby could have been evacuated by 34 weeks and kept under observation until betterment with the facilities available. But our gyn's facility did not even have an incubator because of which she did not do the operation when I ran to her. Had she explained this situation to us I would have taken my wife to a hospital that had this facility and saved my child. The gyn was either selfish or over confident both of which is unacceptable.

4. Finally the gyn should have recommended an autopsy of the fetus to know the cause of death which did not happen. They informed us that they will take care of the dead fetus. But my mom insisted we take the baby and do the rituals ourselves. The trauma I underwent was so painful and I pray such situation should not even occur to the worst of enemies. Honestly, if only the gyn had been a little more caring I just might have a 2year old boy in my family who could be going to a play school calling me 'daddy'.

Having said that not all doctors are that way. Few live up to current day's trends too. The ortho doctor whom I consulted a few months back when I tripped down on my spine, wrote me a term and asked me to google it myself to understand it better.

Like what Chetan_Rao said, to each their own assumptions especially with concrete encounters they have had in the past or until the next encounter that might change the earlier assumptions.

Just to update: The diabetologist has recommended two types of insulin now. One in the morning and totally another one in the night. We are taking a viability scan on Saturday based on which the course might change and all I can do is pray.