Being Thankful For America’s Aggressive Doctors

I recently received an email from a reader in Europe that had read the “My Story” page of my blog. They were very angry at the American Medical system for some reason and said that American doctors are too aggressive and love to slice and dice and over medicate, and that I was a victim of their costly propoganda that enabled American doctors to live a life of luxury.

I also received an email from another reader in the UK whose wife is a Sarcoidosis sufferer and was first diagnosed in 2008, but was not treated. The UK doctors opted for a wait and see approach to treatment as they deemed the side effects of the medicine to out weigh the risk posed by the actual disease.

Although I fully understand the approach of the UK doctors, that approach came at a price to my reader’s wife. In 2008, she had Sarcoidosis in the chest. Now after being recently re-tested, it’s in her skin, eyes, nose, chest, liver, salivary glands. Had they started treatment immediately in 2008, it would more that likely be in remission and she would be fine, just having to live with what ever scarring occurred then. Now she has to be aggressively treated, and will have scarring in all those extra areas to deal with.

I am very happy that I am living in the US and have the aggressive doctors that I have. I am also extremely grateful to have the insurance policy that I have, and that my insurance company pays every bill it has ever received for all of my operations, tests and doctor visits.

I am not sure exactly how the UK and European medical systems work, but from what I understand, the government pays for your medical. They also decide if you get treated and if you don’t. I have an individual health insurance policy, and the monthly premium is more than most third world country people’s annual income, and it goes up 20% every year. The thing is, I decide if I get treated or not, and just how aggressively.

When I had my mini stroke in 2007, I thank my doctor every day for being aggressive and not adopting a wait and see attitude. Don’t get me wrong, many US doctors adopt a wait and see attitude also. But mine did not. He ordered a barrage of tests – MRIs, Blood, CT scans, X-rays. He treated my symptoms as a mini stroke. I was told by another doctor that I was lucky to have such an aggressive doctor, and that he would have dismissed my symptoms as just a case om me sleeping badly on the arm. His aggressive testing led me to learn that I had a congenital heart defect, a PFO. Patent Foramen Ovalae, a hole in my heart. That hole was allowing small clots to get directly to my brain,thus causing my mini stroke.

This led to me having an operation to fix the hole in my heart. The operation is done via catheterization, and you are mildly sedated for it. The surgeon just before the operation decided to be more aggressive and asked me if he could do the operation under general anesthesia to do some thorough testing of the heart. He didn’t have to do that because a month before I had a transesophogeal echo cardiogram, which showed the heart to be strong and functioning properly.

"Who?! Me?! I have heart failure? When did that happen?!"

When I woke up from anesthesia I was greeted by the surgeon telling me that the hole was fixed, but that the heart function was low, and I was in heart failure. In just that month the sarcoidosis went to my heart and caused heart failure. I was later told that if I did not find the hole in the heart, or if the surgeon did not decide to be aggressive in the testing during the surgery, I would be dead in about two months .

And as time went on, my doctors remained aggressive with their testing and probing and I had another exploratory right heart catheterization, and it was then  discovered that I had secondary pulmonary hypertension and that my plug did not completely close up, and the hole still leaks. So I am on Plavix to prevent the possibility of a stroke.

I am truly blessed and my chain of events is definitely being in the right place at the right time. If I did not have a truly great health insurance policy that openly paid for all my procedures, tests, drugs etc., (which I now estimate to well over $500,000.00), and the right doctors in the right place, I would not be writing this blog, but instead just be another statistical fatality.

I am one of a blessed few. There are many Americans out there with no insurance, or with insurance that does not pay for very much. Yet, the doctors continue to be aggressive and fight the insurance companies so that people get the health care they deserve and need.

True there are many specialist out there living the good life, driving their fancy cars and living in expensive homes in exclusive neighborhoods. But I am alive because of them, and they could buy a freaking jet for all I care,so long as they don’t decide to become complacent and sit back and wait to see if I am going to die, then the day after say. “Shucks. Should have prescribed that pill huh? Should I send flowers to his widow?”

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4 Comments Add yours

  1. I may have slightly misled you in our email chat; in Britain the government funds health care from compulsory taxation but the treatment decisions are only made by doctors, not any other officials.

    Having said which a worthy body, a supposedly independant arm of government called NICE (National Institute of Clinical Excellence) “advises” on what treatments (all types) are deemed efficacious and/or value for money. If they approve then access should be unlimited, if they don’t then battles ensue.

    But, NICE have deemed grommet operations into the ear drums of children to be of very limited benefit, they are still done+++?


    1. Basil Rene says:

      Got you! Still, I like calling my own shots on health care. 🙂


  2. Jack Nimble says:

    Basil, you are obviously one of the very priveledged people in the US that can afford an individual policy. Most of us have to get our insurance through our jobs, and the coverage is usually not very good. To get approval to have anything done can sometimes take so long, some people end up dead. From my estimate, you are paying around $3,000.00 a month on your premium. At that rate, insurance would approve and pay just about anything. My little old company in TN can only afford cheap insurance. My coverage sucks. So count your blessings, because over here in the sticks, the doctors aren’t that aggressive, and they wait for the insurance company to call the shots, otherwise they don’t get a penny.


    1. Basil Rene says:

      Thanks for your input. As I said in my blog, this is my case, and I am very lucky. I know there are a lot of people out there that are not as lucky, but there also a lot that are.


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