Jun 29, 2012

Health Insurance and Payments (USA focused only)


Post 1: I haven’t been to a doctor in a while can be found here
Post 2: Checkup can be found here
Post 3: I’m Sick: To go or not to go can be found here
Post 4: Diagnosed but not happy can be found here

Many people need a doctor but cannot afford it. There are some options out there [besides trying to find your answers on this blog. Shocking isn’t it???]
This post contains a few resources (for US residence only) to help. Dr. Carm does not represent any of the following, and unfortunately, they probably would deny Dr. Carm’s existence. Try not to judge them by this foolishness.

Here are a few resources to look into to:

· http://finder.healthcare.gov/
Healthcare.Gov "This tool will help you find the health insurance best suited to your needs, whether it's private insurance for individuals, families, and small businesses, or public programs that may work for you. It was created to help consumers under the health insurance reform law, the Affordable Care Act."

· http://medicaid.gov
Medicaid Each state operates a Medicaid program that provides health coverage for lower-income people, families and children, the elderly, and people with disabilities.
The eligibility rules for Medicaid are different for each state, but most states offer coverage for adults with children at some income level. In addition, beginning in 2014, most adults under age 65 with individual incomes up to about $15,000 per year will qualify for Medicaid in every state.

· http://InsureKidsNow.gov
Children’s Health Insurance Program (CHIP) "CHIP covers children whose families don’t qualify for Medicaid but can’t afford to buy health insurance. CHIP provides low-cost health insurance coverage for children in families who earn too much income to qualify for Medicaid coverage but can’t afford to purchase private health insurance. CHIP is a state and federal partnership program that works closely with Medicaid. Every state operates a CHIP, although most states have unique names for their programs like Child Health Plus (New York), Healthy Families (California), and Hoosier Healthwise (Indiana). In several states, CHIP and Medicaid are combined into one program.”

· Community Health Centers “A network of community health centers across the country provides preventive and primary care to millions of Americans. They provide care for free or on a sliding scale based on your income”

· Self-Employed "If you are self-employed with no employees, you now have several options for insurance coverage. In 2014, those options will expand under the Affordable Care Act….”
o If your state allows self-employed people to buy small employer health insurance, then you have similar options as small employers. Find out if you qualify by visiting your State Department of Insurance. Or find additional consumer assistance in your state.

o If your state doesn’t allow self-employed people to buy small employer health insurance, then you have the same options as someone buying an individual health insurance plan.

· Contact DHHS directly:
The U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
Telephone: 202-619-0257
Toll-free: 1-877-696-6775

· Health Resources and Services Administration [mchb.hrsa.gov]
The Health Resources and Services Administration (HRSA) of the DHHS website, Maternal and Child Health Bureau (MCHB), whose goal is to ensure equal access to quality health care in a supportive, culturally competent family and community setting.

· Contact MCHB Directly:
Maternal and Child Health Bureau (MCHB)
Parklawn Building
Room 18-05
5600 Fishers Lane
Rockville, MD 20857
Phone: 301-443-2170
Fax: 301-443-1797
E-mail: ctibbs@hrsa.gov

· Family Voices offers resources and communication opportunities on the Internet for people with cognitive and other disabilities, for their families, and for those who provide services and support. This resource has a special interest in the care of children. Resources state by state.
Family Voices[familyvoices.org]
2340 Alamo SE, Suite 102
Albuquerque, NM 87106
Toll-free: 888-835-5669
Phone: 505-872-4774
Fax: 505-872-4780
Online E-mail Contact Form: http://www.familyvoices.org/contact

· Health Care Choices provides information to the public on selecting and using various types of health insurance and managed care plans.
Health Care Choices
P.O. Box 21039
Columbus Circle Station
New York, NY 10023
Toll-free: 800-368-5779


Related Postings:
Preparing for Your Appointment 
Checkups 
I'm Sick (when to go to the doctor's) 
Diagnosed But Not Happy 
Best Medical Schools 
 

Jun 28, 2012

Diagnosed but Not Happy


Post 1: I haven’t been to a doctor in a while can be found here
Post 2: Checkup can be found here
Post 3: I’m Sick: To Go or Not to Go can be found here
Diagnosed but Not Happy
So you are not happy with the results of your doctor's appointment. Apparently, you didn’t see Dr. Carm. That’s okay. We all make mistakes. But anyway, if you think there is something your doctor is missing, talk to him or her. Ask questions and be clear on why they did or did not diagnose you with something. [Not all doctors can be as smart as Dr. Carm. Let’s try not to hold that against them.] Don’t be afraid to express your opinions (politely.)
Try to work with the doctor’s solution(s). Maybe you are missing something. If this doesn’t work or you are still unsatisfied, then look around for another opinion. For example, find someone who has more experience in that particular field.
Also, if you are unhappy with the medication or procedures to your disease or illness, ask for alternatives. For instance, some doctors have more experience with natural remedies than others. Each doctor is familiar with certain medications and treatments, and they tend to stick with them. Most of the time there are other options out there. Understand these options and the consequences with your treatment. If you do not feel right with the given treatment and have discussed this with your doctor to no avail, try finding another physician who may provide you with better options and opinions. [Note: always take medication as prescribed. Do not stop taking medication unless directed by the doctor.]
The important thing is to be honest and open with your doctor. Make sure you understand things. Some doctors may not be aware that you do know or understand a medical term. Just ask! This could help you in the long run and become more satisfied with your appointment.

As always, if you have any questions for Dr. Carm, don’t hesitate to ask. She is the best uncertified doctor out there!



Related Postings:
Preparing for Your Appointment 
Checkups 
I'm Sick (when to go to the doctor's) 
Health Insurance
The Hospital
Can You Read This?


Jun 27, 2012

I'm Sick: To go or Not to Go

Post 1: I haven’t been to a doctor in a while can be found here
Post 2: Checkup can be found here

I’m Sick: To Go or Not to Go

Not feeling well? That’s too bad! Could you just take a few steps back? A little more…there! Good! Dr. Carm doesn’t want to get sick. Okay, so you are wondering when you should see a doctor. You’re sick but obviously not dying (yes, I know—it feels like it.) Here’s a simple way for doctors to know if they should see you (besides the symptoms of course):

If they need your money = tell the patient to come in.
If they are too busy = tell them stay home.

Nice and easy, right?

So, let’s talk about you as a patient. First rule, whenever you care in complete doubt as to whether to see the doctor or not, call the doctor’s office.

If you are medically inclined (like Dr. Carm), you can do some research on your symptoms. Unfortunately, most websites will probably tell you that you are dying (which isn’t exactly false) or that you have cancer or some weird disease you can’t pronounce. In this case, Dr. Carm has made a list for you. Here are some signs where you should call your doctor (in no particular order):

·         Repeated episodes (dizziness, sleep problems, fatigue, headaches, weight gain or loss, pain, nauseas, vomiting, diarrhea, constipation, abdominal pain, depression or anxiety, panic attacks, pelvic pain)

·          Possibility of a STD (sexual transmitted disease)

·          Numbness

·          Persistent swelling, nosebleeds, jaw pain

·          Blood in stool or urine

·          Severe and persistent sore throat or coughing

·          Hearing loss

·          Severe injuries (cuts/wounds/animal bites that break skin/puncture wounds)

·          Thoughts of suicide

·          Hearing voices

·          Blurry or double vision

·          Eye pain or excessive eye discharge

·          Sensitivity to light

·          Shortness of breath/wheezing

·          Rashes or welts that do not clear up

·          Serious burns or blisters

·          Mole changes

·          Sore that won’t heal

·          Unusual lumps

·          Bleeding during pregnancy

·          Menstrual changes (prolonged, heavy, missed periods, vaginal discharge)

·          Pain during intercourse

[Remember: If you are Dr. Carm’s patient—don’t contact her, she’ll contact you]


As always, if you have any questions for Dr. Carm, don’t hesitate to ask. She is the best uncertified doctor out there!

Related Postings:  
Preparing for Your Appointment
Checkups
Diagnosed But Not Happy
Health Insurance
Calling Off of Work
Sneeze Record
What Does Your Hair Say About Your Health
Cold versus Flu?

Jun 26, 2012

Checkups

Post 1: I haven’t been to a doctor in a while can be found here

Checkups

Checkups are important for you and your doctor. During checkups, you take a step towards preventing any diseases or illnesses. You become a master of your own health. If the doctor is like Dr. Carm, then she likes checkups, too. She can get updated information on her patient (and interesting gossip). Doctors care about you—and I’m sure everyone cares about Dr. Carm!

What to expect at you annual exams

Don’t worry you usually don’t have to study, and you don’t usually have to worry about filling in those annoying tiny bubbles on the test sheet. [Dr. Carm hates exams.] Annual exams can include: checking vital signs (blood pressure, heart rate, respiratory system, and temperature), testicular exam, hernia exam, penis exam, prostate exam, breast exam, pelvic exam, CBC (complete blood test), chemistry panel, and urinalysis.

Your age, sex, and medical history determines which exams you need. In addition to the ones mentioned above, you should also be aware:

-If you are 50 years and older (sorry, can’t lie about your age here), you should go for colorectal cancer screenings. A fecal occult blood test (FOBT) should be performed 1 to 2 years for people 50-80 years old. Other testing such as a colonoscopy can be done every 5-10 years depending on health risks. For those who have a family history of colon cancer or other colon-related diseases (such as crohn’s disease), tests are usually done prior to age 50. Catching colon cancer early is essential for successful treatments.

-Annual mammograms should be done for women starting at the age of 40. Dr. Carm knows one place that suggests women start their annual mammogram testing at age 35.

-Cholesterol testing (lipids) should be done every 5 years after the age of 20.

*Blood tests can vary between individuals depending on their medications and health.

What should you do to prepare for your checkup?

Besides making the appointment [doctors usually hate it if you just stop by for a chat and say, “Oh, while I’m here, could I have my checkup?”], you can make a list of items to discuss or questions to ask. You know your body and should be aware of any changes. Well, Dr. Carm hopes you do. We don’t have any aliens inhabiting any bodies out there, do we??? Never mind, I don’t want to know….

What should you list?

Did anyone in your family (blood related) get diagnosed with a disease (for example, your sister is diagnosed with lung cancer or your father is now on cholesterol medication)?

Has something been bothering you? A pain? A cold that keeps coming back? Changes in diet or sleeping patterns?

Have you started taking any medication or supplements recently? (More than likely this should be over the counter medication/supplements. Dr. Carm does not approve illegal drugs. People are usually crazy enough without them.)

If something is bothering you, write down why (why does it bother you?), what (what kind of concern is it? Can you describe it?), when (when did it start? How long does it last?), where (where does it hurt? Do you get the symptoms in certain places?), and how (how have you been dealing with it?).

Last points

Remember you can’t undo a year’s worth of damage in a week! [Yes, those pesky diets to lose weight that didn't work because you didn't actually follow the diet counts.] Doctors (that aren’t even Dr. Carm) are usually smart enough to notice this, although they might not outwardly mention it. So, speak truthfully to your doctor. They can’t help you if you hide information or lie to them.

If you need a follow up appointment, schedule it and keep it. There’s a reason why your doctor needs this information. Let him/her help you!


As always, if you have any questions for Dr. Carm, don’t hesitate to ask. She is the best uncertified doctor out there!



Related Postings:
Preparing for Your Appointment 
I'm Sick (when to go to the doctor's) 
Diagnosed But Not Happy 
Health Insurance 
Pelvic Exam 
Elderly Woman 
Eye Exam 

Jun 25, 2012

Preparing for Your Appointment

This posting is split up into the following:

Post 1: I haven’t been to a doctor in a while: What to expect and do

Post 2: Checkups

Post 3: I’m sick: To go or not to go

Post 4: Diagnosed but not happy

Post 5: Health insurance and payment help (US focus only)




I haven’t been to a doctor in a while: What to expect and do

First off, this is completely understandable. Dr. Carm hasn’t been practicing professionally until recently, so you had no choice but to see a “certified” physician. Doctors can seem scary; they might even be crazy! They hold the power of you ignorant bliss in the palm of the rubber-gloved hand. As a fake doctor, I must insist that it is important to go, even if you are healthy. When you go for a checkup, it gives the doctor a chance to discover any potential problems and fix them before they get out of hand.

“I don’t need a lecture, Dr. Carm. This is precisely why I hate going. I’m not scared of dying [or, I don’t care if I die]. I rather not know if something is wrong.” Yep, Dr. Carm heard you. She has those kinds of skills!

Believe it or not, Dr. Carm has felt that way, too. (This was obviously before she became doctor.) What you want to do is find a doctor that suits you. Dr. Carm is extremely busy and cannot see every person. Therefore, it is a good idea to shop around for a certified physician (preferably one under your insurance, if you have any.) If you visit a doctor that you do not feel comfortable with, you don’t have to go back. Look around some more until you find one that can understand your needs. Not everyone’s personalities get along. Therefore, don’t feel bad if you feel the need to change doctors.

The internet provides loads of information on different offices. If you know that you have some digestive problems, than look for an office who has a doctor that specializes in that area (gastroenterology). There are offices that cover multiple specialties, conduct their own blood tests, include physical therapy, allergy testing, pediatrics, radiology, sleep medicine, etc. Research the doctors available at that office. Consider this: Do you feel more comfortable seeing a male or female doctor? Look at their specialties. Will this benefit you? How far is the office? What are their hours? Ask your friends and relatives about their doctors. What do they like or dislike about them, and how is the office run? If you cannot find something on their website or by asking friends, call the office and get your information. Don’t worry. They can’t bite over the phone, and you don’t have to make an appointment right then and there. [If they heard of and support Dr. Carm’s practice, then go with that office no matter what. These are really smart people!!!]

Okay, so let’s say you found a doctor that you feel will work with you and is almost as great as Dr. Carm. (We all know that she’s the best. Let’s not deny that part! But, other doctors can be good, too.) Now what?

Well, you’ll want to prepare for your appointment. Although you might think this means panic attacks, sleepless nights, and alcohol, there are some other things that you should be ready to provide.

First, most offices provide their paperwork online for you to fill out ahead of time. Take a look and take your time filling out those forms. This means:

·         Know your insurance information. Call your HR department if you have any questions over copays or coverage. It’s best to know what is covered now than getting stuck with a large bill later.

·         The forms ask you about your health, family medical history, allergies, shots, etc.
By preparing for your appointment, you have a chance to ask family or close friends if you are unsure about any family’s medical history. Stay within the immediate family: Children, parents, grandparents, aunt, uncles, and cousins. If you are adopted, then provide whatever information you know. It might be limited, but it would be helpful to the physician. Major diseases or medical problems such as cancers, heart disease, diabetes, cholesterol, thyroid disease, mental illnesses, etc. should be disclosed. Things like “Uncle Buck lost his finger while teaching shop class” and “Great grandma got bitten by her hog three times in five years before she died” are not necessarily helpful information (although they are interesting conversation starters.) You can post those stories down below for Dr. Carm’s enjoyment.
Know your own medical history. For instance, are you up to date on vaccinations? No idea? Don’t panic. It’s okay if you don’t remember all the vaccinations. They won’t give you all the shots again because you aren’t sure. Think of any continuing illnesses or pains. Is there something that is bothering you but you’re not quite sure what it is? This is the time to mention it. You know your body better than anyone else. Take the time to think about it and ask if this is something that should be looked into. Most of the time there is no big concern. It can also be a sign of something else, perhaps a hormone imbalance. These little bits of extra information can help the doctor determine if anything is wrong. If something needs to be done, than what exactly should be done is discussed.
List your medications. Yes, this includes supplements! Supplements can cause interactions with other medications. You also want to let them know if you had any problems with prior medication such as penicillin. We don’t want you to turn into the Stay Puft Marshmallow Man from anaphylactic shock!


The forms will also ask for health habits. This would be things like smoking, wearing a seatbelt while driving, caffeine intake, drug use, and alcohol consumption. Be truthful! We all have bad habits (except Dr. Carm, of course.)

·         If you have questions, write them down ahead of time. There can be so much information passing between you and your doctor in the appointment that you might forget to ask. If you do, just call back later. If you are going to the doctors because of a concern, write down your symptoms. When did they start? What is their intensity? What makes you feel better [you might want to consider other alternatives to mention besides drinking until passing out]? What makes you feel worse? Do the symptoms go away? How long do they typically last? What are some other symptoms that you have that you don’t think are related? And, why do you think this?

After the appointment, make sure you do any necessary follow ups, such as blood tests or other appointments. Try to make the appointment that same day or call back within 24-28 hours. In the meantime, a lot of places offer online access to health care. Take advantage of it. For example, you can view your blood results online. Some doctors have services online, where you can ask questions without stepping inside the office.



And, of course, if you have any questions for Dr. Carm, don’t hesitate to ask. She is the best uncertified doctor out there!





Picture: Stay Puft Marshmallow Man is from the Ghostbusters movie (1984)


Related Posting:
Checkups 
I'm Sick (when to go to the doctor's) 
Diagnosed But Not Happy
Health Insurance





Jun 23, 2012

Quick Story: Baby in a Cab


Dr. Carm wants to share a quick story about a colleague that has been circulated through email:

A man comes into the ER and yells, "My wife's going to have her baby
in the cab!" I grabbed my stuff, rushed out to the cab, lifted the lady's
dress, and began to take off her underwear. Suddenly I noticed that
there were several cabs - and I was in the wrong one!


Related Postings:
The Hospital 
The Patch 
KY Jelly 
Pelvic Exam
Elderly Woman
Picabo

Jun 20, 2012

Fun Diagnosis - Patient # 2 Sam


First off, I would like to thank Sam for becoming one of Dr. Carm’s newest patients. I have had only the past few weeks to observe and treat Sam. However, after some extensive tests and research, I have finally reached a diagnosis.

Verisimilitude Eremita Syndrome (VES)
VES is a rare condition that randomly displays itself amongst a variety of people. It actually has a variety of symptoms. Below are the main symptoms; and a person would need to have 4 of the 5 to be diagnosed with VES:

Lives in a virtual reality (or believes that they can enter one)
Exhibits hermitlike behavior
Acquires a taste for oranges and/or bananas
Portrays compulsive and anxiety type behaviors (although they may or may not be diagnosed with OCD—obsessive compulsive disorder—or an anxiety disorder)
Sith-like intentions

Note: LEAP is an easy way to remember the main symptoms of VES.

Other symptoms that can be found among cases of VES are: the inability to become cold, having an attention span of a goldfish, random bleeding, sporadic crying, stomach upsets, random laughing, weird mewing sounds, and sushi eating.

Because the symptoms are not closely related, diagnoses are hard to make. The physician must observe and ask questions to determine the direct cause of their illness. Usually the patient is unaware of most of their symptoms, because they believe they are normal. However, they know something is wrong, which is why they seek medical help.

VES is a relatively new syndrome, discovered within the past century. There is still much research being conducted on the causes and treatments. What we do know, is:

VES is not heredity, although there have been cases where immediate family members also have it. However, no gene has been discovered in connection with VES. Therefore, it is believed that VES is caused by certain conditions in one’s environment. One bold scientist has argued that excessive video game playing can cause frontal lobe damage in the brain. The electronic waves transmit signals to the brain’s chemistry which alters its functions. Hence, VES appears. Others have refuted this claim, doubting the authenticity of the research. More research is being conducted at this time.
Regardless of whether it is nature vs. nurture, VES affects at least 1 in 56 people in the world. The number is argued to be higher, but VES does not always require medical attention. Many cases are not reported or discovered.

A cure for VES is currently being studied. Some forms of treatment that could lead to the possibility of a cure or at least reduction in symptoms, include:
Electric shock therapy
Partial brain removal
Medication (Side effects are abundant and not recommended for most people. Some side effects are death, epilepsy, stroke, VES, and various forms of cancer)

People with VES should not feel discouraged. The medical world is rapidly changing and new cures are being discovered daily. If you believe you or a family member might have VES and would like to discuss treatment options, please consult with your primary care physician who can make an official diagnosis. Dr. Carm would be happy to write a reference if needed.



Related Postings:
Patient #3: Lyra 
Patient #4: Desiree 
Butt Cootie Fan Art 

Jun 18, 2012

Quick Facts: Mammogram

Have you ever heard women say, "I bet a man invented the mammogram"? Well, they are right!
Albert Salomon began the concept of mammograms, while Jacob Gershon-Cohen began using mammograms in the 1950s.


Related Postings:
Elderly Woman 
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Jun 16, 2012

Fun Extras

Get your free Dr. Carm's buttons - 2 more choices now available!



Jun 15, 2012

New Blog Button

Get your free Dr. Carm's Medical Page button!


Jun 7, 2012

Welcome to Dr. Carm's Medical Page

Dr. Carm is a made up medical practitioner that specializes in many different areas of the medical field. She graduated from a university that offered a medical degree and has BS-ed her way into solving simple medical problems. As the holder of the first aid kit in her office, Dr. Carm has much experience in a vast array of paper cuts and headache medication. She has successfully diagnosed friends, family members, and coworkers with a plethora of illnesses, including: OCD (Obsessive Compulsive Disorders), RDD (Refrigerator Door Disease), thyroid disease, stomach upsets, and headaches. In addition to her vast pretend medical knowledge, she also has knowledge in dentistry.

This blog contains:

Fun Diseases and Diagnoses: This section is not to be taken seriously (even though it might be true.) Dr. Carm will randomly pick people and diagnose them with mysterious new diseases not quite known to the medical world. If you would like to participate and become a "patient", please send Dr. Carm an email at drcarmelee@gmail.com. She will then provide you with a short questionnaire. [Confidentiality is important in the medical world. You will have the option of using a fake name for this section. No information will be used outside this blog.]

Interesting Medical Facts: This section contains legitimate information in the medical world. [Yes, Dr. Carm can be serious if obliged.] Information will cover a wide range of topics including: supplements, doctor visits, certain conditions and diseases, and other useful information. Topics will more than likely be written in a light, easy to read manner with links and sources to information for further self study. If you would like to submit a topic that interests you, please email Dr. Carm at drcarmelee@gmail.com, and it may be used in future posts!


Friends' Blogs: This section of Dr. Carm's Medical Page lists other blogs (related or unrelated) to this one. If you want your blog listed, please read the following:
1) Your blog must be at least 3 months old

2) Active (meaning--a minimum of one new posting every other week)
3) Clean (suitable for readers as young as 13 years old)
If you meet these requirements, please send me a private message at drcarmelee@gmail.com with the following information:
A) Your Name
B) Your email (Yes, I know it will be part of the email. Please include this in the body of the email)
C) Your Blog's Name
D) A Description of your blog (under 500 characters)
E) The link to your blog
F) Optional: An avatar representing your blog (must be size 150x150 pixels only)
Please note that I have a right to remove your blog listing for any reason at any time. I'm Dr. Carm. I can do this! =]

Final Note:
General Rules if Posting a Comment: Please be respectful. This site is not for political or religious debates.