Exams at the Doctors

    • Don't get physical exams for doctors over here. Honestly they can't really be bothered if your healthy or not :( hard enough to see one if you are ill

      Only time a doctor's ever bothered about my development was when I was younger and they said I was fat (from 2 measurements on a peice of paper). Totally messed me up for years, and still a little now ;(

      Good Friend :play: Kinda Romantic :love: Ready to Rock :zomg:

      "If you try to follow fashion you'll always be chasing, and probably never catch it. If you be yourself and make your own style, fashion might just bump into you one day."
    • BJade wrote:

      Don't get physical exams for doctors over here. Honestly they can't really be bothered if your healthy or not :( hard enough to see one if you are ill

      Only time a doctor's ever bothered about my development was when I was younger and they said I was fat (from 2 measurements on a peice of paper). Totally messed me up for years, and still a little now ;(
      I'm from the UK too. There are whole bunch of health checks done in the first two years of life but it seems if you get through them without anything alarming having been found it is assumed your development will be fine from there on.

      I am not sure I would call the lack of further checks a case of "can't be bothered". It is more that the NHS has a certain budget and the more they spend on screening tests the less they have to spend on other things so screening tests need to be shown to have value just like any routine intervention. The case for vaccines, a common routine intervention, is very strong - they save lives and reduce the need for subsequent treatment so the NHS is happy to spend money on them. Checking people's development when the vast majority of people develop just fine is obviously not seen as having much value.

      By comparison, in the USA, there is no fixed budget as healthcare is billed to the patient or their insurance company so if they can do work, and get paid for it, they will just like any business.

      So BMI checks seem to be a bit of an exception. Obesity used to affect very few children but is now acknowledged as a much bigger problem. I am not sure the BMI is a good enough measure, because it doesn't take into account some individual variation, i.e. some people have thicker bones or are more muscular so their BMI is off.
    • Sean2001 wrote:

      BJade wrote:

      Don't get physical exams for doctors over here. Honestly they can't really be bothered if your healthy or not :( hard enough to see one if you are ill

      Only time a doctor's ever bothered about my development was when I was younger and they said I was fat (from 2 measurements on a peice of paper). Totally messed me up for years, and still a little now ;(
      I'm from the UK too. There are whole bunch of health checks done in the first two years of life but it seems if you get through them without anything alarming having been found it is assumed your development will be fine from there on.
      I am not sure I would call the lack of further checks a case of "can't be bothered". It is more that the NHS has a certain budget and the more they spend on screening tests the less they have to spend on other things so screening tests need to be shown to have value just like any routine intervention. The case for vaccines, a common routine intervention, is very strong - they save lives and reduce the need for subsequent treatment so the NHS is happy to spend money on them. Checking people's development when the vast majority of people develop just fine is obviously not seen as having much value.

      By comparison, in the USA, there is no fixed budget as healthcare is billed to the patient or their insurance company so if they can do work, and get paid for it, they will just like any business.

      So BMI checks seem to be a bit of an exception. Obesity used to affect very few children but is now acknowledged as a much bigger problem. I am not sure the BMI is a good enough measure, because it doesn't take into account some individual variation, i.e. some people have thicker bones or are more muscular so their BMI is off.
      yeah, I know it costs money, and I wouldn't expect lots of checks. But would be nice to just have something to check someone is ok. Like girls who only find out bad period pains are actually a problem when there in their 20 when they start to have kids. Just maybe one when your 15 could help with a load of problems that could occur (and cost significantly more to fix in the future) and take in physical and mental health

      The BMI really messed me up at the time. Being taller, in the middle of puberty, and sporty. Definitely isnt an average 10 yo. But to me if you do sports and eat healthy was only one way to lose weight. And that was to not eat (or pretend to)

      And that's kinda more what I meant with doctors not caring, eating disorders, well stop being silly and eat :( the effects of being nervous and anxious, not physically wrong so ;( bye bye we can't help. Just kinda given up asking for help and not really receiving anything :S and at times feeling like a ball passed between. Them saying "nothing we can do, you'll have to see them" "we haven't got a letter to say that, go back to your doctor and make sure" "we'll get the doctor to sort that out when he has time" after months (and years) of that, doesn't give me an impression of care ;(

      Good Friend :play: Kinda Romantic :love: Ready to Rock :zomg:

      "If you try to follow fashion you'll always be chasing, and probably never catch it. If you be yourself and make your own style, fashion might just bump into you one day."
    • BJade wrote:

      yeah, I know it costs money, and I wouldn't expect lots of checks. But would be nice to just have something to check someone is ok. Like girls who only find out bad period pains are actually a problem when there in their 20 when they start to have kids. Just maybe one when your 15 could help with a load of problems that could occur (and cost significantly more to fix in the future) and take in physical and mental health

      I think it is worth distinguishing between public health and normal care. Public heath isn't about the health of any one person but about the average health of the population is and has a significant stats component. How common is a condition? How much does it affect people? Do we have any tests for it? How accurate are the tests, including sensitivity and selectivity? Once identified, how effective is the treatment? What evidence is there that treating early has a benefit?

      So, with cancer, for example, screening tests usually start for a particular cancer at an age the rate at which people start to have it starts to rise. Screening tests can be quite sensitive but not very selective, meaning there are false positives and people then have to undergo further investigation. But we know that early treatment is the most important single thing in making it survivable so it's worth doing all that.

      On painful periods, it is acknowledged that it affects quite a few girls and women but my suspicion is that, most of the time, it doesn't indicate any underlying problem. If we asked all girls whose periods are painful to visit the doctor, how good would the doctor be at working out those with an underlying condition vs. those with nothing to worry about? Are there any lab tests to help? If there is an underlying condition, how important is early treatment? If it resolves the pain then it may be worth doing early but, if the only effect is on fertility it would be pointless to treat someone who then decided not to have children anyway.

      So normal care is about the needs of an individual patient and your GP is responsible for coordinating that. If you go to your doctor with a health concern then it should be taken seriously and you should be referred to a hospital specialist if it is outside your GP's expertise. I think a lack of appointments is a general issue but it is still the case that some doctors are better than others.

      BJade wrote:

      And that's kinda more what I meant with doctors not caring, eating disorders, well stop being silly and eat :( the effects of being nervous and anxious, not physically wrong so ;( bye bye we can't help.

      It does seem like mental health is the poor relation and GPs are not necessarily well trained in it, but they should refer you to someone who is. Specialist services usually do need a referral and that comes from your GP who has overall responsibility for your care. If specialists say "That's not my thing" then it is your GP's job to find a different specialist, someone who does treat whatever it is you have.
    • Stephie wrote:

      Does anyone’s doctors look at their private parts during their exams? If so, how do you feel about it? What does the doctor say? What are you wearing during it? What position do they do it in? Is anyone else there?
      Mine has. I know it has to be done, so I don't mind. The doctor lets me know they're OK. The doctor just says they're OK and asks me if I'm checking. I'm naked during that part of the examination. Usually only one or two of my brothers are there (our mom usually schedules or exams together when she can to save on trips).
    • Durango wrote:

      Stephie wrote:

      Does anyone’s doctors look at their private parts during their exams? If so, how do you feel about it? What does the doctor say? What are you wearing during it? What position do they do it in? Is anyone else there?
      Mine has. I know it has to be done, so I don't mind. The doctor lets me know they're OK. The doctor just says they're OK and asks me if I'm checking. I'm naked during that part of the examination. Usually only one or two of my brothers are there (our mom usually schedules or exams together when she can to save on trips).
      What has to be done? My doctor has only checked my bits when the issue I was visiting her for relates to them. Fortunately, I do not have the traveling issue, as I can ride my bicycle to visit the doctor.

      Alanjr wrote:

      Our insurance company requires - and pays for physicals once a year. So to save a trip, I'll probably go with my dad. Mom goes to a different Dr for hers.
      Interesting. I have never heard of this. But I realise that different countries, different health care systems, operate differently. I like reading all these posts, learning how different we all are.
    • mentallychaotic wrote:

      Durango wrote:

      Stephie wrote:

      Does anyone’s doctors look at their private parts during their exams? If so, how do you feel about it? What does the doctor say? What are you wearing during it? What position do they do it in? Is anyone else there?
      Mine has. I know it has to be done, so I don't mind. The doctor lets me know they're OK. The doctor just says they're OK and asks me if I'm checking. I'm naked during that part of the examination. Usually only one or two of my brothers are there (our mom usually schedules or exams together when she can to save on trips).
      What has to be done? My doctor has only checked my bits when the issue I was visiting her for relates to them. Fortunately, I do not have the traveling issue, as I can ride my bicycle to visit the doctor.
      Usually it's just to make sure everything "down there" is developing the way it should.