How do you get to see a frickin dermatologist?!?!?!? | FerrariChat

How do you get to see a frickin dermatologist?!?!?!?

Discussion in 'Other Off Topic Forum' started by SRT Mike, Sep 13, 2007.

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  1. SRT Mike

    SRT Mike Two Time F1 World Champ

    Oct 31, 2003
    23,343
    Taxachusetts
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    Raymond Luxury Yacht
    Something is seriously wrong here.

    I have some sort of rash on my hand - I have had eczema before there and I am 99% sure thats what it is. I also had a few ???'s for the doctor. I know it takes some weeks to treat and I'm going away in December, so figured now is a good time to take care of it.

    I call my normal dermatologist and they say I can get an appointment in very late FEBRUARY. Are you sh*tting me? 5+ MONTHS out? Thats insane. By then my hand will look like the elephant man. I called a few other places and they are all telling me January-February.

    So....if I have a spot that I think may be cancer, I should wait around for half a year and let it fester and get worse before I do anything about it? Thats insane. There HAS to be a better way. I simply do not believe that there is such a backlog to see dermatologists in Massachusetts that they are booked solid for 5 months at every place. How can it be? I can call a dentist and get an appointment probably tomorrow or next week. My regular doc would be happy to make an appointment for a few days from now.

    There HAS to be something I am missing. Is it like if I go see a regular doc first and he sends me to a dermatologist, I skip to the front of the line? Can someone help me out here - what can I do? I'm not just ranting - I really need to see a derm about a few things, none of which are life threatening but I really want to get seen this month. A girl at my office went to her regular doc about some rash on her neck and he called to another derms office who said "send her over this afternoon". Is that the key? Help me out here... this is nuts!
     
  2. dakharris

    dakharris Two Time F1 World Champ

    Jun 7, 2001
    29,441
    Sleepy Hollow
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    Cavaliere Senzatesta
    Don't you have socialized medicine-light in MA? Thanks Mitt. This is what you get. If I say much more, this will move to P&R.

    Most doctors set aside times for emergency/serious cases. Call them back and tell them it got worse. If they still won't let you in, there's always New Hampshire.
     
  3. SRT Mike

    SRT Mike Two Time F1 World Champ

    Oct 31, 2003
    23,343
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    Believe me, NH is no better. Its unrelated to the health care issue, just seems theres a massive backlog. I am 10 minutes from NH and I have called everywhere within a 30 minute radius of me.

    Good idea on the "it got worse" thing. I will tell them I may actually have leprosy and see what that nets me :)

    On the healthcare thing, it is bogus for the most part - mandated health insurance coverage. I am not sure it was a Romney thing. Our state like most pays gigantic amounts in medicare/medicaid costs. The major problem is lack of planning peoples parts, policies that enrichen HMO's and deprive doctors of their right to a fair wage, and end of life issues where a guy who will definitely be dead in a year, will gladly spend $250k (not of his own money, of course) to live an extra 2 months given major surgery and expensive meds.

    Oh well.. I am close enough to NH that I'm moving there before too long. Even car insurance isnt mandated there! :)
     
  4. bpu699

    bpu699 F1 World Champ
    Owner Silver Subscribed

    Dec 9, 2003
    17,733
    wisconsin/chicago
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    bo
    90% of rashes can be treated by your regular doctor. Why see a dermatologist?

    Oh, and here is a little secret about dermatology: With any rash, there are really only 4 things you can do:

    1) Smear steroids all over it and hope it goes away
    2) Smear antibiotics all over it and hope it goes away
    3) Smear steroids AND antibiotics all over it
    4) Remove it

    Any joe schmoe can do 1-3...

    The truth of the matter is that most docs are VERY envious of dermatologists (and allergists). Primarily because we weren't smart enough to chose these fields, and rather chose medicine/surgery/etc. Big mistake on our parts. Every dermatologist and allergist I know will openly admit that their fields are easy/pay more/better lifestyle than anything out there. Now, I don't want to upset any dermatologist/allergists on here, and I applaud you for picking the fields that you did...

    And, derm is booking out 6 months in the midwest too, in most practices...
     
  5. Robin

    Robin F1 Rookie

    Nov 1, 2003
    2,931
    Arlington, VA
    Back in high school I worked at a medical library, making copies of articles for doctors. After looking through hundreds of dermatology journals I can safely say that you couldn't pay me enough money to deal with some of those people every day :eek: Talk about some nasty ****!!!

    -R
     
  6. Lee in Texas

    Lee in Texas Formula Junior

    Oct 21, 2006
    685
    near Austin, TX
    Full Name:
    Lee
    Go see the smokin' hot lady in Human Resources. She has nothing to do with it but just play dumb and use that as an excuse to ogle. She'll point you in the right direction. You don't have an HR BABE? damn. Ours must think we're all idiots. :)
     
  7. fastradio

    fastradio F1 Rookie
    BANNED Professional Ferrari Technician

    Apr 26, 2006
    3,664
    New England
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    David Feinberg
    I couldn't agree more with this statement.
    My dog's got a boo boo on his paw....and the vet picked option (1) here in Cow Hampshire. Only one day to get an appointment!

    Regards,
    David
     
  8. Kami

    Kami Formula Junior

    Nov 28, 2006
    666
    St. Louis
    if all else fails, head to the ER, may take a few hours of waiting, but definatly beats a few months!
     
  9. yzee

    yzee F1 Veteran
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    Apr 16, 2005
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    Michael
    Have you tried sticking it in cider.
     
  10. SRT Mike

    SRT Mike Two Time F1 World Champ

    Oct 31, 2003
    23,343
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    Seriously? Hey I'll give it a shot!

    I have some Elidel (or whatever its called) but its expired by about a year. I've been using it on and off but its taking forever to do anything and when I stop , it comes back kinda quick. I had something before that cleared it up in about a week and it didnt come back for about 8 years. But the doc I got it from retired and no others will give a script by phone. I have a few other ???'s for the doc but I'll try the cider thing if you think it'll work!
     
  11. tatcat

    tatcat F1 World Champ
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    Sep 3, 2001
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    rick c
    spray it with windex;-)
     
  12. darth550

    darth550 Six Time F1 World Champ
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    Jul 14, 2003
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    Switch to Astroglide! :):):)
     
  13. yzee

    yzee F1 Veteran
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    Apr 16, 2005
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    In cid her
     
  14. SRT Mike

    SRT Mike Two Time F1 World Champ

    Oct 31, 2003
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    Ok ok I get it... LOL

    Hey maybe that was what caused the problem in the first place? :)
     
  15. brokenarrow

    brokenarrow F1 Rookie

    Sep 25, 2006
    3,737
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    Bill
    I had something on my back that concerned me so I saw my doctor. He too was concerned and asked I see a dermatologist, but I could not get an appt for 4 months no matter who I called. So, he made some calls and got me in the very next day. I was fine--no issues.

    Here's the deal. They limit the number of Dermatologist that are accepted into school so their field remains tight, their schedules booked, their pockets full. This is not a joke or a poke at them. The Derma told me this himself.

    Have your doc find an appt for you.
     
  16. Scotty

    Scotty F1 World Champ
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    Oct 31, 2003
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    OK, it is the board Dermatologist speaking here. Dermatology is tremendously understaffed, mostly a result of not enough programs training folks. Waits are long all around the country. FWIW, most Dermatologists are increasingly appalled and dismayed by the situation--it is beginning to impact patient care. But that is a long and complicated discussion, so to the point at hand.

    1) bpu699's comments are a bit simplistic, but actually not that far off of the mark. Go in and see your primary care doc--they can take their best quess (which is quite likely to be correct) and prescribe something for you. I would be a bit cautious using Eilidel alone--its onset is a bit slower than a potent cortisone cream, and it can initially be irritating (meaning it can make the rash worse).

    2) A call from your primary care doc to a Derm they refer to should get you in same day, or next day--if for some reason your primary care doc is concerned.

    3) Even an ER visit (or urgent care center) visit can work in a pinch, but I still like the first option above better.

    4) Fly out to Portland--I'll see ya.

    Good luck. If you have further issues feel free to PM me.

    Scott
     
  17. Buzz48317

    Buzz48317 F1 Rookie

    Dec 5, 2005
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    Ahh, Leprosy can be cured now with modern antibiotics, they'll probably just call in a script for a Z-pack over the telephone.:)

    I have a great Derm and Derm surgeon in the metro Detroit area, always get me in with days, not months notice....if you wanna make the trip, it's further than Mass, but closer than Portland :)
     
  18. Buzz48317

    Buzz48317 F1 Rookie

    Dec 5, 2005
    2,862
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    Michael
    Really any joe schmoe can do 1-4, just takes guts and will-power....oh, and a belt sander :D
     
  19. PeterS

    PeterS Five Time F1 World Champ
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    Jan 24, 2003
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    That's pretty bad when your dog can be seen in less than 24 hours and YOU have to wait months! Any doctor that makes you wait more than three weeks does not need your business. These are the same doctors that make you wait 45 minutes before your name is called to go into a waiting room to wait another 30 minutes while he's bang'en a nurse in the back room.
     
  20. StallionRx

    StallionRx Formula Junior

    Nov 7, 2003
    364
    South CT
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    Mark
     
  21. Scotty

    Scotty F1 World Champ
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    Oct 31, 2003
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    StallionRX-I'm sure you know this, but for the benefit of the board and those who might read this thread:

    1) Dermatologists HATE to recommend Neosporin. About 10% of the US population is allergic to Neosporin. Polysporin has a much lower incidence of contact allergy.

    2) Neosporin, polysporin, bacitiracin are all poor anti-infectives. They can be better than nothing, and if there isn't an established infection they may be worth trying.

    Just FYI.
     
  22. davem

    davem F1 World Champ
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    Jan 21, 2002
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    dave m
    If you get really hard up, do what Chris Rock would....rub Tussin in it.
     
  23. rpps

    rpps Formula 3

    Aug 20, 2005
    1,828
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    Too bad you are not in New Jersey.

    I would recommend someone that I had no problem getting an apt. with in two weeks.
     
  24. StallionRx

    StallionRx Formula Junior

    Nov 7, 2003
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    Mark
    Scotty: I am aware of the incidence of contact derm from neomycin. My cousin gets gets an allergic reaction from it and therefore can not use it. I was unaware that the incidence rate was that of 10% though. Most literature that I have found mention the incidence to be significant, but not that of 10%. One multifactorial analysis on contact derm from AG abxs included an incidence rate of about 2% out of 40,000+ patients. Granted, quite significant, but certainly a little less prevalent than 10.

    Yes, topical neo and poly are poor contenders to alot of other Rx meds out there. However, I serve an impoverished community and many of my patients have no insurance and are unwilling to see a physician. Id rather have them leave with something that will offer SOME protection rather than nothing.

    Thanks for the heads up.
     
  25. wax

    wax Five Time F1 World Champ
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    Jul 20, 2003
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    Dirty Harry
    I've had my hand stuck in a belt sander - not fun.

    If the coworker who gets your hand stuck in a sander's name is also Brian, you too can say, "Way to go, Brian!"
    _____

    I'm one of the 10 percenters allergic to Neosporin.
    _____

    Use Cortisone Cream - not ointment. Don't bother with a "compared to" active ingredient - use a "compared" to Store brand. Even if it's from a (2) Dollar Store - as long as the active ingredient is the same - it works. If a 10 dollar larger size tube of name brand stuff is on sale for 5 bucks - buy a whole bunch of 'em. Apply religiously. Don't wait until it bothers you.
     

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