Wednesday, April 18, 2007

Doctor Who

The nagging frequent headaches and the sudden blurring of vision with pressure in the eye took me once again to the neurologist at a prominent hospital. "The blood flow is OK", said the neuro after examining my head with his hands. All good, but he seemed worried about my headache; the way I do?. MRI+EEG appeared to be the problem hunter tool for the doctor,since he had no clues to what is happening. The near perfect EEG and MRI reports confused the doctor more and the only reported "inflammation in the middle ear" was the candle at the other end.

The recommended-ENT doctor at the same hospital was more clueless than the neuro. His reports (impedance test and another odd one) too appeared mute and he did not want to shoot in the dark. With no way in the dark, the only direction appeared to be the migraine for this ENT even when I specifically mentioned that neuro had ruled off migraine.

Now what? Neuro finally confessed that he had no clues to what is happening. Nice. So, he would rather change my usual medicines. Why? I don't know - don't think he does either.

Had asked him once why a migraine occur - strangely same answer again - no clues. What they do know is to reduce the frequency of attack, reduce the aura and the accompanying pain. But dont ask for the details.

Relaxing at home, the small note tightly wrapped up in the medicine carton seems to say a lot many interesting things: (This 'beta-blocker' was supposed to reduce frequency of migraine attacks )

a.) high chance for depression and suicidal tendencies.
b.) Manufacturers have no clues to how this medicine work. Sic!
c.) Ocular pressure & acute myopia is nearly guaranteed.

Nice! Could the blurring be the acute myopia? ocular pressure is eye pressure! Its written in black and white! These are effectively the problems I have! Wish I had read this before visiting the doctor.. I could have shown him.

Perhaps he did know about this, when he asked me to change the medicine. I would rather prefer a doctor who is frank and knows what s/he is speaking. We are all humans.

Failed Solution & Verdict
Effectively, after around 10k Rs spent, I had to come to the verdict that the experience of these doctors does not match the long list of acronyms attached to their name. They do not appear to think outside their box (read specialisation) and seems to easily pinpoint the other wing with the problem after they are done with their long list of tests. The listed side effects does make you feel like a guinea pig and the doctors have no worry in prescribing the most weirdest of chemicals.

Planned Solution
General Medicine Practitioners/Physicians - Its all good to consider the word of the specialist and their prescriptions. But, in these cases, its best to cross check and co relate with a family doctor or a general medicine practitioner who has some really good experience and name. They do appear to think outside the box.

As for me, I have stopped all of these medicines and for the root problem (migraine), I am now going via the classical route - heavy doses of paracetamol on the outset of a migraine. At least it worked OK until the previous generation. Should also start thinking about alternate medicines (Ayurveda and Homeo)

Effectively, think more about the medicine which go in and always reason with the doctor - most of them are not as smart as they appear.

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