Cat Scratch Fever, its not just a song. - by BrokenArts
Fragony on 30/9/2007 at 20:03
Had it as well. Nothing serious, just badlooking.
BrokenArts on 30/9/2007 at 20:29
Ahhh, subject quit nit picking this, what the hell are you talking about? The GP, the 1st doctor I said he tried that was all, I also said I was irked by his lack of listening to me. He ordered I see a surgeon. I wasn't happy with his opinion. Why do you think I got a 2nd opinion.
It was the 2nd opinion, the internal medicine doctor, that did listen, that got it right. Whatever......sheesh.
You don't have to be such a goddamn callous asshole in this.
You like to prove people wrong, and that you in fact are right.
*Zaccheus* on 30/9/2007 at 21:01
I'm glad you are ok, BrokenArts.
Spaztick on 30/9/2007 at 21:22
Quote Posted by Subjective Effect
What? As far as BA has described he said it
could be a neoplasm and he suggested an appropriate investigation. He was also worried more about the enlarged nodes which sounds about right to me (and the "good" doc was the same, of course). BA doesn't say if a scratch was at the site of the swelling - would've made a lot of difference.
Also - I think an MRI is over the top (ultrasound would have sufficed) but it's not the docs fault that BA can't afford an MRI and the system there (unlike in the UK) means you can't get a scan if you can't afford it.
White blood cells don't "gather in nodes" like that. You're showing your lack of knowledge here. No wonder you think the orginal doc misdiagnosed the issue. Sounds more like an abscess to me, or an
infected cyst. Uninfected cysts don't contain pus.
But routine blood tests include a full blood count and with cat scratch disease you'd expect a rise in white cell count. The diagnosis is still not certain without aspiration and testing of fluid from the lump, so the kittens could have nothing to do with it and you could be cussing your regular doc for no reason.
First off, BA was right, you are being a conceited asshole that wants to prove to everyone that you're right. That being said, maybe you should look at the wikipedia page to what pus is:
(
http://en.wikipedia.org/wiki/Pus)
Pus is produced from the dead and living white blood cells which travel into the intercellular spaces around the affected cells.
Shug on 1/10/2007 at 00:08
Oh, so that's what pus is
Shall we get back to the discussion now
littlek on 1/10/2007 at 00:50
Glad you are OK BA. If a friend of mine had been more proactive about a swollen lymph node under her arm she may caught her breast cancer at an earlier stage. I'd say more but I am afraid of Subjective Effect. :erm:
SubJeff on 1/10/2007 at 01:07
Don't be afraid littlek.
Quote Posted by BrokenArts
You don't have to be such a goddamn callous asshole in this. You like to prove people wrong, and that you in fact are right.
I just find it odd that you should be so unhappy about his suggested course of action. No wonder medical litigation is so high in the US when people jump to "he misdiagnosed me!" conclusions so easily.
Quote:
First off, BA was right, you are being a conceited asshole that wants to prove to everyone that you're right. That being said, maybe you should look at the wikipedia page to what pus is:
Prove? What are you talking about? You're the idiot that said the GP "misdiagnosed" BA. I don't want or need to prove anything.
BA didn't initially state that she had a fever. She also didn't say that she had a scratch anywhere, nevermind over the lesion.
Why am I "nitpicking"? I'm not, I'm trying to educate you people. How can you say you're not happy with the choice of referral to a surgeon? - many doctors would have done the same because given the story it's a perfectly reasonable thing to do. And I'm telling you here and now - cat scratch lesions are often drained as part of the management. Fact. Who would you rather did it - a GP who hasn't drained anything since internship or a surgeon who does it every day?
BrokenArts on 1/10/2007 at 12:08
Oh I don't give a damn what he says littlek. That was already considered. Had the mammogram, etc. Lymph node is better now.
SD on 1/10/2007 at 23:31
Quote Posted by Subjective Effect
No wonder medical litigation is so high in the US when people jump to "he misdiagnosed me!" conclusions so easily.
That's the main reason they like to perform so many unnecessary scans, such as the MRI the surgeon suggested in the original post: fear of litigation. I think the US has four times as many CT scanners per head as the UK. Per capita health spending in the UK is 40% that in the US, but the outcomes aren't noticeably worse.
BA, I am glad to hear you are okay. With 45 million uninsured in the US, and 16 million underinsured, I hope that next year you will be voting for the presidential candidate who will move the United States towards universal healthcare (ie the Democrat).
LesserFollies on 2/10/2007 at 16:44
I don't see why he had to scare her to death by mentioning liposarcoma in the first place. I'm all for hard-nosed doctors, and I understand why the current climate leads to lots of tests, but he basically had her thinking she should go get her affairs in order. And it turned out to be the infection, which he gave the impression of dismissing.
And I want to see a pic of these killer kittens and their poisonous CLAWS OF DOOM! :D