Chronic pain Support

Author

Ping:Hawki

OldGoat

2005-11-29, 12:54 am

Dear Hawki,

How you doing? Good I hope. I feel guilty writing you always with some
questions, but at least I know you're not going to feed me a load of crap.
What is the job of an internist and what's the difference between one and a
General Practitioner? I had to call my high dollar concierge (I feel like I
know where the con part comes from) all access, all the time, (this is only
the 3rd time I bugged him for anything and two were RX refills, innocent
stuff like IBS meds) and I know we are all only human which means we can all
have a shitty hour/day/week, but he was coming off like a major XXXXXXX.
I'm having balancing, tripping, falling issues and some worsening
neurological stuff (can't feel feet, legs and when the bottom wont stay
solid over the top- KerPlop!), I didn't say neurological or any medico-speak
that he might feel I'm self diagnosing, and next thing I know, he's bitching
at me he's an internist and maybe not the right kind of doctor. I'm starting
to thinking that last part is right. But what's he supposed to do or is so
different that he does that the insurance companies make them seem
interchangeable.
Internists can treat me for a gall bladder problem, but can't do crap for a
rash, cause I need an"externist"? If I just generally feel like crap I need
a general practitioner?
I don't mean to make light of the medical profession (but it's sometimes
just made too easy!), but if I don't get some answers pretty soon, I'm going
to be looking for a General Executioner.
And one more thought that I didn't take in to consideration when doing this
concierge medical program. It great, no clock watching, pending as much time
as you need etc, etc. Which is great for you and your doctor. But when you
need a referral to a specialist, be prepared to reenter that BigMac Zone of
medicine. Two minutes on each side and yank the fries two minutes later. And
there's plenty of cups for every patient, they can fill them on the way out.
Next? Welcome to McDoctor's can we take your order?

TIA and hope you had a great turkey day--og

<and please don't take offense at my lame attempts at humor. There's usually
one person at every business that keeps sure the place runs inspite of
itself. I'd bet it's you>

/

Patrick

2005-11-29, 12:54 am

OG I know that it is meant for Hawki, however I just wanted
to say I have not seen ya post recently and miss ya.

An internist is totally internal medicine, 5 years of residency.

A family practitioner (there really is no such thing as a board
certified General Practitioner and now you have to get board
eligible in something or at least complete a 3 year residency),
take a 3 year minimum residency in family practice, usually some
more pediatrics involved.

All in all an internist would be who you would want to treat
any medical issues like diabetes, hypertension, several different
disorders that are not bad enough to have to see a more detailed
specialist like a nephrologist or endocrinologist... my dad is an internist.

An internist is supposed to be a diagnostician above all else, he is the
guy that determines that you have heart disease sufficient to see are
cardio, or your kidney function has gotten bad enough now to see a
nephrologist, or your arthritis has gotten too bad for him to treat any
more so he sends you to a rheumatologist.

Any internist that tells you to see someone else because he is not the
right doctor to see, and you have no diagnosis yet, is a total quack
in my unhumble opinion (just feeling arrogant and pissed tonight I guess),
run like hell from this guy, an internist is the guy you would expect to be
able to take the time to diagnose the difficult stuff and treat it if he
can,
refer you if he can not. Most specialists don't diagnose, they have you
referred to them by a good internist who has already given them the
diagnosis and the lab work, films and examinations to back it up.

My old man's greatest claim to fame was that he was the internist
in a town of about 50K with a metro area of about 120K that all the
other doctors in the area were patients of. My dad had more docs
as patients than either four others combined. He came home one night
when I was a kid (am 41 now) and was nearly in tears because he had
a patient that he diagnosed as having rocky mountain spotted fever. The
patient died, dad had no warning signs, there was no tick bite they could
find, no outing, no time in the outdoors, he missed it, he finally figured
it
out, but is was too late..... this was before rocky mountain spotted fever
was even a big thing, most docs were just seeing journal articles on it.

That is what an internist is, he is the medical detective and if you have
one
that is not willing to be a medical detective find another one man, you
deserve better.

Just my $.02, I am on a roll of arrogance and posting lately, good hearing
from you and take care OG.

--
Patrick

Patrick H. Mason MS, OHST, EMT-I

A delusion shared by many is a culture; shared by some is a cult;
shared by 2 is love; but a delusion held by one is psychosis.

"OldGoat" <oldgoatmail@ERdocsuckyahoo.com> wrote in message
news:7lOif.1100$to5.794@trnddc04...
> Dear Hawki,
>
> How you doing? Good I hope. I feel guilty writing you always with some
> questions, but at least I know you're not going to feed me a load of crap.
> What is the job of an internist and what's the difference between one and
a
> General Practitioner? I had to call my high dollar concierge (I feel like
I
> know where the con part comes from) all access, all the time, (this is
only
> the 3rd time I bugged him for anything and two were RX refills, innocent
> stuff like IBS meds) and I know we are all only human which means we can
all
> have a shitty hour/day/week, but he was coming off like a major XXXXXXX.
> I'm having balancing, tripping, falling issues and some worsening
> neurological stuff (can't feel feet, legs and when the bottom wont stay
> solid over the top- KerPlop!), I didn't say neurological or any
medico-speak
> that he might feel I'm self diagnosing, and next thing I know, he's
bitching
> at me he's an internist and maybe not the right kind of doctor. I'm
starting
> to thinking that last part is right. But what's he supposed to do or is so
> different that he does that the insurance companies make them seem
> interchangeable.
> Internists can treat me for a gall bladder problem, but can't do crap for
a
> rash, cause I need an"externist"? If I just generally feel like crap I
need
> a general practitioner?
> I don't mean to make light of the medical profession (but it's sometimes
> just made too easy!), but if I don't get some answers pretty soon, I'm
going
> to be looking for a General Executioner.
> And one more thought that I didn't take in to consideration when doing
this
> concierge medical program. It great, no clock watching, pending as much
time
> as you need etc, etc. Which is great for you and your doctor. But when you
> need a referral to a specialist, be prepared to reenter that BigMac Zone
of
> medicine. Two minutes on each side and yank the fries two minutes later.
And
> there's plenty of cups for every patient, they can fill them on the way
out.
> Next? Welcome to McDoctor's can we take your order?
>
> TIA and hope you had a great turkey day--og
>
> <and please don't take offense at my lame attempts at humor. There's
usually
> one person at every business that keeps sure the place runs inspite of
> itself. I'd bet it's you>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
> /
>
>

hawki63

2005-11-29, 12:54 am

top posted..

OG....glad Pat got to this first....

and his answer is so complete and true!!

me thinks your "high expensive concierge" guy is bitching cuz he actually
has to work for his money

yes..his job is to diagnose as much as he can...take care of as much as he
can..which should be "most"..and then take care of referrals if you need a
specialist...

i don't quite understand how this concierge stuff works..but it is supposed
to help you not have to wander thru the maze..soundsl ike this guy bit off
more than he can chew..

hope you can get help from him..if not,,as Pat says..time to find a REAL
internist who isn't afraid to work..

keep in touch
"Patrick" <jimmyk@mindspring.com> wrote in message
news:gOOif.10136$aA2.6663@newsread2.news.atl.earthlink.net...
> OG I know that it is meant for Hawki, however I just wanted
> to say I have not seen ya post recently and miss ya.
>
> An internist is totally internal medicine, 5 years of residency.
>
> A family practitioner (there really is no such thing as a board
> certified General Practitioner and now you have to get board
> eligible in something or at least complete a 3 year residency),
> take a 3 year minimum residency in family practice, usually some
> more pediatrics involved.
>
> All in all an internist would be who you would want to treat
> any medical issues like diabetes, hypertension, several different
> disorders that are not bad enough to have to see a more detailed
> specialist like a nephrologist or endocrinologist... my dad is an
internist.
>
> An internist is supposed to be a diagnostician above all else, he is the
> guy that determines that you have heart disease sufficient to see are
> cardio, or your kidney function has gotten bad enough now to see a
> nephrologist, or your arthritis has gotten too bad for him to treat any
> more so he sends you to a rheumatologist.
>
> Any internist that tells you to see someone else because he is not the
> right doctor to see, and you have no diagnosis yet, is a total quack
> in my unhumble opinion (just feeling arrogant and pissed tonight I guess),
> run like hell from this guy, an internist is the guy you would expect to
be
> able to take the time to diagnose the difficult stuff and treat it if he
> can,
> refer you if he can not. Most specialists don't diagnose, they have you
> referred to them by a good internist who has already given them the
> diagnosis and the lab work, films and examinations to back it up.
>
> My old man's greatest claim to fame was that he was the internist
> in a town of about 50K with a metro area of about 120K that all the
> other doctors in the area were patients of. My dad had more docs
> as patients than either four others combined. He came home one night
> when I was a kid (am 41 now) and was nearly in tears because he had
> a patient that he diagnosed as having rocky mountain spotted fever. The
> patient died, dad had no warning signs, there was no tick bite they could
> find, no outing, no time in the outdoors, he missed it, he finally figured
> it
> out, but is was too late..... this was before rocky mountain spotted fever
> was even a big thing, most docs were just seeing journal articles on it.
>
> That is what an internist is, he is the medical detective and if you have
> one
> that is not willing to be a medical detective find another one man, you
> deserve better.
>
> Just my $.02, I am on a roll of arrogance and posting lately, good hearing
> from you and take care OG.
>
> --
> Patrick
>
> Patrick H. Mason MS, OHST, EMT-I
>
> A delusion shared by many is a culture; shared by some is a cult;
> shared by 2 is love; but a delusion held by one is psychosis.
>
> "OldGoat" <oldgoatmail@ERdocsuckyahoo.com> wrote in message
> news:7lOif.1100$to5.794@trnddc04...
crap.[vbcol=seagreen]
and[vbcol=seagreen]
> a
like[vbcol=seagreen]
> I
> only
> all
> medico-speak
> bitching
> starting
so[vbcol=seagreen]
for[vbcol=seagreen]
> a
> need
> going
> this
> time
you[vbcol=seagreen]
> of
> And
> out.
> usually
>
>

Patrick

2005-11-29, 12:54 am

"hawki63" <hawki63@sbcglobal.net> wrote in message
news:gOPif.24704$dO2.23544@newssvr29.news.prodigy.net...
> top posted..
>
> OG....glad Pat got to this first....
>
> and his answer is so complete and true!!
>
> me thinks your "high expensive concierge" guy is bitching cuz he actually
> has to work for his money
>
> yes..his job is to diagnose as much as he can...take care of as much as
he
> can..which should be "most"..and then take care of referrals if you need a
> specialist...
>
> i don't quite understand how this concierge stuff works..but it is
supposed
> to help you not have to wander thru the maze..soundsl ike this guy bit off
> more than he can chew..
>
> hope you can get help from him..if not,,as Pat says..time to find a REAL
> internist who isn't afraid to work..
>
> keep in touch
> "Patrick" <jimmyk@mindspring.com> wrote in message
> news:gOOif.10136$aA2.6663@newsread2.news.atl.earthlink.net...
> internist.
guess),[vbcol=seagreen]
> be
could[vbcol=seagreen]
figured[vbcol=seagreen]
fever[vbcol=seagreen]
have[vbcol=seagreen]
hearing[vbcol=seagreen]
> crap.
> and
> like
innocent[vbcol=seagreen]
can[vbcol=seagreen]
XXXXXXX.[vbcol=seagreen]
stay[vbcol=seagreen]
is[vbcol=seagreen]
> so
> for
sometimes[vbcol=seagreen]
much[vbcol=seagreen]
> you
Zone[vbcol=seagreen]
later.[vbcol=seagreen]
way[vbcol=seagreen]
>
>

sorry to top post, it is a bad habit of mine, I am nearly knocked
off of my feet that your professional opinion was that I was not
too far off of the mark, a good NP is worth their weight in gold
imho, and yours has always gone a long way with me.

OG, take care, you have been through much worse and you are
always your best advocate, you have done it well in the past and
if I can be of any support I am here, 3 hours south of you, but still
here.

Take care,

--
Patrick

Patrick H. Mason MS, OHST, EMT-I

A delusion shared by many is a culture; shared by some is a cult;
shared by 2 is love; but a delusion held by one is psychosis.

hawki63

2005-11-29, 12:53 pm

"Patrick" <jimmyk@mindspring.com> wrote in message
news:72Qif.10165$aA2.4024@newsread2.news.atl.earthlink.net...
> "hawki63" <hawki63@sbcglobal.net> wrote in message
> news:gOPif.24704$dO2.23544@newssvr29.news.prodigy.net...
actually[vbcol=seagreen]
> he
a[vbcol=seagreen]
> supposed
off[vbcol=seagreen]
the[vbcol=seagreen]
any[vbcol=seagreen]
> guess),
to[vbcol=seagreen]
he[vbcol=seagreen]
you[vbcol=seagreen]
The[vbcol=seagreen]
> could
> figured
> fever
it.[vbcol=seagreen]
> have
you[vbcol=seagreen]
> hearing
some[vbcol=seagreen]
one[vbcol=seagreen]
is[vbcol=seagreen]
> innocent
> can
> XXXXXXX.
> stay
> is
crap[vbcol=seagreen]
I[vbcol=seagreen]
> sometimes
I'm[vbcol=seagreen]
doing[vbcol=seagreen]
> much
when[vbcol=seagreen]
> Zone
> later.
> way
of[vbcol=seagreen]
>
> sorry to top post, it is a bad habit of mine, I am nearly knocked
> off of my feet that your professional opinion was that I was not
> too far off of the mark, a good NP is worth their weight in gold
> imho, and yours has always gone a long way with me.

Patrick..

actually you were RIGHT ON and your reply was far more detailed than perhaps
I would have taken the time to do..

as for MY respecting other members of the health care team....I have always
tried to do that...as we are all parts of a whole..and need to work together
in all situations to make the parts INTO a whole..

as for YOUR speciality...EMT's have always been very close to my
heart...seeing them swarm into my family room when my hubby had a near fatal
MI..was SOOO reassuring...knowing their breadth of knowledge etc...I felt so
secure that even if he had arrested etc..they would have taken care of
it...we are Lucky that our tax dollars here support a fulltime EMT
staff..also that wee are 3 miles from the local fire station...they were at
my house in less than 3 minutes...

in my professional life...worked at an outlying clinic..22 miles from
closes "HMO" ER ...so if we had a BAD patient (happened at least once a
day!!)...we called 911...and your EMT cohorts stormed the clinic..and took
over..our biggest concern in this clinic was to have a cardiac or
respiratory arrest BEFORE the paramedics arrived...yes all our docs had
ACLS....but didn't do it enuf to be as proficient as medics..etc etc...it
was SOOO comforting for "your guys" to arrive...get the patient OOUT of our
tiny exam rooms..into their "buses" and take them away!!!

etc etc etc

we need to work together...we need to respect each other's knowledge AND
limits...no need to XXXXX about who is better than whom..none of us can work
in a vacuum..

etc etc...

yes Patrick..your answer to OG was complete,,accurate to a word..

keep up the good and professional work Pat
>
> OG, take care, you have been through much worse and you are
> always your best advocate, you have done it well in the past and
> if I can be of any support I am here, 3 hours south of you, but still
> here.
>
> Take care,
>
> --
> Patrick
>
> Patrick H. Mason MS, OHST, EMT-I
>
> A delusion shared by many is a culture; shared by some is a cult;
> shared by 2 is love; but a delusion held by one is psychosis.
>
>

ZombyWoof

2005-11-29, 5:54 pm

On Tue, 29 Nov 2005 03:37:39 GMT, "Patrick" <jimmyk@mindspring.com>
wrote:
<snip>
>
>sorry to top post, it is a bad habit of mine, I am nearly knocked
>off of my feet that your professional opinion was that I was not
>too far off of the mark, a good NP is worth their weight in gold
>imho, and yours has always gone a long way with me.
>
I hate to sound like a broken record on the topic, but I am 100% in
agreement that a NP is worth their weight in gold. Hell even a
half-assed one is usually better about spending time with a patient &
listening that most MD's are. Or at least in my experience they are.
Now I will have to admit that all of the NP's I have seen are also
women, so that may have something to do with the listening part as
well. Most NP's also do seem to have that demi-god attidute.
Especially the ones who were working Nurses prior to becoming NP's.

>OG, take care, you have been through much worse and you are
>always your best advocate, you have done it well in the past and
>if I can be of any support I am here, 3 hours south of you, but still
>here.
>
>Take care,

--
Zombywoof

Si vis Pacem, Para bellum

ZombyWoof

2005-11-29, 5:54 pm

On Tue, 29 Nov 2005 01:41:23 GMT, "OldGoat"
<oldgoatmail@ERdocsuckyahoo.com> wrote:

>Dear Hawki,
>
>How you doing? Good I hope. I feel guilty writing you always with some
>questions, but at least I know you're not going to feed me a load of crap.
>What is the job of an internist and what's the difference between one and a
>General Practitioner? I had to call my high dollar concierge (I feel like I
>know where the con part comes from) all access, all the time, (this is only
>the 3rd time I bugged him for anything and two were RX refills, innocent
>stuff like IBS meds) and I know we are all only human which means we can all
>have a shitty hour/day/week, but he was coming off like a major XXXXXXX.
>I'm having balancing, tripping, falling issues and some worsening
>neurological stuff (can't feel feet, legs and when the bottom wont stay
>solid over the top- KerPlop!), I didn't say neurological or any medico-speak
>that he might feel I'm self diagnosing, and next thing I know, he's bitching
>at me he's an internist and maybe not the right kind of doctor. I'm starting
>to thinking that last part is right. But what's he supposed to do or is so
>different that he does that the insurance companies make them seem
>interchangeable.
>Internists can treat me for a gall bladder problem, but can't do crap for a
>rash, cause I need an"externist"? If I just generally feel like crap I need
>a general practitioner?
>I don't mean to make light of the medical profession (but it's sometimes
>just made too easy!), but if I don't get some answers pretty soon, I'm going
>to be looking for a General Executioner.
>And one more thought that I didn't take in to consideration when doing this
>concierge medical program. It great, no clock watching, pending as much time
>as you need etc, etc. Which is great for you and your doctor. But when you
>need a referral to a specialist, be prepared to reenter that BigMac Zone of
>medicine. Two minutes on each side and yank the fries two minutes later. And
>there's plenty of cups for every patient, they can fill them on the way out.
>Next? Welcome to McDoctor's can we take your order?
>
>TIA and hope you had a great turkey day--og
>
><and please don't take offense at my lame attempts at humor. There's usually
>one person at every business that keeps sure the place runs inspite of
>itself. I'd bet it's you>
>
I feel your pain, especially the IBS one. What medication do you take
for it and is it effective. This damn IBS is killing me and
occasionaly those in the same room if you know what I mean.
--
Zombywoof

Si vis Pacem, Para bellum

ZombyWoof

2005-11-29, 5:54 pm

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On Tue, 29 Nov 2005 17:32:24 GMT, "hawki63" <hawki63@sbcglobal.net>
wrote:
<snip>

>actually you were RIGHT ON and your reply was far more detailed than perhaps
>I would have taken the time to do..
>
>
>as for MY respecting other members of the health care team....I have always
>tried to do that...as we are all parts of a whole..and need to work together
>in all situations to make the parts INTO a whole..
>
>as for YOUR speciality...EMT's have always been very close to my
>heart...seeing them swarm into my family room when my hubby had a near fatal
>MI..was SOOO reassuring...knowing their breadth of knowledge etc...I felt so
>secure that even if he had arrested etc..they would have taken care of
>it...we are Lucky that our tax dollars here support a fulltime EMT
>staff..also that wee are 3 miles from the local fire station...they were at
>my house in less than 3 minutes...
>
I would hazard a guess that EMT's have saved far more lives then any
old Dr ever has. Saved my Pops, and my Grandpops on two different
occasions.

--
Zombywoof

Si vis Pacem, Para bellum

Patrick

2005-11-29, 5:54 pm

Fortunately in Virginia, as an intermediate EMT I can do everything
that a fully certified paramedic can do except RSI (anesthesia prior
to intubation) and a surgical cric. I can intubate, IO insertion, Intubate
full medication protocol without an order etc. I am just a volly medic
though, if I did it as a profession I would bankrupt. It is enjoyable
but tough.

I did see something on an EMS listserve today that I thought might
be appropriate here. "95% of the calls we run in EMS are not
an emergency where life and death decisions are made, so it can
be said that in EMS we are 95% successful"..... I guess the same
can be said for the docs we all come into contact with, it is the
5% of the time where they are really making critical decisions that
sets them apart from the rest.

--
Patrick

Patrick H. Mason MS, OHST, EMT-I

A delusion shared by many is a culture; shared by some is a cult;
shared by 2 is love; but a delusion held by one is psychosis.

"ZombyWoof" <Zomby-Woofdogs@Cox.net> wrote in message
news:hujpo1l5ussc1ao5e1pnooo22i6mv6rkmo@4ax.com...
> On Tue, 29 Nov 2005 17:32:24 GMT, "hawki63" <hawki63@sbcglobal.net>
> wrote:
> <snip>
>
perhaps[vbcol=seagreen]
always[vbcol=seagreen]
together[vbcol=seagreen]
fatal[vbcol=seagreen]
so[vbcol=seagreen]
at[vbcol=seagreen]
> I would hazard a guess that EMT's have saved far more lives then any
> old Dr ever has. Saved my Pops, and my Grandpops on two different
> occasions.
>
>
> --
> Zombywoof
>
> Si vis Pacem, Para bellum

Ronnie

2005-11-30, 12:55 am

Patrick all EMT's are worth their weight in gold.. Of course I am the mother
of a son who he and his wife are both EMT's and might be bias ;-) Really
keep up the great work you do and bless you for doing it... Do you find
that
you have a crude sense of humor with all the rough stuff you deal with? I
know
that David does with all that he has seen. Once looking for a head that
flew
off of a person when the convertible went under a 18 wheeler in the dark.

Ronnie
---
"Kindness is a hard thing to give away,
for it is usually returned."

"Patrick" <jimmyk@mindspring.com> wrote in message
news:Vn4jf.7281$wf.2928@newsread3.news.atl.earthlink.net...
> Fortunately in Virginia, as an intermediate EMT I can do everything
> that a fully certified paramedic can do except RSI (anesthesia prior
> to intubation) and a surgical cric. I can intubate, IO insertion,
Intubate
> full medication protocol without an order etc. I am just a volly medic
> though, if I did it as a profession I would bankrupt. It is enjoyable
> but tough.
>
> I did see something on an EMS listserve today that I thought might
> be appropriate here. "95% of the calls we run in EMS are not
> an emergency where life and death decisions are made, so it can
> be said that in EMS we are 95% successful"..... I guess the same
> can be said for the docs we all come into contact with, it is the
> 5% of the time where they are really making critical decisions that
> sets them apart from the rest.
>
> --
> Patrick
>
> Patrick H. Mason MS, OHST, EMT-I
>
> A delusion shared by many is a culture; shared by some is a cult;
> shared by 2 is love; but a delusion held by one is psychosis.
>
> "ZombyWoof" <Zomby-Woofdogs@Cox.net> wrote in message
> news:hujpo1l5ussc1ao5e1pnooo22i6mv6rkmo@4ax.com...
> perhaps
> always
> together
> fatal
felt[vbcol=seagreen]
> so
were[vbcol=seagreen]
> at
>
>

Patrick

2005-11-30, 12:55 am

There is a time and place for war stories, frankly if I shared some
of the stuff I have said and done under gruesome circumstances,
most people would think I was an uncaring SOB. That is how we
deal with it, it is gruesome sometimes, it is awful sometimes, it is
gross and it also beautiful, fulfilling, energizing and I love it.

Fortunately being an ALS provider with a bad back means I don't
have to do too much scud work, don't get me wrong, an ALS
provider is not worth squat with out some basic emt's beside him,
however I don't have to lift too many patients since I am getting the
IVs and the 12 lead ready.

--
Patrick

Patrick H. Mason MS, OHST, EMT-I

A delusion shared by many is a culture; shared by some is a cult;
shared by 2 is love; but a delusion held by one is psychosis.

"Ronnie" <rnvn@snet.net> wrote in message
news:cT6jf.2217$4o7.1355@newssvr24.news.prodigy.net...
> Patrick all EMT's are worth their weight in gold.. Of course I am the
mother
> of a son who he and his wife are both EMT's and might be bias ;-) Really
> keep up the great work you do and bless you for doing it... Do you find
> that
> you have a crude sense of humor with all the rough stuff you deal with? I
> know
> that David does with all that he has seen. Once looking for a head that
> flew
> off of a person when the convertible went under a 18 wheeler in the dark.
>
> Ronnie
> ---
> "Kindness is a hard thing to give away,
> for it is usually returned."
>
> "Patrick" <jimmyk@mindspring.com> wrote in message
> news:Vn4jf.7281$wf.2928@newsread3.news.atl.earthlink.net...
> Intubate
near[vbcol=seagreen]
> felt
of[vbcol=seagreen]
> were
>
>

OldGoat

2005-11-30, 10:54 am

Dear Hawke and Patrick,

I saw this posted the other day and hadn't had a chance to thank you both.
The Mrs. was out of town for several weeks and we had a lotta (WOO! WOO!)
catching( HUBBA!! HUBBA !! AROOOO!) up to do (YOWIE !BOING! YOWIE!
BOING!!)
Good thing (HUBBA!! HUBBA!! HUBBA!!) too cause
I was almost out of socks!

Painless days (and a little woopie) to everyone--go

"hawki63" <hawki63@sbcglobal.net> wrote in message
news:gOPif.24704$dO2.23544@newssvr29.news.prodigy.net...
> top posted..
>
> OG....glad Pat got to this first....
>
> and his answer is so complete and true!!
>
> me thinks your "high expensive concierge" guy is bitching cuz he actually
> has to work for his money
>
> yes..his job is to diagnose as much as he can...take care of as much as
> he
> can..which should be "most"..and then take care of referrals if you need a
> specialist...
>
> i don't quite understand how this concierge stuff works..but it is
> supposed
> to help you not have to wander thru the maze..soundsl ike this guy bit off
> more than he can chew..
>
> hope you can get help from him..if not,,as Pat says..time to find a REAL
> internist who isn't afraid to work..
>
> keep in touch
> "Patrick" <jimmyk@mindspring.com> wrote in message
> news:gOOif.10136$aA2.6663@newsread2.news.atl.earthlink.net...
> internist.
> be
> crap.
> and
> like
> so
> for
> you
>
>
>