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Forcing medical tests without 'just cause?'

2486 Views 21 Replies 11 Participants Last post by  Beej
Question for any of you who may be in this situation, or have been. Can you force a medical exam for particular areas of ones person without just cause ? And by just cause, I mean, an exam for said area even though there's no obvious pain/symptoms/problems of any kind. Just like a pre-cautionary exam. And I'm not referring to a standard 'physical exam' - I find those are pointless to some degree. I mean more thorough exams, like heart exams. I find doctors (at least mine) don't seem to want to do jack unless I feel like I'm dying. Apparently no one does pre-cautionary exams these days.
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Fire your doctor and find another. You should be able to request a preemptive test or exam. Most likely, it would be covered under OHIP, though you may have to pay for some if it is requested.
Doctors are facing enormous pressure to reduce unnecessary procedures and tests. If your doctor doesn't think you need a procedure or test, they are not only not doing their job by going ahead with it anyways, they are burdening the system greatly.

But hey, if you disagree, get a second opinion.
Doctors are facing enormous pressure to reduce unnecessary procedures and tests. If your doctor doesn't think you need a procedure or test, they are not only not doing their job by going ahead with it anyways, they are burdening the system greatly.

But hey, if you disagree, get a second opinion.
That kind of attitude coming from doctors is why there's an increasing number of people dying of previously undiagnosed conditions that bear few or no symptoms. Having a full exam once every few years really isn't asking a whole lot from the heath care system.

Speaking of medical practice incompetence, back in August of 2006, and in December of the same year, I had unexplained shortness of breath (before that, chest pain) for no apparent reason for 3 to 6 weeks. Two or three trips resulted in, "Well, you look okay. So I guess you are." No one bothered to be more thorough, do further tests, maybe a chest x-ray? The issue resolved itself and hasn't reappeared since, but I was thoroughly peeved at the treatment I received. The first visit I made in Halifax at the time resulted in a chest infection diagnosis; the second issue resulted in no diagnosis at all, nor the motivation by my doctor to make one. Even worse, he wanted to give me drugs to control the symptom -- prescribing drugs, yet not having the slightest idea what's causing the problem. Somehow I just can't trust that method of treatment.
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Head to a private clinic in the US with a couple of thousand $ and you can get all the testing you want.

According to our neighbor, a former ships captain, in the Philippines, when you book a complete physical, you are there all day - like 8 hours of tests.
It's all about your doctor Lars. As was mentioned, find a new one.

Also, hate to recommend this but if you want quick tests done of any kind, go to the Emergency department. It's a wait but they usually do things (including MRIs) on the spot.

Just don't go for a cold...
Going to the ER for non-ER cases also burdens the system. Last year while driving home, I apparently had a minor heart attack. I was 2 blocks away so I pulled into the ER, only to wait 3 hours while kids with colds were treated ahead of me. IN THE ER. When I finally saw the doctor, he told me "Next time, try to come in while its happening, rather than after because I really cant tell anything now. " I WAS here while it was happening, 3 hours ago. Thanks. Or my girlfriend with an arm broken in 4 places, having to wait behind the elderly wasting space in the ER, only to have to break the bones again because it had already started to set, in the wrong position. Sorry to vent but this is the tip of the iceberg.
HE, I hope you get stuck in an 8 hour line at the hospital with chest pains because they didn't send you for a pre-emptive exam to figure out the cause of it instead of cloggin up the ER.

If you are worried, its YOUR health, not his. If you are uncomfortable with something tell them that and tell them you want the test for peace of mind if they cannot give you a proper diagnosis. THAT is their jobs, if they can't figure it out, then they can send you to somebody who can.
Another nice and pleasant thought from our friend MacDaddy. Honi soit qui mal y pense.


HE, I hope you get stuck in an 8 hour line at the hospital with chest pains because they didn't send you for a pre-emptive exam to figure out the cause of it instead of cloggin up the ER.

If you are worried, its YOUR health, not his. If you are uncomfortable with something tell them that and tell them you want the test for peace of mind if they cannot give you a proper diagnosis. THAT is their jobs, if they can't figure it out, then they can send you to somebody who can.
Can you force a medical exam for particular areas of ones person without just cause ? And by just cause, I mean, an exam for said area even though there's no obvious pain/symptoms/problems of any kind.
Ahhh...OHIP, your own personal bank account of medical insurance to waste.

Fire your doctor and find another.
Yes, because we all know doctors are SCRAMBLING for patients. You should have no problem finding a new doctor who will care about you. :lmao:

That kind of attitude coming from doctors is why there's an increasing number of people dying of previously undiagnosed conditions that bear few or no symptoms. Having a full exam once every few years really isn't asking a whole lot from the heath care system.
You have no evidence to that. Making stuff up to support your claims is sad. And can I please see your auditors report on our health system? Your family doctor will do an annual physical. Asking for expensive time being scanned by the latest technology for no reason IS a waste of money. It's attitudes like yours that clog our ERs with "oh...I have a sore elbow...I need to go to emergency"

Speaking of medical practice incompetence,...[LONG STORY].... Somehow I just can't trust that method of treatment.
Read:
http://en.wikipedia.org/wiki/The_boy_who_cried_wolf
http://en.wikipedia.org/wiki/Hypochondria

Head to a private clinic in the US with a couple of thousand $ and you can get all the testing you want.
Best advise so far. You don't like our system? You, who don't have a medical degree, what to order medical tests? Don't waste our health dollars. The US is a few hours drive away. They usually accept Visa and Mastercard.

Also, hate to recommend this but if you want quick tests done of any kind, go to the Emergency department. It's a wait but they usually do things (including MRIs) on the spot.
Worst advice so far. This is why when I was admitted with a herniated disc, couldn't walk, brought in by an abulance, I had to wait for 7 hours to see a doctor.

One elderly woman who was waiting there kept pestering the nurses, until she finally got fed up and LEFT. Wow! Obviously she didn't need EMERGENCY treatment if she could just leave when she wanted to.

If you are worried, its YOUR health, not his. If you are uncomfortable with something tell them that and tell them you want the test for peace of mind if they cannot give you a proper diagnosis. THAT is their jobs, if they can't figure it out, then they can send you to somebody who can.
Since when is it a doctor's job to treat non-existant conditions? Since when is a doctor's job to pander to a patient's ignorance? Since when is it a doctor's job to order expensive tests to give a patient 'piece of mind'? Want piece of mind? Have mom bake you a pie and tell you everything is going to be alright.
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guytoronto,

Is it because you are absolutely convinced you're correct that you write such contemptuous responses? Or is it another reason...

I think people have a pretty good understanding of what's going right or wrong in their bodies and it's up to MDs to take these concerns very seriously. If you want tests done, demand them, or demand to see a specialist. I doubt highly they will deny you. If they do, take another course of action. One of which is to take your concern to the Emerg for quick testing. But as I said, don't go for a cold etc. Also, anyone with experience in Emerg knows that real emergencies (heart attack etc.) are looked after immediately or pretty damn fast. They prioritize.

There are many silent killers that exist and MDs have a schedule of when those tests should begin based on age. The trouble is, nobody told these killers what the age is so they might come early or not at all. If you have some reason to believe you need testing (family history, physical symptoms past or present) then it's legitimate.

Also, many of the tests you want should be part of your annual physical anyway. Blood work, chest X-ray, urine etc. If your MD is simply looking in your ears and throat and weighing you then they are not doing their job.
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Is it because you are absolutely convinced you're correct that you write such contemptuous responses?
No, it's becuase I know most everybody else is wrong.

I think people have a pretty good understanding of what's going right or wrong in their bodies and it's up to MDs to take these concerns very seriously.
But this isn't about that.
Can you force a medical exam for particular areas of ones person even though there's no obvious pain/symptoms/problems of any kind. I mean more thorough exams...pre-cautionary exams
it's about WASTING free health because..well...it's free.

If you want tests done, demand them, or demand to see a specialist. I doubt highly they will deny you. If they do, take another course of action. One of which is to take your concern to the Emerg for quick testing.
Oh, if we only lived in your rosy coloured world of "I want so I get".
My mother has been waiting to see an orteopedic surgeon for 6 months based on a DIAGNOSED, non-serious condition. Now you want people to DEMAND to get tests done, in the ER none-the-less, for undiagnosed conditions?

Also, anyone with experience in Emerg knows that real emergencies (heart attack etc.) are looked after immediately or pretty damn fast. They prioritize.
They shouldn't have to. Emergency shouldn't be treated as a walk-in clinic, but it is. Oh. and you'll love this story. http://www.mercurynews.com/ci_6132668?source=most_emailed

There are many silent killers that exist and MDs have a schedule of when those tests should begin based on age. The trouble is, nobody told these killers what the age is so they might come early or not at all.
Pure FUD. You know it, everyone else knows it.

If you have some reason to believe you need testing (family history, physical symptoms past or present) then it's legitimate.
No, if your doctor feels you need testing based on one of those things, then it's legitimate. Otherwise, it's just ignorant arrogrance.

Also, many of the tests you want should be part of your annual physical anyway. Blood work, chest X-ray, urine etc. If your MD is simply looking in your ears and throat and weighing you then they are not doing their job.
Oh really? Can I see your medical degree, because you speak like you know what their job is. Hmm...the health care system isn't strained enough as is, let's put more strains on it by pandering to all the hypochondriacs out there.

This is exactly why we need a two-tier health care system, so we can suck money well-wasted from people who don't need treatment, and pump that money back into a strained system to help those who really need it.
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Oh really? Can I see your medical degree, because you speak like you know what their job is. Hmm...the health care system isn't strained enough as is, let's put more strains on it by pandering to all the hypochondriacs out there.
I do know what their job is and so should you.

ps. Try to be a little less assumptive, hostile and cocky. You'll appear more mature that way.
I do know what their job is and so should you.

ps. Try to be a little less assumptive, hostile and cocky. You'll appear more mature that way.
Sure thing Mr. Run To The ER For Undiagnosed, I Feel I Deserve It, Non Emergency Situations.
Sure thing Mr. Run To The ER For Undiagnosed, I Feel I Deserve It, Non Emergency Situations.
:lmao:

I don't know if all of that will fit on my healthcard!
You have no evidence to that. Making stuff up to support your claims is sad.
Not to worry: What you don't know could kill you. Heart disorders are in the spotlight as killers of young, healthy people. Deadly duo take aim at the heart.

Oh, and that case above is not rare, and in most people, is never diagnosed before their death exactly because it has few to no prior symptoms. If you read the news, you'll also remember that 6 grader (or 6-year old, I forget now), who died of Sudden Cardiac Death Syndrome (SCDS) in gym class in the GTA area a few months ago.

Pure FUD. You know it, everyone else knows it.
You're denying the existence of silent killers? Because thinking that way would be pure FUD on YOUR part.

GT, don't be a angry jackass. Are you seriously that big of a loser? Evidently so. It's rare I get sick, even rarer I seek medical treatment for the times I do get sick, and when I have a unusual issue, it's not me being a hypochondria. Wow, you talk like YOU'RE my personal physician.

No, if your doctor feels you need testing based on one of those things, then it's legitimate. Otherwise, it's just ignorant arrogrance.
Speaking of gross arrogance...

If there is a history of a family illness or genetic disorder, that gives you the full right to be tested for it. I'm having a hard time understanding how you're even debating that fact. If you're diagnosed with a illness (which ran in the family) or genetic disorder, you can actively make changes in your lifestyle to lesson the issue at hand, whereas if you're not diagnosed with (but have it), you will increase your chances of living ignorantly with the condition, with no attempt to curb the problem you have.
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IMO people have a very POOR understanding of what is going on in their bodies. Myself included... I can very easily convince myself that gastric reflux is a heart attack in progress. Apart for a dedicated and tiny minority of people who make the effort to get educated, people rely more on hearsay and superstition than on factual information.

More: Most people are unwilling to take responsibility for altering their lifestyle (eating properly, exercising, avoiding harmful and addictive habits, getting enough rest instead of posting on ehMac...) and prefer to ask for a technological solution -- Scan me, Diagnose me, Give me a pill that means I don't have to change my life. Just don't tell me to put any personal effort into it. (I include myself in this majority).

Its a numbers game, and it is NOT helped by the media and the Internet's widespread dissemination of 'information' (accurate or not) on rare and unusual cases.

If there were unlimited funds for public medicine, everyone could be tested for everything. There are not unlimited funds - will you concede that?

So our medical system has a fairly sophisticated schedule of risks and treatments that balance probability and severity of illness against the cost of the preventative or curative procedures. AND THIS GUARANTEES that a very small amount of patients will die from undiagnosed or 'hidden' (asymptomatic) illnesses or treatment that was not applied at first symptoms. The sudden Cardiac Death that you mention is a good example. One in some tens or hundreds of thousands of people will have the potential for sudden death. But the only way to tell is to screen millions on a regular basis.

It is like: A customer calls me and says that their Mac is running fine, except after they installed the Printer Widgetizer software version 4.1, they can no longer print. So they would like me to replace the power supply, RAM and hard drive of the machine under warranty in case they are one of the 1 in 10,000 people who have defective components. Is it possible? Yes, barely. Is it probable? no. Is it worth the money to replace components or even spend time testing them when there are no symptoms and no problems attributable to the hardware? No. Would I tell that customer to re-evaluate their request, or if they persist, to go away? You bet.

Participating in a public medical system (or a private insurance system) means that you accept the level of care that everyone else in the system gets - based on the probabilities of the treatment being effective and the cost being within the funding formula.

If that is not enough for you, then buy additional medical and diagnostic services yourself.
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It's universal monopoly health care...suck it up. The customer is always wrong and how dare anyone ever question it because they're just spending other people's money by doing so.

If someone is truly concerned, find another doctor (difficult, but worth the effort for the worry).
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