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VISITING THE PRIMARY DOCTOR

7/1/2012

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As the insurance industry continues to successfully hamper any progress on reform, health care costs continue to rise.  Businesses simply cannot afford to shoulder the burden of these additional expenses – especially during this prolonged.  The answer will be for the employer to purchase cheaper healthplans for the employer which will equate to higher co-pays when visiting the doctor, undergoing tests, receiving therapy or purchasing medications.
Below is a list of the top 10 reasons visit their primary doctor in the US.  I will make a few comments about (4) vision problems and (6) back pain as far as what a Neurologist might think would be concerning.

TOP 10 REASONS TO VISIT THE PRIMARY DOCTOR

1. cough
2. sore throat
3. skin rash
4. vision problems
5. knee pain
6. back pain
7. stomach pain
8. ear pain
9. hypertension
10. depression

(4) Vision Problems

- When vision is disrupted in both eyes then the abnormality arises in the brain or brainstem.  This tends to be painless – unless there is a headache.

- When vision is disrupted in one eye then this is a problem in the eyeball.  This tends to be painful.

- Doctors can measure the pressure of the eyeball to evaluate for glaucoma using a simple tool and determine if this is present or not.

- It’s possible to have completely normal central vision and sustain a stroke to the vision part of the brain that leaves you with a blind spot in your peripheral vision.  You might not know it unless you visit a doctor.

(6) Backpain

- Patients with a herniated disk dislike sitting.  They do not like to flex at the waist.  They prefer to lie on the unaffected side with the hurt leg bent.

- Kidney stones, gallstones, and pancreatitis are common causes of back pain.

- Backpain should improve with rest over 48-72 hours.  If it doesn’t then this is concerning.

- Diabetics, heavy consumers of alcoholic beverages, those that take oral steroids have additional risk factors for dangerous infections of the bones of the spinal column.

- Any change in the urinary or bowel habits is very concerning when it occurs in the setting of low back pain.
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