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Visit to the Doctor
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Jan 23, 2024 09:44:38   #
MosheR Loc: New York City
 
CHG_CANON wrote:
Seems an awful lot like a Chit Chat post.


I have to ask. Are you the official UHH category monitor?

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Jan 23, 2024 10:21:37   #
jerryc41 Loc: Catskill Mts of NY
 
BebuLamar wrote:
Did the doctor take your picture?


No, but the dermatologist does.

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Jan 23, 2024 10:22:36   #
jerryc41 Loc: Catskill Mts of NY
 
CHG_CANON wrote:
Seems an awful lot like a Chit Chat post.


Thanks for that. I had posted in the Main section, and when I posted this Chit-Chat, I was still in that section. I've asked Admin to m,ove it.

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Jan 23, 2024 11:00:45   #
jcboy3
 
jerryc41 wrote:
I went to see my doctor yesterday for my annual physical, although they now call it a Wellness Exam. Surprisingly, the waiting time was very short. The nurse asked me a lot of questions and said, "I see you're here for your physical." I didn't correct her and say, "Wellness Exam." The doctor finished with me and said I'm good for another year. Then he said, "I see you're due for your Wellness Exam in April." I laughed out loud! I said, "I thought this was my Wellness Exam." "No, this is your physical. Your Wellness exam will be in April."

We had discussed the confusing terminology before, but it's still confusing. The Wellness Exam is more thorough. The insurance company pays for both, so I have no copayment. He said that he is now able to combine them, so in April of 2025, I will get both on the same day. I tried to picture how that would work.

"Hi, how are you feeling? (Wellness)
"I'm feeling fine."

"Hi, how are you feeling? (physical)
"I'm feeling fine."

"Let me listen to your heart." (Wellness)

"Let me listen to your heart." (physical)

Speaking of "thorough," in the past, my physical would include a hearing test, breathing test, and an echocardiogram (maybe that's not the right term). They've been eliminated.
I went to see my doctor yesterday for my annual ph... (show quote)


They are not the same.

https://www.chartspan.com/blog/medicare-annual-wellness-visit-vs-annual-physical/

Basically, a wellness visit is cursory and mostly verbal. A physical involves actual tests to determine whether something might cause you to be unwell in the future.

Reply
Jan 23, 2024 11:10:29   #
jerryc41 Loc: Catskill Mts of NY
 
jcboy3 wrote:
They are not the same.

https://www.chartspan.com/blog/medicare-annual-wellness-visit-vs-annual-physical/

Basically, a wellness visit is cursory and mostly verbal. A physical involves actual tests to determine whether something might cause you to be unwell in the future.


In my case, it's just the opposite. The Wellness involves quite a bit more.

Reply
Jan 23, 2024 11:30:33   #
PhotogHobbyist Loc: Bradford, PA
 
jerryc41 wrote:
I went to see my doctor yesterday for my annual physical, although they now call it a Wellness Exam. Surprisingly, the waiting time was very short. The nurse asked me a lot of questions and said, "I see you're here for your physical." I didn't correct her and say, "Wellness Exam." The doctor finished with me and said I'm good for another year. Then he said, "I see you're due for your Wellness Exam in April." I laughed out loud! I said, "I thought this was my Wellness Exam." "No, this is your physical. Your Wellness exam will be in April."

We had discussed the confusing terminology before, but it's still confusing. The Wellness Exam is more thorough. The insurance company pays for both, so I have no copayment. He said that he is now able to combine them, so in April of 2025, I will get both on the same day. I tried to picture how that would work.

"Hi, how are you feeling? (Wellness)
"I'm feeling fine."

"Hi, how are you feeling? (physical)
"I'm feeling fine."

"Let me listen to your heart." (Wellness)

"Let me listen to your heart." (physical)

Speaking of "thorough," in the past, my physical would include a hearing test, breathing test, and an echocardiogram (maybe that's not the right term). They've been eliminated.
I went to see my doctor yesterday for my annual ph... (show quote)


I worked for the Federal Bureau of Prisons as a PA for over 22 years. Every newly arriving inmate (or convict) was required to have a complete physical exam. Those inmates had a much more inclusive and complete examination than any I have reeived from my PCP in the last three decades.

I was taught to look at the head, look into the eyes, up the nose, down the throat and into the ears. I also had to feel for lymph nodes along the neck, and feel for lumps in the thyroid. Then I was to listen to the heart at at least five points, to the lungs at at least three points over each side (right and left) of the back, percuss over the back lung areas for dullness indicating congestion or solid areas, listen for abdominal sounds, feel for lumps and/or tender places in the abdomen, then test reflexes in both arms and legs. Then to finish it off I was to do a hernia check (turn your head and coigh) and the finale of a "finger wave" or the digital prostate exam.

I cannot recall the last time I had an exam to include all of that. Now it is talking, listening to the heart at a couple places, lungs at a couple places maybe look in the ears and throat and blood tests. I was not examined like the physical even the day I had my motorcycle accident, though I was blood tested, x-rayed, MRI'ed and CAT scanned over my entire body only to find out I had a fractured patella.

Medicine has come a long way?

Reply
Jan 23, 2024 11:58:21   #
jerryc41 Loc: Catskill Mts of NY
 
PhotogHobbyist wrote:
I worked for the Federal Bureau of Prisons as a PA for over 22 years. Every newly arriving inmate (or convict) was required to have a complete physical exam. Those inmates had a much more inclusive and complete examination than any I have reeived from my PCP in the last three decades.

I was taught to look at the head, look into the eyes, up the nose, down the throat and into the ears. I also had to feel for lymph nodes along the neck, and feel for lumps in the thyroid. Then I was to listen to the heart at at least five points, to the lungs at at least three points over each side (right and left) of the back, percuss over the back lung areas for dullness indicating congestion or solid areas, listen for abdominal sounds, feel for lumps and/or tender places in the abdomen, then test reflexes in both arms and legs. Then to finish it off I was to do a hernia check (turn your head and coigh) and the finale of a "finger wave" or the digital prostate exam.

I cannot recall the last time I had an exam to include all of that. Now it is talking, listening to the heart at a couple places, lungs at a couple places maybe look in the ears and throat and blood tests. I was not examined like the physical even the day I had my motorcycle accident, though I was blood tested, x-rayed, MRI'ed and CAT scanned over my entire body only to find out I had a fractured patella.

Medicine has come a long way?
I worked for the Federal Bureau of Prisons as a PA... (show quote)


Except for the last two, I had all of those things done yesterday. In April, I will have all of them done.

Reply
 
 
Jan 23, 2024 12:02:31   #
jaymatt Loc: Alexandria, Indiana
 
jerryc41 wrote:
I went to see my doctor yesterday for my annual physical, although they now call it a Wellness Exam. Surprisingly, the waiting time was very short. The nurse asked me a lot of questions and said, "I see you're here for your physical." I didn't correct her and say, "Wellness Exam." The doctor finished with me and said I'm good for another year. Then he said, "I see you're due for your Wellness Exam in April." I laughed out loud! I said, "I thought this was my Wellness Exam." "No, this is your physical. Your Wellness exam will be in April."

We had discussed the confusing terminology before, but it's still confusing. The Wellness Exam is more thorough. The insurance company pays for both, so I have no copayment. He said that he is now able to combine them, so in April of 2025, I will get both on the same day. I tried to picture how that would work.

"Hi, how are you feeling? (Wellness)
"I'm feeling fine."

"Hi, how are you feeling? (physical)
"I'm feeling fine."

"Let me listen to your heart." (Wellness)

"Let me listen to your heart." (physical)

Speaking of "thorough," in the past, my physical would include a hearing test, breathing test, and an echocardiogram (maybe that's not the right term). They've been eliminated.
I went to see my doctor yesterday for my annual ph... (show quote)


Around here, they are very different. The doc does the physical exam, and an NP does the wellness exam, which is full of meaningless (to me) questions like "do you feel safe at home" and " do you feel comfortable indoor surroundings."

Reply
Jan 23, 2024 13:01:18   #
Manglesphoto Loc: 70 miles south of St.Louis
 
jerryc41 wrote:
I went to see my doctor yesterday for my annual physical, although they now call it a Wellness Exam. Surprisingly, the waiting time was very short. The nurse asked me a lot of questions and said, "I see you're here for your physical." I didn't correct her and say, "Wellness Exam." The doctor finished with me and said I'm good for another year. Then he said, "I see you're due for your Wellness Exam in April." I laughed out loud! I said, "I thought this was my Wellness Exam." "No, this is your physical. Your Wellness exam will be in April."

We had discussed the confusing terminology before, but it's still confusing. The Wellness Exam is more thorough. The insurance company pays for both, so I have no copayment. He said that he is now able to combine them, so in April of 2025, I will get both on the same day. I tried to picture how that would work.

"Hi, how are you feeling? (Wellness)
"I'm feeling fine."

"Hi, how are you feeling? (physical)
"I'm feeling fine."

"Let me listen to your heart." (Wellness)

"Let me listen to your heart." (physical)

Speaking of "thorough," in the past, my physical would include a hearing test, breathing test, and an echocardiogram (maybe that's not the right term). They've been eliminated.
I went to see my doctor yesterday for my annual ph... (show quote)


I go for a exam every 6 months,
I have not seen my doctor but once in four years , but that'a Okay The LPN is a lot better looking and I tease her about letting me photograph her, I go in the nurse takes my BP, temp, and does the acl. test, Deidra reads all the stuff the nurse has recorded and then listens to my heart and lungs ask how I'm feeling I say great, but I'll get over it!! then I see the Vampire, she draws blood. Stop on the way out and make my next appointment.
Cardiologist: Same thing , and yes I tease her too.

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Jan 23, 2024 13:11:53   #
Scruples Loc: Brooklyn, New York
 
I wish I knew who was on the other side of the phone and where they were. I would love to hit them with an air horn and spray stink powder on them!!

Reply
Jan 23, 2024 13:29:06   #
rdemarco52 Loc: Wantagh, NY
 
I still get all of those tests with my annual physical.

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Jan 23, 2024 16:51:27   #
Burkley Loc: Park City
 
The two separate appointments are a consequence of Obamacare

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Jan 23, 2024 21:00:19   #
Drigby1 Loc: American Fork, UT
 
sounds familiar. Since we are with medicare advantage Humana, they also do an in home "clinician" wellness exam. It doesn't replace the doctor's exam, but is according to them an additional benefit, and they send the information to the primary physician (doctor). A clinician can be an MD, a PA, or a nurse. So there is that too. Not the world we grew up in, and in many ways the insurances control things instead of the doctor and patient.

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Jan 24, 2024 06:11:27   #
Old Bill Loc: Vinton, Virginia
 
CHG_CANON wrote:
Seems an awful lot like a Chit Chat post.


Were you a hall monitor in high school?

Reply
Jan 24, 2024 06:41:09   #
olddutch Loc: Beloit, Wisconsin
 
CHG_CANON wrote:
Seems an awful lot like a Chit Chat post.


Quit ch bitching. It is just a post.

Reply
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