Hi. I'm a 36 year old man. I recently had my first physical in 4 years, and
my doctor seemed kind of rushed. Afterwards I realized that he had not
checked my prostate or urine.
Do you think I should find a new doctor?
Thanks,
Max
p.s. I hope this question is appropriate for this group. I couldn't find a
better one.
Jason - 01 Aug 2005 21:07 GMT
> Hi. I'm a 36 year old man. I recently had my first physical in 4 years, and
> my doctor seemed kind of rushed. Afterwards I realized that he had not
[quoted text clipped - 8 lines]
> p.s. I hope this question is appropriate for this group. I couldn't find a
> better one.
Max,
Yes, it's my opinion that you should find a new doctor. I'm 54 years old
and have had at least 10 or more physical exams and those doctors always
checked my prostrate gland and done a urine test.
Jason

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Jeff - 04 Aug 2005 03:00 GMT
>> Hi. I'm a 36 year old man. I recently had my first physical in 4 years,
>> and
[quoted text clipped - 15 lines]
> and have had at least 10 or more physical exams and those doctors always
> checked my prostrate gland and done a urine test.
The thing is that 36 year old men have a very low risk of prostate problems
that would be detected by a physical. It is a waste of time and energy to
test for prostate problems at this age.
Jeff
> Jason
Jim Spriggs - 02 Aug 2005 01:36 GMT
> Hi. I'm a 36 year old man. I recently had my first physical in 4 years, and
> my doctor seemed kind of rushed.
Maybe he's got better things to do, like treating ill people. Why go to
your doctor if you have no symptoms that worry you?

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Bob - 02 Aug 2005 02:42 GMT
>Hi. I'm a 36 year old man. I recently had my first physical in 4 years, and
>my doctor seemed kind of rushed. Afterwards I realized that he had not
>checked my prostate or urine.
>
>Do you think I should find a new doctor?
If he is part of a medical plan (HMO, etc), he is probably doing what
is normal for that plan, so it is not _him_.
Much would depend on why you had the exam. I can't imagine why they
would check the prostate in a 36 year old, unless you reported a
problem.
Maybe ask him, or the plan? Jumping doctors without doing that would
seem an overreaction.
bob (just a consumer, like you)
dcholiman@ev1.net - 02 Aug 2005 04:36 GMT
~~~~~~~~~~~~~~~~~~~~~~~~~~~
Switch HMO's. The doctor (you said) seemed
in a rush. Reminds me of a union dental group
dentist telling his assistant, "He needs more
work. We'll have to take this [time] out of the next
appointment." Steer clear of any doctor who has
lost his control of quality time with his clients.
David H
~~~~~~~~~~~~~~`
Jason - 02 Aug 2005 17:00 GMT
> ~~~~~~~~~~~~~~~~~~~~~~~~~~~
> Switch HMO's. The doctor (you said) seemed
[quoted text clipped - 5 lines]
> David H
> ~~~~~~~~~~~~~~`
David,
I agree. I told the person the same thing in my post.
I was shocked when a couple of people told the person
that men below the age of 38 don't ever get prostate cancer
or need to have urine tests. I know for a fact that one
evidence of kidney disease is when protein is found during
a urine test. I don't know the figures but it's my guess
that thousands of people below the age of 38 have various
types of kidney diseases.
Jason

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Sbharris[atsign]ix.netcom.com - 02 Aug 2005 21:31 GMT
> David,
> I agree. I told the person the same thing in my post.
[quoted text clipped - 6 lines]
> types of kidney diseases.
> Jason
COMMENT:
Jason, thousands of people below the age of 38 have various rare
diseases of every organ. That doesn't mean any insurrance or care plan
or HMO is going to do every medical test we can think of, to see if YOU
might possibly be one of them.
If you want to pay cash out of pocket for your own screening medical
tests, you can get anything lab test you like done. Have at it. Enjoy.
Try not to get too anxious at the numbers slightly out of bounds. And
don't bother us here with them, please. Thank you.
SBH
PS. Valium is cheaper
Jason - 03 Aug 2005 00:52 GMT
> > David,
> > I agree. I told the person the same thing in my post.
[quoted text clipped - 22 lines]
>
> PS. Valium is cheaper
Hello,
I won't spend any time trying to find statistics to back up what I wrote.
I have a feeling that those HBO companies will change their policies once
one of those persons under the age of 38 develops prostate cancer or
kidney cancer that was not discovered during their last physical exam.
That person would be able to sue the HBO company if they had a written
policy saying that their doctors could not conduct prostate exams or urine
exams on patients under the age of 40 years old.
Jason

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Bob - 03 Aug 2005 05:19 GMT
>> ~~~~~~~~~~~~~~~~~~~~~~~~~~~
>> Switch HMO's. The doctor (you said) seemed
[quoted text clipped - 10 lines]
>I was shocked when a couple of people told the person
>that men below the age of 38 don't ever get prostate cancer
I'm not sure that anyone said that. Certainly I did not.
But more importantly, you are making a quite different point. Whether
such tests _should_ be done is something one can debate, and
reasonable people will have different views. But in the US medical
system, many people do not have much flexibility in choosing an HMO,
or perhaps even in choosing a doctor witin an HMO. (I am assuming that
you and the OP are in US, as I am.)
The OP seems to have two complaints, perhaps somewhat distinct. One
was that the doctor acted rushed (which might be a personality issue),
and the other is that the exam was les through than he wished. If the
OP thinks these are causes for concern, then do some looking and
asking. But simply blindly jumping, without knowing where one is
jumping, is likely to not be too productive.
As to what tests should be done at what age... Well, we could each go
dig up some statistics. But so what? Neither of us sets the rules. I
assume we agree that not every conceivable test is done on every
person at every visit. The rest is judgment, about where to draw the
line, and neither of us makes the HMO rules. But it does behoove us to
at least understand what they are doing; only that way do we have a
chance of getting what we want, either from this HMO or from some
other. So I repeat... The OP should ask some questions. Before
jumping.
bob
>or need to have urine tests. I know for a fact that one
>evidence of kidney disease is when protein is found during
>a urine test. I don't know the figures but it's my guess
>that thousands of people below the age of 38 have various
>types of kidney diseases.
>Jason
Twittering One - 03 Aug 2005 05:23 GMT
Did he sexually harass you?
Jason - 03 Aug 2005 20:13 GMT
> >> ~~~~~~~~~~~~~~~~~~~~~~~~~~~
> >> Switch HMO's. The doctor (you said) seemed
[quoted text clipped - 38 lines]
>
> bob
Bob,
You made some great points in your post and I agree with most of what you
wrote. I am a member of an HMO and I have had to deal with these issues.
My own doctor refuses to refer me to a kidney specialist despite blood
test results showing that I may be having kidney problems. My point is
that a doctor should do a urine test on every patient that has a physical
exam. Since kidney disease can be detected by such a test--the HBO should
pay for the test and require their doctors to arrange for the test to be
done.
Jason

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David Rind - 04 Aug 2005 02:35 GMT
> Hi. I'm a 36 year old man. I recently had my first physical in 4 years, and
> my doctor seemed kind of rushed. Afterwards I realized that he had not
[quoted text clipped - 8 lines]
> p.s. I hope this question is appropriate for this group. I couldn't find a
> better one.
If the issue is that the doctor seemed rushed, that seems like an
appropriate consideration in thinking about whether this is the right
doctor for a given patient.
If the issue is the lack of a urine specimen and a prostate exam, then
the doctor was behaving in accordance with recommendations of the US
Preventive Services Task Force (and most other groups that make such
recommendations). There is no particularly good reason to perform either
a urinalysis or a prostate exam in a healthy 36-year-old man.

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Jeff - 04 Aug 2005 02:59 GMT
> Hi. I'm a 36 year old man. I recently had my first physical in 4 years,
> and
[quoted text clipped - 9 lines]
> p.s. I hope this question is appropriate for this group. I couldn't find a
> better one.
There is no reason to check your prostate or urine. Men don't need their
prostate checked until at least 40 years of age. Checking urine without
symptoms is useless.
Jeff