First of all know this. Doctors do not make follow-up appointments because they “want to see you”. They make follow-up appointments because they “need to see you”. Need as in necessity. Meaning there is an indispensable need that follows a logical requirement for another evaluation and management of your ongoing condition. There may be several reasons for this.
- to monitor your medications
- to assess improvement or worsening of symptoms
- for continuity of care
- to remove and/or apply dressings for wound management
- to discuss diagnostic tests and develop a follow-up care plan
- to check for reoccurrence
Physicians treat patients based on medical necessity and must have supporting documentation for your care. If there is no need for further treatment your Doctor will discharge you from the practice. Until then periodic appointments are essential to the desired outcome of your treatment and not following up with a scheduled appointment can compromise your care.
Patient’s who routinely miss their appointments without notifying the office staff also effect other patients who may have been waiting to schedule an appointment as well as staff efficiency and wasted resources. Don’t be a “no show” (intended appointments that were not canceled or rescheduled). All healthcare providers would much prefer that you cancel your appointment or reschedule than just not show up. Most office staff and physicians would say that to forget is forgiven but habitual “no shows” (repeat offenders) create havoc in the schedule and time spent in additional documentation and concern regarding interruption of care.
A well-regarded physician schedules follow-up appointments because he/she needs to see you. Not to make more money, buy a bigger house or satisfy big drug companies by writing more prescriptions. If they do then you should find another healthcare provider and value their time as much as part of a healthcare team committed to caring for you.
Meteorologists are noting that Pyeongchang in 2018 might be the coldest Olympics since 1994 in Lillehammer, Norway. The athletes, coaches, course workers, photographers and spectators are being advised to take precautions against the cold and the serious potential of frostbite.
Frostbite is a dangerous cold-weather condition that can happen to anyone, from the most experienced winter athlete and outdoorsman to your neighbor shoveling her driveway. Frostbite can result in various degrees of skin damage from an irritation to blistering to permanent tissue death. The hands and feet are particularly susceptible to frostbite because the body is busy working hard to keep the internal organs warm.
Frostbite starts by producing a burning, tingling sensation in the exposed areas. This is followed by numbness in the affected area (toes or feet) and changes in skin color, from pale or red to bluish-gray or black and feel hard to the touch. Children, the elderly, and diabetics are more prone to frostbite because of the size of their extremities or poor circulation. Severe frostbite may necessitate amputation of the affected toe(s), or possibly the entire foot. Other consequences may include
- Frostbite arthritis , a condition resulting from damage to the bones and cartilage
- Permanent numbness or other nerve damage
- Increased susceptibility to frostbite in the future
You can avoid frostbitten feet by taking a few precautions. Wear warm, moisture-wicking socks, layering thick socks over thin ones to help trap heat. Wear warm, waterproof winter boots out in cold temperatures and limit how much time you spend in the cold.
Why early diagnosis and treatment of traumatic injuries is important.
Traumatic injuries cause damage to the cells that make up the soft tissues. These damaged cells release chemicals that cause an inflammatory response characterized by pain, localized swelling, heat, redness and a loss of function.
Too much of an inflammatory response in the early stages of an injury can delay the healing process making it longer to return to normal activity. Early attention and treatment can minimize the inflammatory phase of an injury, so that the overall process of healing can begin.