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01/31/2015
By: aurorastar22
Family Healthcare
I went to this clinic for the same reason many do: I'm uninsured and don't make very much, but too much to afford insurance (ironic, huh?) Anyway, the ladies at the front desk were quite polite and helpful as was the nurse who took my vitals and asked about why I was there. I did not appreciate the P.A. Karen, at all though! I did not appreciate the lack of bedside manner, the implication that my weight made me automatically very unhealthy after revealing that I have PCOS (it's a complicated syndrome where weight loss absolutely helps its manageability but is also nearly impossible to acheive sometimes because of the hormone disruption PCOS creates). And this is why I was here: because I was uninsured and had failed to do the medicinal management PCOS benefitted from and needed to. So, after being told my excessive cholesterol levels were not caused by breastfeeding on my last test several years prior and told it had to do with mismanaging my body (the excessive levels were absolutely due to breastfeeding after seeing the results of this next blood draw) and having to have a nurse call her back in to give me the birth control prescription I had hoped to get to manage my PCOS to begin with,she has to look up the types of birth control to put me on "Because you have an IUD". Yep, aaand it has little to do with the regulation a good birth control can create. Anmlso, as much as she seemed convinced my weight stopped my periods, Mirena does that too. So she finally finds a pill. I've heard of it. it is commonly prescribed for PCOS patients. Then I go on to ask about diet and what she might suggest changing. After critiquing the crap out of my diet that's not great but could be much worse (I'm a single mom and a full time student, perfect eating is beyond me) and me explaining to her that despite her advice, low income people can't typically afford a cup of nuts a day, avocado oil, and quality fish, she suggests I start eating lots beans and canned salmon because "a can of salmon will last several days".... I just felt degraded by the whole experience and judged and inadequate and now I'm in the mad phase where all I really know is that I did not like how I was treated by that P.A. at ALL!So, yeah, go, but only if you really have to. Personally, I'll just try and save for a doctor next time....
Tips & Advices
This depends on the facility. Patients should call to find out if they'll need a referral from their physician prior to making an appointment.
Aside from hyperbaric oxygen treatment, most wound care centers offer:
  • Debridement: The removal of dead skin and tissue surrounding the wound. This can be done surgically, using a whirlpool bath, syringes, enzymes that dissolve the tissue, or wet dressings that dry on the wound and absorb the dead tissue.
  • Dressing: Wrapping the wound in a protective film, gauze, gel, or foam.
  • Compression stockings: Tight-fitted fabric sheaths that encourage blood flow.
  • Artificial skin: A covering that is applied to the wound for several days as it heals.
  • Ultrasound: The use of sound waves to promote healing.
  • Growth factor therapy: The use of materials naturally produced by the body to encourage quick cell growth.
  • Negative pressure therapy: Creating a vacuum around a wound to encourage faster blood flow to the area.
Depending on where the treatment is administered, hyperbaric oxygen treatment  can cost $100- $1,000. After insurance is applied, patients may have a copay of $10 -$50 or a coinsurance fee of 10 percent to 50 percent.
Most wounds should heal within two to six weeks. An individual should seek chronic wound treatment if a wound has not begun to heal after two weeks or is not completely healed after six.
Most health insurance plans cover wound care. Patients should check with the clinic and their health insurance provider before seeking treatment to be sure.

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