Redness, soreness, hot to touch injection site.

[Xpac2]

In the army??!! Haha fuck off kid. Get off the juice, stay in school and learn how to lift and eat.

 

[Dr JIM]

Go to the er or an urgent care, tell them you poked yourself with something or injected b12,

This is really easy OP...

Tell him you gave yourself a B12 shot and you think the injection site got infected).

And why is a fabricated story like "B-12 injections" seem to be such a common suggestion on noob forums such as Meso!

Some don't get it, admitting a mistake was made starts with telling the truth like; "doc I injected some on-line AAS a few days back and this rash is why I'm here. ----- what you think" ?

Just KIS.

JIM

 

[MisterSuperGod]

And why is a fabricated story like "B-12 injections" seem to be such a common suggestion on noob forums such as Meso!

Some don't get it, admitting a mistake was made starts with telling the truth like; "doc I injected some on-line AAS a few days back and this rash is why I'm here. ----- what you think" ?

Just KIS.

JIM

Alot of guys are looking at it from a legal aspect. After all, what they're doing is illegal.

There's also been bro talk about doctors reporting their steroid usage to their insurance company, ending with them losing coverage.

So i can see why they would consider lying, but if it comes down to having to go to the ER because of gear, i'm spilling the beans, plain and simple.

 

[Dr JIM]

Alot of guys are looking at it from a legal aspect. After all, what they're doing is illegal.

There's also been bro talk about doctors reporting their steroid usage to their insurance company, ending with them losing coverage.

So i can see why they would consider lying, but if it comes down to having to go to the ER because of gear, i'm spilling the beans, plain and simple.

AND a lot of "guys" don't understand health care LAW, bc while certain LIFE STYLE behaviors including smoking, drinking and drug use, include certain risks to ones health and may increase premiums in the long term especially IF complications develop, they can NOT be used as a means to deny coverage, period.

Finally I challenge ANYONE to show me ONE case such as the OPs where the TRUTH did anything but ensure appropriate care was rendered, and the suggestion a physician would bite the hand that FEEDS THEM by calling an insurer to report a patients drug OR ALCOHOL use is utterly absurd!

You guys really need to understand the FACT drug OR alcohol abuse is treated as a disease by HCP and by LAW the same applies to insurers!

JIM

 

[HeyWTF]

edit: Never mind.

 

[HeyWTF]

AND a lot of "guys" don't understand health care LAW, bc while certain LIFE STYLE behaviors including smoking, drinking and drug use, include certain risks to ones health and may increase premiums in the long term especially IF complications develop, they can NOT be used as a means to deny coverage, period.

Isn't it thanks to the current law (a la Obamacare) which is not very popular in certain elements of society? Laws do and can change (as was the case with Obamacare), and individuals are simply not a match for the insurance companies that can raise the premium and/or deny coverage if the current law changes for the worse for them.

For legal issues as well. An emergency incident like the OP's might not in and of itself constitute a crime, but when he gets mired in other legal issues a record such as this can be used against him as a collateral. (Think of divorce proceeding) Can his doctor shield his record from being used against him in court of law?

 

[Dr JIM]

An emergency incident like the OP's might not in and of itself constitute a crime, but when he gets mired in other legal issues a record such as this can be used against him as a collateral. (Think of divorce proceeding) Can his doctor shield his record from being used against him in court of law?

Fella I'd be much more concerned about the comments MANY on this forum have made on social media outlets such as Twitter, Facebook, the town gym or the local tavern than an ED record that is protected by law and requires a case SPECIFIC writ of cause followed by a SOPENA.

The truth of the matter is MANY people in this world use drugs and/or alcohol, and it should be no surprise legal matters often arise when USE morphs into ABUSE, and for those folk a "medical record" is the least of their concerns!

The point maladaptive social BEHAVIORS is what nails folk legally, and NOT the pursuit of appropriate medical care. Anything else is "bro" nonsense based upon endless suppositions, conspiracy theories, or PED forum "I heards"!

 

[Dr JIM]

It’s obvious many have no idea what is and is NOT included as a part of a patients medical record.

Suffice it say the most important component is the DIAGNOSIS bc that is what a CPT code is based upon.

A CPT code ? An alpha-numeric computer entry that is SPECIFIC for each and every diagnosis. For example the 2016 Blue Cross Blue Shield CPT code for cellulitis/non-specified is L03.90

So in the OPs case a DX of cellulitis would be written by the Physician, and a "coder" in the medical records department would then apply the appropriate CPT code and from THAT code insurance companies are billed! GOT IT!

However on occasion SECONDARY DIAGNOSES are also entered by HCPs. They are typically used in complex medical cases. And since "cellulitis" in an otherwise normal patient is anything but complex there is no reason for an ED doctor to waste their time dreaming up
diagnoses that have NO EFFECT on reimbursement, or medical management!

OK so Jim whats the CPT code for AAS abuse ----- guys no such code EXISTS!

Which brings me to WHY would any HCP waste their time ON HOLD (believe it or not Docs don't have access to an insurers "hot line") "reporting" substance abuse OF ANY KIND to insurers!!!

But I egress, let's assume your Doc is Sister Mary Joseph and is on a mission to save America from all the muscle bound, capricious, and ill winded "steroid" abusers and actually waited until some minion in Indonesia (who's familiarity with medical care approximates ZIPPO) finally picked up and was willing to "report" "steroid abuse" ----

-------- the first word out of that clerks mouth would be ------eeeexxxxxuse me Sir I NEED A CODE!!!

FACTUALLY ABSURD !

So sure while of course there's no need to bloviate, IF ASKED, withholding critical information from your treating physician, is anything but a wise decision, IME, and based upon the EVIDENCE!

Jim

 

[Dr JIM]

I'll add one more important factoid that is often misconstrued on PED forums which is
an insurers access to YOUR chart is actually restricted to one area ------ PAYMENT for services rendered!

And although the standard for an OSRR (On Site Reimbursement Review) on behalf of insurance companies is relatively low, usually as part of an audit, an INDIVIDUAL patient review as a means of manipulating premiums is strictly FORBIDDEN by law!
(one of several Obama Care "benefits")

Finally i'ts a RARE occurrence for a INDIVIDUAL outpatient chart/s to be reviwed by insurers bc that's NOT where the MONEY IS!

 

[webrob]

I know this is an old thread but I wanted to chime in on a real life experience. Long time TRT user; first cycle of Tren A - about a week I experienced all the symptoms of this OP - bruises, hot to touch injection site, extreme pain, fever, had trouble using the muscles really and was sure it was an infection.

I tried online care - even took detailed photos. They said heck no we dont treat this online - go the ER please. I presented to the ER - everyone in triage was very concerned about how hot and red my skin was and the rashes were raging (there were 3 now each the size of my palm). The doctor asked what happened - i tried to hint around and he just finally said tell me. I said do we have doctor/patient confidentiality today? He assured me we did so I spilled it. He ran a battery of tests to determine if it was an infection or if it was an allergic reaction. It ended up being allergic reaction to my AAS (i believe to the high concentration of BA present in my Tren A because my test cyp for TRT has BA as well so i just doubt I'm actually allergic to normal does of BA). I really appreciate the OP beginning this post and I hope my story will also help someone out who comes here looking for advice - please be honest with your medical professionals when you need their honest advice and treatment - it will make the process go smoother for the both of you.

 

[Highclasslinetrash]

go to the doctor, and don’t tell them a thorn was in your arm lmao. Tell them the truth. Saved my leg, and life.