Should I tell my doc about my steroid use in the U.S?

[RekTest]

Doctor refuses to write me a script for telmisartan or do blood work. Want to get it covered by insurance be doing it privately. Wondering if I should be honest and if he will then do what I want? I'm worried though as I'm in the US. Can I be denied a claim later on before because of roid use? What do you guys in the US think?

I was just chatting with someone about this, we came to the conclusion telling your doctor isn’t going to help any, as them knowing wasn’t going to assist any further than they already can (in my case) and not sure if the insurance can see that record but not a chance Id want to take. Its only detrimental in my opinion.
I would find a new doctor, there is no reason why you can not walk into any doctor and get blood work done, I have in the past.

 

[Dirthand]

Lucky guy, you have a Doc that cares and is doing his job. Complete with no lectures or judgement.

The manner in which he was asking questions, pausing to think about my answers before asking another , all while looking me in the eye, I could just tell genuie interest as well. In a sense I could tell he was a little intrigued as he got off subject wondering how someone would store raw powder long term if they " happen " to acually have a kilo packed away... In any case it was the second Dr i interveiwed that I am sticking with.. It was a process in finding a DR. I could feel Comfortable and. Confident about it.. if you can't have a Dr. You can be hinest with about your health you shouldn't have a dr. At all.. They work for you..
Peace

 

[lilhawk]

My retard doctor said "I can't just order blood work without an actual reason"

Insurance companies dictate how doctors treat people anymore.

 

[Georgetrenson]

Im in a similar situation and would be curious in input for this. I want to work w a cardiologist since lipids are my riskiest blood marker, and I have to get a doctor’s order to get a Calcium scan, even if I’m willing to pay out of pocket (total BS).

It’d be nice to be honest w him or her, but I dont want to risk being denied life insurance w a record of steroid abuse. Not sure how else I can go about this, dont think there are black market alternatives for testing like this (that’d be nice).

If I just say I want a scan for the sake of monitoring health, im willing to bet theres gonna be pushback since I’m in my 20s and they recommend these tests for people over 40. And then if I show bloodwork w/ low HDL, questions are going to be asked…

Maybe play dumb and just say ive been randomly experiencing chest pain (lie about a symptom)?

 

[lebroseixoife-6939]

Doctor refuses to write me a script for telmisartan or do blood work. Want to get it covered by insurance be doing it privately. Wondering if I should be honest and if he will then do what I want? I'm worried though as I'm in the US. Can I be denied a claim later on before because of roid use? What do you guys in the US think?

I've told my doc in the past, but I do not admit that it's UGL. I stay silent on that question.

 

[Liter O' Test]

never tell your doctor ever, people will say "mine is cool he doesnt care he orders whatever"
if you are asking this question then this is not your doctor and it is rare, luck of the draw and requires real rapport and feeling out.

let them treat the symptoms, like high blood pressure, they dont need to know the cause.

trying to get estrogen or total test or something like that is pretty much impossible or suspicious.

if you tell them about personal trt / steroids they won't think "oh he has a reason , that makes sense then, ill order it "
(doctors dont even know what markers or tests steroids effect anyway, much less being told what to do)

they will instead think "fuck this guy who does this peasant think he is?"

and most likely he will flag you in the system tied to your SSN, to cover his ass and because "who do you think you are" and you will be redflagged as a drug user for the rest of your life, no matter what hospital or doctors office you go to, until you die, any problem you have will be brushed off as your fault and an effect of steroids, no matter how unrelated, not to mention insurance, pain meds or never believing a word you say.

if anyone wants a complicated test or scan, look for the most private testing because it may be the cheapest, since they dont make prices based on insurance.

 

[Georgetrenson]

if anyone wants a complicated test or scan, look for the most private testing because it may be the cheapest, since they dont make prices based on insurance.

How would I go about getting a Coronary Calcium scan? Ive called multiple clinics saying I’d pay out of pocket and they all insist I have a doctors order.

I dont have any symptoms, but I’ve had low HDL on bloodwork before (LDL still low) and want to see what impact my usage is having on my heart (if its LDL that matters). How am I going to explain single digit HDL to a cardiologist to justify the test?

 

[Liter O' Test]

How would I go about getting a Coronary Calcium scan? Ive called multiple clinics saying I’d pay out of pocket and they all insist I have a doctors order.

I dont have any symptoms, but I’ve had low HDL on bloodwork before (LDL still low) and want to see what impact my usage is having on my heart (if its LDL that matters). How am I going to explain single digit HDL to a cardiologist to justify the test?

im sure there is a place that will do it, there is a place that does full body MRI/organ imaging but i am certain using some trick, methodology or going along by the book to get the doctor to do so is not going to work because they will do 100 other things or simply put you on a statin and forget about it before they sign off on a scan you personally want, just out of spite. Because in their mind, its not important since you aren't dying and you aren't a doctor to understand anything about your health and its offensive to them that you care more than they do

If I were you, I would just take super K and a statin and do research or come off.


option 3 is to find an indian/african doctor as they will be more open to it.

 

[Georgetrenson]

im sure there is a place that will do it, there is a place that does full body MRI/organ imaging…

If I were you, I would just take super K and a statin and do research or come off.

Nope to finding a place, Illinois is F’d up. Also, I believe statins dont raise HDL, just lower LDL

Research has suggested that LDL/ApoB is causal to heart disease, not HDL, so I might not need a statin if my cholesterol is still low. I just want to validate this with imaging, this is a dumb c*nt

Therapist is now also hounding on me to see a doc so im going to have to drop her if she doesnt respect my wish to stay private; pretty much impossible to talk to a therapist without mentioning a major aspect of my life

I understand your frustration w the healthcare system, its jacked up. Idk how the hell pro bodybuilders are receiving treatment and qualifying for life insurance.

EDIT: nvm to the statin hdl thing, dont know where I read that, im going to play around w them.

 

[knucklesamich]

I wonder if this would work. Do you have a blood pressure machine? If so check it yourself, if not, you should have one no matter what, they're cheap.

Whether you have high blood pressure or not, but especially if you do, tell him you've been having shortness of breath a little bit. So you decided to check your blood pressure because a friend of yours experienced this, and it was indeed due to high blood pressure--and sure enough your machine shows you had 135/95. Tell him this worries you and you want a reading and blood work to see where your cholesterol levels are at. Any doctor should respond positively to this no? Afterall, you're just trying to be responsible.

 

[Astartes]

Doctor refuses to write me a script for telmisartan or do blood work. Want to get it covered by insurance be doing it privately. Wondering if I should be honest and if he will then do what I want? I'm worried though as I'm in the US. Can I be denied a claim later on before because of roid use? What do you guys in the US think?

No. But your medical records can and will get subpoenaed in to court in many court cases. (Divorce, child custody, etc etc,)

So be aware. He will notate your file

 

[psauce]

The best way to start the conversation is to ask, "if I tell you about substance use, will you put it on my chart?"

The reaction to that question will tell you everything you need to know.

 

[1Megaman]

I agree with that was said above, I wouldn’t tell my doc about my roid use. He does know I am on trt from a clinic. I let them treat the symptoms I have a bp monitor that they gave me to take my bp a few times a week. When I am on blast my bp goes up so they gave me a script for bp meds. I take them when on blast and not when on cruise, and I just keep checking my bo like normal.

 

[Ghoul]

Don't be naive folks. Doctors are primarily focused on their self interest.

While a drug addict is suffering from "Substance Use Disorder" and the medical establishment is set up to treat them, your doctor won't know shit about steroids, and will do nothing to "support" your use of performance enhancing drugs.

Their unfamiliarity with the topic will make every interaction awkward, and any issue you bring up will be viewed through the lens of "it's probably those steroids".

On top of everything else, unlike the opiod addiction or alcoholism they're familiar with, dealing with you and this unfamiliar PED use is a liability, literally, putting them at risk for anything that goes wrong.

Lawyer in lawsuit: "Doctor, despite not having any training on steroid abusers, you continued to treat my client?"

NEED TO KNOW BASIS ONLY. If you develop some serious condition that may be related to your PED abuse, tell them, because your health matters more than anything, but short of that, there's no benefit to having a confession session.

 

[JuiceStick]

and most likely he will flag you in the system tied to your SSN, to cover his ass and because "who do you think you are" and you will be redflagged as a drug user for the rest of your life, no matter what hospital or doctors office you go to, until you die, any problem you have will be brushed off as your fault and an effect of steroids, no matter how unrelated, not to mention insurance, pain meds or never believing a word you say.

I apologize if this is a silly question, but what is this healthcare information system tied to my SSN which is visible to all doctors? It's not like there is a national health score provider like there are for credit score in US or social credit system in China? You'd think you'd be entitled to a report if there was such thing and to an opportunity to dispute the records in the report on you?
I am not in medical field, but I think HIPAA specifically prevents doctors from sharing your records even with other doctors without your explicit permission. You explicitly allow the doctor's office to share it with your insurance for benefit processing and sign off on that.

 

[Ghoul]

I apologize if this is a silly question, but what is this healthcare information system tied to my SSN which is visible to all doctors? It's not like there is a national health score provider like there are for credit score in US or social credit system in China? You'd think you'd be entitled to a report if there was such thing and to an opportunity to dispute the records in the report on you?
I am not in medical field, but I think HIPAA specifically prevents doctors from sharing your records even with other doctors without your explicit permission. You explicitly allow the doctor's office to share it with your insurance for benefit processing and sign off on that.

"Per HIPAA regulations, doctors can share patient information with other doctors for treatment, payment, and healthcare operations without the patient's explicit consent."

This extends to pharmacy records for controlled substances as well. There is even a "score" that alerts doctors as to how likely you are to be a "drug seeker".

My doctor simply logs into a terminal and can review the records of doctors I've seen without me informing her of seeing them or gaining my permission.

When you apply for health or life insurance, you give them access to this system as well.

The whole country has been slowly moving to a uniform electronic health record standard since Obamacare was passed, with the government incentivizing practitioners and health systems to comply.

 

[Astartes]

I won custody of my kids. If you don’t think they pulled every medical record and blood test after depositioning me, you have a world of hurt coming. HIPPA means nothing in the legal system and discovery will find your records.

Just be wise as Ghoul said

 

[JuiceStick]

Do you know the name of this globally shared information system where doctors can make notes about my health correlated to my SSN (which is PPI) and share them with unrelated doctors? I could see how HIPAA may cover sharing information between your surgeon an anesthesiologist during surgery, but when I needed my health records sent to another doctor, I had to sign an explicit HIPAA release. Is my other doctor unaware of some universal system with access to my records?

 

[Astartes]

Do you know the name of this globally shared information system where doctors can make notes about my health correlated to my SSN (which is PPI) and share them with unrelated doctors? I could see how HIPAA may cover sharing information between your surgeon an anesthesiologist during surgery, but when I needed my health records sent to another doctor, I had to sign an explicit HIPAA release. Is my other doctor unaware of some universal system with access to my records?

No, but most clinics get you to opt in to sharing as that’s candidly often needed. Most people will. I do. Why wouldn’t I? I also don’t tell my practitioners about my PED use.

Again, majority of risk is legal.

 

[Ghoul]

Do you know the name of this globally shared information system where doctors can make notes about my health correlated to my SSN (which is PPI) and share them with unrelated doctors? I could see how HIPAA may cover sharing information between your surgeon an anesthesiologist during surgery, but when I needed my health records sent to another doctor, I had to sign an explicit HIPAA release. Is my other doctor unaware of some universal system with access to my records?

I can sense your doubt. Are those your rose colored glasses on the floor?

The system, generically, is simply EMR, electronic medical record. Overall coordination from the government is managed by CMS.

While there are a handful of commercial "front ends" not all are interlinked yet, but they've been becoming more so each year, with the end goal a single universal system.

Providers have a right to access your record in these systems, full stop. All medical information is considered relevant to care, and therefore do not require explicit permission for access.

Typically a state will have 1 dominant system, sometimes 2 if it has a large population..

If you're dealing with a smaller provider they may not participate, but that's increasingly unlikely since it's so cumbersome to get paid from private insurance or, more importantly, Medicare, without it.

Get a diagnostic at any Quest or other chain testing center and those results will be available on all these systems for any provider to see, for instance.

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