EFTA01616146.pdf
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Harry Fish
2016/07/29
Harry Fish
You getting better? Did the biopsy result come back?
09:07:46 pm
Allergy to cats . Biopsy not back . Shot of cefytiaone tonite
09:13:24 pm
Harry Fish
We're you around cats? Who is giving you the shot? I mix Ceftriaxone with lidocaine
because otherwise your ass will hurt. That's the recommended method.
09:17:18 pin
Yup
09:18:05 pm
2016/07/30
a week of being bled, ( test ) pricked ( allergy test ), dilated ( eyes ), probed. (finger ,
wand , prostate , rodded ( parasite ) biopsied, ( rash ) scanned. (cat
and ultrasound injected ., EKG. and no perfect answer
01:15:09 pin
for you, what if we form a pseudo insurance co with a 100% co pay, so that the
hospital can code it in their system correctly. that hack might have promise.
01:15:55 pm
EFTA01616146
Harry Fish
the patient would pay cash, the hospital could show insurance. etc
01:16:36 pm
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I do think we have a handle on your medical issues. Severe allergic reaction + urethral
infection+ decongestion medication.
01:50:26 pm
Harry Fish
is claritin a no no . or only decongestants?
01:51:27 pm
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The issue with Sinai is laziness on their part. Not complicated. Me not participating in
insurance is clearly not the norm for them. They are used to doctors losing money on
insurance and having more control over the doctors. My medical practice is called
"high revenue, non participating". Sinai can handle this, and should encourage more
doctors to do the same. My model allows for personalized care and how I think
medicine should be practiced. It allows more doctor patient interaction where I actually
listen to patients. You following?
01:56:07 pm
Harry Fish
don't start
01:58:43 pm
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Decongestants are the real culprits. Claritin is ok, not perfect. If you need it, take it, but
obviously without the "D". Stop hollering.
02:00:14 pm
Tewari and I have both agreed that I would establish a concierge practice at Mount
Sinai and be the director of microsurgery. This is exactly what I do now at NY Hospital.
We have been at this dance for 2 years. The hold up is only the hospital administration.
02:12:25 pm
EFTA01616147
• How's the ass pain?
02:18:56 pm
I'm not married hows yours
02:19:07 pm
Harry Fish
Big pain.
02:19:28 pm
• That one hurt.
02:19:53 pm
ok, mount sinai has made deals before with dr that don't take insurance ., jimmy
holland and Lebwall in term. so there is precedence
02:20:24 pm
they have what called a fairness committee, lawyers need to opine, it is against the
law to pay someone too much money, i kid you not
02:21:29 pm
the cialis, makes the stream better. is it correct to conclude that it is not a stricture
since the mechanics would not change. but a bladder opening constriction?
03:18:21 pm
Harry Fish
Stream is better likely because the effects of the decongestant is wearing off. Cialis
also helping the prostate. You are correct sir (Ed McMann reference just in case you are
not following). My bet regarding a structure is if you do have a stricture, it is probably
• small and not causing a significant blockage. Svoogs tend to have larger strictures.
04:14:07 pm
EFTA01616148
Harry Fish
Could it be related to the spinal stenosis ??
06:58:12 pm
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Real spinal stenosis can affect urination. But spinal disc disease that compresses a
nerve is more likely to affect urination. When you took the steroid your back pain got
better. When you took clomid your back pan got better. My guess is you have
symptomatic disc issues.
07:08:11 pm
I realize you have stenosis, but I doubt that your pain in the back is due to that.
07:09:52 pm
I doubt that any urination issues are related to your spinal cord issues.
07:14:25 pm
Harry Fish
I have NO PAIN. Only claudication after walking
07:20:20 pm
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Did it get better after the steroid and clomid?
07:36:29 pm
steroid definitely m, climid, somewhat
07:47:46 pm
Sent
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Harry Fish
That's why I think you have disc issues.
07:54:44 pm
EFTA01616149
• Clomid in addition to exercise will help
07:55:04 pm
V Read
EFTA01616150
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EFTA01616146
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