Author Topic: I think I have Malaria, but I don't know how to afford the doctor's visit.  (Read 957 times)

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GilloD

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We haven't had "HAY INTERNETS SHOULD I GO TO THE DOCTOR" thread in like FOREVER, so abide:


When my wife and I were in Morocco I was sort of afraid of getting sick. I washed my hands, only drank sealed bottled water and only consumed cooked foods. I was pretty careful. Towards the end of our trip, I woke up one day feeling really ache-y. We'd been lugging luggage (Har!) all over the country for the previous week so I didn't think much of it. We went for a walk and after an hour or so had to hail a cab- I was afraid I was going to pass out. Fever followed, along with sever muscle aches and diarreah. The worst passed in about 24 hours, but I was a little off for a week or two afterwards. This was in January. Last week, in May, I got the same thing again. The symptoms are as follows:

1- I start to feel very, very weak. I just get incredibly tired. I'm not usually a high energy guy, but I think nothing of walking, running or biking a couple of miles. I get winded, but never tired like this. I really felt like I couldn't walk another step, like my energy had just been pulled out of me.

2- A few hours after I start feeling like that I get a very, very high fever. 102, 103. Nothing helps except rest and fluid intake.

3- The next day I tend to feel "off', but the fever breaks around mid-day and I have to take it easy, but mostly feel okay.

4- For the next week or so I just feel kind of tired and a little weak. In the days immediately following I have severe muscle aches, I feel like I did 10,000 sit ups and ran 400 miles. My back, especially, kills, but it's a general muscle ache all over. This also tends to lead to splitting headaches and my neck muscles tense up.

5- Diarrhea. Not immediate, not especially copious, but any bowel movements for the next week or so tend to be very liquid, like my stomach is just smelting everything. That's gross and I am sorry. My stomach also tends to hurt for that period, but it feels like it does after doing a lot of situps- Just used. There are also gas pains, but they tend to vanish after a day or so following the illness.

After the first time I was up and about in about a week. I felt fine and there were no real lingering symptoms. I forgot all about it until last week. I did some furniture assembly at work and afterwards felt really tired. It was pretty minor compared to what I'd been up to, so I was surprised. The walk home from the train that evening was terrible, I barely made it. I slipped into PJs, cue fever, on and on. Last night I was afraid I was coming down again- I went to bed very early, popped some pain/fever pills and went to sleep. I felt fine this morning.

In both cases, there was a cue from physical exertion. The first time I got it followed a day of dragging maybe 60 lbs of luggage a mile uphill. This time it followed some heavy furniture assembly, but post-dated it by about a week.

I'm not super concerned, it seems to vanish pretty easily with bed rest, but the fact that it showed up in exactly the same manner more than once has me kind of wondering. Anyone else had something like this?

Anyway, last night I had a crazy fever again and a truly awful headache. Like brain splitting, skull shattering misery. So I decided to book a Doc's office visit. But when I told the lady I didn't have insurance she said, "Oh. That could be a problem". I have no idea how I'm going to afford this. But it seems better than DYING. I wish I could just score some meds- If it is malaria, it's pretty treatable.
wha

MrAngryFace

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It does sound similar to panic disorder, but you will want to see a doctor for some blood tests and a physical exam. Make sure you pair down your symptoms to the most chronic and least chronic to help the doctor out.
o_0

GilloD

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It does sound similar to panic disorder, but you will want to see a doctor for some blood tests and a physical exam. Make sure you pair down your symptoms to the most chronic and least chronic to help the doctor out.

What the hell is panic disorder?
wha

GilloD

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Eric P

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that really sucks and i'm terribly sorry
Tonya

GilloD

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It's just tricky because my wife's student loans started to come due and her university needs a thousand bucks for fees and I make okay money, about $400 a week, but to pay rent and buy food and pay the loans and find the cash for the fees and then throw a doctor's fee in there is. Scary! It just feels like a treadmill sometimes.

Anyway. Morocco does have a really low incidence of Malaria, but it's not unheard of.
wha

Tauntaun

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I'm sorry g, I hope you get well soon.  :(
:)

The shortest incubation period for Malaria is 9 days, so unless you were in Morocco longer than that, chances are you didn't get whatever you have in Morocco. (Edit: oo Kosma oo says no, you say yes; do you have Malaria where you live or where you may have transited during your trip?)

Secondly, it's hard to tell how long you've had these symptoms. A time frame would be helpful, but in any case I would think that by now you'd also have experienced hot and cold periods which would be experienced cyclically.

But everything else seems pretty spot-on with Malaria. I'd definitely see a doctor if I were you. I wouldn't expect the worst, though: normally we humans like to think we have something far, far more serious than what we really have.  :)

Another thing: You can be poor but you can always make more money. Health is another issue altogether. You even need to be healthy to keep working to make more money...
« Last Edit: May 15, 2008, 11:17:20 AM by crimsondynamics »

MrAngryFace

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I've actually been diagnosed with anxiety and panic disorder, it doesnt always involve being in a state of anxiety. Your physical symptoms can be a form of panic. In fact the reason I agreed to the idea of panic disorder is because your symptoms are familiar to me.  The trouble with panic symptoms is that they can be anything, so do yourself a favor and only mention panic if the doctor has done all he can and still cant uncover whats up.

If you say 'my friends think it could be panic disorder', the doctor will look at the long list and go IT FITS! THAT MUST BE IT! and you'll never be taken seriously for any other possible diagnosis afterwards.

You can probably get away with asking about adrenal fatigue and have them do lung capacity and peak flow stuff on you first off without being pidgeon-holed
o_0

Damn, oo Kosma oo keeps beating me to the punch!

Edit: Oh, also, symptoms can be shared among different illnesses; there are only so many ways your body can tell you, "hey, I'm real messed up and I need medical treatment"; hence, I'd definitely say a doctor is in order. Throwing up, chills and fevers are rarely a good combination - and you have those, and more.
« Last Edit: May 15, 2008, 11:21:20 AM by crimsondynamics »

MrAngryFace

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I think the fever should be your primary concern, at 105 you start having weird vision hearing problems, the 102 range could explain your muscle pain, as thats the temp that apparently starts at.
o_0

MrAngryFace

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Damn, oo Kosma oo keeps beating me to the punch!

Edit: Oh, also, symptoms can be shared among different illnesses; there are only so many ways your body can tell you, "hey, I'm real messed up and I need medical treatment"; hence, I'd definitely say a doctor is in order. Throwing up, chills and fevers are rarely a good combination - and you have those, and more.

Yeah throwing up a lot is the ultimate 'somethings wrong' sign.
o_0

demi

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Why would it cost a ton? You're not going in surgery... don't they bill you later anyway?
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MrAngryFace

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Most general visits run like 200-400 I think? Its the hospital stays and ambulances that raise the price. They also bill later, and are very flexible with payments.
o_0

It's times like these I'm so glad to live in a place where medicine is so heavily subsidized by the government. Bills that would normally cost usd3,000 wind up costing you less than usd100. (And the best hospitals are government-run ones, not private hospitals that have less high-tech equipment and manpower - go figure.)

I have no idea what prices are like where you live but sounds like you need to spend a lot of money, which sucks. Again though, if this has been going on for a couple of days, you need to see a doctor before things potentially worsen.

GilloD

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The shortest incubation period for Malaria is 9 days, so unless you were in Morocco longer than that, chances are you didn't get whatever you have in Morocco. (Edit: oo Kosma oo says no, you say yes; do you have Malaria where you live or where you may have transited during your trip?)

Secondly, it's hard to tell how long you've had these symptoms. A time frame would be helpful, but in any case I would think that by now you'd also have experienced hot and cold periods which would be experienced cyclically.

But everything else seems pretty spot-on with Malaria. I'd definitely see a doctor if I were you. I wouldn't expect the worst, though: normally we humans like to think we have something far, far more serious than what we really have.  :)

Another thing: You can be poor but you can always make more money. Health is another issue altogether. You even need to be healthy to keep working to make more money...

I first caught it maybe around January 20th? By the 23rd I was okay, just a little weak. I forgot all about it until last weak when I got the same exact thing. Only I haven't quite rebounded in the same way, it's kind of lurking this time. I was Morrocco for about 11 days. The rest of the trip was in civilized European cities, so I doubt I snagged Malaria in Sevilla or Prague or Berlin.

Good point with the money. We're living with my parents at the moment and are just really eager to get out and go back to having our own place. It's just frustrating when stuff like this happens and kind of sets you back.

As for cost, just stepping in the door probably runs 2-400. If there is blood work involved, probably another couple hundred depending on severity. Meds shouldn't be too bad.
wha

GilloD

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Holy fuck I didnt know shit is that expensive.

Then again I pay 120 euro (180$)  insurance every month and havent been to the doctor in a year. But whatever happens Im fully covered.

I get insurance in 6 weeks. I'll be paying 35$/mth which is much, much better.
wha

I first caught it maybe around January 20th? By the 23rd I was okay, just a little weak. I forgot all about it until last weak when I got the same exact thing. Only I haven't quite rebounded in the same way, it's kind of lurking this time. I was Morrocco for about 11 days. The rest of the trip was in civilized European cities, so I doubt I snagged Malaria in Sevilla or Prague or Berlin.

Good point with the money. We're living with my parents at the moment and are just really eager to get out and go back to having our own place. It's just frustrating when stuff like this happens and kind of sets you back.

As for cost, just stepping in the door probably runs 2-400. If there is blood work involved, probably another couple hundred depending on severity. Meds shouldn't be too bad.

OK, first, I wouldn't worry that much - in a sense. You've had these symptoms for about four months now? Wow. Anyhow, I'm not a doctor, but I do know from being brought up in countries with endemic malaria that a) your symptoms should, by now, be cyclical (e.g. feeling hot / cold / normal); this would correspond to the breeding cycles of the parasites.

You may also have already developed a tolerance to this disease after so many months. Now that isn't too bad, but if you were to be reinfected you would feel it worse the second time around.

Finally, I don't think malaria is "curable"; there is no vaccine that I know of and treatment is normally something you do for the rest of your life, like diabetes.

But go at least to the doc. Man, that is expensive though. You'd probably go to a general practicioner who would probaly forward you to a specialist, and if it does turn out that you have Malaria, you'd have to be on treatment for a long time...  :(

Just dont wait 6 weeks with the doctors visit :)

Not to be a pessimist, but I think some insurance policies check to see if you have had a certain illness since before the police took place. Anyhow, if insurance is headed your way, wait it out if you like, but talk with your doctors about any insurance liabilities and if so, could the doctors "distort the truth"? (This happened with this recurring problem my son had, which the insurance didn't want to pay, but we explained this to the doctor and he literally said, "well, if the insurance company wants to get smart with you, I know how to play their game", and the insurance company hasn't refused payment once - and we take our two sons for everything.)

GilloD

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I first caught it maybe around January 20th? By the 23rd I was okay, just a little weak. I forgot all about it until last weak when I got the same exact thing. Only I haven't quite rebounded in the same way, it's kind of lurking this time. I was Morrocco for about 11 days. The rest of the trip was in civilized European cities, so I doubt I snagged Malaria in Sevilla or Prague or Berlin.

Good point with the money. We're living with my parents at the moment and are just really eager to get out and go back to having our own place. It's just frustrating when stuff like this happens and kind of sets you back.

As for cost, just stepping in the door probably runs 2-400. If there is blood work involved, probably another couple hundred depending on severity. Meds shouldn't be too bad.

OK, first, I wouldn't worry that much - in a sense. You've had these symptoms for about four months now? Wow. Anyhow, I'm not a doctor, but I do know from being brought up in countries with endemic malaria that a) your symptoms should, by now, be cyclical (e.g. feeling hot / cold / normal); this would correspond to the breeding cycles of the parasites.

You may also have already developed a tolerance to this disease after so many months. Now that isn't too bad, but if you were to be reinfected you would feel it worse the second time around.

Finally, I don't think malaria is "curable"; there is no vaccine that I know of and treatment is normally something you do for the rest of your life, like diabetes.

But go at least to the doc. Man, that is expensive though. You'd probably go to a general practicioner who would probaly forward you to a specialist, and if it does turn out that you have Malaria, you'd have to be on treatment for a long time...  :(

I haven't really had the symptoms for 4 months. I had them for a week, they vanished and then they came back last week. Second, there'sno vaccine but apparently quinine and anti-biotics do a good job of ditching it.
wha

duckman2000

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Aren't there any free clinics around where you live? I'm fortunate enough to have 100% insurance coverage, but I know some people who have gotten slammed with ridiculous bills due to having only 70-80% coverage. Good grief what a fucked up system, and the worst thing is that everything is pocketed by private companies.

Cravis

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Worse come to worst you can always go to the emergency room. They can't turn you away there even if you don't have medical insurance. Expect a hefty bill afterwards, though.

demi

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I just got back from the Dentist... cost me $204 (he gave me a $52 discount cause my grandma has been there since forever). Was just a simple checkup, and apparently I had a filling fall out, and the cavity was close to the nerve, so they got that patched up. And they want me to come back to deal with a couple smaller cavities. Got scolded for not really flossing (f u dentite), and he said all my wisdom teeth came in just fine, making me in the minority, which REALLY makes me feel at ease. I apparently have to come back again for a cleaning... gay
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