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November 24, 2006

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I am not a medical professional and from an engineering/analytical perspective, your decision - about not going to hospital/doctor - appears to be a classic ROI calculation. For the same symptoms, I would have made a different decision because to me, it is "better to know than to not know" (about the possible cause, for instance) and to establish a data point now may be useful if medical condition was to degrade.

So, my well-intentioned suggestion is to have these decisions peppered with hypothetical what-if's which will guide us into making a decision about next steps in our helathcare - For instance, if your Significant Other was/is a medical professional, would that have made a difference; if it was not a holiday weekend, would you have made a different choice and if you were older/younger/in a differnet health plan/ closer to the clinic/did not have any holiday plans/wanted an excuse to get out of some pre-agreed meetings? I don't have an answer and just suggesting some modalities, models of internal conversations before making these important decisions.

The hot/cold that you mention is relatively easy as I apply it - immediate after the muscle pain/injury, only cold; later, for healing and restoration, hot or cold as what provides relief.

Finally, since you mention Kaiser, they have a book that tells you the "go/no-go" criteria about whether to go to the facility, based on your symptoms.

Take good care,

Atul: I love your whole approach to this question. Yes, there are always so many factors. Certainly I didn't want to miss Thanksgiving with my family. And certainly I feel better enough today to make it seem not quite like an urgent problem. And also it's nothing new for me to tweak my back in various ways...this was just the most severe incident I can remember.

And I am probably influenced by the fact that I've had my entire back x-rayed (admittedly years ago) before due to my ongoing pain issue, and nothing actionable was found. So I am obviously sub-consciously convinced that there's no "there" there...no data point to establish.

Thanks for weighing in..."classic ROI calculation" is a great way to put it.

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