=> Subject: Re: [OT] I wonder how many suicides Kristyne is 
=> responsible for?
=> 
=> On 1/12/07, Kristyne McDaniel <[EMAIL PROTECTED]> wrote:
=> > Hal,
=> >
=> > > This can easily be corrected by exposing more people to what we 
=> > > consider to be "rare" conditions.
=> >
=> > I believe the correction is more likely to come when doctors avail 
=> > themselves of online medical information to a greater 
=> extent. Doctors 
=> > are still memorizing everything and aren't researching 
=> answers like 
=> > they should be. When they can break away from trusting 
=> only what they 
=> > remember we will all benefit.
=> >
=>   Kristyne,
=> 
=> Part of the problem seems to be that Am. doctors specialise 
=> far too early in their studies which prevents them from 
=> seeing the general picture. Every Belgian doctor fe has 
=> studied for GP before he specialises in his chosen field.
=> Just something i picked up from conversations with doctors 
=> ...so it may be they were biased a little....
=> 
=> A+
=> jml
=> 

I must take exception, Jean, mon ami.  It is more a symptom of "use it or lose 
it."  In this country, getting a M.D. is pretty much the same for everyone and 
you cannot get one unless you are qualified to diagnose and treat virtually 
every ailment that is considered significant by the medical education boards.  
Once you have the "M.D." you can train and qualify for specialty practice 
according to the requirements set forth by the particular specialty board.  It 
is that concentration AFTER one becomes an M.D. that begins the journey AWAY 
from general practice. 

I see many doctors professionally and the specialists are first-rate and my GP 
is first-rate too.  Unfortunately, for the most part, they are not 
interchangeable.  And the GP tends to know more about the specialties than the 
specialists know about topics outside of their specialty.


Kristyne, the practice of capitation that is used by medical insurance 
companies to minimize costs and maximize their profits at the expense of the 
patients and providers, dictates that a doctor cannot spend a significant 
amount of time with any patient or with any patient's problems.  Research is 
something you have to do on your own time.  It is much more expedient to refer 
a patient to a specialist than to attempt treatment of anything beyond the most 
simple injury or infection or virus.  If you want superior medical attention, 
go out of network and choose a doctor who does not want to be controlled by the 
insurance companies because he respects himself and his profession (as opposed 
to being greedy).

B+
HALinNY


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