Sorry about the lack of trimming...my mouse has died, in spite of being
given no medicine or vaccinations. I'm using my blue tooth phone at the
moment as a mouse controller.
Anyway, Mike's post about doctors hits the mark for me, and reveals insight
about who doctors are.
As children people want to become doctors. They cannot be blamed for their
training or the subsequent straightjacket of employment, any more than
other employees, perhaps.
Hippocratic oaths do make it a special case, I believe. But then, you can
hear that 'it doesn't really apply these days'...which seems to take into
account the political situation of Doctors and State Licences.
Generally, I find surgeons or hospital doctors are superior, because they
treat an emergency, and are in many cases less prone to rely on drugs than
general practitioners (in the UK). For example, they may more readily lance
a septic wound than give an increasing course of antibiotics until
amputation is necessary. (General Practitioner applies to the UK).
Young doctors (and it varies culturally as well as individually) may be
arrogant, and start off as if they have 'all the answers', are 'here to
save life', act where god is impotent etc..be blinded by a narrow field
within mediicine and all that, but they also mature in one way or another.
Patient expectations play a clear role, as well as the politics of the day.
So the way you question and speak to a doctor makes a difference, even your
pauses.
I like to treat them as consultants. People who I consult, they do their
best; I make the decisions.
I do offer them my misgivings, but only as if in passing, rather than a
direct challenge to them, and also I try to show them my present
understanding without too much detail. In this last tactic, I find Doctors
in the UK are increasing ly receptive to the level of patient knowledge,
and more so where you are a parent of a child patient.
In summary, the kind of misgivings about medicine shared on the list , I
generally share, but I think doctors are victims of the system. Many become
disillusioned with medicine because of that. As well being in a
straightjacket, they are met by unrealistic or demanding patient
expectations in the sphere of human suffering.
The result is a terrible system of care, which prescribes diet coke ot
cancer patients undergoing chemotherapy as a way of losing all independence
long before dying.
Of course, most Doctors don't find the time, or are not encouraged to read
about Vaccination as a dirty game and misinformation: that is one example
of how Doctors cannot easily swe outside the box. To question Vaccination
would be extraordinary, and they wouldn't accept the current web
publications without looking at a large number of original journal reports
first. That would take a doctor weeks of reading, in tracing history of
vaccines for a centuray. They don't have the time.
If you look at medical studies, those conducted Doctors, as in Surgeons,
tend to be pretty interesting and benign, checking their own work, and
exploring factors of health such as diet and so forth. These are ongoing
within their department. But the rely upon biomedical laboratory studie
sfor so much of their work, by phd grads and medical researchers, who are
not surgeons (i.e. involved with patient care). These studies are expensive
and elaboratly set up according to protocol, but their interpretation is
usually a lopsided snapshot of a human beings metabolism, and does not
involve longditudinaal or comparative studies. Whilst they do compare to
placebo over short duration, they don't compare to 'do nothing' over years,
or take into account lifestyle factors. I could illustrate: imagine a study
where noone is to be given anything, and one group is in fact given the
medicine of study, secretly. Of course it's never been done, and this
exceeds the double blind placebo study, where both groups think they are
being given something, expecting a boost. Drawing conclusions upon
statistically significant advantages in a non-placebo group is at
differences where placebo might be say 47% over short term, and the
medicine 50% improvement. This is actually low efficacy, and where side
effcts even where noted are not taken into accoun t because they may be
long -term. ANd improvements may be short term.
Most doctors think that placebo is only about 40 to 50 % maximum. BUt it
actually exceeds this with enhancement factors, such as colour of the
medicine, name of the medicine, status of the doctor, etc. When a
non-active placebo is given and an active drug given, the mere drug
stimulation (side effects) may enhance placebo in the real drug group. This
is just one example of the limits and woolliness of so called strict trials
of effect.
So you could say , Doctors are not behind the 'miracle cures' but are
instructed in them.
IT is frequently Doctor conducted trial that later discard new
breakthroughs, or more ( thoroughly understand the limits of their
intervention.
The problem is the medical system and government corruption.
A private medical system would , I think be better, because it is the
people, together with doctors , who must decide, and that would give people
and doctors most power. BUt that wouldn't be enough, without taking the
present standards of trials to a new level, where longitudinal studies are
carried out routinely in all important areas, alongside comparative studies
of complimentary medicines and diets, lifestyle factors. The means are
here. The excuse of expense, I don't think is justified or real where the
communities are involved.
with study.
Lastly, About Doctors who line their pockets: despicable, yes. Most
practitioners in healthcare aren't so well-off in the Uk, and don't have
the opportunity either. A doctors name behind any sale is meaningless as an
endorsement, unless it means beware patent medicine, doctor who doesn't
practice.
JOhn
--On 15 October 2007 09:43:56 -0500 Clayton Family <[email protected]>
wrote:
Thanks, Mike, well said, and worth repeating.
It is very frustrating to have such negative experiences at the hands of
those who are in the business of helping us, and then to learn of the
blatent warfare tactics of a powerful few to keep the rest in line and
promote one point of view, and one standard of care. It often seems as
though there is no one who will listen and help, and would rather we go
off and die quietly than continue to bother them with our non existent,
psychosomatic complaints. My insurance company certain would have liked
that- one less person to interfere with their money making capability.
Then you find a gem- one who even calls you at home to make sure you are
not off dying in an emergency room without him knowing, another one who
while shackled with restraints, makes sure I know who is successfully
treating this if I would like to go, and makes off the record
recommendations of supplements that he knows will help.
There is a real and serious problem with medical practice in this
country, and it seems to start with HMO's, and "standards of care" that
are necessary to deal with the litigous nature of the populace, who in
general seem to believe everyone has a *right* to good health, and may
think suing a dr means suing an insurance company. Stuff happens. To
everybody, if you only live long enough to not die tragically young.
Everyone is dying, if you want to look at it that way. We all just want
to put it off for as long as possible, and enjoy our life as much as we
can. Many good doctors help with that. I owe my life twice over to good
drs that keep up, and know how to think through problems. Thank God for
them. I also owe my recovery to my own efforts,and I prefer to fix myself
when ever possible. Sometimes it has not been possible.
Kathryn
On Oct 15, 2007, at 5:09 AM, M. G. Devour wrote:
Allow for the existence of the exceptional few... *every* time you make
a statement about "doctors." It doesn't take many words -- "most,"
"nearly all" -- to tranform the environment from hostile to merely
unfriendly.
--
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