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| Rail-less and Tail-less |
Cause most people won’t do it. Americans tend to be lazy shitbags in that regard. I see 3-4 patients a day who come into the ER with headaches because their blood pressure is 200/100 with a history of hypertension but refuse to take meds, exercise, or diet. Now multiply that by millions of people. There’s a reason why diabetes and hypertension are significantly worse in this country when compared to other first world countries _______________________________________________ Use thumb-size bullets to create fist-size holes. | |||
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His Royal Hiney |
And that's part of the Sunshine Rules to make it transparent which doctors and medical practitioners are being compensated by any pharma or medical device company. Ramius is right. The US has a lot of regulations with heavy penalty with giving benefits to doctors like even free meals, seminars, etc. The intent and impact is there can be no possible appearance that a physician is benefitting from his prescription, support, and favorable opinion of a drug or medical device and any such benefits or compensations be recorded and reported to the government for publishing. But regarding medical cures making things worse, well yeah! I'm amazed at commercials touting the cure for hiccups then the hurried disclaimers that say: "Side effects have been known to occur such as rashes, irritation, hiccups, depression, cancer, suicidal tendencies, and sudden death in some cases." But go ahead and let your doctor know you're interested in our medicine. "It did not really matter what we expected from life, but rather what life expected from us. We needed to stop asking about the meaning of life, and instead to think of ourselves as those who were being questioned by life – daily and hourly. Our answer must consist not in talk and meditation, but in right action and in right conduct. Life ultimately means taking the responsibility to find the right answer to its problems and to fulfill the tasks which it constantly sets for each individual." Viktor Frankl, Man's Search for Meaning, 1946. | |||
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| Do No Harm, Do Know Harm |
How does one fast for 18+ hours without getting so hangry they whoop somebody’s ass? Knowing what one is talking about is widely admired but not strictly required here. Although sometimes distracting, there is often a certain entertainment value to this easy standard. -JALLEN "All I need is a WAR ON DRUGS reference and I got myself a police thread BINGO." -jljones | |||
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Member |
Guess who's angling for big money jobs in Big Pharma after their time in the FDA? ************* MAGA | |||
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| You're going to feel a little pressure... |
Doctors don't tell people the equivalent of "You're a fat, lazy bastard who needs to quit smoking, eat a vegetable, take a walk, and lose 30 lbs" because, many times, the rate that they get reimbursed at is directly linked to YOUR PATIENT SATISFACTION SURVEYS. Do you really expect them to give you (proper) advice that's going to piss you off knowing full well that A) you're not going to follow it and B) it's going to take money out of their pocket when you trash their Patient Satisfaction Scores? That's the reason that antibiotics get prescribed for known viral illnesses. They don't want to get a bad survey. And we're worried about the influence that "Big Pharma" has on their prescribing habits when "Big Brother" is cutting their reimbursement if they don't kiss more ignorant asses and write whatever Rx they demand. Bruce "The designer of the gun had clearly not been instructed to beat about the bush. 'Make it evil,' he'd been told. 'Make it totally clear that this gun has a right end and a wrong end. Make it totally clear to anyone standing at the wrong end that things are going badly for them. If that means sticking all sort of spikes and prongs and blackened bits all over it then so be it. This is not a gun for hanging over the fireplace or sticking in the umbrella stand, it is a gun for going out and making people miserable with." -Douglas Adams “It is just as difficult and dangerous to try to free a people that wants to remain servile as it is to try to enslave a people that wants to remain free." -Niccolo Machiavelli The trouble with fighting for human freedom is that one spends most of one's time defending scoundrels. For it is against scoundrels that oppressive laws are first aimed, and oppression must be stopped at the beginning if it is to be stopped at all. -Mencken | |||
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| Member |
Had a doc try and put me on cholesterol meds. My cholesterol is fine. "Someone your age...." "No". | |||
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| Member |
^^^^This is the absolute truth. ----- Notice he said "most people" not some few people. My Doctor does not nag me to get more exercise because I am obviously fit, we do talk about gym memberships, and he suggests that I return to long distance bicycling. The last two weeks the gym has been crowded with people being shown how to use the equipment. Many if not most absolutely need to lose 20 pounds or much more, most have next to no muscle tone. If this crowd stayed on the gym could afford to double its floor space. However, it is only the New Years Rush, most will be gone by February and things will be back to normal. | |||
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Hoping for better pharmaceuticals |
Coffee mugs, pens, paper all went away over 10 years ago. Device manufacturers have had more leeway than pharma but are moving the same direction. Getting shot is no achievement. Hitting your enemy is. NRA Endowment Member . NRA instructor | |||
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goodheart |
Speaking as a cardiologist specializing in this area, medications are rarely the first step for treating high triglycerides. Avoid alcohol, high-sugar foods, lose weight; then fish oil. But medications should be reserved for extremely high triglyceride levels. _________________________ “ What all the wise men promised has not happened, and what all the damned fools said would happen has come to pass.”— Lord Melbourne | |||
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| Member |
One major problem with medical education is that as physicians we are highly skilled and trained in "disease management" - what we were not effectively trained to do was to be highly adept in "health management".Some estimates are that fully 75-90% of health issues in the USA are caused by diet and lifestyle choices. My success rate in getting patients to follow a healthy diet, to quit smoking and exercise is abysmal - so I am oftentimes forced into disease management. As I have gotten older and see this pattern, I have become disillusioned with medicine AS we practice it. Patient satisfaction surveys, insurance company meddling, high overhead, etc all conspire to to reduce us to advanced first aid stations. It can be done correctly, but it is difficult in our current environment. He Is No Fool Who Gives What He Cannot Keep, To Gain That Which He Cannot Lose! | |||
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