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It's a huge game that has been going on for decades.
There was talking about "curing" the common cold when I was a kid.
And forget that "run for cancer cures". Cancer is mega business.
My sister counted on mega $1000's in drugs to slow down the MS she is challenged with, she is
totally worse and has so declined.
It's NOT in the Industry's best interests to CURE AND HEAL. They have to answer to stockholders, major pharma companies....
Keep developing drugs to keep more bandaids going, keep patients coming back.
And Keep THEM all employed.
A game they play and MOST fall for it.
Pharma Industry isn't the only game in town, but a huge one.
True.
So now what does the average person do?
Answer: do your research on cheap alternative herbal supplements, changes of diet and home cures. Diabetes for one thing, can be cured strictly by eliminating sugar as part of the diet.
True.
So now what does the average person do?
Answer: do your research on cheap alternative herbal supplements, changes of diet and home cures. Diabetes for one thing, can be cured strictly by eliminating sugar as part of the diet.
Diabetes can be eliminated. Absolutely.
So why is it assumed that EVERYONE will get diabetes? Why do they plan to get everyone on LIFELONG drugs?
They aren't pushing diet enough. And, yes, it is THAT simple.
So why is it assumed that EVERYONE will get diabetes? Why do they plan to get everyone on LIFELONG drugs?
They aren't pushing diet enough. And, yes, it is THAT simple.
Everyone with diabetes is recommended to be on a diet. But it's not always so simple. If your pancreas doesn't work as in Type 1, limiting sugar is but one part of the treatment. If you're a steroid dependent diabetic, sugar itself is not the cause. But you would still be counseled on diet.
I've been a doc for over 40 years, so I'll make some of my own in rebuttal.
First off do not discount the value of our long term study. Docs' education does not end at med school graduation.
No salaried professional has their education end at graduation. Anyone working in a STEM job understands that all too well.
Quote:
Originally Posted by Hoonose
And especially do not underestimate the value of our long experience dealing with patients on a day to day basis for many years. This is where the anecdotal armchair google internet docs will commonly come up short. It is one thing to have a small part of a medical history, chief complaint or test result vs a potentially much larger thing to be able to apply that to the unique and overall broad medical/social picture of any one patient at that particular point in time. There is potentially a vast reservoir of information that the doc has to involve and consider in order to render the proper medical opinions in the patients best interest.
And don't discount the STEM worker with years of experience and their corporate knowledge. 90% of my value is my experience, 10% is my education. But I am 2nd/3rd level support for a ton of stuff, and 1st level for even more. I have my occupational specialty that exactly nobody else at my company really wants (analytics has many things that scare people off), and I have my general IT knowledge and skills. I use the whole kit, and I would imagine doctors are the same way. If I want some generalized info, sure, I might ask a general question. If I want level 2/3 tech support, I'll go see a specialist. If I need a specific repair, I'll go seek out a surgeon, etc. But I look at doctors the same way I do any salaried career. No better, no worse, just folks knocking down careers, trying to keep up in the rat race.
Quote:
Originally Posted by Hoonose
There was a time when we docs were expected to have all the answers. And there was the time when at least some of us had most of them. But that time is long gone for several reasons. First off back in the early '80's as more and more technical information came about, more and more docs went the specialty route. Of course it became more lucrative. So now these docs know about everything there is to know about a small chunk of medicine. And the generalist, primary care which is more my purpose in medical life, end up knowing just a little about everything in medicine. We are no longer expected to know all the answers.
And I suspect as more people come to understand this, the lower the cultural expectation for every doctor knowing everything shall be.
Quote:
Originally Posted by Hoonose
And my opinion on all this is both negative and positive. Negative for the less rounded docs we now turn out. But positive for patients who actually need the more highly specialized docs' knowledge.
Same as every industry really. The super knowledgeable general practitioner in any field gives way to the specialized consultant.
Quote:
Originally Posted by Hoonose
Because in the end a docs job is not like many other jobs. It is not a means to an end. It is a profession devoted to the broad medical care of patients, where the patients' best interests are the endpoint and bottom line.
Every career serves some sort of customer, and the salaried professionals in any career cater to the care, needs, wants etc of their customers. It's all about relationships and history.
Quote:
Originally Posted by Hoonose
So we docs would love it as much as anyone to have an easy and true cure for any disease. We will find other things to do with our time.
Which was kinda my point. I'd love it if tomorrow someone actually did deliver on the "and you won't even need developers anymore for all your analytics needs" promise. 22 years later, every company still needs people like me to write code and solve analytic/DW/BI problems. And if someone did figure out how to deliver what I do to the lazy users, I would be tasked with solving something else that they won't do but still need done.
I don't really get invested in all that "cure for all ills" stuff one way or the other. I go to work and solve problems as they come, and I suspect a doctor would be no different in that way. If they cure the common cold tomorrow, you'll have people visit with other problems, no doubt. There are always more problems, and they'll never run out.
Maybe my bottom line is that I simply don't deify the profession, thus my lack of placing wildly outrageous expectations upon those within it. Too many people do that with the healthcare industry, and it is a major reason the spending is so out of hand. The demand is nothing short of miracles half the time, and money, by gosh, is NO OBJECT! That's deification with an actual cost attached to it.
So why is it assumed that EVERYONE will get diabetes? Why do they plan to get everyone on LIFELONG drugs?
They aren't pushing diet enough. And, yes, it is THAT simple.
Oh, I agree. First, it is easier to just pop a pill than adhere to a diet. Plus being put on life long medications means repeat customers for doctors.
I can tell you that a good 40 years ago my Dad was put on a DIET for high blood pressure and cholesterol. Did these medications exist then? At any rate unless he wanted to run out all day for fast food, or cook for himself, he HAD to follow this. Mom refused to cook anything that wasn't on his diet. Did it work? YES it did.
People today are addicted to junk food, so just take some pill and eat whatever you want.
Everyone with diabetes is recommended to be on a diet. But it's not always so simple. If your pancreas doesn't work as in Type 1, limiting sugar is but one part of the treatment. If you're a steroid dependent diabetic, sugar itself is not the cause. But you would still be counseled on diet.
What percentage of your patients actually implement dietary and other lifestyle changes? How many just go home and plop down on the couch in front of the TV with a bag of chips?
What percentage of your patients actually implement dietary and other lifestyle changes? How many just go home and plop down on the couch in front of the TV with a bag of chips?
I couldn't tell you anything exact of course. Most all seem to follow general directions, but total calories?
The well informed and driven do well like in anything. These days many more are at least doing some exercise, so that's good thing.
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