how about an elevated LPa? but no other health issues? statin? Cause it’s happened again to another one of my seniors.
[quote]countingbeans wrote:
[quote]pat wrote:
Imagine how many people would die if doctors stopped prescribing medicine?
I think the medication is too controlled right now. Internet pharma is huge for a reason, people cannot get it from their drs. Increasing the size of the black market because of a prohibition, will put more dangerous drugs in people’s hands not less.
If people want drugs, they get drugs.
At some point people have to be responsible for themselves. I think people should be forced to understand more about their health instead of handing it off to a proxy. There seems almost a religious veneration for doctors in this country, truth is, you rarely walk out with a diagnosis. There is a lot of think, maybe and try when you leave a doctor. Doctors and drugs are tools, they are not your parents and they are not responsible for you.
Your health is not the doctor’s responsibility, it’s yours and if you are too lazy, or don’t have enough sense to take some control of it, then expect problems. [/quote]
Get out of here with this liberty shit.
If breastfeeding has taught us anything it is that the collective is best as long as certain people’s opinions are being fed to the people. If the wrong opinions are being fed to the people, the government has failed the mighty collective and the evil corporate illumiati are to blame.[/quote]
Get out of here with this liberty shit? LOL!!! Breastfeeding? I haven’t done that in a while…Oh I practice, I just don’t get fed.
People need to be responsible for themselves, period. The Dr should partner with you to solve medical issues, not be your fucking nanny.
^ What is the HDL? What is the small particle LDLs? What is family history? What are her lifestyle’s?
Lets keep it simple what are her vital signs? Again showing your ignorance that all a physician does is read a lab report and make a decision.
Also “your” seniors?
So now they are your patients? Are these people choosing you?
Are you not just assigned people to perform protocol driven standard exercise regiments on?
[quote]Derek542 wrote:
^ What is the HDL? What is the small particle LDLs? What is family history? What are her lifestyle’s?
Lets keep it simple what are her vital signs? Again showing your ignorance that all a physician does is read a lab report and make a decision.
Also “your” seniors?
So now they are your patients? Are these people choosing you?
Are you not just assigned people to perform protocol driven standard exercise regiments on? [/quote]
Particle size? how many doctors test for that. None of my seniors have ever had the test. In fact, I got my first one the other day to request it from her doctor.
[quote]Derek542 wrote:
Also “your” seniors?
[/quote]
Shorter than saying, the group of seniors that I work with on a daily basis.
[quote]Derek542 wrote:
Are you not just assigned people to perform protocol driven standard exercise regiments on? [/quote]
No, I am not.
[quote]Derek542 wrote:
Then you are making an assumption of your current experience and knowledge correct.
Heavy is an ER nurse in a Trauma center in Cali, I worked ER in Trauma center and family practice and from our experience there a a lot of elderly on that many medications.
So what do you make your assumption on? [/quote]
Picking any random old guy off the street to beat the national average by 3x+ isn’t what anyone would consider to be a “safe bet”. Relying on the tendency of an ER to self-select for elderly patients on the greatest amount of medications (who are at the greatest risk, for reasons I have already mentioned) ain’t gonna paint a clear picture of statistical reality.
Look, if I REALLY wanted to be argumentative, I’d post a contrary snippet like, “While taking more than two drugs can increase the risk of an adverse effect, taking more than five drugs increases that risk by 16%…” and argue about how nuts it is that the risk jumps to “almost 100%” just by adding in a sixth medication.
If you want to pat yourself on the back for being a healthcare professional chiming in on a thread revolving around healthcare, that’s great… just be sure not to shoot your credibility in the foot by resorting to hyperbole in your very first post.
[quote]pat wrote:
[quote]countingbeans wrote:
[quote]pat wrote:
Imagine how many people would die if doctors stopped prescribing medicine?
I think the medication is too controlled right now. Internet pharma is huge for a reason, people cannot get it from their drs. Increasing the size of the black market because of a prohibition, will put more dangerous drugs in people’s hands not less.
If people want drugs, they get drugs.
At some point people have to be responsible for themselves. I think people should be forced to understand more about their health instead of handing it off to a proxy. There seems almost a religious veneration for doctors in this country, truth is, you rarely walk out with a diagnosis. There is a lot of think, maybe and try when you leave a doctor. Doctors and drugs are tools, they are not your parents and they are not responsible for you.
Your health is not the doctor’s responsibility, it’s yours and if you are too lazy, or don’t have enough sense to take some control of it, then expect problems. [/quote]
Get out of here with this liberty shit.
If breastfeeding has taught us anything it is that the collective is best as long as certain people’s opinions are being fed to the people. If the wrong opinions are being fed to the people, the government has failed the mighty collective and the evil corporate illumiati are to blame.[/quote]
Get out of here with this liberty shit? LOL!!! Breastfeeding? I haven’t done that in a while…Oh I practice, I just don’t get fed.
People need to be responsible for themselves, period. The Dr should partner with you to solve medical issues, not be your fucking nanny. [/quote]
It is a reference to another thread somewhat related to this one.
Sorta goes like this:
“The government telling people what food to put in their mouths is cool, as long as I agree with the recommendation.”
and
“I’ve read about it online, I know what up.”
JF,
I hope you are not interpreting the lipid panel of seniors and advising them on pharmaceutical/dietary decisions… are you?
[quote]anonym wrote:
[quote]Derek542 wrote:
Then you are making an assumption of your current experience and knowledge correct.
Heavy is an ER nurse in a Trauma center in Cali, I worked ER in Trauma center and family practice and from our experience there a a lot of elderly on that many medications.
So what do you make your assumption on? [/quote]
Picking any random old guy off the street to beat the national average by 3x+ isn’t what anyone would consider to be a “safe bet”. Relying on the tendency of an ER to self-select for elderly patients on the greatest amount of medications (who are at the greatest risk, for reasons I have already mentioned) ain’t gonna paint a clear picture of statistical reality.
Look, if I REALLY wanted to be argumentative, I’d post a contrary snippet like, “While taking more than two drugs can increase the risk of an adverse effect, taking more than five drugs increases that risk by 16%…” and argue about how nuts it is that the risk jumps to “almost 100%” just by adding in a sixth medication.
If you want to pat yourself on the back for being a healthcare professional chiming in on a thread revolving around healthcare, that’s great… just be sure not to shoot your credibility in the foot by resorting to hyperbole in your very first post.[/quote]
Leave it to anonym to come up with that graphic LOL
[quote]rehanb_bl wrote:
[quote]kakno wrote:
[quote]rehanb_bl wrote:
[quote]kakno wrote:
Statins still save lives. Despite the popularity of high fat diets.
[/quote]
ummm what?
what is your reasoning for claiming that high fat diets are in anyway detrimental to an individual’s health?
[/quote]
Reading comprehension.
What that means is: While diet trends have changed and people are no longer afraid of eating fat, human biochemistry has not. Statins still work.[/quote]
I am not sure what you mean by that? Would you care to elaborate?
[/quote]
No. They have nothing to do with each other, that’s the point. Statins are a good idea for people with previous stroke, previous MI, people with familial hypercholeterolemia and hypertensive patients with other risk factors. There are lots of studies that support this. One little fly in the soup won’t change that. Several flies might.
Statins are not an “immoral money grab”, do you really think we’d keep prescribing them if they were?
Thalidomide, Rohypnol, Vioxx, there are countless drugs that got pulled off the market because they were dangerous or could be misused. Not to mention the bottom of the iceberg that gets shut down in trial stages. Drug companies do not want to kill you. They do however want to make money and cover their R&D expenses. Nothing wrong with that.
As an example of what happens if they don’t make money, look at Astra Zeneca, shutting down R&D facilities and cutting thousands of jobs.
[quote]jehovasfitness wrote:
[quote]Derek542 wrote:
^ What is the HDL? What is the small particle LDLs? What is family history? What are her lifestyle’s?
Lets keep it simple what are her vital signs? Again showing your ignorance that all a physician does is read a lab report and make a decision.
Also “your” seniors?
So now they are your patients? Are these people choosing you?
Are you not just assigned people to perform protocol driven standard exercise regiments on? [/quote]
Particle size? how many doctors test for that. None of my seniors have ever had the test. In fact, I got my first one the other day to request it from her doctor.[/quote]
I was doing that 4 years ago when I was working family practice in a small rural town in Texas.
Maybe instead of blaming the whole industry you should look at the area where you live. Your shotgun blast of a whole profession on your limited sample size is foolish.
[quote]anonym wrote:
[quote]Derek542 wrote:
Then you are making an assumption of your current experience and knowledge correct.
Heavy is an ER nurse in a Trauma center in Cali, I worked ER in Trauma center and family practice and from our experience there a a lot of elderly on that many medications.
So what do you make your assumption on? [/quote]
Picking any random old guy off the street to beat the national average by 3x+ isn’t what anyone would consider to be a “safe bet”. Relying on the tendency of an ER to self-select for elderly patients on the greatest amount of medications (who are at the greatest risk, for reasons I have already mentioned) ain’t gonna paint a clear picture of statistical reality.
Look, if I REALLY wanted to be argumentative, I’d post a contrary snippet like, “While taking more than two drugs can increase the risk of an adverse effect, taking more than five drugs increases that risk by 16%…” and argue about how nuts it is that the risk jumps to “almost 100%” just by adding in a sixth medication.
If you want to pat yourself on the back for being a healthcare professional chiming in on a thread revolving around healthcare, that’s great… just be sure not to shoot your credibility in the foot by resorting to hyperbole in your very first post.[/quote]
My first post? Who are you referring to.
[quote]Derek542 wrote:
[quote]jehovasfitness wrote:
[quote]Derek542 wrote:
^ What is the HDL? What is the small particle LDLs? What is family history? What are her lifestyle’s?
Lets keep it simple what are her vital signs? Again showing your ignorance that all a physician does is read a lab report and make a decision.
Also “your” seniors?
So now they are your patients? Are these people choosing you?
Are you not just assigned people to perform protocol driven standard exercise regiments on? [/quote]
Particle size? how many doctors test for that. None of my seniors have ever had the test. In fact, I got my first one the other day to request it from her doctor.[/quote]
I was doing that 4 years ago when I was working family practice in a small rural town in Texas.
Maybe instead of blaming the whole industry you should look at the area where you live. Your shotgun blast of a whole profession on your limited sample size is foolish. [/quote]
Considering you’re on this site and into fitness, I’m not too surprised… I’m right outside of DC, I doubt there’s a shortage on docs…
[quote]jehovasfitness wrote:
[quote]Derek542 wrote:
Are you not just assigned people to perform protocol driven standard exercise regiments on? [/quote]
No, I am not.[/quote]
Oh okay
[quote]Derek542 wrote:
[quote]jehovasfitness wrote:
[quote]Derek542 wrote:
Are you not just assigned people to perform protocol driven standard exercise regiments on? [/quote]
No, I am not.[/quote]
Oh okay[/quote]
bwahahaa good one. I was just answering your question 
<> - Can we get bullet points?
JH: Statins ain’t shit.
Dk: Everybody would die without doctors.
[quote]Derek542 wrote:
My first post? Who are you referring to. [/quote]
Oh, not you. Heavy.
The “protip” is that if he wants to pat himself on the back for being one of the few “real health care professionals” posting in this thread, it’s a smart move to not immediately follow the self-congratulatory intro with factually incorrect (risk of adverse interactions by number of medications) or unnecessarily hyperbolic (DOZENS of medications) statements.
While I’m certain he has much insight into this topic, committing party fouls #1 and 2 above do nothing but cheapen his contributions.
I’ve enjoyed your input so far.
[quote]pat wrote:
People need to be responsible for themselves, period. The Dr should partner with you to solve medical issues, not be your fucking nanny. [/quote]
I generally agree, unless you’re inpatient, in which case I expect the hospital team to do more than just diagnose and advise.
However, given my girlfriend’s patient population, those people actually need someone to tell them what to do and make them do it… and what not to do. There’s a huge difference dealing with white-collar patients and welfare/medicare patients. Spend enough time with either, and your overall attitude changes.
[quote]Airtruth wrote:
<> - Can we get bullet points?
JH: Statins ain’t shit.
Dk: Everybody would die without doctors.[/quote]
I still can’t fathom how we’re having a statins debate on this site, but fuck me, guess we did.