The medical profession’s main problem is its practitioners. They need to make MAJOR improvements with who DELIVERS THEIR KNOWLEDGE AND EXPERTISE. It is simply not enough to invent magnificent therapies and so forth and then ignore how those therapies are delivered.
Does a person have to go to the Mayo Clinic or Cleveland Clinic to find someone who actually does know his ass from a hole in the ground?
A friend of mine says a main personality trait for a doctor should be that he likes to play detective. I agree.
That’s true. The key about this is he/she has to WANT to do this. As I mentioned in my previous post, there are some good doctors out there, you just have to sort through many who aren’t so good. Some of the bad ones are victims to the HMO dynasty that exists; others simply don’t care as much as the detective-types.
The doctors that are a case manager for you, thinking of all options and not giving up until you are cured or every possible choice has been exhausted (and the good doctors are very creative with coming up with new avenues) are the true heroes of the medical profession.
I posted my post as one of many experiences I could have selected from. That one was funny…some of my other misdiagnosed experiences were quite the opposite from funny to the point of being harmful. People are passionate on this thread for a simple reason: if you get bad customer service on your vaccuum cleaner, cable television or even car, it’s a much less risky ordeal than getting bad customer service on your body.
[quote]on edge wrote:
A friend of mine says a main personality trait for a doctor should be that he likes to play detective. I agree.[/quote]
[quote]Mufasa wrote:
By NO means am I suggesting that the Modern Medical System doesn’t need fixing.
But this thread is an indictment against the whole system and all doctors because of individual experiences.
I ask; is that right?
Mufasa[/quote]
I think the thread is titled The hate YOUR Doc thread. This meaning your personal or past doctotrs. Sure some guys are gonna toss around jokes and you get some hippies coming out of the woodwork to talk about healing thyself and shit but most of this is venting on ones personal doc.
[quote]bushidobadboy wrote:
I’m not ranting aginst the medical profession as a whole, more against the combination of overworked, jaded practitioners, combined whith the ignorant, ungrateful general populace who are unwilling to take responsibility for their own health.
When you add in the pharmaceutical giants who care NOTHING for peoples health, but ONLY for their profits, you get my blood boiling.
There are many, many excellent health professionals out there, who genuinely strive to be he best that they can be, in order to have the maximum benefit for the patient. There are many innovative surgical procedures, and medical equipment, developed through allopathic medicine.
So how come, the western worlds’ spending on ‘health’ has increased EVERY year. We now spend more on healthcare than ever before, yet our health just keeps going down the shitter…?
Besides placing responsibility at the foot of the food and beverage marketing companies, and the ignorant consumer who blindly eats whatever shite is labeled most seductively, I place a fair amount of blame on the drug companies. They won’t investigate anything that they can’t patent, so alternative and natural remedies go unexplored. However, the drug co.s are happy to invent new drugs for new conditions.
For example, 20 years ago, if a young male kid was a bit boistrous, disruptive, loud and exciteable, he was just a boy. Maybe a ‘bit of a handful’, but nothing that a skilled teacher, and some proper parenting couldn’t fix. Nowadays though - ‘Oh, your child must have ADHD, or something. Here, give him these powerful drugs, perhaps they will calm him down.’
Fuck, I’m ranting again.
bushy[/quote]
Well said. I can agree with that.
I think the overworked part is worth noting. I don’t care how good you think you are at your job, at some point you become overworked and dimishing returns come.
[quote]T-Nick wrote:
You know what they call the person who graduates last in his med class?
A doctor[/quote]
Captain
[quote]Elaikases wrote:
CaliforniaLaw wrote:
I wonder who many people discussing how “stupid” doctors are, are making six figures? Why don’t all of you brainiacs harness that intelligence and go make some money?
Oh, yeah, that’s right… You like not being in control of your own financial destines. Yeah, that must be it!
What they really are complaining about is doctors who are not polite, caring or paying attention.
Easy enough to do, all in all.
[/quote]
Actually, some of the most crazy intelligent, critically thinking, caring people in the world are docs. I can tell by this post that there are many laymen (non-docs) on the board.
If you are not a doc, it’s very easy to sit back, read google for your med info and self-diagnose. However, much of the info on the internet is not EVIDENCE-BASED or PEER-REVIEWED.
It is awe-inspiring when you see a good surgeon, cardiologist, intensivist, or internist plying their craft. Folks have NO IDEA how brilliant some of these people are. Folks have no idea how much there is to medicine. No fucking clue.
Also, take into account the trouble with insurance compensation. Every Tom, Dick, and Harry wanting to better their bleak existence by ruining yours because you made a mistake (note I said mistake, not negligence). Don’t forget every conscience-less, piece of shit lawyer willing to take said cases.
It can be a very frustrating thing to practice medicine these days.
Finally, did I mention one important fact? Patients LIE. ALL THE TIME. How are you supposed to practice without full disclosure from folks. Come on, for example (only one of very many), how many of you have tampered with the ol’ jewels in order to affect lab tests in order get the ol’ HRT script filled?
Truthfully, most docs don’t know shit about testosterone supplementation. But medicine isn’t about helping you achieve your physique goals.
There’s much more to the equation than simply, “my doctor fucked up”.
[quote]GenSurg69 wrote:
Elaikases wrote:
CaliforniaLaw wrote:
I wonder who many people discussing how “stupid” doctors are, are making six figures? Why don’t all of you brainiacs harness that intelligence and go make some money?
Oh, yeah, that’s right… You like not being in control of your own financial destines. Yeah, that must be it!
What they really are complaining about is doctors who are not polite, caring or paying attention.
Easy enough to do, all in all.
Actually, some of the most crazy intelligent, critically thinking, caring people in the world are docs. I can tell by this post that there are many laymen (non-docs) on the board.
If you are not a doc, it’s very easy to sit back, read google for your med info and self-diagnose. However, much of the info on the internet is not EVIDENCE-BASED or PEER-REVIEWED.
It is awe-inspiring when you see a good surgeon, cardiologist, intensivist, or internist plying their craft. Folks have NO IDEA how brilliant some of these people are. Folks have no idea how much there is to medicine. No fucking clue.
Also, take into account the trouble with insurance compensation. Every Tom, Dick, and Harry wanting to better their bleak existence by ruining yours because you made a mistake (note I said mistake, not negligence). Don’t forget every conscience-less, piece of shit lawyer willing to take said cases.
It can be a very frustrating thing to practice medicine these days.
Finally, did I mention one important fact? Patients LIE. ALL THE TIME. How are you supposed to practice without full disclosure from folks. Come on, for example (only one of very many), how many of you have tampered with the ol’ jewels in order to affect lab tests in order get the ol’ HRT script filled?
Truthfully, most docs don’t know shit about testosterone supplementation. But medicine isn’t about helping you achieve your physique goals.
There’s much more to the equation than simply, “my doctor fucked up”.
[/quote]
Well yes many docs are good etc, but this is not the “The LOVE your doc” thread. As a thread where some vent their frustration, it is not meant to be representative, fair or balanced.
[quote]GenSurg69 wrote:
Elaikases wrote:
CaliforniaLaw wrote:
I wonder who many people discussing how “stupid” doctors are, are making six figures? Why don’t all of you brainiacs harness that intelligence and go make some money?
Oh, yeah, that’s right… You like not being in control of your own financial destines. Yeah, that must be it!
What they really are complaining about is doctors who are not polite, caring or paying attention.
Easy enough to do, all in all.
Actually, some of the most crazy intelligent, critically thinking, caring people in the world are docs. I can tell by this post that there are many laymen (non-docs) on the board.
If you are not a doc, it’s very easy to sit back, read google for your med info and self-diagnose. However, much of the info on the internet is not EVIDENCE-BASED or PEER-REVIEWED.
It is awe-inspiring when you see a good surgeon, cardiologist, intensivist, or internist plying their craft. Folks have NO IDEA how brilliant some of these people are. Folks have no idea how much there is to medicine. No fucking clue.
Also, take into account the trouble with insurance compensation. Every Tom, Dick, and Harry wanting to better their bleak existence by ruining yours because you made a mistake (note I said mistake, not negligence). Don’t forget every conscience-less, piece of shit lawyer willing to take said cases.
It can be a very frustrating thing to practice medicine these days.
Finally, did I mention one important fact? Patients LIE. ALL THE TIME. How are you supposed to practice without full disclosure from folks. Come on, for example (only one of very many), how many of you have tampered with the ol’ jewels in order to affect lab tests in order get the ol’ HRT script filled?
Truthfully, most docs don’t know shit about testosterone supplementation. But medicine isn’t about helping you achieve your physique goals.
There’s much more to the equation than simply, “my doctor fucked up”.
[/quote]
Great post. I think some people have NO IDEA how much people bust ass in medical school, residency, and beyond to become the best physicians that they can be. Taht said, EVERYONE makes mistakes. Oh, what’s that? You made a typo on your cover sheet? Big fucking deal. Fix it and reprint it.
On the other hand, when your doctor makes a mistake, it is a big fucking deal. Sucks, but it’s gonna happen. Also, I agree with the complaints that doctors over prescribe medications, but a lot of this is patient driven. People see tv commercials and come in asking for the meds. They want scripts. They want their problems fixed. And they want it now.
I think the take home message is that you should look out for your own health. You wouldn’t just walk into a car dealership and ask “which car should i buy?”, would you? Now I’m not saying that you shouldn’t rely on the advice of you physician-after all, he is the expert. But you should do a little research and have a general knowledge of what kind of condition/situation you are dealing with.
Very interesting thread. And as someone pointed out, grammar aside, “most docs don’t know shit about testosterone supplementation” That may be true, but it stands to reason that there are many who do. It would be a good thing if those who are fortunate enough to have found those good doctors can help the rest of us connect with them.
Case in point, I’ve been eyeing up HRT for the past several months but haven’t yet pursued it because being self-employed I have absolute garbage insurance and I don’t want to waste my time and money (I’ll be paying for it 100% out of pocket) on a doctor who isn’t knowledgeable or worse, thinks a low-normal number is just fine.
Great thread. Doctors have got to be the most worthless professionals in the history of civilization. They are careless, irresponsible, corrupt, and incompetent. Sometimes I wonder if medical schools don’t actually screen out candidates with above-average IQs. I’m sure they help some people but on the whole their net effect on society’s health has been very negative, to the point that the best treatment for many diseases is probably no treatment… you’re better off with chronic illness than chronic medical treatment…
I don’t HATE my doc… my endo, that is, but she is WAY too cautious/conservative. I first went to her in Nov. 2005, because I thought my T was at least low nominal range according to Quest Diagnostics and my MD wouldn’t do TRT (and MD’s who are members of the “7th Day Adventist Medical Mafia” are NOTORIOUSLY conservative) so he passed the buck and referred me to the endo. (BTW, I’m not 7th Day Adv., but they have a borderline monopoly on anything medical around here)
Anyway, the endo diagnosed me with high C-peptide, borderline insulin resistant, pre-diabetic; so we pursued that. It was a case of “What came first, the chicken or the egg” IMO. Long story short, after having a little success with the C-peptide, but still low T, I told her, “LOOK, I CAME to you about this in Nov. 2005, it’s STILL low and if YOU don’t prescribe TRT, I’ll go to somebody that WILL!”
She prescribed Testim. Bottom line: Don’t let these people push you around, stand up for what you believe in, with SOME objectivity… Talk to them, communicate with them.
I do hate my urologist…I have another thread but I though it might fit to post here. After getting back blood work and sperm anyalsis and getting 200mg test cyp every two weeks (right now I do 100 a week) He calls back after almost 3 weeks about my HCG question and says “maybe” that or clomid…then a long pause and he says neither.
Lets wait a month and see how you feel and how your count comes back. Told him my nuts are tight and hurt a little…his response “that happens”
[quote]rfish1966 wrote:
I do hate my urologist…I have another thread but I though it might fit to post here. After getting back blood work and sperm anyalsis and getting 200mg test cyp every two weeks (right now I do 100 a week) He calls back after almost 3 weeks about my HCG question and says “maybe” that or clomid…then a long pause and he says neither.
Lets wait a month and see how you feel and how your count comes back. Told him my nuts are tight and hurt a little…his response “that happens”[/quote]
You will shut down LH on that dose and sperm production will be low and probably will reduce more over time, with the potential for worst outcome.
Clomid may work, but it is selective, having estrogenic effects in other ways. One example is that some guys get very emotional when on clomid. HCG does the job directly and is inexpensive from some places. $16.25/10,000iu at Sam’s Club with a business membership.
Yup, I have the info you sent me plus some. I plan to go to my regular doc and ask her for HCG, I will post in my other thread about it.
[quote]KSman wrote:
rfish1966 wrote:
I do hate my urologist…I have another thread but I though it might fit to post here. After getting back blood work and sperm anyalsis and getting 200mg test cyp every two weeks (right now I do 100 a week) He calls back after almost 3 weeks about my HCG question and says “maybe” that or clomid…then a long pause and he says neither.
Lets wait a month and see how you feel and how your count comes back. Told him my nuts are tight and hurt a little…his response “that happens”
You will shut down LH on that dose and sperm production will be low and probably will reduce more over time, with the potential for worst outcome.
Clomid may work, but it is selective, having estrogenic effects in other ways. One example is that some guys get very emotional when on clomid. HCG does the job directly and is inexpensive from some places. $16.25/10,000iu at Sam’s Club with a business membership.[/quote]
Sorry to dig up an old thread, but this fits here I think. A Doctor told my girl she had to have a hysterectomy. Needless to say we got a second opinion mainly because we both want to have a baby and she is very young still. New doc said he might be able to just clean the cysts out. After the surgery he told us she couldn’t have children and a hysterectomy was still recommended. We are currently still in the first trimester but very hopeful that all works out. I’m glad she didn’t just accept the first doctor’s opinion. I guess they do call it PRACTICING medicine thought.
Ahh, the joys of living in Canada.
[quote]hankr wrote:
Second, the doctor that botched my vasectomy, resulting in my junk being open on the table for more than an hour. I got an infection, and my right nut sweeld to the point where - I swear this happened - My sac opened up. You could see my giant nut! Massive amounts of IV and oral anti-biotics, followed by 6 weeks out of work. For a fucking vasectomy! Thanks asshole![/quote]
holy freaken crap man! I hate stupid lawsuits but that one screams medical malpractice! I would sue/kick the crap out of him for screwing up my junk.
Man I hope that’s all healed up man. Sorry you had to go through that!
[quote]Headhunter wrote:
The medical profession’s main problem is its practitioners. They need to make MAJOR improvements with who DELIVERS THEIR KNOWLEDGE AND EXPERTISE. It is simply not enough to invent magnificent therapies and so forth and then ignore how those therapies are delivered.
Does a person have to go to the Mayo Clinic or Cleveland Clinic to find someone who actually does know his ass from a hole in the ground?[/quote]
No you can go to see Dr. House.
In all seriousness though the medical profession is that like any other. You have your good ones, your great ones, and your horrible ones that coasted through medical school to get a good paycheck.
Anyone hear the term buyer be ware? When you go to see a doctor you are buying their services so you still have a responsibility to look into who you are dealing with. Of course this theory goes out the window in an emergency situation.
My brother is a M.D. who really knows his stuff and he works at a hospital in Miami. So no you don’t have to go to the Mayo Clinic to get a great doctor but remember you get what you pay for.
If you have a HMO or go to a really cheap hospital do you really expect to get the same treatment as you would at he Mayo Clinic? Remember there is a reason why those doctors are working where they are (and yes there are exceptions such as the Dr who wants to help the poor).