tag:blogger.com,1999:blog-2760353953251845523.post8964651023225002947..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: Over TreatmentJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-2760353953251845523.post-64721669962573820962011-04-15T02:42:31.798-04:002011-04-15T02:42:31.798-04:00As a med school applicant, future surgeon and cons...As a med school applicant, future surgeon and conscious American, this is probably one of the greatest blog posts I have ever read. I have shared many of your thoughts along these lines, and it is nice to know that you not only have them too but can articulate so directly these broad reaching societal structures. And still get up every day and help sick people, some of whom get better and are utterly grateful. Life in this world is complex and certainly not getting any simpler any time soon, but I love medicine despite all of the difficult issues, as it is obvious you do too. You are an inspiration and I thank you for leading the way for those of us entering the treacherous road ahead.EA, San Francisconoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-10507790995403757052011-04-09T14:51:46.845-04:002011-04-09T14:51:46.845-04:00Did you really think there were two parties who st...Did you really think there were two parties who stood for different ideals?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-60621946091900513582011-04-06T09:21:52.468-04:002011-04-06T09:21:52.468-04:00While I have yet to obtain the clinical experience...While I have yet to obtain the clinical experience to further understand end of life health care costs I have noticed a potential problem with arguments dismissive of such care.<br /><br />The hard to define culture of the United States does in general treat the elderly and speak of them as less valuable human beings.<br /><br />One example I have noticed again and again is the errant dismissal of symptoms, a.k.a. LOL in NAD leading to unnecessary suffering and outright poor medicine.<br /><br />I suggest we improve medicine at what we now think is end of life costs while keeping in mind that a few decades ago the unsurvivable end of life maladies are now survivable, often with a return to an excellent quality of life.<br /><br />With the onset of an elderly demographic consuming more and more financial resources of their own and the government's, I for one, will advocate for close scrutiny of plans to save money at the expense of treatment. Otherwise, we may unwittingly overreach our roles as physicians by writing off patients before their time.Dr. Davenoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-72849121734810678412011-04-05T10:14:02.257-04:002011-04-05T10:14:02.257-04:00Physicians need to stop death prolonging care. Ma...Physicians need to stop death prolonging care. Many people want to die at home with loved ones, but supporting a family to make that possible is harder to pay for then state of the art care. Plus primary care folks don't make housecalls, are joining large institutions, and are probably less likely to know families well in high tech, large practice environments when a totally different doc like hospitalist cares for the family during acute illness. Maybe a palliative care nurse assigned to patient families would help. What happens if you refuse to consult on the patient?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-28170384349711527382011-04-04T18:32:48.860-04:002011-04-04T18:32:48.860-04:00We will gain no friends in Libya regardless of the...We will gain no friends in Libya regardless of the outcome-this a civil war and we know little if anything about the side we support. Expect what ever arms we provide to used against us in the future. <br />Regarding how we spend our health care dollar, most folks do what they are incentivized to do-in this case "provide care" irrespective of its value to the patient. When pushing the pedal stops yielding a food pellet, the pedal will cease to be pushed.<br />Does anyone actually tell the family, "what I am going to do will not return to you the (fill in the blank)you knew." The best I can do is prolong his/her existence.<br />BTW Obama is transparent-you can see right through himtomnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-79030629742139260812011-04-02T07:19:14.316-04:002011-04-02T07:19:14.316-04:00Axl,
You havent had a decent record since "...Axl,<br /> You havent had a decent record since "Use your Illusion".<br />and I just noticed, but "Axl Rose" is just "Oral Sex" rearranged...<br /><br />Frank "One in a Million" DrackmanAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-36539018677407130602011-04-01T12:29:09.037-04:002011-04-01T12:29:09.037-04:00Sometimes it's just so freaking obvious which ...Sometimes it's just so freaking obvious which docs have a few aggressive sales reps, I mean PA/NPs out there to source new market potential, I mean assure the best of patient care.<br /><br />-SCRNAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-7922804735379425352011-04-01T07:22:39.962-04:002011-04-01T07:22:39.962-04:00Holy crap, you definitely spent some time in the g...Holy crap, you definitely spent some time in the garage coming up with this post. I agree completely with your opinions. At a time in this country where dishonest Tea Party congressmen scream about deficits as a justification for dismantling the right to collectively bargain for the middle class, perhaps we should ask ourselves why it is acceptable to continue outrageous defense spending to support three illegal wars. I fell victim to the optimism surrounding Obama's campaign, and now feel nothing but complete disdain for our political system. Perhaps it's time for a massive revolution in this country. Check out this article:<br /> <br /><br />http://www.marketwatch.com/story/tax-the-super-rich-now-or-face-a-revolution-2011-03-29?pagenumber=1Attorney Andynoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-7098965050207557882011-04-01T06:52:53.617-04:002011-04-01T06:52:53.617-04:00Hey, the Cavs won a game!!!!!!!!!!!
beat there Mea...Hey, the Cavs won a game!!!!!!!!!!!<br />beat there Meat, I mean the Heat..<br />and its not an April Fools joke...<br />Only 44 more and they'll be at .500!!!!<br /><br />FrankAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-21105215204515126342011-04-01T05:23:31.914-04:002011-04-01T05:23:31.914-04:00AR-
By "unilateral" I was just referring...AR-<br />By "unilateral" I was just referring to the President's decision to insert our armed forces into the Libyan civil war without Congressional approval or oversight. Thanks.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-85954194054314148822011-04-01T02:41:42.240-04:002011-04-01T02:41:42.240-04:00I agree with you completely on the medical side of...I agree with you completely on the medical side of this post - something is rotten at the core of our healthcare system, and I hope to that it gets better and not worse from here. However, I have to disagree with you on the Libya issue. Contrary to your post, this was not a "unilateral" action. This was us standing behind France, the UK, and Italy, who all wanted to take the lead in preventing a slaughter. I dont deny the possibility of alterior motives, but I truly those were secondary, in this case, to the primary humanitarian objective. Our current administration is not trying to police the world, but the UN recently adopted a resolution mandating intervention to prevent genocide. This is not a war between nations, and I think we did the right thing. <br /><br />Does that mean that we should go intervene everywhere that there are humanitarian crises? Well, probably not- it's not practical. But when a multilateral action is already in motion, I think it is the responsibility of the USA to join up to save human lives. Just my two cents. I'm thoroughly enjoying your blog by the way!Lucky Jackhttps://www.blogger.com/profile/00281212658607029795noreply@blogger.com