tag:blogger.com,1999:blog-24021163.post1223167979090366137..comments2024-02-18T01:56:38.508-06:00Comments on M.D.O.D.: Paternalism in Medicine911DOChttp://www.blogger.com/profile/06466669111561150174noreply@blogger.comBlogger40125tag:blogger.com,1999:blog-24021163.post-87368993092894552112009-04-14T03:54:00.000-05:002009-04-14T03:54:00.000-05:00MMMMM.... had deep fried snickers at the Texas sta...MMMMM.... had deep fried snickers at the Texas state fair last year. Had the deep fried smores too. The damn like was too long for the chicken fried bacon. LOL gonna try that one for sure though this year.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-83754034793417291282008-08-29T09:51:00.000-05:002008-08-29T09:51:00.000-05:00Etotheipi; thank you for noticing.Joking aside, I ...Etotheipi; thank you for noticing.<BR/><BR/>Joking aside, I am honored by your response, but my comments are not brilliant: they are simple and obvious to anyone who has read a little history, and is willing to spend more than 30 seconds thinking about this stuff. Why are we not getting this simple, obvious truth out there?CountyRathttps://www.blogger.com/profile/10228262536418983673noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-23542735015285954042008-08-28T12:13:00.000-05:002008-08-28T12:13:00.000-05:00COUNTRYRAT:BRILLIANT.COUNTRYRAT:<BR/>BRILLIANT.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-23871040245499762692008-08-28T12:01:00.000-05:002008-08-28T12:01:00.000-05:00Actually, Swedoz, medicine did operate as part of ...Actually, Swedoz, medicine did operate as part of a free market for many centuries, and it worked very well. Doctors, like other professionals, brought a high level of integrity to their practices, perusing the patients' best interests without exploiting his or her ignorance. Oh sure, there have always been bums in every profession, and even some outright quacks, but they are too few to skew the economics of medicine significantly. They are a problem to their unfortunate victims, but not a major economic problem.<BR/><BR/>Physicians still have the same high standards of integrity today that they have had in the past. The problems with our current healthcare systems are precisely because it is no longer a market system. In the past, the doctor had duties to one individual: the patient, whose interests the doctor perused without regard to external issues. Today, for the first time in history, the doctor has two masters, the patient, and the payer. Any system that separates the role of recipient of services from that of payer for services, is not a market system, it is managed system. It forces the provider to fulfill duties to two parties, even if the interests of those parties are in conflict. And no, it does not matter at all whether the payer is an insurance company, a government agency, or the man in the moon. As long as patient and payer are separate, there will be conflict, and the physician will not be able to maintain the narrow, patient-centered focus that typifies professionalism. Those who advocate universal healthcare never address this obvious fact. They insist that the answer to the serious problems caused by our managed healthcare systems is to increase the management. This is insane. Doing more of what does not work will continue to not work, no matter how loftey the intentions of those who do it.CountyRathttps://www.blogger.com/profile/10228262536418983673noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-22998201530269768202008-08-28T05:43:00.000-05:002008-08-28T05:43:00.000-05:00Absolutely the doc has the power/knowledge in the ...Absolutely the doc has the power/knowledge in the doc/patient relationship. Problem comes when doc gets greedy and orders tests not needed and because of the above the patient dumbly nods his head. Also in this type of relationship the patient doesn't have the knowledge to know when to buy and when to not buy - an essential part of market economics. Makes it a bit difficult to have medicine operating as a free market. Only problem is to find a better alternative. Bit like democracy - sucks ass but a shitload better than the other options.Swedozhttps://www.blogger.com/profile/01731646301284972279noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-3871268128222643432008-08-27T09:57:00.000-05:002008-08-27T09:57:00.000-05:00We had the wierdest patient today. She took care ...We had the wierdest patient today. She took care of herself, knew her medical history, had been taking her medication, was accompanied by a polite, calm, husband who gave a clear history with useful information, and had used EMS only when totally appropriate after doing her best to avoid emergency care.<BR/><BR/>We didn't quite know what to do. Makes me realize the distorted cross-section of people we normally see.Tyrohttps://www.blogger.com/profile/06274875231456958701noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-42989844026195995902008-08-27T09:19:00.000-05:002008-08-27T09:19:00.000-05:00I think the same people who refuse to accept the a...I think the same people who refuse to accept the advise of doctors refuse to accept of advice from anybody. The know-it-alls approach everybody the same way.Devorrahhttps://www.blogger.com/profile/14542045173559671539noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-85225322044148615672008-08-27T08:08:00.000-05:002008-08-27T08:08:00.000-05:00Wow some post this is turning out to be.Well I per...Wow some post this is turning out to be.<BR/><BR/>Well I personally don't have a clue about how the US healthcare system functions, but I've been reading Behabioural Sciences for USMLE and apparently, patients are given WAY too much power (imho).<BR/><BR/>In India, although the law may say otherwise, the practical aspects of ethics are zilch. Doctors are Gods who are worshipped and can do anything and everything they want, as long as the patient gets better. The patient may have rights, but he surely doesn't have enough brains (most of the time) to make a logical decision. Every week we see numerous neonates with some infective diarrhoea, because it is customary to give honey to the newly born. In the month of Ramadan, considered holy by Muslims, we get to see cases of intestinal intussusception. Even diabetics fast all day long during this period, some continuing their meds/shots, others stopping. So we get delightfully suppurative diabetic foot cases as well.<BR/><BR/>Do we really want to respect the beliefs of patients to the point where it ceases to have scientific and logical sense? Is respect for God so important that you can watch your patient die, cause his religion forbids blood transfusions? How many more cases of branding of infants must we see, before we can safely assume that the patient cannot be trusted for logical healthcare decisions?<BR/><BR/>The answer, my friend, is blowing in the wind..TheAbacushttps://www.blogger.com/profile/08055048810673583429noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-80427319323280930242008-08-27T01:18:00.000-05:002008-08-27T01:18:00.000-05:00*sniff* that's the most beautiful rant i've ever r...*sniff* that's the most beautiful rant i've ever read... or, if not, the most beautiful one that i remember. please drop your meth addicts at our door anytime... i just want to shake your hand.911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-31791825471799257092008-08-27T00:42:00.000-05:002008-08-27T00:42:00.000-05:00As far as that "customers" thing goes, I will say ...As far as that "customers" thing goes, I will say on this blog, anonymously, that I often choose destination ERs on a few criteria.<BR/><BR/>See, I have a lot of influence on patients. They ask me, "Is this a good ER? Is that a good ER? Where would you go?" or I'll just go where I feel like it if they have no preference. <BR/><BR/>It's one of the joys of a being a paramedic.<BR/><BR/>But anyway, on to my criteria. Factors favoring me to come to your ER (fuck the patient, this is MY reasons as a paramedic):<BR/>1. You're not douchebag fucks.<BR/>2. Yum yum snacks. <BR/>3. Attractive staff.<BR/>4. Good AC. <BR/>5. Comfy chairs.<BR/><BR/>That's about it. If I roll in and we can get this care transfer crap squared away quickly, that's a bonus. I hate hospitals. The less time I can spend in them, the better. <BR/><BR/>If staff aren't smarmy fucks, I'll come with good patients (multisystem traumas, complex medical patients) etc... if staff are smarmy fucks who are rude, I bring the obnoxious drunk assholes that throw feces and spit on people to your ER even if it's a longer drive.<BR/><BR/>Attractive staff. I'm married, but that doesn't mean I don't enjoy leering at healthy staff.<BR/><BR/>AC: It's hot. Poor people don't ever have AC. So I sweat my balls off in the summer. They're usually lazy, and it takes an insane effort to get some of these massive skin bags down a flight of stairs. My record is a 800 lb patient. There was so much fat we had to fold him up like a burrito. His skin wouldn't fit down the hall, so I had some helpers grab huge fists of skin and plop the excess on his chest and flop the tits up over his head. It was 95 degrees outside. Hence the need for good AC in the EMS room.<BR/><BR/>Comfy chairs need no explanation.<BR/><BR/>Long story short, if you think that the patient had much of a choice in this amazingly fertile sea of wonderful healthcare options, you're a fucking fool. It was probably only because the admitting girl was beautiful and you have yummy popcicles in the freezer. <BR/><BR/>I'll admit this only anonymously. But I assure you that I'm not some dirty fuck outlier. This is how my coworkers operate. We're petty and vindictive. I know people have purposely brought the worst of the worst alcoholics, PCPers, malingers, ultra high need whiner patients to ERs that treat us like shit. <BR/><BR/>Any greaseball hospital administrator who can't figure this out needs another MBA to jerk off on.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-74940206375804500632008-08-26T23:54:00.000-05:002008-08-26T23:54:00.000-05:00Ah, *more memories*, the cute pain specialist that...Ah, <I>*more memories*</I>, the cute pain specialist that did the post-botched-didn't-really-need-an-appendectomy nerve blocks two years ago. We had a really nice flirt going on in the hospital and my husband walked in on it.... <I>*blush*</I><BR/><BR/>oops, sorry, we're talking about deep fried Snickers. Digress.Lisahttps://www.blogger.com/profile/02649979730444525810noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-53703649476029667562008-08-26T23:46:00.000-05:002008-08-26T23:46:00.000-05:00dear pinky, you may not realize this but you have ...dear pinky, <BR/><BR/>you may not realize this but you have stumbled onto something that docs have been taught by lawywers.<BR/><BR/>research, the good kind, has demonstrated time and again that a good bedside manner cures all manner of misdeeds. you are TONS more likely to be successfully sued if you are a jerk. <BR/><BR/>luckily for surgeons the most time they spend with their patients is when they are paralyzed and sedated. i kid my colleagues but they do tend to have the most brusque manner. <BR/><BR/>to me, as a dude, this makes little or no sense, but, i must admit, i would not continue to go to a general medical physician who was not nice or did not have a good bedside manner. <BR/><BR/>if neurosurgeon-Z is the only dude in the world that can get that astrocytoma completely out of my squash and keep me from drooling on myself afterwards then he can cuss me up and down and spit on my kids and i'll let him have a go and pay him to do it.911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-74293107584272080072008-08-26T23:37:00.000-05:002008-08-26T23:37:00.000-05:00IT is difficult to pick a good Doctor if you are a...IT is difficult to pick a good Doctor if you are a lay person. I know one Doctor who got kicked out of our hospital for being incompetent. But he was very friendly and had a great bedside manner. I also know an OB who I really don't like. But I would definitely have him do surgery on me or my family.<BR/><BR/>I would not be comfortable with a hot Doctor. I remember having a really hot patient when I was a new nurse and I hated going into his room because I kept blushing. And he kept being naked.....Which made it hard for me to appear competent.pinkyhttps://www.blogger.com/profile/00198277802918823591noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-67250836401417672292008-08-26T23:34:00.000-05:002008-08-26T23:34:00.000-05:00etotheipi,given that you are phenotypically male t...etotheipi,<BR/><BR/>given that you are phenotypically male that aces you out of being able to comment on paternalism.<BR/><BR/>i know also that you are genotypically european-mutt so there you go again, i'm sorry, but you are not welcome in today's political discourse.<BR/><BR/>i recommend a vaginoplasty and pigmentoplasty... then go gay, only then will your voice be welcomed... maternalism, after all, is way good.911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-39976259458175576262008-08-26T23:12:00.000-05:002008-08-26T23:12:00.000-05:00I like it when my doctor tells me what to do. It m...<I>I like it when my doctor tells me what to do. It makes me hot. RAWR. </I><BR/><BR/>ROFL!<BR/><BR/>In my future, I want to start picking my doctor by looks alone. =;o)<BR/><BR/>Ah, *quick flashback to the hot lesbian surgeon that did my umblical hernia repair years ago*, I meant men - but you know...Lisahttps://www.blogger.com/profile/02649979730444525810noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-85276346924290982772008-08-26T22:43:00.000-05:002008-08-26T22:43:00.000-05:00dear significant snail, i would ammend your commen...dear significant snail, <BR/>i would ammend your comment as follows... <BR/><BR/>'if i thought my doctor was my equal in terms of his medical knowledge and skill then i'd find a better doctor'. <BR/><BR/>best.911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-38685277789821859852008-08-26T22:25:00.000-05:002008-08-26T22:25:00.000-05:00Well said! If I thought my doctor were my equal I...Well said! If I thought my doctor were my equal I'd find a better doctor!Significant Snailhttps://www.blogger.com/profile/16524718962850001779noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-38779839442070595542008-08-26T22:15:00.000-05:002008-08-26T22:15:00.000-05:00You had me at deep fried snickers.You had me at deep fried snickers.Mohttps://www.blogger.com/profile/07210665770578899511noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-1730838555517565232008-08-26T21:12:00.000-05:002008-08-26T21:12:00.000-05:00Yes, I prefer my doctors to be not actually repell...Yes, I prefer my doctors to be not actually repellent but not particularly attractive either. Unless I get to keep all my clothes on, then it doesn't matter. I guess pathologists see you without, so see above guidelines.Devorrahhttps://www.blogger.com/profile/14542045173559671539noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-19214930914265344352008-08-26T21:10:00.000-05:002008-08-26T21:10:00.000-05:00I am sorry, but I want to be able to look up to my...I am sorry, but I want to be able to look up to my doctor. I want him or her to be a leader in my healthcare. I want to have doctors and other providers that I admire.<BR/><BR/>My doctors, and other providers, are all people who I admire and I follow their advise to the best I can.<BR/><BR/>However, it is scary to be in an ER or urgent care place and not have the choice of who to see.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-69699912143617397212008-08-26T20:21:00.000-05:002008-08-26T20:21:00.000-05:00Hmmmm...a smokin hot butt and gut doctor. Not sur...Hmmmm...a smokin hot butt and gut doctor. Not sure if I would go there.Amelia Ameshttps://www.blogger.com/profile/17296224743117560163noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-56418666651605601242008-08-26T18:34:00.000-05:002008-08-26T18:34:00.000-05:00Know that deep fried Snickers bars are served at t...Know that deep fried Snickers bars are served at the Minnesota State Fair (now in progress). And yes, they are served on a stick.<BR/><BR/>Once a year won't kill you.<BR/><BR/>Yummmmmm!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-13472531319172404862008-08-26T18:33:00.000-05:002008-08-26T18:33:00.000-05:00Amy: My son just had a colonoscopy, and that gast...Amy: My son just had a colonoscopy, and that gastro was world-class smokin' hot. I blushed just reading his fabulous lips. There is no way I'd want a doc that hot to be poking me THERE...and,*shaking head suddenly* oh yeah, I just got married.Devorrahhttps://www.blogger.com/profile/14542045173559671539noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-11294342775125386172008-08-26T18:00:00.000-05:002008-08-26T18:00:00.000-05:00i completely agree with uif u dont wanna hear it f...i completely agree with u<BR/><BR/>if u dont wanna hear it from ur parents or friends or anyone, then why seek help??<BR/><BR/>people need to stop being in denial....Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-75949715818373391352008-08-26T17:48:00.000-05:002008-08-26T17:48:00.000-05:00You doctors need to come over to my site and tell ...You doctors need to come over to my site and tell me who McCain's VP should be. I have two polls up on this. Also don't tell me I can't eat deep fried snickers. I eat whatever (clutches chest and falls over dead) <BR/>http://thenewconservatives.blogspot.com/Daniel Nicholshttps://www.blogger.com/profile/00547574601332320411noreply@blogger.com