REMINDER: I AM POSTING A NEW TOPIC ABOUT ONCE A WEEK OR PERHAPS TWICE A WEEK. HOWEVER, IF YOU DON'T FIND A NEW TOPIC POSTED, THERE ARE AS OF MARCH 2013 OVER 900 TOPIC THREADS TO WHICH YOU CAN READ AND WRITE COMMENTS. I WILL BE AWARE OF EACH COMMENTARY AND MAY COME BACK WITH A REPLY.
TO FIND A TOPIC OF INTEREST TO YOU ON THIS BLOG, SIMPLY TYPE IN THE NAME OR WORDS RELATED TO THE TOPIC IN THE FIELD IN THE LEFT HAND SIDE AT TOP OF THE PAGE AND THEN CLICK ON “SEARCH BLOG”. WITH WELL OVER 900 TOPICS, MOST ABOUT GENERAL OR SPECIFIC ETHICAL ISSUES BUT NOT NECESSARILY RELATED TO ANY SPECIFIC DATE OR EVENT, YOU SHOULD BE ABLE TO FIND WHAT YOU WANT. IF YOU DON’T PLEASE WRITE TO ME ON THE FEEDBACK THREAD OR BY E-MAIL DoktorMo@aol.com
IMPORTANT REQUEST TO ALL WHO COMMENT ON THIS BLOG: ALL COMMENTERS WHO WISH TO SIGN ON AS ANONYMOUS NEVERTHELESS PLEASE SIGN OFF AT THE END OF YOUR COMMENTS WITH A CONSISTENT PSEUDONYM NAME OR SOME INITIALS TO HELP MAINTAIN CONTINUITY AND NOT REQUIRE RESPONDERS TO LOOK UP THE DATE AND TIME OF THE POSTING TO DEFINE WHICH ANONYMOUS SAID WHAT. Thanks. ..Maurice
FEEDBACK,FEEDBACK,FEEDBACK! WRITE YOUR FEEDBACK ABOUT THIS BLOG, WHAT IS GOOD, POOR AND CONSTRUCTIVE SUGGESTIONS FOR IMPROVEMENT TO THIS FEEDBACK THREAD
Order vs Chaos in Medical Practice
As patients look at their experiences within the medical
system and profession, do you think they find a system that is well thought out
and is practiced in an orderly fashion to facilitate the basic premise of
medicine to care appropriately for those who are ill? On the other hand, there is always the
potential for chaotic disorder when dealing with uncertainties of disease and
humans on both sides of the medical relationship. Is there evidence of chaos
characterized by unsystematic medical practice which can lead to serious
medical errors, higher cost of medical care and inattention to humanistic aspects
of patient care? If patients find
significant chaos imbedded within the medical system, what might the patients' opinions
be regarding the cause of chaos and what might be the remedy to establish
order? Do you think that something is
missing in student medical education or the medical system itself to properly
deal with the aspects of diagnosis, treatment and general patient care which, if attended to might diminish the effects
of such lack of order?
On the other hand, does the medical system seem quite
properly functioning with signs of disorder either absent or properly managed
to the benefit of the patient? What is a
patient's view? ..Maurice.
Graphic: Order and Chaos painted by me 2916 with ArtRage
What Makes a "Good Doctor": Patients' Viewpoint
As I teach first and second year medical students. Is there one quality in the performance of being a physician that I should stress to the students is the most important in being a good doctor? I mean, one quality which sets the definition of a good doctor. In answering my question, I look to the perspective of the patient interacting with their physician and what the patient is really looking for to give the doctor the title "good".. However, which would also be most interesting would be to read opinions of those visitors to my blog who are or were patients themselves who have interacted with doctors as to what single quality they are looking for which makes that doctor "good" and should be part of the education of my medical students to attain. What should I teach them?
Physician's Political View: Does It Matter? It Might.
you suspect that your physician's political views may affect your doctor's
medical advice and attention to you as his or her patient? If you suspect that they do, this is
supported by a study published this year in the Proceedings of the National
Academy of Sciences of the U.S.A. by Eitan D. Hersh and Matthew N. Goldenberg
and summarized by this Abstract:
Physicians frequently interact with patients about
politically salient health issues, such as drug use, firearm safety, and sexual
behavior. We investigate whether physicians’ own political views affect their
treatment decisions on these issues. We linked the records of over 20,000
primary care physicians in 29 US states to a voter registration database,
obtaining the physicians’ political party affiliations. We then surveyed a
sample of Democratic and Republican primary care physicians. Respondents evaluated
nine patient vignettes, three of which addressed especially politicized health
issues (marijuana, abortion, and firearm storage). Physicians rated the
seriousness of the issue presented in each vignette and their likelihood of
engaging in specific management options. On the politicized health issues—and
only on such issues—Democratic and Republican physicians differed substantially
in their expressed concern and their recommended treatment plan. We control for
physician demographics (like age, gender, and religiosity), patient population,
and geography. Physician partisan bias can lead to unwarranted variation in
patient care. Awareness of how a physician’s political attitudes might affect
patient care is important to physicians and patients alike.
Read the article and return and express your opinions about
your experiences, if any, regarding the politicalization of how your doctor advises
or treats you. That's assuming that you
even asked your doctor or the doctor actually told you about his or her
political view. Did that ever happen?
All Pain: Treat It or Accept It?
The issue is whether it is ethical and spiritually worthy to treat all pain. Yes, some pain is a signal of illness which if the illness is properly diagnosed it can be cured and the pain is relived. But, there is pain which ends up without an illness to cure to relieve the pain. And now, the medical profession is faced with an epidemic of pain being treated with narcotics, narcotics leading to habituation fostered by physician prescriptions. And this epidemic is causing concern and challenges to physicians
but also should be a concern for the public, the pharmaceutical companies and the government.
Maybe, physicians and patients should look at some pain as an intrinsic and spiritual part of life and that, well, those experiencing pain should understand that and live with it. An example of this view was written by the Lebonese poet Khalil Gibran in a poem titled
Your pain is the breaking of
the shell that encloses
Even as the stone of the fruit must
break, that its
heart may stand in the sun, so
must you know pain.
And could you keep your heart
in wonder at the
daily miracles of your life,
your pain would not seem
less wondrous than your joy;
And you would accept the
seasons of your heart,
even as you have always
accepted the seasons that
And you would watch with
serenity through the
winters of your grief.
Much of your pain is self-chosen.
It is the bitter potion by which the
you heals your sick self.
Therefore trust the physician,
and drink his remedy
in silence and tranquillity:
For his hand, though heavy and
hard, is guided by
the tender hand of the Unseen,
And the cup he brings, though
it burn your lips, has
been fashioned of the clay
which the Potter has
moistened with His own sacred
Do my visitors look upon pain or their own pains in the same way as Gibran. And if accepted as simply part of life, much pain can be accepted without involving the narcotic prescription written by that licenced physician "outside" of you? ..Maurice.
Patient Modesty: Volume 78
HERE WE ARE AGAIN! This graphic was published in Patient Modesty, Volume 4, June 26, 2008. And the following is from Avram on that date:
MER is absolutely correct. As I've been posting here for over a year, nothing is going to change until the issue of a double-standard in modesty considerations for males ends up in court as aclass action test of DISCRIMINATION Law-- unequal treatment by gender. We have had BFOQ provisions in law which manditate that health insitutions use them to protect the patient modesty(read privacy) of ALL patients, regardless of gender.The right to privacy and modesty were linked in BFOQ legislation to include what would be viewed as intimate pelvic care. Everything that is currently status quo is outside the law and it will change if it is challenged because it can not be upheld within the existing law. Female nurses, male doctors, HMOs all have a vested interest in maintain high levels of female staff. They will stonewall totheir advantage at every turnuntil a judge rules in class-action that males must be treated equally with females or BFOQ beremoved from law. If that were to happen, then all female patient modesty requests would also beignored and male staff could rushed into OB/GYN and L&D, etc. What's good for the goose is good for the gander.I'm not a lawyer but I know you can not discriminate againsteither sex in a straight forwardmanner. To respond "you are not a woman" is all an AmericanCivil Liberties attorney would need to make something out of this. Have any of those posting here, who are being denied equal rights to medical privacy/modesty, attempted to do this? MER, have you sent highlights of your extensive and well organized research to any legal body for an evaluation?
So my question is: ARE WE ANY FURTHER ALONG IN THE DISCUSSION AND SOLUTION??
Hate to be pessimistic..