1-1banner
 
medpundit
 

 
Commentary on medical news by a practicing physician.
 

 
Google
  • Epocrates MedSearch Drug Lookup




  • MASTER BLOGS





    "When many cures are offered for a disease, it means the disease is not curable" -Anton Chekhov




    ''Once you tell people there's a cure for something, the more likely they are to pressure doctors to prescribe it.''
    -Robert Ehrlich, drug advertising executive.




    "Opinions are like sphincters, everyone has one." - Chris Rangel



    email: medpundit-at-ameritech.net

    or if that doesn't work try:

    medpundit-at-en.com



    Medpundit RSS


    Quirky Museums and Fun Stuff


    Who is medpundit?


    Tech Central Station Columns



    Book Reviews:
    Read the Review

    Read the Review

    Read the Review

    More Reviews

    Second Hand Book Reviews

    Review


    Medical Blogs

    rangelMD

    DB's Medical Rants

    Family Medicine Notes

    Grunt Doc

    richard[WINTERS]

    code:theWebSocket

    Psychscape

    Code Blog: Tales of a Nurse

    Feet First

    Tales of Hoffman

    The Eyes Have It

    medmusings

    SOAP Notes

    Obels

    Cut-to -Cure

    Black Triangle

    CodeBlueBlog

    Medlogs

    Kevin, M.D

    The Lingual Nerve

    Galen's Log

    EchoJournal

    Shrinkette

    Doctor Mental

    Blogborygmi

    JournalClub

    Finestkind Clinic and Fish Market

    The Examining Room of Dr. Charles

    Chronicles of a Medical Mad House

    .PARALLEL UNIVERSES.

    SoundPractice

    Medgadget
    Health Facts and Fears

    Health Policy Blogs

    The Health Care Blog

    HealthLawProf Blog

    Facts & Fears

    Personal Favorites

    The Glittering Eye

    Day by Day

    BioEdge

    The Business Word Inc.

    Point of Law

    In the Pipeline

    Cronaca

    Tim Blair

    Jane Galt

    The Truth Laid Bear

    Jim Miller

    No Watermelons Allowed

    Winds of Change

    Science Blog

    A Chequer-Board of Night and Days

    Arts & Letters Daily

    Tech Central Station

    Blogcritics

    Overlawyered.com

    Quackwatch

    Junkscience

    The Skeptic's Dictionary



    Recommended Reading

    The Doctor Stories by William Carlos Williams


    Pox Americana: The Great Smallpox Epidemic of 1775-82 by Elizabeth Fenn


    Intoxicated by My Illness by Anatole Broyard


    Raising the Dead by Richard Selzer


    Autobiography of a Face by Lucy Grealy


    The Man Who Mistook His Wife for a Hat by Oliver Sacks


    The Sea and Poison by Shusaku Endo


    A Midwife's Tale by Laurel Thatcher Ulrich




    MEDICAL LINKS

    familydoctor.org

    American Academy of Pediatrics

    General Health Info

    Travel Advice from the CDC

    NIH Medical Library Info

     



    button

    Monday, February 17, 2003

    Why Patients Aren’t Consumers: And doctors aren’t merchants. This is a rant I’ve been meaning to put down for a long time, especially after listening to a plastic surgeon on ABC analyze Michael Jackson’s face. She used phrases such as “end-stage nose” and “nasal cripple,” in ways that indicated they’re in standard use among plastic surgeons. But when the reporter asked why a surgeon would do that much surgery on someone, she refrained from criticism. Instead, she made excuses, saying the plastic surgeon’s job is to give the patient, his customer, what he wants. If he wants an ever-narrower nose, then it’s the doctor’s duty to give it to him. Even, apparently, if it’s likely to be to his detriment.

    Then, comes this story about the use of an unapproved wrinkle treatment by plastic surgeons. It’s illegal to use it in the US, but plastic surgeons use it anyway, because their patients demand it. (And because, at $750 to $1,500 per treatment, it’s lucrative.)

    This sort of consumerist attitude isn’t unique to plastic surgery, unfortunately. Too often, we give in to the temptation to “give the patient what they want.” From the prescription for unneeded antibiotics, to the overuse of sedatives and narcotic analgesics, to treating ailments over the phone without ever examining the patient, most of us have been guilty of it at some time or other.

    But our motto shouldn’t be “the customer is always right,” because the customer often isn’t right. What the patient thinks is indigestion may really be a heart attack; the stomach flu an appendicitis; or the chest cold a pneumonia. It’s our duty to make sure those symptoms are properly diagnosed once they’re brought to our attention. To do otherwise is to betray our patients' trust.

    As one woman who uses the illegal wrinkle injection put it:

    "I trust my doctor. And after all the work and money we have put into my face, she is not going to put anything in it that is going to make it fall apart."

    Might Michael Jackson have said the same thing?
     

    posted by Sydney on 2/17/2003 06:56:00 AM 0 comments

    0 Comments:

    Post a Comment

    This page is powered by Blogger, the easy way to update your web site.

    Main Page

    Ads

    Home   |   Archives

    Copyright 2006