tag:blogger.com,1999:blog-7323692122514281455.post1622727830647742379..comments2024-03-22T17:05:55.267-04:00Comments on MD Whistleblower: Secret Shoppers in Doctors' Offices: Placebo Medicine for PhysiciansMichael Kirsch, M.D.http://www.blogger.com/profile/07555280388086931097noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-7323692122514281455.post-43915489538447826522012-01-09T01:14:23.802-05:002012-01-09T01:14:23.802-05:00If you are drawn to complementary and alternative ...If you are drawn to complementary and alternative medicine, you are not alone. Alternative medicine colleges are growing in demand as "36 percent of U.S. adults aged 18 years and over use some form of complementary and alternative medicine." [1] Alternative and complementary medicine therapies that are most commonly sought after include acupuncture, chiropractic, herbal medicine, and nutritional [2] therapies. These professions are frequently taught to students in a number of alternative medicine colleges.<br /><br /><a href="http://www.evitalhealth.com/IntraMax_Travel_Size.html" rel="nofollow">IntraMax Travel Size</a> <a href="http://ostaderms.blog.com/" rel="nofollow">Ostaderm</a>kaneyhttps://www.blogger.com/profile/04767722783117979542noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-23604508235147149072011-12-20T04:00:34.706-05:002011-12-20T04:00:34.706-05:00IANAD
I'm baffled at the need for a real plac...IANAD<br /><br />I'm baffled at the need for a real placebo. Why not just prescribe homeopathic meds and claim that it is outside the realm of allopathic medicine?Ian Randomhttps://www.blogger.com/profile/10120228647264344532noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-283593360471967642011-10-06T11:31:46.080-04:002011-10-06T11:31:46.080-04:00@AB,"the captain of the ship"? Remind m...@AB,"the captain of the ship"? Remind me, what's the captain of the ship supposed to do when the ship goes down?Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-13212331321504216412011-10-06T09:10:58.325-04:002011-10-06T09:10:58.325-04:00@tired resident - GIs are used to it. We trained f...@tired resident - GIs are used to it. We trained for two to three years to learn colonoscopy, but it's not unusual to compete (back in the old pre-Katie Couric era) for patients with MDs who got creditialed to perform colonoscopies after a weekend course in the dog lab. <br /><br />In any case, the wise MD will learn to accept the democratization of health care at all levels, except for malpractice. When it comes to that, we'll still the "captain of the ship".A. Baileynoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-70827739923953608822011-10-04T10:37:40.267-04:002011-10-04T10:37:40.267-04:00@AB, see you point. When Medicare rates tank, be ...@AB, see you point. When Medicare rates tank, be prepared for gov to have measures in place to prevent physicians from opting out. Our leverage? Sorry, lost is a generation ago.Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-81765627547585043802011-10-03T21:48:01.526-04:002011-10-03T21:48:01.526-04:00actually, the alternative to the scenario is many ...actually, the alternative to the scenario is many patients will be seen by a new type of "doctor".<br /><br />http://www.nytimes.com/2011/10/02/health/policy/02docs.html<br /><br />a quote from the article: "Physical therapists once needed only bachelor’s degrees, too, but the profession will require doctorates of all students by 2015 — the same year that nursing leaders intend to require doctorates of all those becoming nurse practitioners."<br /><br />in upcoming turf wars, many allied health care fields will be elevating their degree requirements to doctorates and therefore be called "doctor" in the clinical setting. the goal of this is to eventually gain independent prescribing and treatment rights. after all, to the patient, everyone who wears a white coat and introduces themselves as Dr. ______ must be equally qualified. the problem is that when you google doctorate of nursing, many of the results are for online degree programs.<br /><br />another example of this turf war is optometry vs ophthalmology. in kentucky, optometrists have successfully lobbied to increase their scope of practice to include laser eye surgery after taking a 32 hour weekend course.tired residentnoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-89604598648459835952011-10-02T10:39:49.467-04:002011-10-02T10:39:49.467-04:00The writing is on the wall, isn't it? Medicare...The writing is on the wall, isn't it? Medicare reimbursement will be slashed as both sides of the political aisle try to contain costs. Physicians won't exactly stop seeing Medicare patients, but they will severely limit access. Enough Medicare patients will complain, and in order to facilitate access, the Feds will mandate Medicare patients being seen in a fixed period of time or under some sort of quota system, with the physician under threat of criminal injunction if he/she doesn't comply. <br /><br />It won't be pretty. Unfortunately, I don't see any way to avoid this scenario under the pressures and forces involved.A. Baileynoreply@blogger.com