MD Whistleblower

I read this morning in our local newspaper that Tennessee is soon expected to have a law that would permit public school teachers to offer views on climate change and evolution that are counter to orthodox doctrine on these subjects. No, I don’t think that creationism is science and it should not be disguised as such. Climate change, however, is more nuanced. While it is inarguable that temperatures have been rising, it is not certain and to what extent human activities are responsible for this. Clearly, this issue has been contaminated by politically correct warriors and those who have an agenda against fossil fuel use. Science, like all scholarship, should be a pursuit of the truth. Just because something sounds true and logical, doesn’t make it so. In addition, repeating an opinion like a mantra isn’t sufficient to confer legitimacy on the view. Many sidestep around these inconvenient truths. In medicine also, much is presented as true, which is either false or unproven. Consi

I write now from the nation’s capital, one of my favorite destinations. For one who dwells on history and politics, this is the place to be and to return to. During these few days, I took a kid to Ford’s Theater and then to Mount Vernon. Today, I hope to amble throughout the National Mall where I will stand in awe before the great monuments that remind us of what we all need to be reminded of. We will see the monument to Martin Luther King, Jr., which has been in the news because objections have been raised to the inscription carved into the monument. Words matter. The Korean War Veterans Memorial, one of the most moving memorials I've ever seen, is introduced by stark words of enormous power and meaning:  Freedom is Not Free. Many Washington, D.C. license tags are adorned with the the words, Taxation Without Representation, a demonstration of citizen protest that is unthinkable in so many other world nations. I recall years ago, when a protest developed when the Smithsonian

My research staff at Whistleblower, which is me, scours the news each week so that I may deliver to my tens of thousands of readers, or at least a few dozen including family, pithy profundities. Here are some news items that were leaked to us by high level sources whose identities we will zealously protect for as long as their monthly payments to us continue. Here’s our top ten list. Let the whistle blow! Whistleblower Researcher  Obama admits he voted for George Bush in 2000. Residency training regulations modified at NYC hospital. House staff is now required to work a full 7 days without sleep to maximize continuity of care and to reduce hand off errors. American College of Radiology argues that CAT scanning is underused and that thousands of incidentalomas are being missed. Pay-for-Performance model will now be applied to elected officials. Physicians will design the quality metrics. Medicare will now cover the cost of any treatment that a patient believes is medically nec

Last July, McDonalds’ Happy Meals became a little less happy. Kids in pursuit of culinary happiness will have to be satisfied with fewer French fries and some added fruit. Surprisingly, the calorie count only decreased by 20%. McDonalds held firm on the request to discontinue toys in the Happy Meals, despite opponents’ arguments that these trinkets emit an encrypted electronic signal that lure kids to the golden arches.  The Enemy of Mankind An Indiana billboard offers this announcement along with a graphic photograph that depicts innocent hot dogs masquerading as cigarettes in a cigarette package. “WARNING: HOT DOGS CAN WRECK YOUR HEALTH.” This publicity effort was spearheaded by the carniphobic group Physicians Committee for Responsible Medicine (PCRM). This organization advocates that all of us restrict ourselves to the pleasure of an all plant diet. The billboard was a shrewd move. Beforehand, none of us had ever heard of these guys. Now, for a few hundred bucks, they ac

Okay, readers, how many of you desire to have a feeding tube inserted into your belly one day? Some of you? A few of you? All of you? Not me, that’s for sure. So, if there comes a time when I cannot speak for myself, let this blog post serve as a statement of my philosophy that I do not wish to be subjected to everything that medicine may have to offer. If I am enjoying no meaningful life, and if I am not giving pleasure to others… I placed yet another feeding tube (PEG) in a patient this week. This is often an unsatisfying experience for me as I am not always serving the patient’s interest. Usually, the patient is not capable to express his own views and the decision is properly delegated to the family or to a designated medical power of attorney (POA). In this instance the tube was medically indicated and I reviewed the procedure and the alternatives with the 3 daughters in a conference room. The daughters were uncertain how to proceed. The ladies were clearly vexed. One of them w

I see many patients with hepatitis C (HCV).  None of them are under treatment and they all feel quite well. Why don't I treat them?  After all, potential consequences of HCV include: Cirrhosis Hepatocellular carcinoma. or liver cancer End stage liver disease with all the trimmings Liver transplantation Death One would think that a portentous list like this would justify any treatment, even hazardous therapies.  But, I've never seen it this way, and my hepatitis C patients are all doing well under periodic observation. Yes, I know that the disease can be serious.  I recall one patient with advanced disease whom I referred for consideration of a liver transplant many years ago.  There may have been a few others along the way who received treatment for the disease also. The vast majority of hepatitis C patients I see in my community practice feel entirely well and the diagnosis is discovered by accident.  In other words, these patients did not exhibit symptoms or abno

Volcano - A Metaphor of Evil This past week, I awoke to read a chilling headline in tall black letters that announced that some innocents were shot by an assailant who himself was still a boy. We read these headlines and watch related images every day as the volcanoes of evil around the world never stop spewing out their merciless lava. Why this happens is a question that tests the most erudite theologians, who must try to comfort us and help us to understand what can never be explained. This wanton murder was not a suicide bombing in Baghdad or a Taliban ambush on NATO troops in Afghanistan. This shooting occurred in Chardon, Ohio, a small town less than half an hour from my home. I remember being there a few years ago for their maple syrup festival.  A 17-year-old kid allegedly came to Chardon High School and in a few moments changed the lives of many thousands of innocent people. As I write this, I am still plagued with deep sadness and sharp anger. I cannot fathom how a mind