MD Whistleblower

Editor’s Note: For 16 years, I've published weekly essays here on Blogspot, which will continue. I’ve now begun publishing my work on a new blogging platform, Substack, and I hope you’ll join me there. Please enter your email address  at this link  to receive my posts directly to your inbox. There is no shortage of non-prescription remedies for all varieties of ailments.  Millions of patients are swallowing zillions of potions to ease their suffering or to prevent disease.  Indeed, doctors need to specifically ask their patients about unorthodox or alternative treatments, as patients may not volunteer this information.  Many of these treatments are untested or even disproven, but they remain popular with the public.  As a gastroenterologist, I am queried from time to time on colonic hydrotherapy, a cleansing procedure that largely cleanses clients of their funds.  If a patient discloses to his doctor that he is benefiting from an unconventional treat...

Editor’s Note: For 16 years, I've published weekly essays here on Blogspot, which will continue. I’ve now begun publishing my work on a new blogging platform, Substack, and I hope you’ll join me there. Please enter your email address  at this link  to receive my posts directly to your inbox. Some time ago, I penned a post illustrating the common practice of physicians negotiating with patients.  Here, I will offer other examples of this phenomenon, which is an integral element of the doctor-patient relationship. Patients who understand how this process works will have an additional tool to advocate for their health. These negotiations are give and take exercises that are successful when both parties feel good afterwards. Realize that these negotiations are different from conventional business discussions which tend to be zero sum games between adversaries.   In the doctor-patient scenario, both participants’ interests are aligned; both are on the patients’ side. ...

Editor’s Note: For 16 years, I've published weekly essays here on Blogspot, which will continue. I’ve now begun publishing my work on a new blogging platform, Substack, and I hope you’ll join me there. Please enter your email address  at this link  to receive my posts directly to your inbox. The doctrine of informed consent is a bedrock medical ethical principle.  Physicians’ obligation is to present the patient with reasonable diagnostic or therapeutic options with the respective risks and benefits.  Decision-making authority resides with the patient.  While this process sounds straightforward, it can be a bewildering process for patients and their families.  For starters, physicians – as members of the human species - have opinions on the available medical options.   These opinions may be on the basis of medical evidence or professional experience.  Is it possible that a surgeon might prioritize an operative approach by virtue of training and ...