Comments on: What doctors aren’t telling you http://www.kevinmd.com/blog/2006/11/what-doctors-arent-telling-you.html medical blog Sat, 20 Mar 2010 17:01:49 -0400 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2006/11/what-doctors-arent-telling-you.html/comment-page-1#comment-68544 Anonymous Mon, 06 Nov 2006 18:40:00 +0000 http://clients.emmense.com/kevinmd/2006/11/what-doctors-arent-telling-you.html#comment-68544 "Basically, you have abdicated your responsibility as a physician. But probably because you weren't that good at it in the first place."<br/><br/><br/>This from someone who abdicated his responsibilities as a human being by suing peopel for a living when bad outcomes occur. Get a life, then evaluate someone elses. “Basically, you have abdicated your responsibility as a physician. But probably because you weren’t that good at it in the first place.”

This from someone who abdicated his responsibilities as a human being by suing peopel for a living when bad outcomes occur. Get a life, then evaluate someone elses.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/11/what-doctors-arent-telling-you.html/comment-page-1#comment-68489 Anonymous Sun, 05 Nov 2006 02:14:00 +0000 http://clients.emmense.com/kevinmd/2006/11/what-doctors-arent-telling-you.html#comment-68489 <i>"I don't think you have (type in Disease Here), But I can't give you a 100% guarantee. In the current medic0-legal climate I can't just discharge you. So I'm going to order this test, and it's up to you if you want to do it. Unfortunately, if you don't I have to have you sign a piece of paper to satisfy the lawyers."</i><br/>I would like it if all doctors clearly said that. Because otherwise, I don't really know if a test is a CYA and that refusing a test I don't really want I am endangering my health. Not to mention that because the doctor wants to test me for X, my first thought is "my doctor thinks I may have X". If X is serious enough it causes me considerable anxiety which is not really good for me. “I don’t think you have (type in Disease Here), But I can’t give you a 100% guarantee. In the current medic0-legal climate I can’t just discharge you. So I’m going to order this test, and it’s up to you if you want to do it. Unfortunately, if you don’t I have to have you sign a piece of paper to satisfy the lawyers.”
I would like it if all doctors clearly said that. Because otherwise, I don’t really know if a test is a CYA and that refusing a test I don’t really want I am endangering my health. Not to mention that because the doctor wants to test me for X, my first thought is “my doctor thinks I may have X”. If X is serious enough it causes me considerable anxiety which is not really good for me.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/11/what-doctors-arent-telling-you.html/comment-page-1#comment-68484 Anonymous Sun, 05 Nov 2006 01:50:00 +0000 http://clients.emmense.com/kevinmd/2006/11/what-doctors-arent-telling-you.html#comment-68484 "Wouldn't it though? Physicians would actually have to use good clinical judgement instead of not enough testing and way too much testing."<br/><br/>That is fine....except that even in the best hands the History will only give you the diagnosis 70% of the time, physical exam adds 10% to that. That's 80%. Completely unacceptable in sue crazy America. Thus we spend billions practicing Defensive Medicine. Not my decision. “Wouldn’t it though? Physicians would actually have to use good clinical judgement instead of not enough testing and way too much testing.”

That is fine….except that even in the best hands the History will only give you the diagnosis 70% of the time, physical exam adds 10% to that. That’s 80%. Completely unacceptable in sue crazy America. Thus we spend billions practicing Defensive Medicine. Not my decision.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/11/what-doctors-arent-telling-you.html/comment-page-1#comment-68479 Anonymous Sun, 05 Nov 2006 00:45:00 +0000 http://clients.emmense.com/kevinmd/2006/11/what-doctors-arent-telling-you.html#comment-68479 Wouldn't it though? Physicians would actually have to use good clinical judgement instead of not enough testing and way too much testing. Wouldn’t it though? Physicians would actually have to use good clinical judgement instead of not enough testing and way too much testing.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/11/what-doctors-arent-telling-you.html/comment-page-1#comment-68474 Anonymous Sat, 04 Nov 2006 22:06:00 +0000 http://clients.emmense.com/kevinmd/2006/11/what-doctors-arent-telling-you.html#comment-68474 "If it seems aggresive - consult an attorney and then sue."<br/><br/>As far as I know, they have never won a negligence suit for over-testing, as long as the patient consents to the testing. This type of successull suit would really screw up the playing field. “If it seems aggresive – consult an attorney and then sue.”

As far as I know, they have never won a negligence suit for over-testing, as long as the patient consents to the testing. This type of successull suit would really screw up the playing field.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/11/what-doctors-arent-telling-you.html/comment-page-1#comment-68473 Anonymous Sat, 04 Nov 2006 21:32:00 +0000 http://clients.emmense.com/kevinmd/2006/11/what-doctors-arent-telling-you.html#comment-68473 If it seems aggresive - consult an attorney and then sue. If medicaid is footing the bill - file a complaint for suspected fraud. If it seems aggresive – consult an attorney and then sue. If medicaid is footing the bill – file a complaint for suspected fraud.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/11/what-doctors-arent-telling-you.html/comment-page-1#comment-68467 Anonymous Sat, 04 Nov 2006 16:37:00 +0000 http://clients.emmense.com/kevinmd/2006/11/what-doctors-arent-telling-you.html#comment-68467 "You mean you they are grateful for mechanical sodomy that you attribute to Sodomites!?"<br/><br/>No, they are relieved there is a low likelihood of the disease they are worried about, and understanding of the molesation of the medical profession by the human piece of shit sodomites. If you're a doc, try this once: Tell your patient, <br/><br/>"I don't think you have (type in Disease Here), But I can't give you a 100% guarantee. In the current medic0-legal climate I can't just discharge you. So I'm going to order this test, and it's up to you if you want to do it. Unfortunately, if you don't I have to have you sign a piece of paper to satisfy the lawyers." “You mean you they are grateful for mechanical sodomy that you attribute to Sodomites!?”

No, they are relieved there is a low likelihood of the disease they are worried about, and understanding of the molesation of the medical profession by the human piece of shit sodomites. If you’re a doc, try this once: Tell your patient,

“I don’t think you have (type in Disease Here), But I can’t give you a 100% guarantee. In the current medic0-legal climate I can’t just discharge you. So I’m going to order this test, and it’s up to you if you want to do it. Unfortunately, if you don’t I have to have you sign a piece of paper to satisfy the lawyers.”

]]> By: Anonymous http://www.kevinmd.com/blog/2006/11/what-doctors-arent-telling-you.html/comment-page-1#comment-68460 Anonymous Sat, 04 Nov 2006 14:24:00 +0000 http://clients.emmense.com/kevinmd/2006/11/what-doctors-arent-telling-you.html#comment-68460 "Patients are often grateful when you let them know the test is simply for CYA"<br/><br/>You mean you they are grateful for mechanical sodomy that you attribute to Sodomites!? “Patients are often grateful when you let them know the test is simply for CYA”

You mean you they are grateful for mechanical sodomy that you attribute to Sodomites!?

]]> By: Anonymous http://www.kevinmd.com/blog/2006/11/what-doctors-arent-telling-you.html/comment-page-1#comment-68449 Anonymous Sat, 04 Nov 2006 08:12:00 +0000 http://clients.emmense.com/kevinmd/2006/11/what-doctors-arent-telling-you.html#comment-68449 "When your doctor does make a recommendation that seems aggressive, ask why, and where you fit in the assigned guidelines," <br/><br/>As doctors, we can also be honest with the patients. I will often tell a patient that I don't think they need a test, but in the current medico-legal climate, I'm forced to recommend it. Patients are often grateful when you let them know the test is simply for CYA. “When your doctor does make a recommendation that seems aggressive, ask why, and where you fit in the assigned guidelines,”

As doctors, we can also be honest with the patients. I will often tell a patient that I don’t think they need a test, but in the current medico-legal climate, I’m forced to recommend it. Patients are often grateful when you let them know the test is simply for CYA.

]]>