Part of what any good health-care professional does, including an advanced-practice nurse, is know when it is time to seek help from more experienced professionals. I'm a primary care doctor. It doesn't mean I know everything. When something is beyond my competency or expertise, I seek consultation from my colleagues.
The way most doctors practice medicine right now isn't working.
I think that the practice of medicine, the science of it, has become 50% pharmacological, so that doctors are like walking pharmacies.
I used to practice clinical medicine. Now I practice political medicine, because it's the mother of all illnesses.
Sunday-the doctor's paradise! Doctors at country clubs, doctors at the seaside, doctors with mistresses, doctors with wives, doctors in church, doctors in yachts, doctors everywhere resolutely being people, not doctors.
People and organizations other than doctors increasingly are assuming power to decide which medications to prescribe or procedures to undertake. More and more, decisions about personal healthcare are no longer made by the treating physicians in consultation with their patients, and based on the doctors' expertise.
One area where the state can be more effective in addressing the doctor shortage is to focus on making sure that Arizona is a friendly environment for doctors and those wishing to practice medicine.
In the last century the practice of medicine has become no more than an adjunct to the pharmaceutical industry and the other aspects of the huge, powerful and immensely profitable health care industry. Medicine is no longer an independent profession. Doctors have become nothing more than a link connecting the pharmaceutical industry to the consumer.
There is an effective strategy open to architects. Whereas doctors deal with the interior organisms of man, architects deal with the exterior organisms of man. Architects might join with one another to carry on their work in laboratories as do doctors in anticipatory medicine.
The very desire to seek spiritual enlightenment is in fact nothing but the grasping tendency of the ego itself, and thus the very search for enlightenment prevents it. The 'perfect practice' is therefore not to search for enlightenment but to inquire into the motive for seeking itself. You obviously seek in order to avoid the present, and yet the present alone holds the answer: to seek forever is to miss the point forever. You always already are enlightened Spirit, and therefore to seek Spirit is simply to deny Spirit.
Modern medicine is not scientific, it is full of prejudice, illogic and susceptible to advertising. Doctors are not taught to reason, they are programmed to believe in whatever their medical schools teach them and the leading doctors tell them. Over the past 20 years the drug companies, with their enormous wealth, have taken medicine over and now control its research, what is taught and the information released to the public.
He said that private practice in medicine ought to be put down by law. When I asked him why, he said that private doctors were ignorant licensed murders.
The doctor begins to lose freedoms; it's like telling a lie, and one leads to another. First you decide that the doctor can have so many patients. They are equally divided among the various doctors by the government. But then the doctors aren't equally divided geographically, so a doctor decides he wants to practice in one town and the government has to say to him you can't live in that town, they already have enough doctors. You have to go someplace else. And from here it is only a short step to dictating where he will go.
Carl von Rokitansky is one of the founders of scientific medicine and systematized it, looking at what the clinical symptoms mean. The medicine we practice today, which is infinitely more sophisticated, is Rokitansky's medicine.
Until the 20th century, medicine was more like politics than physics. Its forecasts were often bogus and its record grim. In the 1920s, statisticians invaded medicine and devised randomised controlled trials. Doctors, hating the challenge to their prestige, resisted but lost. Evidence-based medicine became routine and saved millions of lives.
I noticed long ago that Amin has the tendency to concentrate power in his own hands but I did not attach any particular significance to this. However, recently this tendency has become dangerous.