A Quote by Scott Gottlieb
Why do physicians prescribe powerful antibiotics? Generally not because our patients ask for them. Most people who come in with a sore throat would be just as happy leaving my office with a prescription for Chloraseptic as clarithromycin.
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I grew up on antibiotics. Every ailment - sore throats, earaches, flus - warranted a trip to the doctor and in most cases some kind of prescription.
When we prescribe antibiotics for a strep throat, it's not even for the strep throat. It's for the complications of the strep throat.
For a sore throat I take arnica, just a tiny pill dissolved under my tongue. And because your throat is like a muscle, I keep mine warm drinking herbal teas, usually camomile.
The physicians of one class feel the patients and go away, merely prescribing medicine. As they leave the room they simply ask the patient to take the medicine. They are the poorest class of physicians.
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.
Postpartum depression is very, very common but a lot of people just don't recognize that they have it. A lot of physicians also don't ask (patients) about it, so it's a problem from both sides.
I'm so tired of hearing casting directors ask if I have a sore throat. The people who have told me that my voice is distinctive, it's unusual...those people have always been close to my heart.
I talked to over two hundred patients and family members about their experiences with aging, serious illnesses, and the big unfixables. But I also spoke with scores of physicians, and especially geriatricians, palliative care doctors, hospice nurses, and nursing home workers. The biggest thing I found was that when these clinicians were at their best, they were recognizing that people had priorities besides merely living longer. The most important and reliable way that we can understand what people's priorities are, besides just living longer, is to simply ask. And we don't ask.
If your child has a strep throat, and you're on vacation, it doesn't necessarily mean that they need antibiotics. In fact, by the majority, they won't need antibiotics.
Lets take away the incentives to do 'to' patients and instead create incentives to do 'for' patients, to be 'with' patients. We don't need to do comparative effectiveness trials to see if that works; we can just ask patients.
Lying in bed, half-covered by the blankets, I would drowsily ask why he had come to my door that night long ago. It had become a ritual for us, as it does for all lovers: where, when, why? remember...I understand even old people rehearse their private religion of how they first loved, most guarded of secrets. And he would answer, sleep blurring his words, "Because I had to." The question and the answer were always the same. Why? Because I had to.
Never be afraid to ask when you don't understand. It sounds like a little thing, but awful things have happened, international incidents have flared, and markets have collapsed just because people couldn't make sense of what was being said. They didn't ask 'why?' because they thought it would make them look stupid.
I like talking about people who don't have any power and it seems like some of the least powerful people in the United States are the migrant workers who come and do our work and don't have any rights as a result. And yet we still invite them to come here, and at the same time ask them to leave.
In the rock 'n roll slang world, they're called rock doctors, or rock docs. They would come out to shows and like to hang backstage. You could get a prescription for anything you want from them. They just want to hang out and party. It's crazy because you can get a prescription to anything. It doesn't even matter what kind of doctor they are.
If you are happy, you are happy; nobody asks you why you are happy. Yes, if you are miserable, a question is relevant. If you are miserable, somebody can ask why you are miserable, and the question is relevant - because misery is against nature, something wrong is happening. When you are happy, nobody asks you why you are happy, except for a few neurotics. There are such people; I cannot deny the possibility.
Conservatives came to office to reduce the size of government and enlarge the sphere of free and private initiative. But lately we have increased government in order to stay in office. And, soon, if we don't remember why we were elected we will have lost our office along with our principles, and leave a mountain of debt that our children's grandchildren will suffer from long after we have departed this earth. Because, my friends, hypocrisy is the most obvious of sins, and the people will punish it.
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