Anyone else afraid of becoming simply a drug pusher?

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Well, I was always curious where doctors from infomercials came from.
Oh, I think you misunderstood. That wasn't MS(dash)3, it was MS (negative)3. I figure if we've got all these MS0s running around, is only a matter of time before freshmen start calling themselves MS negative 4s.
 
I agree with what you say and you're a "physician" so I can't argue with much. However speaking to highly experienced IM and FM docs they paint a particularly different picture. With the up and coming generation that is technology savvy, there is a new problem. Some of the older patients in todays time don't even know how to turn on a computer. So they can't go to google and research what ailment they might have and what's the best drug for it before they go to their doctor. Where as the up and coming generation is the exact opposite, their first doctor is the internet. They will research before they come to the doctors office and know what they want. One of the doctors told me people will print out papers off the internet and present them to him when he refused the drug they requested. However most people don't understand is that these drugs only cure the symptoms and cause many many side effects. One of the doctors graduated from a very prestigious Medical school and yet patients take the Internets word before his.







This isn't a conspiracy so please don't make it seem as if it is. As I said before we have some of the best tools mankind has seen EVER seen and we still can't seem to come up with cures. Only pills that temporary cure symptoms until you need another pill. In present time I can almost guarantee you that we would never have come up with a the cure for polio. Isn't it odd that the only treatment for HIV is a cocktail of expensive pills that only keeps the Virus at bay. These are the same pills you have to take for your entire life. I'm sure some of you heard about the possible cure diabetes that was discovered not too long ago. Guess what happened? It was defunded by none other than big Pharma.

I am note an MD, but sooner (Fall 2014) I will be a RN. This is my 2 cents: although there are a lot of drug seeker out there, some Healthcare practitionners sterotype a lot of Pt. I think the fun part of the game resides in the thoroughness of the diagnosis. Concerning the big Pharma conspiracy, I wouldn't be surprise. Those of us who comes from europe can easily believe in that. Again, things are sometimes very different from what we see.
 
Oh, I think you misunderstood. That wasn't MS(dash)3, it was MS (negative)3. I figure if we've got all these MS0s running around, is only a matter of time before freshmen start calling themselves MS negative 4s.

Oh thank Apollo.

I nearly lost faith in all that I hold dear.
 
Sadly, I know very little about antibiotic resistance. I am aware that resistance to drugs develops, but I didn't know this specifically was being neglected by pharmaceutical companies (which should be a no brainer in terms of priorities).
The primary purpose of pharmaceutical companies, like all companies, is to make money. That is why they are called "companies" and not "charities." It costs over a billion dollars (that's billion with a "B") to design and develop a brand new drug from scratch. Companies can sometimes take shortcuts by developing new variations on current drugs, which they frequently do. But these so called "me too drugs" aren't the kind of novel drug discovery that we're looking for.

Vaccines in particular tend to be money losers, so no company will want to work on them without heavy government subsidies. With antibiotics, it depends. There's actually a lot of work that goes into antibiotic development. Again, however, the issue tends to be that we aren't getting new classes of antibiotics that work by novel mechanisms. Instead, we're getting new variations of the old classes that are more expensive and often not any more effective.

My PhD is in pharmaceutical design, and I've often thought that what we really need is a nonprofit pharmaceutical organization that will work on necessary but financially unprofitable projects like vaccine development. Last I checked, there was such an organization out of Cali, but it focuses on making treatments for third world nations, which, while worthwhile, doesn't do anything to help people here. I would want to focus my nonprofit on the needs of people in the US. But who's going to come do all the R&D grunt work? Any of you premeds up for volunteering in return for a LOR for med school??? Well, it was worth asking. 😀
 
But who's going to come do all the R&D grunt work? Any of you premeds up for volunteering in return for a LOR for med school??? Well, it was worth asking. 😀

I dunno, this sounds pretty promising...

"QofQuimica's Research Summer Camp"
 
and proper exercise is often not part of the treatment plan.
Additionally, nutrition often isn't properly taken into account. You can't just say "eat better" and expect that to work. Nutrition and diet certainly need more emphasis. However, diet alone can't cure cancer. As far as I know, that's not how it works.

@TheBatman Perhaps an ND would be better suited to your views on where healthcare needs to go. I hear Druid magic is quite the burgeoning field.
 
Additionally, nutrition isn't properly taken into account. You can't just say "eat better" and expect that to work. Nutrition and diet certainly need more emphasis. However, diet alone can't cure cancer. As far as I know, that's not how it works.

@TheBatman Perhaps an ND would be better suited to your views on where healthcare needs to go. I hear Druid magic is quite the burgeoning field.

Unfortunately, diet and nutrition become more of a social problem than a medical one. Even spelling out diets that are good for patients doesn't mean they'll be compliant. Some people don't have the time or money necessary to cook fresh, healthy meals everyday. This is doubly true for people that are poor and might be working multiple jobs. Is that portrait descriptive of everyone? Of course not. But it's something to keep in mind. At the end of the day, people have to be motivated enough to make the changes necessary to address lifestyle-related issues. This might come as a surprise to some here, but no amount of education will effectuate that change in some people. As a physician, your ability to intervene is fairly limited - unless you're going to go to your patients' homes and cook their meals and take them to task for not exercising.
 
Unfortunately, diet and nutrition become more of a social problem than a medical one. Even spelling out diets that are good for patients doesn't mean they'll be compliant. Some people don't have the time or money necessary to cook fresh, healthy meals everyday. This is doubly true for people that are poor and might be working multiple jobs. Is that portrait descriptive of everyone? Of course not. But it's something to keep in mind. At the end of the day, people have to be motivated enough to make the changes necessary to address lifestyle-related issues. This might come as a surprise to some here, but no amount of education will effectuate that change in some people. As a physician, your ability to intervene is fairly limited - unless you're going to go to your patients' homes and cook their meals and take them to task for not exercising.
I've been working in a free clinic for over a year and the best we can do are diet education classes. Money often is the limiting factor for most, assuming they are educated, however others still just fail to spend their money wisely, which is the most frustrating thing of all. Motivation is difficult to instill, as well. People will take the path of least resistance. At the end of the day, it's easier to swallow a pill than reformat your entire lifestyle.
 
Motivation is difficult to instill, as well. People will take the path of least resistance. At the end of the day, it's easier to swallow a pill than reformat your entire lifestyle.

Yup, and I think this is a common source of frustration for all people in medicine. Whether that's a failing on our part to make the importance of things like lifestyle modifications clear or a side effect of human psychology, I'm not sure, but there is certainly room for improvement in this regard.
 
I've been working in a free clinic for over a year and the best we can do are diet education classes. Money often is the limiting factor for most, assuming they are educated, however others still just fail to spend their money wisely, which is the most frustrating thing of all. Motivation is difficult to instill, as well. People will take the path of least resistance. At the end of the day, it's easier to swallow a pill than reformat your entire lifestyle.

You're not just facing down a lack of motivation; food deserts are a thing, humans not being rational is a big thing, and food is more than just nutrition for many (if not most?) people. I know when I'm in lab hell I cannot bring myself to cook, much less eat, healthy food. While the hospital cafeteria where I work has a decent salad bar, spinach everyday gets old. There is no fancy arugula or watercress in North Philadelphia, and while we allegedly have a farmer's market the hours are so obtuse I've never seen it. Ultimately, when I'm stressed and tired I just want something warm and greasy to console myself, and I feel like it's very easy to let food become emotional comfort in a not healthy way before you even realize it. I guess I'm inarticulately saying I sympathize with following the path of least resistance when food has so many other roles to play in a stressful life.
 
You're not just facing down a lack of motivation; food deserts are a thing, humans not being rational is a big thing, and food is more than just nutrition for many (if not most?) people. I know when I'm in lab hell I cannot bring myself to cook, much less eat, healthy food. While the hospital cafeteria where I work has a decent salad bar, spinach everyday gets old. There is no fancy arugula or watercress in North Philadelphia, and while we allegedly have a farmer's market the hours are so obtuse I've never seen it. Ultimately, when I'm stressed and tired I just want something warm and greasy to console myself, and I feel like it's very easy to let food become emotional comfort in a not healthy way before you even realize it. I guess I'm inarticulately saying I sympathize with following the path of least resistance when food has so many other roles to play in a stressful life.
Aye. There's quite a bit of psychology involved.
 
There may be something to this perception of "drug pusher" that some people have about doctors. A friend of mine who has several disabled family members has told me that some doctors have actually "pushed" or pressured her family members to take brand new drugs. Her family members are reluctant to try NEW drugs because sometimes there's problems with new drugs that aren't yet known. (The "let someone else try these first" mentality.)

Personally, I can't see why a doctor would ever have a problem with letting a patient stick to older drugs, if that's what the patient wants, and the patient's condition isn't worsening (or way out of control).

Unless I learn something completely new about this: Once I become a doctor, I plan to let my patients make the final decision about their medications whenever practical. And I would try NOT to prescribe addictive drugs. Thirdly, I would read the news and try to catch on to any drugs that are dangerous, and have yet to be taken off the market or restricted.

I think drug addiction is really sad. I would hate to be responsible for creating a drug addict (by being the first to prescribe a non-addict an addictive drug, that later transforms the patient into a junkie).

I know there are more recent examples, but I think one of the most infamous examples was back when doctors prescribed heroin. Some doctors (and maybe scientists) must have felt awful knowing what they unintentionally started. (Some may have been proud of creating such a full blown publicized disaster, but that sort of "pride" is part of the problem.)
 
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I think there are quite a few people in this thread who are forgetting that drugs do actually treat and cure some symptoms/problems. Is it ideal to have your patient addicted to narcotics? No, not really. But is it any more ideal to have your patient in pain (say we're talking a chronic condition that has no easy "cure" such as more exercise. For the purpose of this example, say chronic back pain after a spinal surgery)? No, it absolutely isn't. Is it ideal to have your patient taking an addictive sleep medication that they can build tolerance to every night? No, not really. But is it any better to have your patient sleep 10 hours a week and hardly be functional because of their insomnia? No, it absolutely isn't.

This is an attitude that I've encountered with doctors before, and it's one that concerns me. Addiction and tolerance are concerns, of course, and options that have a lower risk of both should absolutely be explored in depth in every case possible. But when you put those concerns ahead of your patient's quality of life, that doesn't do your patient any good. They don't care that they aren't addicted to painkillers when they can't leave the house because they're in so much pain. They don't care that they aren't building up a tolerance to Ambien when they can't hold down a steady job because they can't get enough sleep to function at work.

Remember, you have to look at both sides of the equation. Sure, some people will insist that you prescribe them drugs that they do not need. But some will also be insisting that you provide them drugs because they have considered the options and have decided that they're willing to deal with the side effects and consequences of the drugs in order to have a greater quality of life. It's not as black and white as people make it out to be. No, you don't want your patients to be taking addictive drugs, or drugs with side effects. But there are absolutely cases where that is necessary. And in my personal experience, and in talking with others, it seems to me as if sometimes those legitimate reasons to take addicting drugs, or drugs with severe side effects are completely overlooked.
 
Additionally, nutrition often isn't properly taken into account. You can't just say "eat better" and expect that to work. Nutrition and diet certainly need more emphasis. However, diet alone can't cure cancer. As far as I know, that's not how it works.

@TheBatman Perhaps an ND would be better suited to your views on where healthcare needs to go. I hear Druid magic is quite the burgeoning field.

Your ignorance is appalling
 
Would you mind linking me to a scientific study that shows diet can cure cancer? I would be very interested in reading this article.

Also, totally completely, 100% unrelated to the topic...if enough people report someone for being a troll, could we at the very least award that someone with a little badge? Like, where "5 year member" or "Gold Donor" badges are? Just so we all know what we're getting into when we respond in a thread.
 
I've always wanted to be a doctor but as I learn more about Big Pharma it frightens me to think most of my patients won't be happy unless they walk out with a prescription. I'm sure some of you know that most diseases and ailments can be cured with a strict plant based diet. (yes even cancer) I wanted to combat this fear by specializing in Emergency Medicine. Yeah I know about the all the pain med seekers in the ER but those "Narcs" don't bother me because opium has been around for thousands of years. It's those cancer, cholesterol, hypertension, depression meds that worry me.

Cold Medicines are a multi billion dollar industry but the only cure for a cold is your own immune system and rest.

Oh God help us all if patients start requesting medicine to keep their blood pressure and cholesterol in check.

People always get mad when you say "You're pre-med, so you don't know what the hell you're talking about." But then you go and post something like this...

1. Please GOD let the hypertensive/hypercholesterolemic patients come in asking for drugs. Between hesitancy, non-compliance, and that whole nasty stroke thing, God Forbid!
2. I just really hope you're going from cancer center to cancer center to enlighten the patients. They're pumping poison into their veins, losing their hair, and vomiting around the clock all because their doctor didn't tell them to go Vegan?! Better spread the word.
 
Additionally, nutrition often isn't properly taken into account. You can't just say "eat better" and expect that to work. Nutrition and diet certainly need more emphasis. However, diet alone can't cure cancer. As far as I know, that's not how it works.

Diet can help prevent cancer.
 
Diet can help prevent cancer.
Definitely. However, OP seems to think some ill defined "plant based diet" has the capacity to straight up cure cancer but he fails to take into account genetic inheritance, random mutation and the physical environment.
 
You guys are right and I understand that OP is coming out of left field. But I believe that Dr. Ornish showed that it's possible to reverse the effects of atherosclerosis through diet.
 
You guys are right and I understand that OP is coming out of left field. But I believe that Dr. Ornish showed that it's possible to reverse the effects of atherosclerosis through diet.
Documentaries like "Fat, Sick and Nearly Dead" can attest to the great importance of diet to one's health. Diet is going to be emphasized in my practice as I have personal experience with significantly improved health coming with a vegetarian diet and lifestyle. I add the latter point because cupcakes for breakfast is vegetarian, so a consciousness of what one eats, even if it is plant based, is really the most important health related facet of being vegetarian.
 
I've always wanted to be a doctor but as I learn more about Big Pharma it frightens me to think most of my patients won't be happy unless they walk out with a prescription. I'm sure some of you know that most diseases and ailments can be cured with a strict plant based diet. (yes even cancer) I wanted to combat this fear by specializing in Emergency Medicine. Yeah I know about the all the pain med seekers in the ER but those "Narcs" don't bother me because opium has been around for thousands of years. It's those cancer, cholesterol, hypertension, depression meds that worry me.

Cold Medicines are a multi billion dollar industry but the only cure for a cold is your own immune system and rest.



HANG THE WITCH!!!!
 
The primary purpose of pharmaceutical companies, like all companies, is to make money. That is why they are called "companies" and not "charities." It costs over a billion dollars (that's billion with a "B") to design and develop a brand new drug from scratch. Companies can sometimes take shortcuts by developing new variations on current drugs, which they frequently do. But these so called "me too drugs" aren't the kind of novel drug discovery that we're looking for.

Vaccines in particular tend to be money losers, so no company will want to work on them without heavy government subsidies. With antibiotics, it depends. There's actually a lot of work that goes into antibiotic development. Again, however, the issue tends to be that we aren't getting new classes of antibiotics that work by novel mechanisms. Instead, we're getting new variations of the old classes that are more expensive and often not any more effective.

My PhD is in pharmaceutical design, and I've often thought that what we really need is a nonprofit pharmaceutical organization that will work on necessary but financially unprofitable projects like vaccine development. Last I checked, there was such an organization out of Cali, but it focuses on making treatments for third world nations, which, while worthwhile, doesn't do anything to help people here. I would want to focus my nonprofit on the needs of people in the US. But who's going to come do all the R&D grunt work? Any of you premeds up for volunteering in return for a LOR for med school??? Well, it was worth asking. 😀

:hello:

:laugh:
 
Yeah I know about the all the pain med seekers in the ER but those "Narcs" don't bother me because opium has been around for thousands of years. It's those cancer, cholesterol, hypertension, depression meds that worry me.

Lol
 
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