what can you do with an MD??

[cfdavid]

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So, I'm going full out into anesthesiology. Just scheduled "first phase" of 4th year, and met with the PD at my program yesterday. Already did an anes elective as a 3rd year, this past January. So, I'm onboard and excited to finally have nailed down my career path towards becoming an anesthesiologist.


That being said, I've always had an interest in off-label uses of medicine and inparticular, things endo related. For example, a big interest of mine (and in my opinion a grossly undertreated/underdiagnosed issue is that of andropause in older males). Sure, the average FM/IM dude will treat with some T cream or gel. Maybe some shots, most of which will get aromatased away to estrogen anyway in their fat cells (part of why the may have an E/T impalance in the first place).

Also, most of the large pharma companies are buying stakes in small biotech companies (not nutriceutical companies but real-deal biotech companies) that STRICLY work towards developing "life-extension/enhancement" drugs. Drugs that enhance cognition, that enhance libido, that enhance longetivity etc etc.

Surely, we need to be very careful with this stuff. First do no harm. But, this will become a HUGE market in the future, IMHO.

****MY question is this; with an MD/DO, and even specializing in something like Anes or even Rads or something, can one have the flexibility down the road to become "certified" in "life extension" or to simply just follow ones interests and do clinical work in these areas down the road and as therapies advance??

The reason for asking is that my dad was on a flight where he was speaking to some surgeons that were taking "courses" on this stuff, and planning on entering the "life extension" field. I presume for financial reasons, but the POINT is that their MD/DO alllowed them to do this. I'm assuming the same could be applied to a Board Certified Anesthesiologist?

I also know of a local OB/GYN dude that does this stuff full time now, and a BC EM dude that does cosmetic procedures full time as well.... Both began later in their careers, either to satisfy their interests, or augment their income. Regardless, it seems that the MD/DO allows one to do this stuff.

Dont' get me wrong. I want to do anes, but I like options, and that could be neat down the road, and towards the end of ones career should prospects in this area prove promising.

Flame away if you must, but try keeping an open mind.
cf

 

[Dryacku]

By having and MD/DO you can do anything any other doctor does that includes being an fp and doing open hearts. Of course thats not happening for multiple reasons, insurances would never pay, malpractice issues, improper training etc..

But now as a physician and you want to do something that is an out of pocket payment, thats a different story, if you feel comfortable doing whatever it is you want to do, you can do it with it your license. The key is to get adequate training from wherever it is that you need to get this training from and then finding customers (which can an obstacle as an anesthesiologist, unless you are doing pain)

Short answer from my understanding you can practice anything that any other doctor does with your license, you just may not get paid from insurance companies and malpractice may not cover you

So, I'm going full out into anesthesiology. Just scheduled "first phase" of 4th year, and met with the PD at my program yesterday. Already did an anes elective as a 3rd year, this past January. So, I'm onboard and excited to finally have nailed down my career path towards becoming an anesthesiologist.


That being said, I've always had an interest in off-label uses of medicine and inparticular, things endo related. For example, a big interest of mine (and in my opinion a grossly undertreated/underdiagnosed issue is that of andropause in older males). Sure, the average FM/IM dude will treat with some T cream or gel. Maybe some shots, most of which will get aromatased away to estrogen anyway in their fat cells (part of why the may have an E/T impalance in the first place).

Also, most of the large pharma companies are buying stakes in small biotech companies (not nutriceutical companies but real-deal biotech companies) that STRICLY work towards developing "life-extension/enhancement" drugs. Drugs that enhance cognition, that enhance libido, that enhance longetivity etc etc.

Surely, we need to be very careful with this stuff. First do no harm. But, this will become a HUGE market in the future, IMHO.

****MY question is this; with an MD/DO, and even specializing in something like Anes or even Rads or something, can one have the flexibility down the road to become "certified" in "life extension" or to simply just follow ones interests and do clinical work in these areas down the road and as therapies advance??

The reason for asking is that my dad was on a flight where he was speaking to some surgeons that were taking "courses" on this stuff, and planning on entering the "life extension" field. I presume for financial reasons, but the POINT is that their MD/DO alllowed them to do this. I'm assuming the same could be applied to a Board Certified Anesthesiologist?

Dont' get me wrong. I want to do anes, but I like options, and that could be neat down the road, and towards the end of ones career should prospects in this area prove promising.

Flame away if you must, but try keeping an open mind.
cf

 

[Noyac]

I have seen a fair number of anesthesiologist go into "anti-aging" medicine. There is even one in my smaller town. It seems sort of quack-like right now but I agree that he future may be bright. I also employed a couple of locums who opened their own fat clinic in Denver. One went on to do this mostly full time while the other got out of it all together (as best I know).

Right now I consider it alternative medicine. Everyone is doing it. I have seen herbalist, accupunturist, chiropractors, message therapist, PT's etc. It could be a fad but with our aging population and our desire to remain young, it could be quite fruitful.

Ideally, you would be a Urologist. Prescribe testosterone for men over 40yo and then treat them for their prostate cancer when it occurs. It's bound to happen. And it will occur in men at a younger age therefore your surgical risks would be minimized.

 

[aphistis]

Ideally, you would be a Urologist. Prescribe testosterone for men over 40yo and then treat them for their prostate cancer when it occurs. It's bound to happen. And it will occur in men at a younger age therefore your surgical risks would be minimized.

Heh.

 

[lvspro]

SOME dude I know is doing this now.
He trained me during my first mo of pgy2, and now he's out in the real world doing anti-aging med. Seems like a good gig, but I don't know the specifics on money and stuff. The point is that yes... you can do this if u like w an MD

 

[cfdavid]

I have seen a fair number of anesthesiologist go into "anti-aging" medicine. There is even one in my smaller town. It seems sort of quack-like right now but I agree that he future may be bright. I also employed a couple of locums who opened their own fat clinic in Denver. One went on to do this mostly full time while the other got out of it all together (as best I know).

Right now I consider it alternative medicine. Everyone is doing it. I have seen herbalist, accupunturist, chiropractors, message therapist, PT's etc. It could be a fad but with our aging population and our desire to remain young, it could be quite fruitful.

Ideally, you would be a Urologist. Prescribe testosterone for men over 40yo and then treat them for their prostate cancer when it occurs. It's bound to happen. And it will occur in men at a younger age therefore your surgical risks would be minimized.

Noy, remember I posted some studies that showed no correlation between T-replacement therapy and increased risk of prostate cancer a while back?

But, to your main point, surely, FIRST DO NO HARM. I agree. Just like I would never put a diabetic on GH......lol But, an otherwise healthy 60 yo that was willing to have his BG checked (or self-checked) and abide by a carb controlled diet, well then, perhaps. Also, serial LFT's and lipid panels would be in order for many of the endo stuff.

 

[foil]

Guess you're ready to open strange doors......

Try these:

http://haleola.com/

or

Reiki

or

Chi-gung

 

[Trisomy13]

Welcome to my dream of the Celebrity Ultra-Rapid Detox, Botox, Electrolysis, Hair-Replacement, and Accupuncture Clinic.


Lose that addiction and wrinkles, and wake up 3 days later with a full head of glamorous hair, free of your battle with fibromyalgia!

 

[Jeff05]

anti aging medicine. the recent statement from the longetivity research institute (the non-sellout EMB people) states that only calorie restriction has any validity so far. perhaps estrogen for post-menopausal women. maybe vitamin E (conflicting literature).

i mean, if someone is of a normal BMI, doesn't eat **** most of the time, doesn't smoke, controls cholesterol with statins and blood pressure - there is NO reason not to live well into your 80s-90s. ok, swine flu and cancer.

all other approaches are unproven.


brings me to the point of these pseudo-physicians.
1. go to medical school
2. take up space
3. take up a good residency spot and learn how to actually take care of pts
4. after residency go into some clear all- morals- out -the- window- i just wanna- make- some- money -scheme- and- in -the- process -decrease- the credibility- of- the -entire- profession.
5. thanks.

http://www.ilcusa.org/media/pdfs/pr20011101.pdf

 

[RxBoy]

As long as you stick to your true science ways and stay away from pseudo-science I think it would def. be possible.


Whatever you do, don't be this douche bag (@15 sec):

[YOUTUBE]http://www.youtube.com/watch?v=B8BeGgT1v5M[/YOUTUBE]

"Dr. Jon Marshall DO Resident Physician"

That "resident physician" probably should have finished his residency before recommending drugs because the FDA just released this:

http://www.cnn.com/2009/HEALTH/05/01/hydroxycut.fda.recall/index.html

 

[RxBoy]

"Dr. Jon Marshall DO Resident Physician"

That "resident physician" probably should have finished his residency before recommending drugs because the FDA just released this:

HAHAHAHA After doing some internet digging.... Turns out that dude is a radiology resident!!!

http://www.ccomradiology.com/residents.html

 

[frank51]

HAHAHAHA After doing some internet digging.... Turns out that dude is a radiology resident!!!

http://www.ccomradiology.com/residents.html

Why is he the only one doing PGY4, something is up.

 

[cfdavid]

anti aging medicine. the recent statement from the longetivity research institute (the non-sellout EMB people) states that only calorie restriction has any validity so far. perhaps estrogen for post-menopausal women. maybe vitamin E (conflicting literature).

i mean, if someone is of a normal BMI, doesn't eat **** most of the time, doesn't smoke, controls cholesterol with statins and blood pressure - there is NO reason not to live well into your 80s-90s. ok, swine flu and cancer.

all other approaches are unproven.


brings me to the point of these pseudo-physicians.
1. go to medical school
2. take up space
3. take up a good residency spot and learn how to actually take care of pts
4. after residency go into some clear all- morals- out -the- window- i just wanna- make- some- money -scheme- and- in -the- process -decrease- the credibility- of- the -entire- profession.
5. thanks.

http://www.ilcusa.org/media/pdfs/pr20011101.pdf

Like I said, FIRST DO NO HARM. Second, practice EBM.

Sure, caloric restriction has been the only documented means of increasing LONGETIVITY, but testosterone levels (and subsequently) libido in men practicing caloric restriction plummet. So, six of one-half dozen of the other....

There are biotech companies targeting transcription factors etc. involved in apoptosis. There are new antioxidants like resveratrol that show promise.

Also, is it necessary for a 60 yo male to see E/T levels out of balance, which can precipitate all kinds of real health issues? Low libido, altered lipid status, increased fat:muscle ratios? Why accept this? That's why I like the term, Life Enhancement, versus Life Extension.

 

[cfdavid]

Like I said, FIRST DO NO HARM. Second, practice EBM.

Sure, caloric restriction has been the only documented means of increasing LONGETIVITY, but testosterone levels (and subsequently) libido in men practicing caloric restriction plummet. So, six of one-half dozen of the other....

There are biotech companies targeting transcription factors etc. involved in apoptosis. There are new antioxidants like resveratrol that show promise.

Also, is it necessary for a 60 yo male to see E/T levels out of balance, which can precipitate all kinds of real health issues? Low libido, altered lipid status, increased fat:muscle ratios? Why accept this? That's why I like the term, Life Enhancement, versus Life Extension.

Here's just one example of a small start-up biotech firm that was aquired by a large pharma co. (it also is suggestive of what is believed to be a very large market for these large co's to be aquiring these firms, often at a premium). They're working on derivatives of resveratrol in a number of different applications related to aging etc. DMII, Cancer etc.

http://www.sirtrispharma.com/

Interestingly, depending on one's perspective, this could be viewed as proactive medicine. That is, preempting disease states BEFORE they occur. Rather than our current, apparent, paradigm in medicine which seems very reactive when all is said and done.

 

[foil]

Research: Nitric Oxide.........Dr. Louis Ignarro
( long life and stiffies)


Nitric oxide fumes are pretty common in plating shops, knew a chemist in
his late 80's still working there.
His retired son had to drive him to work .
He would bounce up and down all over those tanks, gargled daily with his special brew of acid solution, .....kept pretty active. 👍


foil

 

[Bertelman]

Research: Nitric Oxide.........Dr. Louis Ignarro
( long life and stiffies)


Nitric oxide fumes are pretty common in plating shops, knew a chemist in
his late 80's still working there.
His retired son had to drive him to work .
He would bounce up and down all over those tanks, gargled daily with his special brew of acid solution, .....kept pretty active. 👍


foil

Are you suggesting that nitric oxide, recognized by NIOSH as a workplace hazard, extends life? Hopefully you have something more than this anecdote.

 

[Bertelman]

****MY question is this; with an MD/DO, and even specializing in something like Anes or even Rads or something, can one have the flexibility down the road to become "certified" in "life extension" or to simply just follow ones interests and do clinical work in these areas down the road and as therapies advance??

cf

During my MS1 year I was paired with an FP in the community. He specialized in hormonal treatment for transgenders. He said that one day he realized that the same hormones he was prescribing for menopausal women could be used to help wanna-be ladies achieve their dream. If he can tinker with endocrinology, I'm sure you can, too.

Maybe you could get on board with Michael Roizen.

 

[foil]

hmmmm.
1998 Nobel prize winner Dr. Louis Ignarro - Nitric oxide


Anyway , there's plenty in life I could sit down with you and debate ( over a cigar )
where "if a little is good - more is not better"
but I'm behind schedule.......got to run, Heading out to some volunteer work.
I'll check back Late May.