What do doctors know? (warning: rant)

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  • BrianSharpe
    BrianSharpe Posts: 9,248 Member
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    I have a huge problem with modern medicine, specifically because quite simply it's a business. A business has a job to make money, and as such is biased. Aside from the conspiracy on the modern medicinal society which you can get enough bullroar about by using google, .........

    Do you get paid by your employer? Does your employer make money? Perhaps you should quit as they're biased......

    Do you shop at a grocery store? Last time I looked Loblaws was a business? Maybe you better grow your own food.....

    What's wrong with businesses making money? If it weren't for the "modern medical society" we would still see epidemics of measles (oh yeah, we are again because idiots don't get their children immunized), hundred if not thousands of people would die annually from polio and many of use would die before 40 from pneumonia.

    Can you suggest a better alternative?

    You didn't take my entire post into account when writing this and obviously did not follow the logic. Not all businesses are biased, not all hospitals are there to maximize profits. That being said there certainly are a lot that are. When you go to a restaurant some restaurants are true to their word and only use fresh ingredients, toss the junk. Some on the other hand bleach bad meat in order to serve it up to their customers. Do you know which is which?

    My point was the conspiracy is bullroar (I quite literally wrote that. I suppose your eyes were too clouded with rage at what you thought you were reading, to bother taking in what I actually said.), which is why I didn't talk about it. However you always have to take something with a grain of salt and understand that not all doctors are there solely for your health, or even have good intentions. How well do you know the man/woman in-front of you?

    That's why my closing statement was to take everything with a grain of salt, and ensure you understand enough to make a properly educated decision. I myself have been prescribed medication on many occasions which I really didn't need, and after further research and seeing a specialist wound up not taking as it would have done nothing to help the problem. Does that mean I distrust all doctors? No. There are a lot of them who went through med school for the sole purpose of wanting to help others. It does mean that I make sure I understand what I'm taking, and why I'm taking it, and I make sure to make it my business to understand a problem before I go see a doctor so I can make an educated decision on his advice.

    Hope that clarifies everything for you, and that you can take the time to read a whole post and understand it's full context next time.

    My bad.....:blushing: :blushing:
  • Tourney3p0
    Tourney3p0 Posts: 290 Member
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    My point was NOT: go to any random doctor for nutrition advice. My point was that: even the general practitioner is a good bet for good advice and you shouldn't ignore the general practitioners' advice in favor of some random person on MFP

    Seems you missed my point. Your point was clear to the point of being obvious. Believe the doctor over some random guy with no credentials. Stop the presses; alert the news.

    My point, which was separate from your point, is that if you're unsure to the point of actually scheduling an appointment, and you scheduled with a general practitioner, you did it wrong. And if your doctor didn't say, "Hey, you went to the wrong person here." then they probably did it wrong as well.

    In summation, shut down the forums. Auto-reply to all forum posts with "See your dietitian. We're just used car salesmen, and we have no idea." Problem solved.
  • Sasseh42
    Sasseh42 Posts: 16
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    I have a huge problem with modern medicine, specifically because quite simply it's a business. A business has a job to make money, and as such is biased. Aside from the conspiracy on the modern medicinal society which you can get enough bullroar about by using google, I would also have to point to the statistics of how many doctors make mistakes, and the fact that a nurse working a normal shift will make an error in 1/4 of her decisions.

    Also while your doctor is given tons and tons of classes, they don't do a bit of good if they don't know everything about YOUR body. Every time a doctor prescribes something to you it's based on best guess. Yes they take into account what you look like when you walk through the door, your description of the symptoms etc. However in the end it really is just a quick calculation of something that matches around those symptoms.

    The only way to really be sure of anything is to research yourself, know your entire body, and really understand the concept of a drug and what it's made to accomplish. That or get a family doctor who should know pretty much everything about you after 5-10 years of seeing him on a regular basis including yearly physicals.

    That all being said, at least a doctors guess is an EDUCATED one. So unless you truly have taken the time to educate yourself on your body and health, and how it all functions, you should definitely take your doctors advice. You may not like the advice, but it is a thousand times better than your best guess, and DEFINITELY a million times better than some random person posting online who hasn't even SEEN you in order to understand what symptoms you have that you don't even know about. Doctors are trained to take everything into account about you from the second you walk in the door, they see subtle things that you likely don't have a clue about.

    As with anything, any advice someone gives you should be taken with a grain of salt. Something like your health you should definitely research and fully understand so that you can make an educated decision at any given time. Otherwise you leave yourself at the mercy of others, either your friend who thinks they're a know it all, a random man in a white coat (who you have no idea how well he did in med school), or the internet (good people and trolls a like.).

    Could not agree with this post more!!!!
  • JustJennie1
    JustJennie1 Posts: 3,843 Member
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    I have a huge problem with modern medicine, specifically because quite simply it's a business. A business has a job to make money, and as such is biased. Aside from the conspiracy on the modern medicinal society which you can get enough bullroar about by using google, I would also have to point to the statistics of how many doctors make mistakes, and the fact that a nurse working a normal shift will make an error in 1/4 of her decisions.

    Also while your doctor is given tons and tons of classes, they don't do a bit of good if they don't know everything about YOUR body. Every time a doctor prescribes something to you it's based on best guess. Yes they take into account what you look like when you walk through the door, your description of the symptoms etc. However in the end it really is just a quick calculation of something that matches around those symptoms.

    The only way to really be sure of anything is to research yourself, know your entire body, and really understand the concept of a drug and what it's made to accomplish. That or get a family doctor who should know pretty much everything about you after 5-10 years of seeing him on a regular basis including yearly physicals.

    That all being said, at least a doctors guess is an EDUCATED one. So unless you truly have taken the time to educate yourself on your body and health, and how it all functions, you should definitely take your doctors advice. You may not like the advice, but it is a thousand times better than your best guess, and DEFINITELY a million times better than some random person posting online who hasn't even SEEN you in order to understand what symptoms you have that you don't even know about. Doctors are trained to take everything into account about you from the second you walk in the door, they see subtle things that you likely don't have a clue about.

    As with anything, any advice someone gives you should be taken with a grain of salt. Something like your health you should definitely research and fully understand so that you can make an educated decision at any given time. Otherwise you leave yourself at the mercy of others, either your friend who thinks they're a know it all, a random man in a white coat (who you have no idea how well he did in med school), or the internet (good people and trolls a like.).

    Indeed.

    I was having issues sleeping and my GP prescribed me an anti depressant. I am the least depressed person I know! I never took it but now whenever I'm not feeling well I tell my husband I'm going to go to Dr. X to get an anti depressant.

    I am not a big fan of doctors. My "physical" takes all of about ten minutes and it consists of me touching my toes and my doctor whispering a number in one ear while he rustles his hand in the other to see if I'm deaf. The most I've gotten out of a physical is that I have high arches. Seriously. (And no I don't go to him all the time, just use him as the reference for the spot you're forced to fill out when asked who your GP is on forms. I pretty much go to my gyno for everything)
  • LabRat529
    LabRat529 Posts: 1,323 Member
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    My point, which was separate from your point, is that if you're unsure to the point of actually scheduling an appointment, and you scheduled with a general practitioner, you did it wrong. And if your doctor didn't say, "Hey, you went to the wrong person here." then they probably did it wrong as well.

    In summation, shut down the forums. Auto-reply to all forum posts with "See your dietitian. We're just used car salesmen, and we have no idea." Problem solved.

    Ah... well then, A) most people have to go to their general practitioners to get a referral to a dietitian, and B) dietitians are not always covered by insurance companies. I have awesome health care. They do not cover dietitians for things like weight loss. They send you to an occupational therapist instead... which is rather odd... but anyway.... the OT isn't a dietitian either.

    A general practitioner is a reasonable choice for someone who cannot see a dietitian. It is not correct to say that a general practitioner has no training in nutrition. He/she DOES. His/her training is not as extensive as a dietitian but is still better-than-average and should not be dismissed casually.

    This thread was started because, once again, I saw someone post "Dr. said..." and that post was followed by the standard "aww... doctors don't know anything" even though the doctor's advice was pretty reasonable.
  • Frankenbarbie01
    Frankenbarbie01 Posts: 432 Member
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    Most of the instances I've seen include the standard "eat 1200 calories a day and exercise to lose weight". In the meantime, your general practitioner is thinking, "Why is this person here asking me about nutrition? I hope they don't notice that I'm not even going to bother taking body fat measurements.. I hope they leave soon."

    This is the reaction I normally got when I went to my family practioner RE:inability to lose weight, thinning hair cold all the time.... (BTW- ex-cancer patient, peri-menopausal from said treatments, I suspect a low functioning thyroid because of how I FEEL....thyroid's a 2 BUT ' in range...so it's not your thyroid...just cant be'...cause the dr said I guess...)
    The medical advise I got without even a blood pressure reading was ...."EAT STIR-FRYS...chicken is your friend":bigsmile:

    I do not discount what my doctor says, in his educated opinion that is going to solve my issue HOWEVER......
    I am ultimately responsible for my own healthcare and well being, people need to understand that doctors are NOT supehuman and can make errors or mistakes....
    I headed to the healthfood store and began to read and learn how MY body reacts to changes in diet and additions of supplements. I feel better...not at goal weight but FEEL better than I ever have....and really dont eat stir-fry's on principle....even tho I'm all about Paleo....cause it works for me.....LOL
  • LabRat529
    LabRat529 Posts: 1,323 Member
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    Indeed.

    I was having issues sleeping and my GP prescribed me an anti depressant. I am the least depressed person I know! I never took it but now whenever I'm not feeling well I tell my husband I'm going to go to Dr. X to get an anti depressant.

    I am not a big fan of doctors. My "physical" takes all of about ten minutes and it consists of me touching my toes and my doctor whispering a number in one ear while he rustles his hand in the other to see if I'm deaf. The most I've gotten out of a physical is that I have high arches. Seriously. (And no I don't go to him all the time, just use him as the reference for the spot you're forced to fill out when asked who your GP is on forms. I pretty much go to my gyno for everything)

    Anti-depressants are great sleeping aids :P Some of them, anyway. And yes, I'm serious about this. One of the side-effects of anti-depressants is sleepiness. Your doctor wasn't a quack, but you should have talked to him about your concerns and said, "no, I don't want to take an anti-depressant. Let's try something else."

    I love anti-depressants. They do such cool things to the brain. >.>

    P.S. Because you don't know me, please read the above comment as if it were written by a nerdy science geek with an odd sense of humor who is thinking, "huh! That's an interesting approach" and is being impressed by your M.D. and his off-label use of a pharmaceutical agent even if it's not the approach I would have used. No offense is meant.
  • peachprl
    peachprl Posts: 119 Member
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    and the fact that a nurse working a normal shift will make an error in 1/4 of her decisions.

    And where is this mindblowing "fact" from? My guess is somewhere the sun doesn't shine. That is such complete and utter bull. Do me a favor and don't post BS on the internet and claim it as a fact when it is nothing more than garbage you made up based on your own personal bias. Chances are the same nurses you are badmouthing are the same people often catching errors that could potentially be killing the people you love made by others- orders by doctors, miscalculations by pharmacy. Sure, human error happens, sometimes by nurses. But 1/4 of the decisions in their shift. What a freaking crock of crap.
  • Di3012
    Di3012 Posts: 2,250 Member
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    Okay... so I'll be the first to tell you that the M.D. or Ph.D. behind your name is not magic. It does not make you a god. It does not make you infallible. But good heavens. I keep seeing people post about something their doctor suggested and then a whole bunch of people who are NOT DOCTORS come in and tell that person, 'oh, doctors aren't experts in nutrition, you should ignore their advice' or 'only you can decide what's right for your body' or whatever.

    It makes me grouchy. (Unless you're ignoring Dr. Oz. HE makes me grouchy and I'd rather you ignore him, but that's another rant...)

    Because... here's the deal. Maybe doctors don't have the classes upon classes upon classes about diet and nutrition that a dietitian has, BUT they do have classes upon classes upon classes about how the human body works.

    The human body is incredibly complicated and it's pretty tough to learn everything there is to know about the human body. That's why there are specialists. A general practitioner could never learn it all. And so, yes, doctors aren't going to have all the answer and it is always a good idea to question the information they give you and it's always a good idea to ask for a referral to a specialist if you think it would be helpful.

    HOWEVER... the flippant attitude that some people have about doctors (and scientists) is crazy. Odds are, your general practitioner is going to know a heck of a lot more about the human body than an accountant or computer scientist or even a biochemist or pharmacologist/neuroscientist (like me) on MFP.

    Please don't dismiss your doctors' advice on a whim or on the council of an MFPer. Read, study, learn what you need to know so that you can be a good consumer. Push for the care you need... but don't be foolish. Don't ignore medical advice unless you've got a good reason to believe your doctor is wrong.

    I don't even ignore my doctors' advice... I DO make them explain their rational to me and if I disagree, I'll tell them I disagree and I'll tell them why... but in the end, I follow their advice.

    Now of course if they're suggesting Paleo, feel free to label them a quack and move on**.

















    **I'M KIDDING! I'm kidding. Paleo works for some people and some doctors will recommend it because they've seen good results. I'm just biased against Paleo.

    Fully agree with you.

    I see somebody say that their own doctor advised this, that or the other. They post about it on MFP and numerous people comment on how a doctor does not know everything. Well I would like to say that they know a bloody sight more than a regular person on here who has not studied medical matters and if there were a choice, I know which one I would take and it would not be the layman I can tell you that!

    The doctor's advice, whatever it may be, will be abhorrent to many if it is not what they want to hear. People cannot be objective in the vast majority of times, shame really, they would probably be better off if they were.
  • jillybean9881
    jillybean9881 Posts: 39 Member
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    and the fact that a nurse working a normal shift will make an error in 1/4 of her decisions.
    And where is this mindblowing "fact" from? My guess is somewhere the sun doesn't shine. That is such complete and utter bull. Do me a favor and don't post BS on the internet and claim it as a fact when it is nothing more than garbage you made up based on your own personal bias. Chances are the same nurses you are badmouthing are the same people often catching errors that could potentially be killing the people you love made by others- orders by doctors, miscalculations by pharmacy. Sure, human error happens, sometimes by nurses. But 1/4 of the decisions in their shift. What a freaking crock of crap.

    Thank you! And well said!
  • Marll
    Marll Posts: 904 Member
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    Most doctors are idiots and only have a career because of that MD title. I've met way more crappy doctors than good ones. I typically don't trust anything they say beause each time I've had an issue I've had to argue with a doctor and eventually prove that I am right.
  • Marll
    Marll Posts: 904 Member
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    This is the reaction I normally got when I went to my family practioner RE:inability to lose weight, thinning hair cold all the time.... (BTW- ex-cancer patient, peri-menopausal from said treatments, I suspect a low functioning thyroid because of how I FEEL....thyroid's a 2 BUT ' in range...so it's not your thyroid...just cant be'...cause the dr said I guess...)
    The medical advise I got without even a blood pressure reading was ...."EAT STIR-FRYS...chicken is your friend":bigsmile:

    I do not discount what my doctor says, in his educated opinion that is going to solve my issue HOWEVER......
    I am ultimately responsible for my own healthcare and well being, people need to understand that doctors are NOT supehuman and can make errors or mistakes....
    I headed to the healthfood store and began to read and learn how MY body reacts to changes in diet and additions of supplements. I feel better...not at goal weight but FEEL better than I ever have....and really dont eat stir-fry's on principle....even tho I'm all about Paleo....cause it works for me.....LOL

    Pretty much sums it up. Doctors are so concearned with ranges and "normal" numbers that they can't even think past that and treat the person.
  • JustJennie1
    JustJennie1 Posts: 3,843 Member
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    Indeed.

    I was having issues sleeping and my GP prescribed me an anti depressant. I am the least depressed person I know! I never took it but now whenever I'm not feeling well I tell my husband I'm going to go to Dr. X to get an anti depressant.

    I am not a big fan of doctors. My "physical" takes all of about ten minutes and it consists of me touching my toes and my doctor whispering a number in one ear while he rustles his hand in the other to see if I'm deaf. The most I've gotten out of a physical is that I have high arches. Seriously. (And no I don't go to him all the time, just use him as the reference for the spot you're forced to fill out when asked who your GP is on forms. I pretty much go to my gyno for everything)

    Anti-depressants are great sleeping aids :P Some of them, anyway. And yes, I'm serious about this. One of the side-effects of anti-depressants is sleepiness. Your doctor wasn't a quack, but you should have talked to him about your concerns and said, "no, I don't want to take an anti-depressant. Let's try something else."

    I love anti-depressants. They do such cool things to the brain. >.>

    P.S. Because you don't know me, please read the above comment as if it were written by a nerdy science geek with an odd sense of humor who is thinking, "huh! That's an interesting approach" and is being impressed by your M.D. and his off-label use of a pharmaceutical agent even if it's not the approach I would have used. No offense is meant.

    LOL!

    I actually didn't know it was an anti depressant when he prescribed it. He just wrote the script and said "Take this". My mom was the one who clued me in on what it was.

    I take melatonin now and it works awesome!
  • mnkenned
    mnkenned Posts: 13 Member
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    As an MD, I can tell you that doctors don't want to see their patients every 10-20 minutes and would love to sit and talk with you about weight loss and exercise plans if they had the chance. The problem is that insurance companies don't pay for education in most instances, and the reimbursement rates are so low that doctors have to stack patients in order to stay afloat. This is why 'concierge' practices are becoming so popular - without the insurance company, doctors can spend an hour plus with each person and be very thorough. They hammer the patient-first model into us in medical school, but when you get into the real world it's the insurance companies that determine how you practice.
    Also, doctors aren't magicians. If you come in with a set of symptoms, it could usually easily be about 10 different things. We usually start conservatively with an educated guess (I think someone mentioned this). This is why it's SO important to have a running dialogue with your physician... and to even have a primary care physician to begin with. You can talk about what's working and what's not and tailor therapy to the individual. If you keep hopping from one physician to the next, most are going to come up with the same differential and work it up in the same order, or end up with unnecessary expensive tests at the ER.
    As for the nutrition side, it's true that we don't get taught in-depth about different exercise regimens and whatnot, but we do learn nutrition and know healthy and unhealthy ways to lose weight and if you're lucky, you can refer to a dietitian for specific diet plans and help with lifestyle changes and things that require a lot more time than the doctor's visit has for it.
  • amrita0286
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    I might be biased as I am in medical school but I agree that nutrition in general is NOT a hot topic in medical school, not as much as it should be, BUT we do know quite a bit. So thank you for saying that.
    But sometimes when a doctor says eat right and exercise, it really does work. The problem is people don't want to take advice or maybe don't want to listen.. then I kind of wonder why even bother asking?
    We are encouraged to give advice in medical school, but not encouraged to force someone into listening to us. At the end of the day it's your own life. I can't personally tell you to do something that I'm not doing. I'm overweight myself, so before I open my mouth about eating right and exercising, I should do that myself, which is why I'm here.... I'm here to make a change.
  • Di3012
    Di3012 Posts: 2,250 Member
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    Most doctors are idiots and only have a career because of that MD title. I've met way more crappy doctors than good ones. I typically don't trust anything they say beause each time I've had an issue I've had to argue with a doctor and eventually prove that I am right.

    ahh in that case you will never have to visit one.

    However, if I had the choice between you and a doctor, it would be the doctor I would choose everytime.

    Just think, if you need stitches or an op, you can do it all on yourself, you need nobody's help :)))
  • iqnas
    iqnas Posts: 445 Member
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    bump
  • Jennyisbusy
    Jennyisbusy Posts: 1,294 Member
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    1. Not all doctors made A's in school. :laugh:

    2. I have gotten some VERY questionable treatment from doctors in the past and had to move on to new ones and do a lot of research on my own. (regarding kidneys, not weight loss but mistakes happen every where every day )

    3. I don't ask my OBGYN advice about weight loss because they have posters all over their walls advertising WL pills. It actually REALLY bothers me every time I see them.
  • kwest_4_fitness
    kwest_4_fitness Posts: 819 Member
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    *APPLAUSE* I heart you, OP!!
  • EmmaR84
    EmmaR84 Posts: 103 Member
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    Indeed.

    I was having issues sleeping and my GP prescribed me an anti depressant. I am the least depressed person I know! I never took it but now whenever I'm not feeling well I tell my husband I'm going to go to Dr. X to get an anti depressant.

    Your doctor may have prescribed the correct medication in this instant. Many medications labeled as anti-depressants have other uses as well as treating anxiety and depression. These include both increasing and supressing appetites, reducing seizures and helping reduce insomnia. Mirtazipine is a commonly prescribed "anti-depresant" which is very effective at helping someone sleep.

    Traditional, benzodiazepine based sleeping tablets (diazepam, tamazepam etc) are now generally only used as a last resort or if there is another medical condition necessitating their use. The main reason for this is the effectiveness of benzodiazepines reduces very quickly as you become reistant to them (your tolerance increases) which means a higher dose is required often within 1-2 weeks. It is also very easy to become dependent on them after a relatively short time.
    A responsible doctor will not prescribe benzodiazepines initially and if they are prescribed for persistant insomnia it will usually only be for a few days.
    If a person becomes dependent on benzodiazepines (especially at higher doses) it can become dangerous to stop immediately and to do so can cause seizures and even death.

    This is why a responsible doctor will often prescribe what seems a "silly" medication labeled as an anti depressant instead of a "real" sleeping tablet. It still will help but it reduces the risks to the patient.

    If you are ever unsure why you have been prescribed something ask your doctor, there is normally a very valid reason.