It's been a long time since I stirred things up a bit and drawn
flack, so, here it is:
Mary Hawking wrote
> >I remember being told only to do tests if the results - whether
> >normal or abnormal - would change management of the patient .. does
> >anyone follow this?
Doug jenkinson replied:
> Such a maxim must be one of the commandments of doctor centred
> medicine and therefore inappropriate for modern general practice in
> most (?some) of the UK.
Can't quite get that. Why is it inappropriate? If "doctor centred
medicine" is what we are trained to do and is what we practise, so
what?
Doctor centred medicine implies that there are other "something else
centred" medicine. I will probably need enlightment on this.
If, on the other hand, you mean that the patients should have tests
that *they* want, despite a prfoessional opinion to the effect that
they do not *need* them or the tests are *inappropriate* or
*irrelevant* to the management of the condition, then, beggars
can't be choosey. I will explain below before the flack hits my
wings:
Within the next 10 years or so, the economy of the following
countries would have overtaken that of the UK:
Mexico
Brazil
India
Thailand
Malaysia
Vietnam!!! (yes, Vietnam).
The upshot of that is that we are no longer a super rich super power.
In fact, there is every chance that the UK will be regarded as a
third world country in our life time.
That spells out the following:
We can not afford to carry on the way we are carrying on as if money
grows like the weeds in my garden.
You only need to look at the tally of medals n Atlanta. A tally that
has been halved every Olympics for the past four events.
If we do all the tests and give all the treatments that people *want*
and doctors feel they *should* carry out, the DoH will be bankrupt
in a couple of weeks, let alone provide what the people *want*
despite the doctors saying it is not *necessary*.
It's been over a year now since I wrote about "Blade Runner cities".
What I said then still stands, only it is a bit closer. The
Democratic administration in the USA just passed a bill that will
withdraw state benefits from zillions of people, leaving them to
fend for themselves. Just think what the Republicans might do (or
New Labour, for that matter!). It is only a matter of time before the UK
catches up.
Oh, what the hell....I'll stop now.
Ahmad
_______________________________________
Ahmad Risk MB BCh
business tel: +44 1737 240022 fax: +44 1737 244660
home tel: +44 1293 782255
http://www.cybermedic.org/
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