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The first line recommendation is always diet and exercise. Pills are second line. Some docs burn out and just start giving pills first line because 99,999% of
by arkades 8y ago
The first line recommendation is always diet and exercise. Pills are second line.
Some docs burn out and just start giving pills first line because 99,999% of patients do not ever do the diet and exercise, even after repeated counseling rounds.
- ip26 8y agoAnd the stipulation in this discussion is that maybe we're going to learn in the next decade that going outside should have been a first line recommendation, with pills second line. There's melanoma risk with sun exposure- but there's e-coli with produce, and a bevy of sports-related injuries.
- darkerside 8y agoThat's so fucking irresponsible. I'm not mad at you, just at any doctor that would do that. Would you stop teaching children because they didn't know math?!
- NikolaeVarius 8y agoAdults are not children.
- darkerside 8y agoAnalogies, by definition, are never exactly what they say they are
- amitport 8y agoDoctors, with their few minutes per patient, are not in the position to teach or really influence people's habits. Teachers should teach- about exercise among other things.
- ryall 8y agoI often wonder why GP's don't refer patients to fitness/nutrition specialists like they do for everything else. Medical training does not cover nutrition in any depth, I'd say your average doctor is under-qualified in addition to time poor.
- nradov 8y agoIn some countries they actually do give such referrals. But it's rare in the US because most insurance plans don't cover such treatments. That is starting to change to a limited extent; my retired father receives a discount on his medical insurance for going to the gym every week.
- darkerside 8y agoAlso, parents should parent. And people should take care of themselves. I'm not saying doctors should start teaching anything. I am definitely saying that they should NOT be prescribing statins flip-ly when getting someone to diet and exercise is the correct answer.
- drdrey 8y agoAnd sleep
- pessimizer 8y ago> The first line recommendation is always diet and exercise. Pills are second line. It would be nice if this were true. We've started to get soft industry press-pushes suggesting putting statins in the drinking water supply about every three years for the last decade.