5 ms·

> How doctors of all professions lost their professional agency to do-nothing administrators within a generation is quite puzzling The profit model of the U.S.

> How doctors of all professions lost their professional agency to do-nothing administrators within a generation is quite puzzling The profit model of the U.S. healthcare industry might have something to do with it. The fact that hospitals are run like businesses and have shareholders is insane to me. I know other countries' healthcare systems got hit hard by the pandemic too, but it seems like the uniquely capitalist nature of healthcare in the U.S. sets it up to mistreat workers and cut corners for the benefit of administrators and executives.

reedjosh 4y ago
If they can't throw some medication with pharma kickbacks at you, they probably won't do much at all. My 6 month old son was put on topical steroids for a small rash on his back and the doctors solution when this turned into a progressive issue was more and stronger topical steroids. Eventually I learned about topical steroid withdrawal, and after a hellish withdrawal period, my son has no real skin conditions. https://www.youtube.com/watch?v=PpW4VV2bsD8&t=28s https://www.youtube.com/watch?v=PpW4VV2bsD8&t=28s And yes, my son at ~1 year old was red and bleeding like that head to toe. When I brought up steroid withdrawal I was rudely dismissed by multiple doctors including dermatologists. Doctors currently have willful blinders on at a minimum, and some may be a true embodiment of evil. I hope the whole for profit medical system crashes and burns.
- Enginerrrd 4y ago
  Steroids are so commonplace and old, I really doubt anyone was getting pharma kickbacks in the case of your son. There's just a large range in quality amongst doctors. What you're calling "willful blinders" or "true embodiment of evil" is more likely just a failure to adapt out of a simple paradigm: {Inflammation}->{Treatment = steroids}. And a failure to recognize when that was causing a loop. Maybe they forgot about steroid withdrawal. In fact, as someone with quite an interest in pharmacology and some background as a paramedic, this is the first I've ever heard of it, and I love obscure medication issues.
  - reedjosh 4y ago
    > Maybe they forgot about steroid withdrawal. As I mentioned in my comment I mentioned steroid withdrawal to many doctors when my son was literally only sleeping an hour or so a night from itching and I was dismissed out of hand. If its not kickbacks, then its such a terrible arrogance as to be evil. How can a dermatologist not know of my son's condition? Particularly seeing as steroids have been around for a while as you've mentioned. Even when I brought the idea to the dermatologist, after a bit of head nodding his solution was another two weeks of a yet stronger steroid to `calm it down`, and then to taper. There's a nonprofit trying to get doctors to properly acknowledge the condition. https://www.itsan.org/ https://www.itsan.org/ There's as I linked above about a million videos of people recovering from TSW as well. There's even a study out of Autstralia that followed 10 children with what was called bad eczema, but after a withdrawal period every child at max had pruritis on elbows or knees. https://www.medicaljournals.se/acta/content_files/files/pdf/99/6/5412.pdf https://www.medicaljournals.se/acta/content_files/files/pdf/... If my job were skin, and topical steroids was one of the main things I used as a tool, how could I not know about these issues? You'd have to be such a hack that nobody would consider you a professional, yet the same dermatologist that offered yet another round of steroids had his office on the penthouse suite of a downtown building with a showcase displaying awards. It may seem hyperbolic to you, but you didn't live through this like I did. You didn't see your young child in complete misery due to medical authorities you thought you could trust misguiding you. It's evil of some form.
    - hedora 4y ago
      I had some digestive issues, and the specialist’s diagnosis boiled down to: I have the same issue. You’re getting older. The correct diagnosis was: That sounds like chronic inflammation. Hit the gym and lose 20 lbs, fattie.
- deleted 4y ago
  [deleted]
toiletfuneral 4y ago
[dead]
theklub 4y ago
It’s not just that, some hospitals are outsourcing everything disenfranchising the people that work there. And I mean everything from the doctors themselves to IT to the cleaning lady to the food workers and selling the buildings to lease them back. It’s the fleecing of America.
bitsnbytes 4y ago
profit model is not the issue. How the compensation and rewards are structured is the issue.
- defterGoose 4y ago
  So...we need to manage that better?
  - bitsnbytes 4y ago
    absolutely.We need to look at ways to make monetary compensation more aligned with the best interest of the patient. Having said that we also need to look at patients taking more accountability for their health and consequences for wasting medical professional times.

reedjosh 4y ago

If they can't throw some medication with pharma kickbacks at you, they probably won't do much at all. My 6 month old son was put on topical steroids for a small rash on his back and the doctors solution when this turned into a progressive issue was more and stronger topical steroids. Eventually I learned about topical steroid withdrawal, and after a hellish withdrawal period, my son has no real skin conditions. https://www.youtube.com/watch?v=PpW4VV2bsD8&t=28s https://www.youtube.com/watch?v=PpW4VV2bsD8&t=28s And yes, my son at ~1 year old was red and bleeding like that head to toe. When I brought up steroid withdrawal I was rudely dismissed by multiple doctors including dermatologists. Doctors currently have willful blinders on at a minimum, and some may be a true embodiment of evil. I hope the whole for profit medical system crashes and burns.

Enginerrrd 4y ago
Steroids are so commonplace and old, I really doubt anyone was getting pharma kickbacks in the case of your son. There's just a large range in quality amongst doctors. What you're calling "willful blinders" or "true embodiment of evil" is more likely just a failure to adapt out of a simple paradigm: {Inflammation}->{Treatment = steroids}. And a failure to recognize when that was causing a loop. Maybe they forgot about steroid withdrawal. In fact, as someone with quite an interest in pharmacology and some background as a paramedic, this is the first I've ever heard of it, and I love obscure medication issues.
- reedjosh 4y ago
  > Maybe they forgot about steroid withdrawal. As I mentioned in my comment I mentioned steroid withdrawal to many doctors when my son was literally only sleeping an hour or so a night from itching and I was dismissed out of hand. If its not kickbacks, then its such a terrible arrogance as to be evil. How can a dermatologist not know of my son's condition? Particularly seeing as steroids have been around for a while as you've mentioned. Even when I brought the idea to the dermatologist, after a bit of head nodding his solution was another two weeks of a yet stronger steroid to `calm it down`, and then to taper. There's a nonprofit trying to get doctors to properly acknowledge the condition. https://www.itsan.org/ https://www.itsan.org/ There's as I linked above about a million videos of people recovering from TSW as well. There's even a study out of Autstralia that followed 10 children with what was called bad eczema, but after a withdrawal period every child at max had pruritis on elbows or knees. https://www.medicaljournals.se/acta/content_files/files/pdf/99/6/5412.pdf https://www.medicaljournals.se/acta/content_files/files/pdf/... If my job were skin, and topical steroids was one of the main things I used as a tool, how could I not know about these issues? You'd have to be such a hack that nobody would consider you a professional, yet the same dermatologist that offered yet another round of steroids had his office on the penthouse suite of a downtown building with a showcase displaying awards. It may seem hyperbolic to you, but you didn't live through this like I did. You didn't see your young child in complete misery due to medical authorities you thought you could trust misguiding you. It's evil of some form.
  - hedora 4y ago
    I had some digestive issues, and the specialist’s diagnosis boiled down to: I have the same issue. You’re getting older. The correct diagnosis was: That sounds like chronic inflammation. Hit the gym and lose 20 lbs, fattie.
deleted 4y ago
[deleted]

toiletfuneral 4y ago

[dead]

theklub 4y ago

It’s not just that, some hospitals are outsourcing everything disenfranchising the people that work there. And I mean everything from the doctors themselves to IT to the cleaning lady to the food workers and selling the buildings to lease them back. It’s the fleecing of America.

bitsnbytes 4y ago

profit model is not the issue. How the compensation and rewards are structured is the issue.

defterGoose 4y ago
So...we need to manage that better?
- bitsnbytes 4y ago
  absolutely.We need to look at ways to make monetary compensation more aligned with the best interest of the patient. Having said that we also need to look at patients taking more accountability for their health and consequences for wasting medical professional times.