Wise Choices

Here is another ridiculously obvious statement from an article in the American Medical News:

Achieving superior clinical outcomes often depends less on physicians making the right diagnosis and recommending the correct treatment and more on their patients’ willingness to take the necessary steps to maintain or improve their health.

And this is written by Kevin O’Reilly, a friend of mine.  C’mon man, you’re better than that.   Yes, ultimately, it is the patients with the problems and they are the most important factor in fixing them.  Even if we have medications that can help their diseases, patients can surely screw things up by not doing their part.    It’s a good thing that ALL quality indicators are basing OUR pay on patient’s behavior.  Make sense.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  1 comment for “Wise Choices

  1. February 20, 2013 at 10:18 am

    You were expecting this comment, weren’t you?

    A lot of doctors (my biggest gripe is with psychiatrists, but other doctors are not immune), would rather listen to a few keywords a patient uses, not listen to the patient at all otherwise, and diagnose and prescribe. The patient is often given drugs which are both dangerous for their “other” effects and often totally ineffective for their “main” effects (thanks to the marketing team of the pharmaceutical company convincing doctors that the drug is a miracle, after cherry-picking data which still does not prove that issue). If the patient chooses to not follow this “advice”, the patient is further stigmatized as “non-compliant”.

    Go on and blame the patient. The doctor is supposed to be a healer, not a drug-pusher. Try listening sometime. I know you’re too busy to do this, but not doing it violates your own oaths.

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