It’s Always The Doctor’s Fault, Right?


Let me ask you doctors out there one easy question.   What is the biggest stress you have when a patient comes in and they obviously have a cold?   Most, if not all, of you will say the impending fight over why you are not giving them an antibiotic.  I have given you my personal example on this blog before.  Anyway, it was to my surprise when I saw this article in Men’s Health that it is the DOCTOR’S FAULT for pushing antibiotics!  You have got to be kidding me.    Even better, was good old Ted Epperly MD, past president of the AAFP, who was quoted as the big source in the piece.   He is the Men’s Health family advisor, you know.   Dude, if you are going to “lend” your services to rag mags like Men’s Health, you may want to control some of the material.    It is not always possible but is it worth selling your colleagues out with a headline like that?   Probably not.

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] 

  5 comments for “It’s Always The Doctor’s Fault, Right?

  1. DrHockey
    September 20, 2013 at 8:58 am

    Back in the paleozoic era (early 1970s), when I was in family practice, I printed up a handout explaining that antibiotics can be good to treat bacterial infections, but not viral infections like the cold. I would also explain it to patients, they acknowledged that fact, but they would still end the discussion with, “Can I have my antibiotics?”

  2. Mamadoc
    September 19, 2013 at 10:49 pm

    Oh, good grief. I’d say this guy has been smoking something, but I suspect he hasn’t touched a patient in years and has no idea what we deal with on a daily basis. One day I am going to lose it and say “listen to me, you stupid maroon…you have a COLD. No antibiotic is going to make you a bit better and if you’re gonna have a fit get out of my office!” But that day has not yet come.

  3. cgknoxmd
    September 19, 2013 at 5:37 pm

    It’s also our fault for the painxiety medication abuse epidemic. My favorite bull-roar from the hydrocodone-Xanax QID addict: “I ONLY take what THOSE DOCTORS TELL ME I HAVE TO TAKE!” You poor soul, being forced by those mean ol’ doctors!

  4. Dave Mittman, PA
    September 16, 2013 at 11:54 am

    It’s the fault of prescribers who gave everyone a “Z-Pack” for everything. Is that good marketing? Is that patients asking for it? Is it fear of losing patients? I can’t tell you how many people would see me and tell me “my doctor always gives it to me when I have a cold”.
    I told patients that they would only get what what needed and let’s save the “big gun antibiotics for the big gun infections”. I also said when I did not think they needed anything that they should give it a few days and if not better, I would be happy to see them again. Most were better.
    Men’s Health commonly has inaccurate information. Agree about the advisors for sure.
    Dave Mittman, PA

  5. Pat
    September 16, 2013 at 10:40 am

    A past president of an organization that supported policies that made it harder for PriCare docs to make a living, chiding them for trying to stay profitable. Typical.

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