Tuesday, January 13, 2015

Transparency

Recently, I'd watched a TED MED talk by Dr. Lena Wen. I loved what she had to say, and the idea of physician transparency really resonated with me. The story of her mother's cancer treatment, and her opinions regarding the oncologist that treated her mother seemed understandable. However, her presentation left me with a lot of questions, and I think that is one of the problems with using opinions rather than facts to move an audience. No doubt, that there are physicians that are short sighted in their treatment, and some may even, as she mentioned, use a drug solely because he/she is getting some incentive to use it; but I think applying that opinion generally to the medical community is unfair, at best. Clearly, there are just some doctors and nurses who should not be practicing medicine, and that is the real message, in my opinion. The idea of forcing doctors to disclose every last detail of how they are paid seems punitive, and jealous. As well, if that is what consumers want, then all American entities, including the Federal Government should be forced to disclose every gift, benefit, and incentive received; and their intended purpose.
As well, the laws governing doctors and medicines in the US are HURTING patients, and not helping them. The truth is, BIGPHARMA doesn't care if you are getting the medicine that you need, but chances are your doctor does. The previous practice of big drug companies wooing doctors with lunches, conference trips, or other "perks," meant that, in many cases, patients benefitted by getting their very expensive medicines either at a discounted rate or even for free. Americans pay 50% more for medicine than the international community by design. Big drug companies leverage their research on the backs of the American people, while patients in other countries have access to the latest drugs for almost nothing. Now with the new formularies, and federal restrictions, Americans are prevented from access to the medicines that their 50% mark-up makes possible. In essence, we pay for the research, but we don't have access to the benefits. Transparency means that all entities show their cards...not that regulatory agencies and the federal government get to scapegoat medical practitioners, while they reap benefits and line their pockets.

Breaking up

Before I met my husband, I had a long, long, long history of picking the WRONG partner. In fact, I was a pro at finding the perfect flavor of jerk to highlight all of the negative aspects of my personality: my flaws, insecurities, and fears. In short, all of the stuff I hated about myself was illuminated, and served to me on a silver platter of guilt, shame, and inadequacy. Awesome! Right? It took me years of over doing, obsessing and "killing" myself trying to make the object of my affection happy before I realized that I had a choice. It finally dawned on me that it was up to me to change my fate, and ask for exactly what I wanted. It was that shift in my thinking that was the game changer for me. I no longer saw myself as shameful bag of damaged goods, afraid of a life of loneliness. I accepted that a life alone was a far better choice than a life looking into the eyes of a partner who would never see me as good enough. I accepted the good, the great,and the awesome things about me; as well as the things that I'd always been ashamed of. I knew that if love was to ever be successful I had to live authentically, and that meant forgiving myself for not being perfect. It felt good to say that I hated camping, I'd never liked football, and I was really an introvert. I didn't feel the need to be liked for something I "could be," I knew I wanted to be liked for me. That doesn't mean that I won't ever feel the need to push my comfort zone, have courage to step into uncharted waters, or learn new things; it means that I'll do those things on my terms, and in my own time. I finally broke up with the idea of who I should be, and it was one of the best things I've ever done.
Oddly enough, the idea of assessing my worth professionally had never occurred to me. For the past ten years I have gone from job to job hoping to feel successful, validated, valued; but that has never happened. I've done what I thought I'd needed to do for every organization. I come in early and stay late, put 100% effort into my work, believe in the vision, ask for feedback, have taken measures to improve myself, am a team player, I put clients and co-workers first; in essence, I feel like I've done everything I could possibly do to be an employee an employer would value. And yet, I'm not. I routinely get the assignments no one wants, get skipped over for breaks, am frequently left at my assignment when I should have been relieved hours before, and am paid less than my peers. Senior associates treat me like an idiot, a nuisance, or ignore me. Anyway, the point isn't the litany, it's the lie. The lie I keep telling myself that says that if I try harder, keep my mouth shut, keep my head down, produce more that things will change. They won't. EVER. What I need to do, is break-up with the idea that I can make a broken thing whole, or a bad situation good by working harder; and I need to break-up with my addiction to the opinions of others, and stop looking for ways to validate my internal story of rejection. So, that's it. I'm breaking up with my old, out dated modes of operation. I'm going to create a new narrative that more accurately reflects who I've become, and who I want to be.

Irresponsible Opinion based Medical Advice

This morning I came across an article in a parenting magazine. It was giving advice to parents regarding the use of antibiotics in children. It was touting some study that found that the use of antibiotics in babies may be a cause of childhood asthma. Articles like this PISS ME OFF! They are reminiscent of the autism scare over vaccinations. They spew this junk science, and then leave parents thinking that they shouldn't trust doctors, and that THEY are making decisions that could potentially harm their child. These types of articles are highly IRRESPONSIBLE: 1) authors of articles like these assume that all parents that read their articles have the same level of knowledge, education, and self efficacy. 2) they also assume that the those reading their articles have the same type of relationship with their medical practitioner that they do. 3)they are using their opinions/experiences regarding medical care as the basis for their advice. 4) they are setting themselves and their medical expert contributors as authority type figures when it comes to medical care.
First of all, each person; man, woman and child is an individual. The advice and care that a person receives from a licensed medical practitioner is specific to that person. If the doctor recommends a vaccination, or other type of treatment, follow their advice. If you have a concern or question, or you want to discuss the latest medical buzz, then talk to your medical practitioner. If he or she is unwilling to discuss it with you, then find another practitioner. Playing with your health, and especially the health of a baby is dangerous in so many unforeseen ways. A great example of this is whooping cough. I couldn't imagine watching my infant or young child suffering with, and possibly dying from a completely preventable disease, all because some idiot spewing junk science told me that vaccinating my child causes autism. Laying that kind of burden on parents is absolutely criminal!
It is awesome to be informed, and engaged and inquisitive about the things that go on in our family: about education, medical care, nutrition and etc.; however, throwing the latest junk science out there as fact, just because you subscribe to its general philosophy is horrible practice. With that, here is my advice: if you are not a physician, if you are not posting an article in a medical based journal, perhaps you should think about whether the advice in your opinion piece is helpful or potentially harmful. Better yet, just leave the practice of dispensing medical advice to medical practitioners. PERIOD!