ro th Editors Dsk
by: Virginia Kessinger
hat happened to that oath, First, Do No arm There is alays time or heroics
n such a litiious society, it is shockin ho many meds are no suspect. beliee there are more commercials or attorneys lookin or business rom the olks takin a ide ariety o ne medications than there are or the pills themseles.
A seet, supposedly healthy lady recently ent or a routine procedure described to her to be inasie, but not danerous. The procedure then reuired a stent. Durin that procedure, somethin triered a stroke. She ended up ith seeral stents and a debilitatin stroke. She as in the C or seeral days ith little hope o suriin. uckily, she as stron enouh to make it throuh her ordeal and is no in rehab.
This scenerio is not that unheard o. onder hat the harm ould hae been to do some non-inasie testin (bloodorkdoppler studies, etc) to nd the condition o her health. Maybe some liestyle and dietary chanes could hae been implemented or a e months beore takin more drastic measures. This patient had no threatenin symptoms or problems hen her ourney started. She as a liely lady ho enoyed an actie lie. That is one oreer
Am ron to instantly look at unexplained, sudden deaths o patients o all aes as a little suspicious t has become acceptable or youn people to die durin the niht rom heart attacks. And, it is not unusual or someone to enter the hospital or a simple procedure and end up in the C ith complications - or death. Maybe the nes media ust reports these inractions more than they used to but, think, there is a trend toard an oermedicated society.
that is ith the adent o Dr. oole, patients are takin more responsibility or their healthcare status. They are surn the eb to understand procedures and conseuences. They usually hae opinions (ood or bad) o hat they need and ho to sole the health problem they are presentin ith. Sometimes they are on taret, sometimes they hae misunderstood the medical aron. At least they are tryin to be pro-actie More oten than
THE ORIGINAL INTERNIST NE 2016
Many patients ould rather spend money on preentie care and et on ith their lies.
Their normal lie
not e hae to sit them don to explain the dierence beteen a bacterial inection ersus a iral one. hich one is eectiely treated ith antibiotics and hich one isn’t.
Once a person’s health is compromised by emerency episodes or uestionable inasie procedures, it is a little late to stay in the preentie circle o care. e encourae our patients to keep score o their oerall health. A basic blood panel is recommended in our clinic at least tice annually or our healthy patients. ithin this time rame, it is not dicult to see patterns headin in the ron direction. People do not hae ood health one day and ake up the next ith a chronic or atal disease. Symptoms may not hae shon up yet but the proo is in the testin.
nsurance companies seem to dictate the testin a maority o physicians order these days. There are protocols that limit basic testin. This is ust another reason or establishin a cash practice. ou can treat the patient, not alin ith an insurance company. at your patients expense.
A patient presented at our clinic seeral years ao ith an unexplained couh. Dr. Kessiner asked him i he smokes or eer had. e had recently uit. hen asked hy he decided to uit he said, uit the day spit up blood. That as a little late to make a decision on maintainin ood health.
Most patients nd a ay to pay or essentials, reardless o the insurance euation. Sometimes they hae to choose beteen a ne car A boat Or health care. am sure durin an end result disease, there is no uestion hich is at the top o the list. All the toys in the orld are not important i a person is too ill to enoy them.
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Based on the research and teachings of Dr Jack Kessinger and Current DABCI Program Instructors
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