What surprises me about the response of some physicians to ivermectin is the total absence of curiosity, much less excitement, around the effectiveness of ivermectin as a treatment for Covid.
I would hope that my response as a physician to hearing someone like Kory describe his results with the drug and seeing what it seems to have done …
What surprises me about the response of some physicians to ivermectin is the total absence of curiosity, much less excitement, around the effectiveness of ivermectin as a treatment for Covid.
I would hope that my response as a physician to hearing someone like Kory describe his results with the drug and seeing what it seems to have done in India would be something along the lines of 'Holy Cow, this stuff may be the answer to the problem. Let's get it on it. Now!'.
Instead we seem to hear a lot of patronizing pooh poohing over trial sizes and structure. I find this cool response inconsistent with wanting to fix the problem, and save lives, being the overriding priority.
I am in a town with a supposed world class medical establishment. The physicians I see are incurious and basically uninterested in the medical conditions they see. Most act like they are shopkeepers ( I have great respect for working shopkeepers) in that they open shop and close shop and spend their time thinking about their real estate deals and investments rather than reading the literature, thinking about anomalies in patient's presentation, etc. This is a generalization, since I have been treated my some thoughtful people; but they are rare.
When I was a post-doc in NY Medical Centers this was definitely not the case, and I had long conversations about medicine with my physicians. Whether this is the fault of the control of corporate medicine today, I do not know, but physicians may simply not have the time or motivation to engage in medicine given the control of their practices by the MBAs.
The physician sunshine act and subsequent policies have limited this a lot. Some physicians do bank off of drug companies but it is a minority. Most are probably too busy seeing patients and getting through their endless amount of Charting to garner more interest than looking at the cdc website, uptodate, and a few news stories here and there. Your average physician is not the enemy. It is the power brokers.
This may be true for some conditions but most people would misdiagnose a lot. I do actually think some life saving medications should be available without a prescription- ie narcan, insulin
Thanks for your thoughtful comment. We definitely aren’t doing enough, either with our patients or with big interests. A large part of my job is explaining the metabolic complications of obesity to parents of obese kids. While there is likely a subset who becomes motivated by fear— ie- your kid will get diabetes in young adulthood and may have heart attack early— the response is variable. And that fear mongering often is ineffective. The problem is that there real changes that are needed (changing our lifestyles and available processed foods) are incredibly hard. So scolding and shaming these families feels cruel given how unlikely they are to succeed. I’m open to being challenged on this but that’s where I’ve landed. We need Congress to regulate addictive foods, or tax unhealthy foods to subsidize fruits and vegetables. (I think)
Fair enough Re govt regulation. Usually government does a bad job at such things. Would you be opposed to a junk food tax? The other issue is that you get people fruits and veggies and they rot because people don’t cook. I don’t know what the answer is really. I just know that what we are doing is mostly ineffective.
Actually the lotteries for Covid vaccinations (though apparently not all that successful at getting people vaccinated) could point the way to a general idea of government incentivizing desired behavior through carrots rather than sticks. I’m guessing health care costs would plummet if we take some of the money currently being spent on health care and use it to provide an annual bonus to (say) everyone who maintains a reasonable BMI. This could actually be used in all kinds of contexts rather than our current system of “mostly all sticks and hardly any carrots” (taxation and imprisonmentbeing the main sticks the govt uses to motivate behavior).
Nice to finally find someone else who believes that being hungry is something this country needs to learn is not a bad thing. I eat 2 meals a day and rarely snack on anything, spent weekend with my in laws and could not believe the amount of crap food they consume in between meals. Being hungry does not mean that you need to eat food immediately, I'm often hungry an hour after eating a huge steak but don't need more food; I received the nutrients I needed.
What surprises me about the response of some physicians to ivermectin is the total absence of curiosity, much less excitement, around the effectiveness of ivermectin as a treatment for Covid.
I would hope that my response as a physician to hearing someone like Kory describe his results with the drug and seeing what it seems to have done in India would be something along the lines of 'Holy Cow, this stuff may be the answer to the problem. Let's get it on it. Now!'.
Instead we seem to hear a lot of patronizing pooh poohing over trial sizes and structure. I find this cool response inconsistent with wanting to fix the problem, and save lives, being the overriding priority.
I am in a town with a supposed world class medical establishment. The physicians I see are incurious and basically uninterested in the medical conditions they see. Most act like they are shopkeepers ( I have great respect for working shopkeepers) in that they open shop and close shop and spend their time thinking about their real estate deals and investments rather than reading the literature, thinking about anomalies in patient's presentation, etc. This is a generalization, since I have been treated my some thoughtful people; but they are rare.
When I was a post-doc in NY Medical Centers this was definitely not the case, and I had long conversations about medicine with my physicians. Whether this is the fault of the control of corporate medicine today, I do not know, but physicians may simply not have the time or motivation to engage in medicine given the control of their practices by the MBAs.
Yes, and how much rigorous testing did the "rushed through" vaxes go through?
The physician sunshine act and subsequent policies have limited this a lot. Some physicians do bank off of drug companies but it is a minority. Most are probably too busy seeing patients and getting through their endless amount of Charting to garner more interest than looking at the cdc website, uptodate, and a few news stories here and there. Your average physician is not the enemy. It is the power brokers.
This may be true for some conditions but most people would misdiagnose a lot. I do actually think some life saving medications should be available without a prescription- ie narcan, insulin
Thanks for your thoughtful comment. We definitely aren’t doing enough, either with our patients or with big interests. A large part of my job is explaining the metabolic complications of obesity to parents of obese kids. While there is likely a subset who becomes motivated by fear— ie- your kid will get diabetes in young adulthood and may have heart attack early— the response is variable. And that fear mongering often is ineffective. The problem is that there real changes that are needed (changing our lifestyles and available processed foods) are incredibly hard. So scolding and shaming these families feels cruel given how unlikely they are to succeed. I’m open to being challenged on this but that’s where I’ve landed. We need Congress to regulate addictive foods, or tax unhealthy foods to subsidize fruits and vegetables. (I think)
Fair enough Re govt regulation. Usually government does a bad job at such things. Would you be opposed to a junk food tax? The other issue is that you get people fruits and veggies and they rot because people don’t cook. I don’t know what the answer is really. I just know that what we are doing is mostly ineffective.
Actually the lotteries for Covid vaccinations (though apparently not all that successful at getting people vaccinated) could point the way to a general idea of government incentivizing desired behavior through carrots rather than sticks. I’m guessing health care costs would plummet if we take some of the money currently being spent on health care and use it to provide an annual bonus to (say) everyone who maintains a reasonable BMI. This could actually be used in all kinds of contexts rather than our current system of “mostly all sticks and hardly any carrots” (taxation and imprisonmentbeing the main sticks the govt uses to motivate behavior).
Nice to finally find someone else who believes that being hungry is something this country needs to learn is not a bad thing. I eat 2 meals a day and rarely snack on anything, spent weekend with my in laws and could not believe the amount of crap food they consume in between meals. Being hungry does not mean that you need to eat food immediately, I'm often hungry an hour after eating a huge steak but don't need more food; I received the nutrients I needed.