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On Becoming a Doctor

Discussion in 'Educating Doctors' started by Casey Inman, Mar 16, 2014.

  1. Da-mo

    Da-mo Gold

    The best Dr. I ever had just happened to be the only one who ever said to me, "I don't know, but I'll look into it further and get back to you".
  2. Da-mo

    Da-mo Gold

    The son of a work colleague didn't make the cut for Medicine and Surgery so first started in Genetics then later became a world leading researcher and innovator in the use of superfluids and nanoparticles used in the delivery of transdermal medication.

    He studied at Otago University - one of the last, if not the only one left in the world that still uses cadavers to teach their students. There was a documentary film about it called "Donated to Science" in which the donors were filmed and interviewed while still alive and followed the whole process through death, dissection and memorial. It included interviews with the family members of the deceased and the medical students doing the dissections as well. It is one of the most moving films I have ever watched.
    NeilBB likes this.
  3. sounds like a great watch, might hunt that down, we used cadavers at VU in melbourne
  4. Jack Kruse

    Jack Kruse Administrator

    We used real people in gross anatomy too.......no idea what they are doing now.
  5. BTA

    BTA New Member

  6. NeilBB

    NeilBB New Member

    My apartment and clothes smelled like formaldehyde for 6 months that year. There is just no substitute for the experience of live cadavers...

    You remember, LSU also used anesthetized live dogs for Harvey Miller's physiology labs back then. I remember PETA would be out in front of school picketing that practice every year. I know they don't do that anymore. We had several people faint in the dog labs and others were "conscientious objectors." They gave them something else to do instead, which I thought was BS--I don't think they should have been allowed to skip it. The experience of intubating and "operating on" a live animal was very different than dissecting a dead cadaver, and I think very helpful in our education...
    Last edited: Nov 12, 2014
    Shijin13 and Josh (Paleo Osteo) like this.
  7. kovita

    kovita Gold

    i studied biology, not medicine. We did some cadavers, but most of the practice was on sedated animals. We did all sorts of small mammals. For the rest freshly killed frogs, fishes etc...that was basically butchering experience. the most interesting part were without any doubts sedated mammals, flowing blood means live.
    NeilBB likes this.
  8. kovita

    kovita Gold

    ahhh...and my father in law have donated his body to the university in Bilbao. He had decided and signed the papers long long time back.
    NeilBB likes this.
  9. JMO

    JMO Gold

    Ya..last time I visited my doc, I had the feeling that she thgt she knew everything. I thgt she was pretty opened minded and shes one of the only docs around for BHRT....but I was disappointed. Everytime I've been in her office, I have mentioned this website and she always says oh there are so many on the Internet. This time I printed a couple blogs and gave them to her. One of the things we talked abt was DHA. She disagreed that we need more DHA. She does Patricia Kane 's protocols and said the testing she does always shows that people have too much DHA. She did read thru some of the blog and was commenting...I agree with this....disagree with this....LOL. At least she doesn't try to shove Statins.
    Josh (Paleo Osteo) and NeilBB like this.
  10. JanSz

    JanSz Gold

    Your doc is right, there is epidemic of using fish and kril oils.
    That distorts o3/o6 profile in number of ways.
    Patricia and Ed Kane write about it.
    Look at my fatty acids analysis in 2010 while on krill oils.
    Even laboratory is cooperating with fish/krill oil industry.
    To play safe laboratory is not providing upper levels for Omega3.
    Look at my AA it is suppressed by my high DHA and EPA.

    Even today I am still not sure what to make out of all that DHA.
    What if most of it is not in sn-2 position?
    What if most of it have not made to the brain?

    Last edited: Nov 12, 2014
  11. Jack Kruse

    Jack Kruse Administrator

    MRI of your brain and HS CRP would tell you Jansz.
  12. kovita

    kovita Gold

    I do not take fish or krill oils, ever. I took many other things tough and have experienced how easily ypu take too much.
  13. JMO

    JMO Gold

    Jansz...have u taken this test again since u dropped krill oil and just eat fish?
  14. JanSz

    JanSz Gold

    Yes I did.
    It is very hard to get rid of excess EPA.
    Year by year I am making progress, but I still have too much EPA and not enough AA.

    Yesterday I have given blood for another test, within couple of weeks I should have my latest results.

    Until dr Jack publish more specific information, I follow (best I can) dr Patricia Kane when evaluating my results of Fatty Acids Analysis.
    Most of what I do is trying to replicate part of her spreadsheet that I am able.
    Possibly someone here could help with the other part.

    The idea is rather simple.
    She assumes that the best level for each analyzed fatty acids is to be in the middle of its range.

    She does her blood analysis at http://www.kennedykrieger.org/
    I can't do that, I do mine at LabCorp.
    Actually the analysis is done at Mayo Clinic.
    You can see my (10/29/2013) blood analysis, prescription, results and my post-processing here:

    Post #20
    Last edited: Nov 13, 2014
  15. JanSz

    JanSz Gold

  16. NeilBB

    NeilBB New Member

    Neurologist Burnout an Escalating Crisis

    Burnout is a "neurologic crisis," experts say, with the prevalence of burnout currently exceeding 50% among neurologists, higher than among other specialist groups.

    But many neurologists suffer burnout during their career and may not even realize it.

    "Most physicians, including myself in the past, are unaware that they are burned out," Bruce Sigsbee, MD, from Pen Bay Medical Center, Rockport, Maine, and past president of the American Academy of Neurology (AAN), told Medscape Medical News.

    In retrospect, he said, there were many over his career that he was burned out. "Given the lack of insight, no active steps were taken or are typically taken to combat burnout. The first step is to recognize the problem," Dr Sigsbee said.

    Dr Sigsbee and coauthor James L. Bernat, MD, from Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, address physician burnout in an article published online November 5 in Neurology.

    Dr Sigsbee said, "both the prevalence and the lack of insight into the issue" was the impetus behind their article. Burnout "impacts career satisfaction, but more importantly it has a deleterious impact on patient care," he said. Further, burned-out physicians "lack empathy and make errors." Burnout has been linked to higher rates of depression and suicidal thoughts and behaviors.

    Hallmarks of physician burnout are loss of interest and enthusiasm for work (emotional exhaustion), feelings of cynicism (depersonalization), and a diminished sense of personal accomplishment (career dissatisfaction).

    No Choice But to Address It

    "The American Academy of Neurology under the leadership of the President Elect Terry Cascino, MD, is actively working to identify opportunities for the AAN to mitigate the severity and prevalence of burnout amongst its members," Dr Sigsbee said.

    "Neurology is the only medical specialty that has both one of the highest rates of burnout and the poorest work–life balance," Neil A. Busis, MD, Department of Neurology, University of Pittsburgh School of Medicine, Pennsylvania, notes in alinked editorial.

    The AAN Workforce Task Force has predicted a future shortage of neurologists; neurologist burnout could contribute to the shortage but could also result from a shortage, Dr Busis notes.

    "If burned out neurologists continue to practice, patient care may suffer due to poor medical judgment and more errors. If neurologists drop out of the workforce, access to care will decrease. If medical students consider neurology undesirable, few will enter the field," he writes.

    "We really have no choice but to address burnout," Dr Busis noted in an interview with Medscape Medical News. "If we take the nation's health as a priority, we have to have caregivers who are healthy," he said.

    Dr Sigsbee and Dr Bernat note that studies of workplace motivational factors suggest several preventive interventions for combating burnout. They include:

    • Providing counseling for physicians either individually or in groups, with a goal of improving adaptive skills to the stress and rapid changes in the healthcare environment;

    • Identifying and eliminating meaningless required hassle factors, such as electronic health record "clicks" or insurance mandates;

    • Redesigning practice to remove pressure to see patients in limited time slots and shift to team-based care; and

    • Creating a culture that promotes career advancement, mentoring, and recognition of accomplishments.
    Dr Busis points out that most interventions to help burned out physicians center on the individual and are reactive, focusing on methods to handle stress and better adjust to the current system. "That is not enough. We must be proactive to prevent burnout from developing in the first place," Dr Busis told Medscape Medical News.

    "To revitalize our specialty we need to advocate for another triple aim: revising the structure, processes, and outcomes of health care systems to recognize, value, and optimize physician wellness and career satisfaction," he notes in his editorial.

    "If our efforts are successful, we will be better able to accomplish our professional mission: to increase the quality of neurologic care, decrease health care costs, and improve patient satisfaction," he concludes.

    Neurology. Published online November 5, 2014.

    Josh (Paleo Osteo) and Shijin13 like this.
  17. BTA

    BTA New Member

    Do you know what they call a doctor who graduates at the bottom of his class in medical school?............. doctor :eek:
    nicld likes this.
  18. Sammy

    Sammy New Member

    Hi @Josh (Paleo Osteo) , if you don't mind sharing I would love to hear your thoughts on becoming a doctor(MD) in Australia.... :rolleyes:

    Thanks :3
  19. Jack Kruse

    Jack Kruse Administrator

    Neil it is not just neurology................Docs are dropping like flies because they stress they have no answers for the most common issues we face in practice.
  20. kovita

    kovita Gold

    this explains what. i have observed with most of the doctors visited. They do not listen, do not observe, they sit and pretend to listen for the time slot you or your insurer paid for and send you home with some unimportant and potentially not harmfull prescription, which will certainly not help, but by choosing not to be implied in your personal health story they saved themselfes from questions and burden of not knowing how to help you.
    caroline, Lahelada and Clayton like this.

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