Clinical Guidelines.... the cause of the rot in in medical care.

[Leongsam]

10,468 views Aug 17, 2024

Clinical guidelines - The refuge of the destitute

Today’s video is on the subject of clinical guidelines in medicine. This video is entitled: Clinical Guideines: The refuge of the destitute.

The modern age of clinical guidelines began with a 1992 institute of medicine report which defined guidelines as systematically developed statements meant to assist practitioner and patient decisions about healthcare for specific clinical circumstances. The key words there were ‘assist practitioner AND patient decisions’.

However over the course of the last 30 years, this seemingly innocouous and potentially helpful advancement/concept has metamorphosed into something which is far bigger and far more constraining than we ever thought.

Guidelines have now become commandments and in so doing, have come to define/delineate the boundaries of the comfort zone of healthcare practitioners. As long as the guideline is followed, the doctor feels safe and that is all that matters. It is no longer about the patient anymore. What this means is that medicine has become guidelines centred when it was always meant to be patient-centred. The most honest analogy i can use is that of a circus, Doctors have become circus monkeys.

Someone tells us to jump and we just go ahead and jump and we chastise our colleagues who are not jumping as enthusiastically as we are and scorn them as poorly performing doctors. No one even dare pause to ask why we are being asked to jump in the first place. More often than not those that are asking us to jump, our circus masters, have their own vested interest and sometimes even share mercantile relations with the pharmaceutical industry. If a drug makes it into a clinical guideline then it will make a huge amount of money for its manufacturer.

In some ways the guideline has become the box and doctors no longer feel brave enough to think, let alone act, outside of this box. If you are not allowed to think beyond the guideline there cant be any out of the box thinking and there will never be any innovation or creativity in medicine.

More importantly, there is a risk of breeding doctors who are lazy, apathetic and unable to think or reflect critically.

Perhaps most concerningly, the accountability of the doctor becomes to the guideline and not the patient. If a patient dies in our care, then our reflection is more about whether we followed the guidelines to a T or not. We account to the guideline and our reflection stops at that. What we should be doing is going that one step further and hold ourselves and the guideline accountable to the patient and unless we start doing so, we won’t learn and we will continue to stagnate in our own self-assured hubris and our profession as whole risks losing the humility and humanity that is so necessary to foster connection with our patients.

 

[Rabbit7]

10,468 views Aug 17, 2024

Clinical guidelines - The refuge of the destitute

Today’s video is on the subject of clinical guidelines in medicine. This video is entitled: Clinical Guideines: The refuge of the destitute.

The modern age of clinical guidelines began with a 1992 institute of medicine report which defined guidelines as systematically developed statements meant to assist practitioner and patient decisions about healthcare for specific clinical circumstances. The key words there were ‘assist practitioner AND patient decisions’.

However over the course of the last 30 years, this seemingly innocouous and potentially helpful advancement/concept has metamorphosed into something which is far bigger and far more constraining than we ever thought.

Guidelines have now become commandments and in so doing, have come to define/delineate the boundaries of the comfort zone of healthcare practitioners. As long as the guideline is followed, the doctor feels safe and that is all that matters. It is no longer about the patient anymore. What this means is that medicine has become guidelines centred when it was always meant to be patient-centred. The most honest analogy i can use is that of a circus, Doctors have become circus monkeys.

Someone tells us to jump and we just go ahead and jump and we chastise our colleagues who are not jumping as enthusiastically as we are and scorn them as poorly performing doctors. No one even dare pause to ask why we are being asked to jump in the first place. More often than not those that are asking us to jump, our circus masters, have their own vested interest and sometimes even share mercantile relations with the pharmaceutical industry. If a drug makes it into a clinical guideline then it will make a huge amount of money for its manufacturer.

In some ways the guideline has become the box and doctors no longer feel brave enough to think, let alone act, outside of this box. If you are not allowed to think beyond the guideline there cant be any out of the box thinking and there will never be any innovation or creativity in medicine.

More importantly, there is a risk of breeding doctors who are lazy, apathetic and unable to think or reflect critically.

Perhaps most concerningly, the accountability of the doctor becomes to the guideline and not the patient. If a patient dies in our care, then our reflection is more about whether we followed the guidelines to a T or not. We account to the guideline and our reflection stops at that. What we should be doing is going that one step further and hold ourselves and the guideline accountable to the patient and unless we start doing so, we won’t learn and we will continue to stagnate in our own self-assured hubris and our profession as whole risks losing the humility and humanity that is so necessary to foster connection with our patients.

Has anyone experienced the following in SG,

1. Private Medical Practioners over-charge / insist on overnight stays, in order to qualify Patient for Medisave / Insurance Claim ?

2. Adjusting Diagnosis / Procedure description, in order to fit into a certain catagory that can obtain a bigger reimbursement from Medisave / Insurance ?

3. SMC's Committee, management - How Pro-Active are they ?

 

[Leongsam]

Has anyone experienced the following in SG,

1. Private Medical Practioners over-charge / insist on overnight stays, in order to qualify Patient for Medisave / Insurance Claim ?

2. Adjusting Diagnosis / Procedure description, in order to fit into a certain catagory that can obtain a bigger reimbursement from Medisave / Insurance ?

3. SMC's Committee, management - How Pro-Active are they ?

Medicine is no longer about patient care. It's an industry. Patients are mere tools of the trade.

 

[tobelightlight]

take care of yourself through natural means.

 

[Leongsam]

take care of yourself through natural means.

I ordered a med bed but it still has not arrived.

 

[tobelightlight]

I ordered a med bed but it still has not arrived.

Lastest info saying med beds not allowed at the moment . If I encounter this info again, will share.

 

[eatshitndie]

sinkies almost always ask for “medicines” at the end of consultation as though they are instant cures. the “ask” has mutated into “demand”. besides outpatients seeking mc’s, medicine must accompany a visit to the doc, so much so that easily 69% of any prescription include placebo.

 

[knowwhatyouwantinlife]

Oh my there is actually such sprouting of nonsense on YT...clinical guidelines are there to protect both the Health care staff and patient, may not be the best but it puts everyone more on equal footing when it comes to medico legal issues

 

[Loofydralb]

10,468 views Aug 17, 2024

Clinical guidelines - The refuge of the destitute

Today’s video is on the subject of clinical guidelines in medicine. This video is entitled: Clinical Guideines: The refuge of the destitute.

The modern age of clinical guidelines began with a 1992 institute of medicine report which defined guidelines as systematically developed statements meant to assist practitioner and patient decisions about healthcare for specific clinical circumstances. The key words there were ‘assist practitioner AND patient decisions’.

However over the course of the last 30 years, this seemingly innocouous and potentially helpful advancement/concept has metamorphosed into something which is far bigger and far more constraining than we ever thought.

Guidelines have now become commandments and in so doing, have come to define/delineate the boundaries of the comfort zone of healthcare practitioners. As long as the guideline is followed, the doctor feels safe and that is all that matters. It is no longer about the patient anymore. What this means is that medicine has become guidelines centred when it was always meant to be patient-centred. The most honest analogy i can use is that of a circus, Doctors have become circus monkeys.

Someone tells us to jump and we just go ahead and jump and we chastise our colleagues who are not jumping as enthusiastically as we are and scorn them as poorly performing doctors. No one even dare pause to ask why we are being asked to jump in the first place. More often than not those that are asking us to jump, our circus masters, have their own vested interest and sometimes even share mercantile relations with the pharmaceutical industry. If a drug makes it into a clinical guideline then it will make a huge amount of money for its manufacturer.

In some ways the guideline has become the box and doctors no longer feel brave enough to think, let alone act, outside of this box. If you are not allowed to think beyond the guideline there cant be any out of the box thinking and there will never be any innovation or creativity in medicine.

More importantly, there is a risk of breeding doctors who are lazy, apathetic and unable to think or reflect critically.

Perhaps most concerningly, the accountability of the doctor becomes to the guideline and not the patient. If a patient dies in our care, then our reflection is more about whether we followed the guidelines to a T or not. We account to the guideline and our reflection stops at that. What we should be doing is going that one step further and hold ourselves and the guideline accountable to the patient and unless we start doing so, we won’t learn and we will continue to stagnate in our own self-assured hubris and our profession as whole risks losing the humility and humanity that is so necessary to foster connection with our patients.

Wrong again.

It's the license.
Anyone should be allowed to practice medicine. Caveat emptor.

 

[tobelightlight]

I ordered a med bed but it still has not arrived.

You can try this method to heal yourself from any aliments.and even transform your carbon based body to light body. Ascend to 5D earth.