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CT, our resident Trail Mix Nurse Practitioner (NP), offers analysis about some of what ails our health care system, especially the reliance on drugs that might not be necessary:
“Nurses are educated differently than physicians. We had a lot of education re: health, not just pathology. I think that we are more holistic. We also had education, how to teach, as part of curriculum. Not all nurses will become NPs. Even NPs didn’t always have the ability to write prescriptions. That was a good thing. Drugs aren’t always the answer but they are easier and faster. Now that we do have prescriptive authority, I see many NPs who are trying to mimic physicians. That makes me sad.
I do want to point out one thing. It’s often the patient who encourages medical practitioners to practice bad medicine. Over the years, I’ve watched young docs start their practices with high ideals. They try to do things differently but if they want to stay in business, they have to please their patients. Patients want drugs, whether they are good for them or not. Even TV commercials tell you what to go in asking for.
You ought to try to convince a patient that they don’t need an antibiotic, even patients who are intelligent and have a medical background. You are very likely to lose a patient. Medicine is a business. One reason that so many antibiotics have lost their efficacy is because of prescribing them when they aren’t needed. That has become a serious problem but patients demand it.”
– by Trail Mixer CT
Also by CT: The trouble with doctors following the lead of drug companies (“It’s very scary that many docs do get their main drug education from the drug reps.”)
Letter from Hillary Clinton to ct (1992)
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