On Tue, 22 Feb 2022 14:38:59 -0600, AMuzi <
a...@yellowjersey.org> wrote:
>I'm as critical as anyone of our recently diminished Medical
>Billing Industry (formerly medical services).
Agreed. If your doctors do NOT work for a medical group or HMO, you
might want to ask how much they pay for malpractice insurance:
"How Much Does Malpractice Insurance Cost?"
<
https://physiciansthrive.com/malpractice-insurance/costs/>
A few years ago, a doctor friend casually mentioned that the local
hospital had about 250 lawsuits pending, and that his small practice
was paying $70,000/year for essentially protection money. I'm not
sure about the current case load or insurance charges.
>That said,
>diagnosis is a refined art requiring both great skill and
>deep knowledge, ideally after thousands of iterations. MDs
>who are good are very good (although that group is
>retiring/quitting at dramatic rates). The news is filled
>with idiots who (wrongly) self-diagnose from web pages.
>Something to keep in mind- seek an informed opinion besides
>your own.
Good advice that would apply nicely to a majority of people. My view
is somewhere in between the extremes of turning one's life over to the
doctors versus alternative medicine. I'm about half way in between. A
few details:
I order detailed blood tests every 6 months from DirectLabs.com:
<
https://www.directlabs.com>
In general, the tests are far more extensive than Medicare will
consider justifiable and somewhat cheaper than the deductible. In the
past 20 years, it has uncovered hints of major problems well before
symptoms appeared.
I research the cost of prescribed drugs and look for alternatives. My
guess(tm) is that I've drastically cut my drug billing at least by
half. Often, the doctor prescribes a pill that is a combination of
two drugs but which costs more than the two ingredients purchased
separately.
I tend to be rather sensitive to many drugs, where the recommended
dose is an overdose for me. The doctors understand the problem, but
are worried about being accused of practicing creative medicine. To
obtain plausible denial, the compromise is that I have to take the
standard dose and report any adverse reactions before the doctor can
reduce the dosage. This has nearly killed me once, and made me rather
ill another time. I now have a tolerable drug titration setup with
which I can optimize the dosage, but don't want to risk it.
For a while, I had a small chemistry lab setup at home. I was trying
to synthesize some of the drugs I was taking. In general, I succeeded
in making the drug, but did not have much control over the potency and
therefore the dosage. After a few mistakes, I decided it was too
risky and purchased the real drugs.
For about 10 years, I had problems with acid reflux. The
gastroenterologist ran tests and recommended a mix of bland diet and
acid blockers. That helped, a little. By coincidence, I had to go
through a series of four kidney surgeries. After each surgery, I
noticed that my acid reflux problem was disappearing. After the last
surgery, it was totally gone. It's been about 2 years and it remains
totally gone. What happened was the surgeons gave me an antibiotic
that effectively killed all the bugs in my stomach and intestinal
tract. Apparently, the bacterial infection that was causing the acid
reflux was also killed, and never came back.
Basically, there are plenty of things that individuals can do for
themselves instead of hiring a doctor to do the work. Obviously, this
kind of do-it-myself medicine is not for everyone. Hopefully, it
won't be outlawed. Also, if my guess(tm) is right, when the internet
fad is over and gone, the replacement will be something like home
medicine, simply because commercial medicine will be too expensive for
anyone to afford.