Is it unethical for a doctor to prescribe vitamins and herbs to patients that can only be bought from a pyramid company (like Amway) that he may profit from indirectly?This is not stuff that is bought OTC. And what can or should be done about it?
Answer:
Vitamins and herbal remedies are of unproven medical benefit, so they fall into an area of medical practice that isn't mainstream. If the doctor believes in these things, he can ethically sell them, but he must be open in his dealings. If the patient is aware that these are not standard treatment and that the doctor is making a profit from their sale, there's no reason it can't be done, but it's so far from the norm that it's baffling to me that the situation might occur. I'd certainly never do such a thing myself, and it would surprise me to see people go for it, but then I think it's nuts that GNC stores can find the business to stay open.
That's kind of a gray area. I've known a number of doctors that do it, but they do have to be VERY careful to keep their relationship with such companies or how they profit transparent to their patients. But the bottom line is...it is not illegal.
Consider filing complaint with your state's medical board
for unethical practices. If the prescribtion includes a specific
brand name ask if you can have generic instead. Consider going to another doctor
Sorry,I'm Not a MD...but I am a consumer,and I believe in patients rights
It sounds a little suspicious to me.
I know of docs that sell those sort of things as a convenience to their patients, pretty much at cost, but their patients can also go out to the local vitamin store and buy them if they choose.
You may want to contact your state's medical board and ask them. Each state is different with regard to rules and regulations. If a lot of people are complaining, action may be taken. If he is violating your state's laws, then he should be stopped.
Tuesday, May 25, 2010
DOCTORS ONLY my neck n back very pain,i can't get up from my bed at all,i can't move at all,whats wrong
Answer:
Lots of things ...
but first up, why are you here asking people on byedr.coms? You should certainly be either taking some pain relief medications OR seeing your doctor
I'm sure that typing in that posture you're using lying in your bed is terrible for your spine
You evidently CAN move because you can type ... or dictate ... or something
Go see your doctor. If you seriously can't get out of bed and this is not your usual situation, call an ambulance!
DOCTORS ONLY my neck n back very pain,i can't get up from my bed at all,i can't move at all,whats wrong
Answer:
If you want Doctors only...then why don't you go see a doctor and get a physical examination. Doctors can't really know what's going on unless they run some tests.
I'm an internist-- I go onto this site specifically for these sorts of reasons. I (obviously) can't examine you, but what do you mean by that you "can't get up from...bed at all?"
Back pain can happen by any number of ways, ranging from strenuous activity to stress to a whole series of different types of vertebral alignment issues.
If your pain is as bad as I believe it to be, then I would strongly recommend that you get someone to take you to the emergency room. You should NOT drive yourself, particularly if you have taken any pain medication. If you can't sit up, then call the paramedics to bring you via ambulance. The emergency room can take steps to alleviate your pain (at least temporarily) and help to diagnose the cause.
Please take solace that many people experience back pain - and because of its location and the sheer number of nerves running through the area, it feels like the end of the world. Don't worry...it is almost never as bad as it feels.
Doctors in group practices?
How does the process of joining a group practice work? Especially the salary part.
Does the new doctor buy into part of the practice or are they payed by patient? Do all the doctors split the cost of nurses and the secretaries? How is on call duty and vacation time scheduled?
Answer:
WWD is correct - group pratice arrangements vary and a lawyer's review would be wise before signing a contract.
That being said:
When a "new" doctor joins a group he/she doesn't probably bring a patient base along. At least in my experience, the group pays a salary to the doctor (for a while) until his/her practice builds up. If the new doctor is just out of training it can take months before they are recognized by various insurers.
Groups are radically different in how they divide overhead costs of staff. Some split the total evenly between each doctor (even a "new" doc uses the same resources) and others may share equally the costs for common staff (e.g. front desk staff) and assign costs for a secretary or nurse to a specific doctor (if each doc has his/her own).
Generally call is divided equally as soon as the new doctor is credentialed and on staff of everywhere the group covers.
Hope that helps
Each contract is different, so get a good lawyer and go over it all carefully before signing a contract.
Does the new doctor buy into part of the practice or are they payed by patient? Do all the doctors split the cost of nurses and the secretaries? How is on call duty and vacation time scheduled?
Answer:
WWD is correct - group pratice arrangements vary and a lawyer's review would be wise before signing a contract.
That being said:
When a "new" doctor joins a group he/she doesn't probably bring a patient base along. At least in my experience, the group pays a salary to the doctor (for a while) until his/her practice builds up. If the new doctor is just out of training it can take months before they are recognized by various insurers.
Groups are radically different in how they divide overhead costs of staff. Some split the total evenly between each doctor (even a "new" doc uses the same resources) and others may share equally the costs for common staff (e.g. front desk staff) and assign costs for a secretary or nurse to a specific doctor (if each doc has his/her own).
Generally call is divided equally as soon as the new doctor is credentialed and on staff of everywhere the group covers.
Hope that helps
Each contract is different, so get a good lawyer and go over it all carefully before signing a contract.
Doctors !?
What is the worst type of Physician (i.e: Hours, Patients and everything else) ? What is the Best type of Physician ?
Answer:
Most difficult : Neurosurgery, Trauma surgery
Relatively Easier : Pathology
Easiest : Anatomy, Physiology (Basic teachers in Medical School)
Helps everywhere if you are the boss. The worst type is the juniormost.
An OB because they are often held up delivering someone else's baby.
It depends on you. For me, pediatrics would be sheer torture. So would most internal medicine practices. Every day would drag on forever.
If I'm in the OR, time passes quickly because I enjoy what I do. I may get some funky patients, but I can knock them out so they don't bother me.
With pretty much ANY medical specialty, you can find a situation that fits your needs. Some people like a solo practice, others a large group, others an academic appointment.
So the worst and best are dependent on the individual in question. I've seen surgeons working hours that are just awful, but they love what they do, too.
Isn't it great that there's SOMEBODY for each different specialty?
Worst: Pediatric Oncology
Best: Dermatology, Dermatopathology
Answer:
Most difficult : Neurosurgery, Trauma surgery
Relatively Easier : Pathology
Easiest : Anatomy, Physiology (Basic teachers in Medical School)
Helps everywhere if you are the boss. The worst type is the juniormost.
An OB because they are often held up delivering someone else's baby.
It depends on you. For me, pediatrics would be sheer torture. So would most internal medicine practices. Every day would drag on forever.
If I'm in the OR, time passes quickly because I enjoy what I do. I may get some funky patients, but I can knock them out so they don't bother me.
With pretty much ANY medical specialty, you can find a situation that fits your needs. Some people like a solo practice, others a large group, others an academic appointment.
So the worst and best are dependent on the individual in question. I've seen surgeons working hours that are just awful, but they love what they do, too.
Isn't it great that there's SOMEBODY for each different specialty?
Worst: Pediatric Oncology
Best: Dermatology, Dermatopathology
Doctor in the HOUSE!?
Hi, I just wanted to know what type of doctor should I be. Is it possible to be an ER Physician and a General Surgeon, will I have to study a lot more. How many years, what is the process?
Answer:
OK, ER Doc + Surgeon = Trauma Surgeon. You go into surgery, then do advanced work in trauma surgery.
How many years? It's been a while since I looked at that, but somewhere in the 7-10 years range after medical school, which is usually about 4 years after premed which is about 4 years. Add it all up, that's about 15-18 years post-highschool.
Go to med school, then if you pass, you can discover what type of medicine interests you in clinic.
you will have to study no matter what. you need to get a bachelors degree then take MCAT exam and apply to get into med school. if accepted you will go 4 years and then may specialize after that if you want. you can be a general surgeon who is on call at the ER for emergency surgeries but the ER physician will always be in the ER as thats their place of employment.
good luck!
be a geneticist and stop disease before it happens. You will need to study.
You are jumping the gun a bit here, bucko. You cannot possibly have even an inkling of a clue until you are in your third year of medical school.
Worry about it then.
ALL doctors get the same 4 years of medical school. It's different than college. No majors. You don't specialize until you have your MD and have graduated.
Best advice is not to worry about it until you're at the end of your third year of medical school; then you'll have a better idea of what you want to do. You'll almost certainly not want to train in both specialties, but you may find trauma surgery to your liking; however, it's too soon for you to plan that far.
Answer:
OK, ER Doc + Surgeon = Trauma Surgeon. You go into surgery, then do advanced work in trauma surgery.
How many years? It's been a while since I looked at that, but somewhere in the 7-10 years range after medical school, which is usually about 4 years after premed which is about 4 years. Add it all up, that's about 15-18 years post-highschool.
Go to med school, then if you pass, you can discover what type of medicine interests you in clinic.
you will have to study no matter what. you need to get a bachelors degree then take MCAT exam and apply to get into med school. if accepted you will go 4 years and then may specialize after that if you want. you can be a general surgeon who is on call at the ER for emergency surgeries but the ER physician will always be in the ER as thats their place of employment.
good luck!
be a geneticist and stop disease before it happens. You will need to study.
You are jumping the gun a bit here, bucko. You cannot possibly have even an inkling of a clue until you are in your third year of medical school.
Worry about it then.
ALL doctors get the same 4 years of medical school. It's different than college. No majors. You don't specialize until you have your MD and have graduated.
Best advice is not to worry about it until you're at the end of your third year of medical school; then you'll have a better idea of what you want to do. You'll almost certainly not want to train in both specialties, but you may find trauma surgery to your liking; however, it's too soon for you to plan that far.
Docotrs and surgeons do you have to cut your nails or you can keep them?
cuz in future life i don't wanna give up my nails and im planning to become a doctor
Answer:
Keep looking for another career, sweetheart. "Cuz" I doubt that anyone wants your long nails up his/her backside, and that's one of the things you ARE going to do as a doctor. At least during your training.
We had a doctor kicked out of a surgery program because she refused to trim her nails. (It's a problem in surgery because the nails can harbor bacteria and increase the risk of post-operative infections.)
How about cosmetology?
Have you thought about another career? If your nails are really that important to you, medicine is NOT the career for you. The practice of medicine requires sacrifice and dedication. If you don't have it now, then don't sign up for the long haul (save your time and money).
Not only should you not have long nails for practical medical reasons, when you become a physician you also become part of the upper middle class, in which long nails are considered trashy. You'll also define yourself as a physician, subverting some of the rest of your personality. It takes a considerable amount of dedication. Just the fact that you posted this question makes me think maybe it's the wrong profession for you.
The dress code at my hospital states that finger nails cannot extend beyond the tip of the finger or be longer than 1/4", which ever is shortest.
Answer:
Keep looking for another career, sweetheart. "Cuz" I doubt that anyone wants your long nails up his/her backside, and that's one of the things you ARE going to do as a doctor. At least during your training.
We had a doctor kicked out of a surgery program because she refused to trim her nails. (It's a problem in surgery because the nails can harbor bacteria and increase the risk of post-operative infections.)
How about cosmetology?
Have you thought about another career? If your nails are really that important to you, medicine is NOT the career for you. The practice of medicine requires sacrifice and dedication. If you don't have it now, then don't sign up for the long haul (save your time and money).
Not only should you not have long nails for practical medical reasons, when you become a physician you also become part of the upper middle class, in which long nails are considered trashy. You'll also define yourself as a physician, subverting some of the rest of your personality. It takes a considerable amount of dedication. Just the fact that you posted this question makes me think maybe it's the wrong profession for you.
The dress code at my hospital states that finger nails cannot extend beyond the tip of the finger or be longer than 1/4", which ever is shortest.
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