This is a huge deal. ACOG didn't make this recommendation lightly. At the very least it is potentially depriving its members of revenue in the form of patient visits to get a prescription. I also think it is interesting that at least one pharm. company is against the move. Which means I'm even MORE for it.
For those worried 12 year olds will run out and gobble these up like candy: It could still be sold as an age restricted item. Like cigs.View Thread
Trash talk during U.S.politics is as old as U.S. politics. (But at least opponents don't beat each other senseless any more.) In fact, folks have toned it down a bit :
"Consider George Washington, the object of bitter political attacks. Anti-Federalist newspapers called him a horse beater, a gambler, a tyrannical monster, a most horrid swearer and blasphemer."
And that's kind of mild. Search Political Mudslinging History for much, much, more.
What HAS changed is the frequency with which we hear about it. 200 years ago, if a senator in Ohio called his opponent a rabid dog with the morals of a drunken adulterer, you probably wouldn't know about it. Now even the pettiest squabbles will come at you from your paper, your TV, your computer, your smartphone...View Thread
Add me to the unpopular column, for the reasons you stated.
I also find it impossible to believe that she is the first anchor at this station to get a nastygram from a crank. It's sad but true: being a public figure means you're going to attract some loons.View Thread
First I want to remind all of my fellow women that the person who said "Il faut souffrir pour etre belle" (It is necessary to suffer to be beautiful) was a MAN.
Any beauty trend that involves medical or quasi-medical procedures goes too far. Don't people realize how many things can go horribly wrong when you let someone cut you or inject you? And that doesn't even cover the risks of general anesthetic for more invasive procedures.
I've never seen this but the second weirdest thing I've heard of was right here on WebMD. Women getting their little toes amputated so they can wear narrow toed shoes. (What kind of doctor agrees to do that?) The weirdest - The Victorian era practice of having one's floating ribs removed to narrow the waist. I don't count foot binding because that was inflicted upon women, they didn't say "Hey, smash my feet up and then tie them until they wither away!"
And then there are the people who PAID to have construction-grade silicone injected into their butts by a woman who had no medical training. (They didn't know it was construction grade, but I think the fact they were done by a random stranger in a hotel room should have been a hint.)
Sorry to ramble on, I know it is a matter of personal choice but ... some personal choices are pretty dumb.View Thread
Frankly, I'd rather share the road with 10 people with early stage Alz's than 5 otherwise healthy adults who are checking their text messages.
Looks like the state my have some case against him but I don't know whether he had a DUTY to report. I'm not comfortable with the precedent a civil case sets, especially when it looks like the plaintiffs had some knowledge that their dad's friend had memory problems but still let him ride with her. And how will they respond if the defense is in her doctor's opinion, she was still fit to drive?
In my state there is a long list of conditions that should be reported by the driver and if not, may be reported by the doctor. Does anyone want their doctor telling the state's MVA they have insulin-controlled diabetes, for example, or bipolar disorder, because their doctor is afraid they'll be sued if they don't? It just creates the way for non-medical people to insert themselves into the doctor pt relationship and that is never a good thing.View Thread
Excellent point about BMI. Anyone want to tell an NFL linebacker he's fat? Didn't think so.
I also don't understand why it is assumed to be "safe" for staff to move an adult patient who is less than 200 lbs. I'd have trouble supporting the full weight of anyone over 150 lbs and I'm no weakling. How does she propose to handle patients who can't walk on their own and have to be lifted onto the exam table? Will she ban them as well? Might want to check the ADA first.
But, as a basic financial decision, I don't understand how this will work for the doctor:
If a new patient makes an appointment she could instruct the scheduler to ask for the patient's weight and height. But suppose the patient is off by a couple of pounds and says 195.
The patient comes into the office, is weighed and whoopsie, turns out he or she is 200 lbs. Well, the MA or RN COULD tell the patient - Sorry we can't see you - and send the patient on his way. But now, even if the patient slinks off in embarrassment, the practice (that's the doctor) has wasted the time and money required to process a new patient in (verify insurance, create a chart, staff time/salary for the same &c, &c).
Can the practice ask the patient for his co-pay? For what? The practice hasn't rendered a service and even if the patient does pay (which he SHOULD NOT), that $15 or $25 will NOT cover the expenses related to getting him in the office. Can the doctor bill the insurer for the visit? Well, she could, but it would be fraud and if she gets caught she'll be in deep doo-doo. Multiply that by a thousand if she does it to Medicare/Medicaid patients. ("The patient was too fat" is not a valid legal defense.)
As for established patients, she sure as heck better make sure they have another provider before kicking them out because if anyone dies or suffers a severe medical event, she will be sued (if she's lucky) and have her license yanked (if she's not).
At the end of the day I think what alarms me the most is the idea of someone this ignorant practicing medicine at all.View Thread