[HSF] Sympathy anyone.......

[Michael Firstenberg]

Bob,
I think you have reached your goal (or closer to that goal than many  
of us will ever come) - I and I am sure many others look to you as a  
role model.  Unfortunately the system which you describe is how many  
medical systems are being run - particularly now that "doctors" are  
relegating much of day to day patient care and management to other  
"health care providers"

-michael

On May 3, 2008, at 6:14 PM, Rwmfglycar at aol.com wrote:

> Ani,
> Your long and detailed answer to my comment describes how imperfect  
> our
> system is. Your front line doctor is dealing in reasonable guesses,  
> your
> cardiologist does not need a medical degree to do his specialised  
> task, andall
> imperfection  is forgiven.
> We could run the system by having a large staff of ubermensche  
> seeing every
> patient at first contact and coming up with a differential  
> diagnosis with
> various consequent treatment and dealing with the patient long  
> enough to be sure
> he /she goes down the optimal path. Subsequent attention would be   
> provided
> by highly trained non medical technicians to do the  tests, remove  
> the gall
> bladder , place the stents etc, with other  specialist non doctors  
> providing
> comforting words and so on.
> When I finished medical school I said to myself the most good I  
> could do
> with my degree would be to be the best possible general practioner  
> (archaic
> term) but on reflection I decided I could never learn enough to  
> reach that  goal
> and so I went into surgery.
> Bob
>
>
>
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