Any ERE doctors out there?

[FRx]

I'm curious if there are any doctors here who have low household spending. If so, do you feel it's affected the way you practice medicine? For that matter, do you think you'll continue to practice or leave medicine?

[Gilberto de Piento]

All the doctors are over at Bogleheads.

[jacob]

Crazylemon is a doc.

[wheatstate]

I am not a doctor.

I have interacted with some doctors that use the Direct Primary Care (DPC) model for their practice, and am a member at a local DPC. This is a gym membership model that focuses on patient care and helping the patient navigate the medical world with a high-deductible plan. Most DPCs avoid insurance companies coding, billing and overhead to keep costs low.

This allows doctors to have 1/2 the patient load of a hospital and spend much more time per patient. These doctors seem to be applying good ERE principles.

I am interested in hearing other answers.

https://en.wikipedia.org/wiki/Direct_primary_care

[Lemon]

Yep and I have fairly low household spending.

But I am not sure if you are counting non US doctors, rather a different culture and pay packet here.

Hasn't changed the way I practice in any obvious to me way.

As for continuing to practice, I don't know. Probably in some form although possibly as it is a skill that can be a useful passport for other hard to access things.

[FRx]

@wheatstate, I have heard of the DPC model and a colleague of mine even is interested in doing it but I never could conceptualize it as something viable when I did research on it a while back.

[FBeyer]

My SO is a doctor. A doctor who is currently busy selling people's trash to other people who think THEY'RE the ones getting a good deal.

Secondary Income from scavenging you might call it.

[FRx]

Do you feel that your SO has felt more financially secure because of their ERE ways to the point that they have changed their practice style? To put it in context, now that I no longer need the income from medicine I don't care to push the many lies of medicine on people. But of course that doesn't mesh well with having a successful practice. So far I haven't met anyone who is in the same position and so I'm curious how others are changing as they become less dependent on the income from medicine.

[Stahlmann]

I don't care to push the many lies of medicine on people.

care to elaborate?

I'm gonna be devil's advocate and when we speak about civilization's dieaseses (4 hourseman of apocalupse) - people are simply lazy and not interested in changing their lifestyles after certian age. somebody simple took advantage of it...

____

"Polish science" from ex engineer who created some kind dietary "institute"
could be pseudoscience, but I like it nevertheless

So at the latest in 20 years, everyone will forget that 120 mm Hg, this is average, that half of humanity must have lower pressure and half higher. Gradually, everyone will get used to the awareness that antihypertensive substances must also be given to some preschoolers, just as psychotropics are today given to children with so-called ADHD. With the so-called, because until recently it was considered normal that children are active, excitable and love to run.

What soon happens with hypertension has already happened with cholesterol. The average adult usually has a total cholesterol level of 220-250 mg / 100 ml. So the norm was set at 200, and in the presence of ischemic diseases, even when the patient has a level of 180 mg%, appropriate drugs that lower this indicator are still prescribed. The magical number of 200 drinkers has hit everyone so much that we now meet women who are genuinely concerned about their elevated cholesterol levels. When asked how much the answer is 205 mg%. Sic! Two hundred and five is a cause for concern! Meanwhile, 20 years ago (just 20 years ago) the norm was up to 280 mg%. In addition, young women are protected from atherosclerosis by estrogens. And finally, cholesterol has no direct relationship to the disease. You can have 350 mg% and flexible vessels, and you can have 160 mg% and have a heart attack. Vessels, unlike cardiologists, treat cholesterol tests rationally, without hysteria. Probably because they see on their ultrasound screen the lack of relation between cholesterol level and atherosclerosis, but that's another story.

The same happens with blood glucose norms. For a long time, normal morning levels of up to 120 mg% on an empty stomach were considered normal, and higher were treated indulgently. This is not surprising, because after an average meal this level increases to 180 mg%. Since this is a common phenomenon, it means that 180 mg% is not a harmful or toxic amount. The problem only starts when this level persists spontaneously for a long time. Unfortunately, nowadays we meet more and more people who are treated because they have a fasting glucose level of only 105 mg% and take precautions to avoid diabetes. This method of prevention will certainly cause diabetes because it will accustom the body to these drugs.

Common pressure to lower the above-mentioned three medical standards supports each other and increases the number of people qualified for treatment. Note that in the case of elevated pressure, diuretics are always recommended, followed by other drugs. Well, diuretics - diuretics - increase blood glucose levels. With the current trend of treating glucose levels above 110 mg% as pathology, the benefit of diuretic therapy is evident. They quickly lead to an increase in glucose levels and the need to prescribe antidiabetic drugs, because the attending physician is not a suicide who declares war on WHO alone ... etc. Antidiabetic drugs used in diabetes II are not enough that they do not cure anything, but only act symptomatically, they strengthen glucose intolerance and cause the development of the disease. Instead of changing medications and reducing carbohydrate intake, which the body no longer takes, artificially increases the amount of insulin in the blood. Insulin is essential for life, but it causes excessive atherosclerosis, angiopathy, non-healing wounds etc. By default, the diabetic has a cholesterol level tested, because everyone knows that this level will be elevated. When this happens, cholesterol levels are lowered artificially, giving liver poisoning substances, formerly fibrates, now statins. Because they are harmful to the liver, so after a few months liver function deteriorates and the liver is getting worse at maintaining proper blood glucose, because it is her, and not the pancreas, that is primarily responsible. And so on. The circle closes.

And it starts with the fact that the reduced pressure norms cause that, in principle, a healthy person begins to take diuretics that increase glucose levels. Thanks to the lowering of glucose norms and diuretics, the patient is then qualified for antidiabetic therapy, which fixes high glucose levels and worsens cholesterol indicators. Deteriorated cholesterol indexes force the administration of fibrates or statins, which substances burden the liver and impede its efficient metabolism of fats and glucose, which must lead to the consolidation of diabetes and lipid disorders. By the way, cardiac arrhythmia, depression, obesity, impotence appear. Well, viagra will also be used.

The patient himself is happy that someone has found all this in time for him. Because if he didn't detect it, then ... what? Actually nothing. He was in no danger. Japanese studies show that average Japanese have higher blood pressure and worse cholesterol levels than Americans in the US. Despite this, they are much less likely to heal and live longer in better health.

http://web.archive.org/web/201606011613 ... pokalipsy/

authot is available at jw@danwit.pl