Thoughts and opinion from the wards
Is prevention ALWAYS better than cure ?
I think that somewhere Medicine has gone wrong. To my mind the primary duty of the clinical physician should be to ill patients, to try and cure them if possible and to care for them always. The Mantra that prevention is always better than cure has much to recommend it , but taken to extremes it can do more harm than good and can consume resources that would be better used on treating the sick.
We need clean air,clean water, good food,accommodation and a caring society.
But and this is where Big Pharm comes in, medication that does not cure, but may reduce the risk of a particular disease is becoming an increasing part of old age.
One has to think , what is medicine trying to achieve?
Are we trying to make us all live to 120 years old. Or are we just prolonging the period of ill health at the end of our lives?
There are huge profits to be made, not out of curing disease, but in reducing risk factor. So that patients take medications for 20,30,40 or more years to reduce risks. But as we get older the risks of many diseases increases so that many patients end up on a cocktail of preventative drugs, probably 2 antihypertensives , aspirin , beta blocker , statins , anti-inflammatory medications, diuretic, asthma treatment, type 2 diabetic treatments, analgesics, etc etc.
But I do prescribe all these medication , but I have a feeling that the people who are actually ill are being are at risk of not having the resources given to them that they need. Hospital bed shut, the internet and telehealth is no a substitute for care.
Ah well I am getting to the end of my career, may be I am wrong.
Typed from our apartment in Portugal on Portuguese key board to this may explain some of typos.
I will miss the day of action this week, but I did vote no, I would really like Doctors to complain at some of the daft bureaucracy that is imposed on us for no benefit to patients. I for one would like to refuse to implement the CQC changes , but again maybe I am wrong.