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Tag Archives: pharmaceutical

An especially special friend of mine spoke with me about the uselessness of primary care physicians. And almost had me, but something came to mind when I read an article in the July 2, 2008 edition of the JAMA (Journal of the American Medical Association) by Dr. Michael Stillman. My friend presented me with the idea that general care physicians are not always very knowledgable about ailments or certain health problems that specialists would know. I had a personal experience that comes under this category. However, when the patient of a primary care physician is ill or injured, the primary care physician will know the patient well. One of the most important aspects of health care that is commonly overlooked is knowing the patient. Often such luxury is not possible with the busy schedule of doctors, or the lack of need to see certain doctors. Nonetheless, it can influence care dramatically. Dr. Stillman gave an example in his article where the medications of a patient had been changed to a more expensive regimen without his knowledge. The prescribing doctor would not have know that the patient could never afford those medications, but Dr. Stillman knew and prescribed the original, less-costly, and equally effective regimen.  A number of other issues come up as well when identifying the importance of primary care physicians. When making an important medical decision, trust between a patient and the doctor becomes essential. Patients, even if are under the care of a specialist may want to consult a phyiscian with whom they are familiar before making an important decision. Primary Care doctors may not necessarily save lifes, but they can certian help people maintain the highest quality of life possible. So with the greatest level of respect possible, I disagree with my friend [I will convince her I am right, and if she happens to read this before I try the art of persuasion…] (citation: JAMA July 2, 2008 p.21-22).

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The American Academy of Pediatrics has suggested children as young as eight receive statin drugs to battle future heart problems. However, there are a number of problems with this idea. There is no study showing the effects of such long-term use of the drugs; there is controversy over the effects of statins and memory; and the main problem for these children is lifestyle but avoiding that by giving them drugs simply hides the problem. New evidence shows that heart damage begins early in life, but I believe there are better ways of controlling the problem (citation: CBSNews/NYTimes).