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Tag Archives: trust

Recent polls are showing that Barack Obama became even more popular as the inauguration approached. The expectations for Obama run high, and the promises he has made may be even higher. This trust in one man to make-do on lofty promises may be familliar to someone who has seen The Dark Knight. Harvey Dent, the white knight district attorney of Gotham City: Two-Face, a twisted foe of justice. They are one and the same, although the people who trusted him, including Batman, could never have imagined this to be so. Dent’s Idealism, the expectations of the people, and the grim reality of the situation combined to create a murderous monster. Obama has the expectation, and possibly an even greater expectation than the fictional character of Dent; Obama speaks as though he may have the same level of idealism; and Obama faces the grim reality of hardships he listed in his speech (economy, health care, education, war, terrorism, etc). One can only trust Obama to stick to his promises unlike Harvey Dent who failed the people of Gotham. Had Batman not taken the fall for Dent’s shortcomings, all hope would have been lost. If Obama comes up short of the goal line, even by a foot, it could have drastic consequences on the morale of America. Thankfully, this is not a movie script, and the outcome has not been written yet.

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).