Heal Thyself

Dr.Bones had an A.I. powered Tricorder and Dr. Long, in Mike Judge’s “Idiocracy”, had three probes in the ear, anus, and mouth. Today even doctors are having trouble getting a qualified physician. Secretary Azar, due to huge health care demand and logistical problems during social distancing, recommended increased telemedicine and for state medical boards to loosen regulations. The government even approved non-Hippa compliant Skype and Google conferencing apps to be paid by medicare!

Medical boards micromanage with self-righteous zeal more than current state governments with total lockdown, even in rural areas without covid. The medical boards have responded passive aggressively, requiring a doctor to apply for a state medical license for each state in which a needy patient lives. They require new patients, that need care, to be traditionally seen in person before telemed can then be utilized. This freezes-out undoctored patients from getting care while local doctor offices are shuttered! Mississippi has the fewest physicians per capita, but 1,200 physicians wanted to help by telemed and went through the expense of applying for a Mississippi license. The board decided they could only consult with patients they had already seen in another state , from in-person consults, as the board representative noted there were more than an adequate number of physicians with the ratio of 191 doctors per every 100,000 citizens.

The best the average Joe can do is find a triage Advanced Practice Nurse (APN) to refer to a specialist. With financial obstacles, insurance denials, and long wait lists for specialists, it is crucial to be your own barefoot doctor before seeking even triage. An ER visit will bankrupt you and shotgun diagnostics by the primary care provider will as well as they are under time pressure trying to guess which specialist to turf you to. Mother nature gave us a brain and the Greeks gave us the concept of logic(Induction and Deduction). If you apply a systemic review of all body functions to I.D. symptoms and signs, observable physical changes, you can induce the forest from the many trees. That allows your provider to take your written down theory to segregate you to the correct specialist who can deduce the exact illness at less expense and more expeditiously. Your search engine via internet is your improvised tricorder!

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To wit, let us start. Notice when the signs/symptoms started, duration exactly or continuous, and any variation. Does anything ameliorate it or exacerbate it or precipitate it? What time of day or circumstances does it progress? Is it progressive or stable? What home remedies or other provider interventions have been tried or failed? Try to narrow down to at least broad categories: Degenerative diseases are insidious onset and progressive, neoplastic diseases cause weight loss, hard knots or spots, or blood from orifices. Infectious disease cause fever, weight loss, lassitude, or pain. Psychiatric illness causes mood disorder, irrational thinking or anxiety. Endocrine disease causes weight change, change in vital signs or change of bodily habit/routines. Parasitic disease causes pain or blood and is associated with tainted food /exotic food or insect or tropical environs/travels. Vascular disease causes loss of central nervous system (CNS) function or peripheral symptoms or classic shortness of breath (SOB) or chest pain. Nutritional disease come from odd diets or GI absorption/gut signs. Abnormal movements,loss of sense or alteration if consciousness is neurological. Toxic exposures come from an angry wife giving you rat poison (Like my uncle Ranzy experienced for being too stingy with his wife!). Obviously self-induced toxicity from drugs or withdrawal depends on being honest with yourself.

We all need to be more self reliant as the world has changed. Form a close network of friends and family and try to befriend the obnoxious doctor or lawyer uncle whose opinions you abhorred growing up. Educate yourself so you do not have a family doctor putting a probe in all your openings trying to catch a clue as to what you have developed. Hopefully we will not President Camacho as our leader.

Covid Coup De Grâce

In my formative years my great uncle Dr. Walter Cale was a horseback doctor in Atkins, Arkansas, known for Atkin’s Pickles. He sold cucumbers for a living to the pickle plant and bartered medical services taking in chickens and eggs. His two-room home office took walk-ins with routine care in the front room and the back room housed his examination table, which he dropped ether solo doing surgeries. He was my physician and gave me the inspiration to shoot for the stars from our poultry farm. He did well financially and had community respect from all.

Library of Congress

Post-World War, third party insurance introduced pencil pushers between the doctor and patient. Big government socialists noticed and the American Medical Assoc. was offered the copyright to ICD publications and the American Psychiatric Assoc. was offered DSM copyrights if both organizations would back socialized medicine via medicare/then medicaid. The rank and file were sold down the river, so to speak, with golden retirement parachutes for leaderships.

The ensuing price controls and bureaucracy degraded medicine with physicians chasing the rabbit around the financial track. To reduce the added expense of the middle men, managed care was devised. Doctors found that patients would change MD care for a pittance cheaper charge. The physicians saw patients as a revenue source and not a friend and neighbor. Patients saw doctors as a commodity to sue as an insurance policy if health did not remain perfect. The government was glad to force doctors to take the mark of the beast as hospital privileges required the MD to accept medicaid patients and medicaid which forced MD’s to charge even the poor or uninsured the same price without discount or else be sanctioned.

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The low reimbursements required quick throughput, as with cattle, to cover expenses. The huge volume at low profit and degraded quality pleased the government as the MD’s were the highest revenue source for the Treasury as a group. Anecdotally, the expanding knowledge base and time pressures degraded quality. The government introduced electronic health records to slowly force treatment cookbook cascade methods like paramedics use in the military. Additionally, it takes so much longer to see the patient and electronically prescribe with typed notes that significantly fewer patients can be seen through office hours. This results in fewer claims to Centers for Medicare, etc. As in all socialist schemes rationing becomes necessary.

Now fast forward to present day and Covid is making older MD’s consider retirement rather than pay staff and expenses whilst being slowed further by Covid precautions/protocols. The risk of a subpoena by a trial lawyer, on behalf of employees or patients catching Covid, makes retirement look better. Telemedicine is slower, less accurate, depersonalizes, and devoids the last of the physician patient relationship. Older MD’s are a large proportion of practicing physicians. Covid may be the final coup de grâce if they are financially stable. It is now gotten to the point of being hard for a physician to find a practiced physician, good luck to the lay person.

BBC

Socialized medicine will be forthcoming rapidly. Already two thirds of physicians are hospital-employed minions controlled by number-driven men in Italian suits and manicured grooming. In one lifetime, this MD has seen the complete replacement of traditional care to a government-hospital industrial complex with a different “provider” yearly, if not semi-annually. It is impersonal and less beneficial than having a trusted doctor lobbying for you sincerely. Covid is the final nail in the coffin. We will be akin to Canadian and British NHS unless you are wealthy and can afford concierge care from a MD who has bailed from centers for medicare which makes it illegal for the MD or patient to bill for services. By the way, one can not bail from medicare Part-A without risking your social security check.

A strange new medical normal with fewer doctors, greater expense, scarce expensive medicines, and degraded services is on the horizon. Maybe we will still be able to leave our homes without Fauci’s/ E.U./U.N. Covid ID of alleged immunity.