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<blockquote data-quote="Chris24Main" data-source="post: 2751098" data-attributes="member: 585131"><p>There must be easier ways to make a buck than study for the six years or so to get a medical degree, then study for three years as a specialist GP, then once you pass the various tests that essentially show that you have a good enough understanding of ...everything.., then enlist in a practice, and then put up with all the cr*p that GPs have to put up with.. having to decide the best course of action for someone every 10 minutes of every day, to have the practice receive the funding for some of the drugs and vaccines in order to pay your salary.</p><p></p><p>Doesn't sound like a very good plan to me. If money was your sole aim.</p><p></p><p>I personally have an ongoing ...discussion... about the suitability of Statins with my GP. My LDL is very definitely higher than the advisory level, but my personal reading of my lipid panel, and my understanding of the medical science (or non-science) that led to the current advice leaves me able to continue that discussion, politely, and positively - and I'm not planning on starting statins any time now.</p><p></p><p>But - I have some agency in following the guidelines. I can make informed choices. I may be wrong, and if that's the case, so be it. I feel like I have a good grip on the risks either way for me. GPs don't have that flexibility, or frankly the time I've put into investigating this one question. Or my understanding of my own physiology. Or even the total confidence that what I'm telling them is the truth. I could be secretly scoffing doughnuts every morning, in which case my finely polished arguments that I don't need to be taking statins might be completely bogus - they cannot know for sure. </p><p></p><p>I think it's totally fair (in fact it's essential) to question the science. It's totally fair to question the guidelines. There have been doctors who failed their Socratic oath - but only one or two that I can think of in my lifetime, compared to thousands of hard working, dedicated professionals. I think there are very few things you can put your life into - more essential or honorable than general practice, and they deserve our support. </p><p></p><p>Which may include some gentle education - I'm not advocating blind subservience; but your relationship with your GP is like any other, it has to be built on good faith respect. That cuts both ways.</p></blockquote><p></p>
[QUOTE="Chris24Main, post: 2751098, member: 585131"] There must be easier ways to make a buck than study for the six years or so to get a medical degree, then study for three years as a specialist GP, then once you pass the various tests that essentially show that you have a good enough understanding of ...everything.., then enlist in a practice, and then put up with all the cr*p that GPs have to put up with.. having to decide the best course of action for someone every 10 minutes of every day, to have the practice receive the funding for some of the drugs and vaccines in order to pay your salary. Doesn't sound like a very good plan to me. If money was your sole aim. I personally have an ongoing ...discussion... about the suitability of Statins with my GP. My LDL is very definitely higher than the advisory level, but my personal reading of my lipid panel, and my understanding of the medical science (or non-science) that led to the current advice leaves me able to continue that discussion, politely, and positively - and I'm not planning on starting statins any time now. But - I have some agency in following the guidelines. I can make informed choices. I may be wrong, and if that's the case, so be it. I feel like I have a good grip on the risks either way for me. GPs don't have that flexibility, or frankly the time I've put into investigating this one question. Or my understanding of my own physiology. Or even the total confidence that what I'm telling them is the truth. I could be secretly scoffing doughnuts every morning, in which case my finely polished arguments that I don't need to be taking statins might be completely bogus - they cannot know for sure. I think it's totally fair (in fact it's essential) to question the science. It's totally fair to question the guidelines. There have been doctors who failed their Socratic oath - but only one or two that I can think of in my lifetime, compared to thousands of hard working, dedicated professionals. I think there are very few things you can put your life into - more essential or honorable than general practice, and they deserve our support. Which may include some gentle education - I'm not advocating blind subservience; but your relationship with your GP is like any other, it has to be built on good faith respect. That cuts both ways. [/QUOTE]
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