[lit-ideas] Re: Brazilian Medicine
- From: "Andy Amago" <aamago@xxxxxxxxxxxxx>
- To: lit-ideas@xxxxxxxxxxxxx
- Date: Sat, 1 Apr 2006 17:43:35 -0500
> [Original Message]
> From: Eric <eyost1132@xxxxxxxxxxxxx>
> To: <lit-ideas@xxxxxxxxxxxxx>
> Date: 4/1/2006 4:43:28 PM
> Subject: [lit-ideas] Re: Brazilian Medicine
>
> >>I don't know why that would make a big
> difference. After a few years of
> practice any advantages should level out.
>
> No, it does. If you learn piano earlier, you play
> with more facility than if you learn later in life.
>
Maybe at six years old, and only if there's talent. A third year medical
student is what, 25? and a resident about 28? Maybe there's a difference
between 25 and 30 but I don't think it would be very big. In childhood the
brain is most plastic. After childhood it's pretty consistently plastic
throughout life.
> >>It seems the Americans should be streaming to
> Brazil.
>
> They DO ... for things like plastic surgery,
> internal ear reconstruction, heart transplants,
> microsurgeries, and opthalmologic surgery.
>
I'll take your word for it. If that's true, then it's too bad. Medicine
was one area where we were preeminent. Now India is the place to go, at
least for the uninsured. Indonesia too, and obviously Brazil. Many Indian
doctors still train here and go back to India. I think American doctors
have more class. One male Indian doctor I met once didn't have a paper
liner on his examining table. I never saw that before and I never went
back to him. His office kind of had a lot of junk in it too, old computer
monitors and files. I doubt any American would ever do that. Needless to
say, I like American doctors.
> >>'Medical guidelines' sounds like another way of
> saying the system is more
> straightforward, less bribery.
>
> Medical guidelines are no-brainer, CYA procedures
> that prevent doctors from being sued. They are
> updated every couple years. It's auto-pilot for
> physicians.
>
All set up by fear of lawsuits.
> Now in medicine, doctors refer to "art." Medical
> "art" is the holistic (rational-intuitive) use of
> a physician's cumulative clinical experience and
> judgment. Brilliant doctors tend to use more
> "art." If you want an example of pure (if
> unrealistic) "medical art," look at the TV show
> "House."
>
> *Having medical guidelines means that physicians
> are free to practice "medical art" while also
> being protected from malpractice.
>
> *Medical guidelines also mean that if you don't
> have a brilliant doctor, but instead have a
> dolt-doctor or moron-doctor, you will be receiving
> a minimal standard of care. Since 10 percent of
> all US doctors (and a greater percentage of
> foreign doctors) are moron- or dolt-doctors,
> guidelines save lives.
>
>
As you say, if a patient doesn't do well and can prove the doctor didn't
follow standard of care, he can win a malpractice case. It's interesting
that Brazilians, for all their alleged excellence, prefer to work in a
predictable environment that evolved, ironically, out of lawsuits. I
think the predictable environment reflects the general society built on
laws here, as opposed to virtual chaos in a lot of the rest of the world.
That's what I find so particularly objectionable about illegal immigrants
functioning in full daylight above the law. They make a mockery out of a
society built of laws, the very thing that attracts them in the first place.
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