[lit-ideas] Re: Brazilian Medicine

  • From: "Andy Amago" <aamago@xxxxxxxxxxxxx>
  • To: lit-ideas@xxxxxxxxxxxxx
  • Date: Sat, 1 Apr 2006 19:33:36 -0500

> [Original Message]
> From: Carol Kirschenbaum <carolkir@xxxxxxxx>
> To: <lit-ideas@xxxxxxxxxxxxx>
> Date: 4/1/2006 7:19:43 PM
> Subject: [lit-ideas] Re: Brazilian Medicine
>
> Americans are also streaming down to Mexico for medical (oncological) 
> treatment. Remember Coretta Scott King? I'm not quite sure what all this 
> says about US medicine, except that it's rather strictly controlled. Is
that 
> a good thing or not?
>

I vote for it being good.  Nothing is perfect, but I'll take good.



> Q: Would you rather have a doctor who's graduated from Johns Hopkins and
is 
> board-certified, or a doctor whose degree is from a South American
country, 
> and who isn't board-certified in the US?
>


For me that's a no brainer.  I'll take Johns Hopkins.  On the other hand,
I've spoken to immigrants from Russia.  While our care is scientifically
superior, their's is more, what's the word, homier.  In the end, other than
infections that require antibiotics, the body heals itself in my opinion
anyway.  Someone who listens and cares can be very healing.  Shamans can be
as effective as impressive looking white coats.  Not always, of course. 
Like I said, I'll take Johns Hopkins. 


> Or, is America's perception of its high medical standards a matter of 
> effective PR by the AMA, or is it a bona fide feather in American
surgical 
> caps?
>


I think it's bona fide, but it's only my opinion.  Movie's starting, gotta
go.



> Carol,
> whose relations are MDs in Brazil and Argentina
>
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>
> ----- Original Message ----- 
> From: "Eric" <eyost1132@xxxxxxxxxxxxx>
> To: <lit-ideas@xxxxxxxxxxxxx>
> Sent: Saturday, April 01, 2006 1:27 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.
> >
> > >>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.
> >
> > >>'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.
> >
> > 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.
> >
> >
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