2 Comments to
What Was JAMA and Catherine DeAngelis Thinking?

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  1. Dr Grohol:

    I would guess you are trying to be respectful and professional, and I applaud your take at this site, but let’s call it for what it is these days with my “colleagues”:

    ego not just run amok, but out of control.

    Money corrupts, folks, it is probably the worst addiction this culture has to deal with these days, and physicians are not immune to it, in fact, they may be more prone to it.

    How do I avoid it as best I have done? I use the adage from “Field of Dreams”: build it and they will come. Be a responsible, ethical, moral, and caring physician, run your practice under the principles that you know foster good care, and people you will instinctively be able to develop a good rapport and alliance will come to you and spread the word, and you as the physician will survive financially.

    It is that simple and applicable.

    What pisses me off to no end is few seem to embrace that basic foundation these days, and patients are getting equally inappropriate in their expectations as well. And, insurance has been the driving force to this erosion in care, meds are just the icing on this polluted cake.

    My opinion, but one of years of experience.

    Thanks for the post!!!

  2. TF,

    What does the issue of patients being inappropriate in their expectations have to do with the DeAngelis controversy? I find your posts greatly frustrating because you make so many excellent points only to take unfair shots at patients that have nothing to do with the issue at hand.


  3. AA: (and others reading this discussion)

    If you read my posts at the sites I comment at, like here, Carlat’s blog, and Clin Psych, I seem to take shots at everyone who exercises poor judgment, including my colleagues–psychiatrists and PCPs, like I did at the beginning of the comment. Hey, sometimes even myself! What I find so incredulous is people being so outraged I call out patients who have poor judgment and should know better when they come to a doctor for help. Is there some unwritten law that patients can never be wrong or inappropriate? Note I call them patients, not clients or customers. And, from talking with seasoned people who work retail and services, the customer is NOT always right, but always has the right to speak out.

    I am trying to note that everyone in the health care process plays a role in the ongoing struggles at hand–doctors, patients, insurers, and politicians.

    Don’t agree, that is your choice and opinion.

    By the way, since you take me to task at these other sites, you rarely agree with me anyway, so let’s be honest about your position in this debate about mental health care. You do not like psychiatrists overall per the tone of your comments, so if I am wrong in that assessment, I apologize and your future writings will show moderation.

    By the way, when over 70% of patients come to me and expect to leave with a prescription while hemming and hawing about a referral for therapy, that is a poor judgment call to me. And their spouting about commercials and drug company sponsored literature is not the best source for facts and guidance. And that is where I tie it in to this blog post.

    Again, just an opinion. Have a nice weekend.



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