I see the same parallel in the business world as well. Higher education doesn’t mean smarter or more capable it just may mean you’re a better test taker.
My first boss only had a high school education while I had a college education. If I wanted his position today I would have to have a masters degree. Same with my Dad when he was a hospital administrator he needed a degree in hospital administration but his boss as well only had a high school education.
Boy have things changed for a variety of reasons.
Great article and insight. As always I learned something new.
Hubby and I were talking about this very subject this week! I am 79. When I was at home, we had a GP who did everything. People were taken care of very well. Usually right in his office!
Thanks for a terrific reminder that many have forgotten. I have a great GP. He moved his office 45 minutes away from where I iive and I still go to see him. So do many of the patients he had when he was closer. He can't cure ever ill but he is the person I turn to when I needed a recommendation for surgery. (And it was someone outside the hospital he is affiliated with but someone he thought was the best for me.)
My journey to really question medicine was when my husband developed cancer. I began to look online for natural supplements to help his body recover from each round of chemotherapy and to possibly find a cure. I learned a lot about the demise of Natural remedies and cures for cancer caused by our government, either by delaying patents or stealing them. One person was allegedly murdered. I did find a naturopath who was going to treat him with vitamin C intravenously but his organs started to shut down and they couldn’t do it. It wouldn’t have been a cure, but it may have given him a little more time. Then I began to question vaccines and did some research on that. My journey is too long to explain here. I do believe that God had a hand in starting me on this journey bc here I am unvaccinated with unvaccinated grandchildren bc I spoke up to my family! Thanks be to God!
Obs spring to mind: how interesting it is that society has been 'groomed' for a century to 'swallow a pill for every ill' while also begging for a 'silver bullet'. The societal obsession with a therapeutic panacea appears pathological. At the same time It is interesting to observe an evident paradox (or is it merely hypocrisy?) that emerges from Engel's biopsychosocial model and is espoused with hand wringing enthusiasm by all (backed naturally by a deep nod to the HPA axis). For my money Engel omitted the metaphysical component. One day I anticipate that therapeutics will come to embrace that too. Meanwhile I sense and note that there appears a gradually emerging counter-narrative to the reductionistic thinking and practice to which you have alluded. Given the post-2020 derangement, this appears to have accelerated. It is regrettable that medical education came to rely upon funding largesse from vested interests, with many consequences, one being that clinicians have become increasingly derailed as faux "researchers."
We need more amazing GPs. I fear that the advancement of PAs and APRNs as family practice providers have yoked us to the "sacred" protocols system. As a psychologist from a family of folks with autoimmune issues, I am all too familiar with how budding thyroid issues like Hashimoto's can look like Anxiety and Depression. How Graves disease can make someone appear bipolar on the outside. However convincing your average PCP to run antibody tests to rule that kind of thing out when TSH, T3, and T4 are still normal, is akin to a fart in church. It does not go over well.
I am at the point where I am subscribing to the notion that family practice protocols are designed to promote chronic illness (a big money maker for physicians and Big Pharma) by taking their sweet time identifying conditions. I find myself coaching folks about how to extract a referral to the endocrinologist, because they will actually take an accurate family history, test for antibodies, and heaven forbid ... actually want to check Vitamin D and iron levels and boost them.
I see the same parallel in the business world as well. Higher education doesn’t mean smarter or more capable it just may mean you’re a better test taker.
My first boss only had a high school education while I had a college education. If I wanted his position today I would have to have a masters degree. Same with my Dad when he was a hospital administrator he needed a degree in hospital administration but his boss as well only had a high school education.
Boy have things changed for a variety of reasons.
Great article and insight. As always I learned something new.
Hubby and I were talking about this very subject this week! I am 79. When I was at home, we had a GP who did everything. People were taken care of very well. Usually right in his office!
Thanks for a terrific reminder that many have forgotten. I have a great GP. He moved his office 45 minutes away from where I iive and I still go to see him. So do many of the patients he had when he was closer. He can't cure ever ill but he is the person I turn to when I needed a recommendation for surgery. (And it was someone outside the hospital he is affiliated with but someone he thought was the best for me.)
My journey to really question medicine was when my husband developed cancer. I began to look online for natural supplements to help his body recover from each round of chemotherapy and to possibly find a cure. I learned a lot about the demise of Natural remedies and cures for cancer caused by our government, either by delaying patents or stealing them. One person was allegedly murdered. I did find a naturopath who was going to treat him with vitamin C intravenously but his organs started to shut down and they couldn’t do it. It wouldn’t have been a cure, but it may have given him a little more time. Then I began to question vaccines and did some research on that. My journey is too long to explain here. I do believe that God had a hand in starting me on this journey bc here I am unvaccinated with unvaccinated grandchildren bc I spoke up to my family! Thanks be to God!
Nice commentary, thank you Dr Goldsmith.
Obs spring to mind: how interesting it is that society has been 'groomed' for a century to 'swallow a pill for every ill' while also begging for a 'silver bullet'. The societal obsession with a therapeutic panacea appears pathological. At the same time It is interesting to observe an evident paradox (or is it merely hypocrisy?) that emerges from Engel's biopsychosocial model and is espoused with hand wringing enthusiasm by all (backed naturally by a deep nod to the HPA axis). For my money Engel omitted the metaphysical component. One day I anticipate that therapeutics will come to embrace that too. Meanwhile I sense and note that there appears a gradually emerging counter-narrative to the reductionistic thinking and practice to which you have alluded. Given the post-2020 derangement, this appears to have accelerated. It is regrettable that medical education came to rely upon funding largesse from vested interests, with many consequences, one being that clinicians have become increasingly derailed as faux "researchers."
The missing metaphysical component is key.
The missing
We need more amazing GPs. I fear that the advancement of PAs and APRNs as family practice providers have yoked us to the "sacred" protocols system. As a psychologist from a family of folks with autoimmune issues, I am all too familiar with how budding thyroid issues like Hashimoto's can look like Anxiety and Depression. How Graves disease can make someone appear bipolar on the outside. However convincing your average PCP to run antibody tests to rule that kind of thing out when TSH, T3, and T4 are still normal, is akin to a fart in church. It does not go over well.
I am at the point where I am subscribing to the notion that family practice protocols are designed to promote chronic illness (a big money maker for physicians and Big Pharma) by taking their sweet time identifying conditions. I find myself coaching folks about how to extract a referral to the endocrinologist, because they will actually take an accurate family history, test for antibodies, and heaven forbid ... actually want to check Vitamin D and iron levels and boost them.