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4:23-- Гость_1633: All too often the "bean counters" are usually telling us how we are usually falling short.
They come up with a few scheme to get us to find out more patients than we can reasonably see or tips on how to "create" more procedures in comparison with are called for. This is bottom-line or practice-centered medicine and in my opinion is unethical and immoral.
It is also outside of what we are called to do and is unwanted and counter to a healthful practice. What I believe builds a healthy practice and is merely at the heart of doing what is a good choice for patients, is the patient-centered consult. This type of consult is designed to reach the root of the patient's troubles and do all one can because of help them achieve their health insurance and aesthetic goals.



In this regarding population-based medicine we have all been recently told to do the minimum, but that doesn't change the simple fact that our patients are concerned together with optimal health and results. Olympic athletes do not win all their contests by training to the minimum nor will each of our patients be served by giving the minimum.
Let's take a look at an example of how population-based drugs is creeping into the assessment room in a way that is not entirely understood by physicians but has great impact on the individual (many similar examples can be seen in medicine today):

The drug firms tell us that Plavix is around 30% better than aspirin. What they do not tell us is that it is relatively 30% better. In complete terms it is about 1% better. What does this mean? Well, a single study on CVA the particular relative risk reduction had been quoted as 25% however the absolute reduction was 0.
9 for ASA vs 1 . 2 for Plavix or about 0. 3% (1). Now Plavix prices $5. 00 per supplement and ASA is about $0. 05 so to the individual for a fixed income is the definite difference of 0. 3% worth $4. 95 per day? Maybe, maybe not depending on numerous factors.

Certainly it may be worthwhile to society but modern society is not paying the bill... the on a fixed income is definitely. This is the confusion between people based and individual remedies. Some have even encouraged taxing or eliminating Cosmetic procedures to reduce overall health costs in the US.
This may help many number followed by economists but is it serving the individual that is interested in a specific goal?

Precisely what is the patient-centered consult? Drugs is complex and in certain, Aesthetic Medicine is complex, yet it has been reduced to help sound bites on TV. Advertising ask the question "Is it better than Botox? inch or "Is it greater than a Medical Peel?
inch yet they do not give the respond to or any real helpful information. Individuals have, in general, no reasonable idea of what can and is not done for them. The patient-centered consult is an educational knowledge for the patient that helps these people understand what is realistic and exactly is not.


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