How to Influence Your Treatment

The patient-doctor relationship is central to the delivery of healthcare on a worldwide basis. This relationship has been changing in most developed countries in recent years in that patients are now more open to question courses of treatment outlined by doctors than they were previously. This is a positive step in the delivery of healthcare to consumers (patients). A good relationship has honesty, mutual respect, trust and confidentiality as its core values.

The first thing you need to get your doctor to do in relation to a health problem, is to summarise all the different approaches to its resolution. If the doctor is proposing a prescription drug be used in the treatment of your problem, you need to ask if there is an alternative to this approach. Diet, exercise, water, food supplements, holistic, homeopathic and herbal remedies have all been used successfully to treat some health problems.  If people have been successfully treated in the past for the ailment in question without drugs, let the doctor know you would prefer the non-drug route if that is how you feel.

If the doctor insists that a drug is the only option in dealing with your health problem, then you need to ask the following questions:

1.     Who manufacturers the drug?

2.     Is there an equivalent drug on the market by another drug company?

3.     Why the preference for the specific drug proposed?

4.     Does the drug address the underlying cause of the problem, or merely provide a temporary respite from the symptoms?

5.     What side effects are stated by the manufacturer for the proposed drug?

6.     What side effects did other patients report after taking the drug?

7.     Is the drug only proposed as a short-term measure?

8.     What is the long-term solution of the problem?

By questioning your doctor, you need to establish two things: if there is a bias against natural or alternative treatments for health problems; or if the products of one particular pharmaceutical company are favoured over others. Unless you totally trust your doctor from previous experience, you should try the questioning route as a consumer: you have a right to have all the alternatives fully explained to you at the outset having paid, one way or another, for the treatment you are receiving.

The better informed you are about alternative courses of treatment for your problem prior to a visit to your doctor, the more you can influence the course of treatment decided upon by mutual agreement. Visiting online resources such as The Mayo Clinic, Health Insite, MedlinePlus and CHIS –UK can help you to understand the different options available in contrast with orthodox medicine.

If you go to the surgery unprepared in any way about your condition, then you are generally putting yourself at the mercy of what conventional medicine has decided for your condition. In such a situation, a course of treatment for a health problem can get very biased dependent upon the attitude of the medical establishment in the particular part of the world you live in. If you don’t believe the last statement, then go and read my March post titled “ Why One Person’s Ordeal is Significant.” 

The Possible Health Legacy of the Olympic Games

I would first of all like to congratulate the UK authorities for staging a magnificent Olympic Games in London in 2012; and Team GB for a stellar performance across a range of disciplines reflected in their overall medal haul. However, according to my adjusted figures, the best overall nation in the games was Jamaica. To give them the number one spot, I simply divided the number of medals they won in the Olympics (12) by the current population of Jamaica (2.89 million) to arrive at a figure which wasn’t surpassed by any other major nation competing when calculated on the same basis.

The IOC President, Jacques Rogge, should be worried as he surveys the final medals table about the unevenness of the spread of medals throughout the world. India, Indonesia and Malaysia, for instance, didn't win a single gold medal from a combined population size of 1,500 million people. Shouldn’t the 2020 games be awarded to Mumbai or Jakarta in order to bring these countries fully  into the games?

There is a legacy to be had for the people of East London in that they inherit all the structures built to accommodate the games, which includes a 80,000 seater stadium, aquatics centre, velodrome, shopping centre and the accommodation blocks in which the athletes were housed during the games. This should help to breathe new life into a part of London which was a run-down area prior to the Olympic Park being constructed there to accommodate the games.  

The British authorities are assuming that the London 2012 games will be a financial success based on their estimated recovery of £13 billon from an expenditure of circa £9 billion. Whilst their projected figure for financial recovery is just an estimate at this stage, it appears to demonstrates that a well -planned games can be a financial success without unduly burdening the taxpayer.

The heroes created during the games, such as Ussain Bolt of Jamaica in sprint events, Sir Chris Hoy of GB in cycling, and Oscar Pistorius, the double leg amputee from South Africa, for competing in the 400m track event, are good role models for young people interested in sport to follow. Young people need positive role models; and all the athletes who competed in the games should in the coming weeks and months visit schools in their area in order to encourage more young people to take up sport.

The games can leave a worthwhile legacy for the UK, and the wider world, only if it inspires enough people to take up sport at a young ago, and thereby give them the daily amount of exercise they require in order to establish and maintain good health. Adequate daily exercise is one of the building blocks of good health. People who get involved in sport at a young age will hopefully keep it as a component for the rest of their lives irrespective of whether or not they compete for their counties in an Olympic games.     

 Of course governments do need to provide adequate funding and facilities for sport in order to reap the benefits later on. Providing funding for sport makes sense when the corresponding savings on crime, drug abuse and illnesses caused by inactivity are taken into account. Governments need to take action on funding now in order to benefit from the goodwill created by the games; and to ensure a positive legacy is probable rather than just possible. 

The Problems Associated with Prescription Drugs

Pharmaceutical companies are money-making outfits whose primary aims are to maximise the return for their shareholders. They just happen to be using health as a means of achieving their monetary objectives, as opposed any other sphere of activity. The directors and senior executives of most drug companies, in addition to any salaries paid to them, usually own sizeable amounts of shares in the company giving them an additional incentive to focus solely on profit.

We consumers should be suspicious of the products of drug manufacturers for the following reasons:

1.     Designed as a short-term measure.

The vast majority of prescription drugs on the market only treat the symptoms of the problem for which they are prescribed, and not the underlying cause of the problem. If you only treat the symptoms, the problem will re-occur requiring more drugs after the effects of the initial  dose has worn off. Repeat doses of a drug sets up a seemingly never-ending dependency for the patient being treated, and contributes enormously to the profits made by the manufacturer.

Drugs in the category  known as “ blockers”, as the name implies, are only temporary stop-gap measures.  A calcium channel blocker, for example, in the treatment of heart disease temporarily holds back calcium from the heart having a short-term beneficial effect only.

2.     Have side effects.

All prescription drugs have side effects to the extent that the body reacts to any synthetic input. In some cases, this reaction is quite severe and can affect such vital organs as the brain, eyes, heart, lungs or kidneys. A pharmaceutical company nearly always understates the side effects of a drug until such time as the number of people complaining about it brings it to the attention of the authorities in a particular jurisdiction.

In the past eight years the drugs Viox and Avandia were withdrawn from the market on a worldwide basis as a result of complaints by patients indicating the possibility of an increased risk of developing cardiovascular problems from their continued use.

3.     Prescribed following wrong diagnosis by doctors.  

Doctors sometimes make false diagnosis of what patients are suffering from, and then prescribe drugs according to their wrong assessments. An error like this can sometimes have a devastating, or even fatal, effect on the patient being treated.  

4.     Open to abuse.

Abuse of prescription drugs means taking drugs for reasons other than the ones for which they were prescribed, or taking drugs in excess of the prescribed amounts. A certain amount of prescription drugs get into the hands of people they were not intended for at all. The taking of a drug for a purpose for which it was not intended can have dangerous health consequences for the taker, and become addictive in the same manner as illegal street drugs such as crack, cocaine or heroin.   

5.     Prescribed following bias by doctors.

Some doctors have a bias in favour of the use of prescription drugs in the treatment of health problems to the extent that the alternatives are not even considered as a first option. Doctors of this mentality do their patients a disservice in not considering all the options fully before making a decision on a course of treatment.
Furthermore, I would not rule out the possibility of undue influence of drug companies on some doctors in the form of “expenses” paid for services rendered, or the sponsoring by them of publications which doctors read, in order to advance their products

The above reasons should put you on red alert as far as prescription drugs are concerned in the treatment of health problems. Conventional medicine generally does not give patients opportunities to pursue  alternative courses of treatment for their ailments.  However, this blog is at the forefront of championing the rights of people to pursue whatever courses of treatment they desire.