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4:03-- Guest_9161: All too often the "bean counters" are usually telling us how we are falling short.
They come up with some scheme to get us to see more patients than we can easily reasonably see or tips on how to "create" more procedures when compared with are called for. This is bottom-line or practice-centered medicine as my opinion is unethical as well as immoral.

It is also outside of everything we are called to do and is needless and counter to a healthful practice. What I believe generates a healthy practice and is easily at the heart of doing what is right for patients, is the patient-centered consult. This type of consult is designed to reach the root of the patient's difficulties and do all one can because of help them achieve their health insurance and aesthetic goals.


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

The drug firms tell us that Plavix is mostly about 30% better than aspirin. Them not tell us is that it is comparatively 30% better. In absolute terms it is about 1% better. What does this mean? Well, in a study on CVA the relative risk reduction seemed to be quoted as 25% however the absolute reduction was zero.
9 for ASA as opposed to 1 . 2 for Plavix or about 0. 3% (1). Now Plavix expenses $5. 00 per supplement and ASA is about $0. 05 so to the individual on a fixed income is the total difference of 0. 3% worth $4. 95 daily? Maybe, maybe not depending on a lot of factors. Certainly it may be more than worth it to society but contemporary society is not paying the bill...

the on a fixed income is. This is the confusion between populace based and individual medicine. Some have even encouraged taxing or eliminating Cosmetic procedures to reduce overall health prices in the US. This may help a number of number followed by economists but is it serving the individual who might be interested in a specific goal?


So what on earth is the patient-centered consult? Remedies is complex and in particular, Aesthetic Medicine is sophisticated, yet it has been reduced to help sound bites on TV. Advertisements ask the question "Is it better than Botox? inch or "Is it superior to a Medical Peel?
very well yet they do not give the answer or any real helpful information. Individuals have, in general, no realistic idea of what can and cannot be done for them. The patient-centered consult is an educational expertise for the patient that helps these individuals understand what is realistic and is
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1
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