Training The Doctors

Fall is coming to an end and winter will soon put in a real appearance

. That means the first frosts may turn icy or snow may fall. Either way, this can signal the arrival of months slipping and sliding on the sidewalks. Although there are usually good parking facilities at the malls and office blocks, most other places force you to walk out in the open to get where you want to go. No matter how carefully you think you are putting your feet down, you can be upright one minute and crashing to the ground the next. If you are lucky, this is just bruising and sprains. If your luck is out, bones are broken. Either way, this means pain. Hopefully, it will pass fairly quickly as you heal. But older people who break their wrists or hips may find long-term problems. This means struggling through life. Perhaps you have an office job where you can keep movement to a minimum. Otherwise, work becomes a kind of battleground where you have to fight pain every day.

Let's say you go see your local primary care provider. You waited for the appointment and practiced what you would say during the consult. But when you got in through the door, you had a shock. The doctor is on a strict number of patients per hour. The health insurance network expects turnover to be maintained. This leaves no time for the doctor to sit listening to you. Even if there was time, the current training given in med school says little about pain management. The usual approach is: hear the word pain, patient still alive, prescribe a painkiller, call for next patient. In fact, the shortage of primary care physicians is severe. Not enough qualified doctors want to work at the coal face. They all want to be the cool surgeons you see on "Grey's Anatomy". When you put the lack of bodies together with the pressure from the health insurance injury, you have no chance of any constructive help unless you are paying for a private consultation.

This is not to deny the power of Tramadol HCL. In this increasingly dangerous situation, it's lucky the medical profession can rely on a drug to do most of their work for them. Nevertheless, the danger requires a major policy change. It takes years to train doctors so we need to begin recruiting more people into medical schools for the next academic year. We need to improve what they are taught about primary care patient management. There must be a revolution in the health insurance industry to allow funding for doctors to spend the time necessary to give proper care to their patients. Most importantly, there must be a change to the remuneration packages for primary care medicine. Right now, the pay is not competitive and most opt for the higher status and better paid work in hospitals. As we come closer to universal healthcare introduced by President Obama, we need more doctors to deal with all these additional patients. Simply handing out prescriptions or advising people to buy Tramadol online is not a proper way of dispensing medical care in this new century.

by: Amanda Patterson

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