Guest guest Posted August 22, 2003 Report Share Posted August 22, 2003 Dear Sammy, Lynn, and Esteemed Colleagues, I on the other hand feel that Lynn Detamore's comments are inspired and inspiring. Calling for ever more civilized behavior on a community chat seems a worthy suggestion. Don't you operate a library, Ms. Detamore? Lynn Detamore's civility might indeed be challenging for many of us to live up to, yet it's nice to have ideals. Most of my friends are MDs, and another significant batch of friends are LAcs. I would agree with Ms. Detamore that most from both categories are quite caring people. I would agree with Sammy that many of each are rather suspicious of each other. However, MDs are not in any sort of envious position by my observation. My MD friends are often envious that I had the foresight to leave medical school in my 3rd year and move on to graduate school when I was 39 years old. I hear things from them like, " Gee, Emmanuel was older than us in medical school and now he looks so much younger. " Of course, Chinese medicine helps as does a much less stressful life. (I refer you to my picture on my profile). The fact is that we all went to Western medical school thinking that we would be set free by our MDs. It turned out to be the opposite. I was old enough and mature enough to actually respond to what we all could see. The incredible indebtedness, the lack of sleep through 3rd & 4rth year medical school and then through five years of residency. In those days, only 30% of board certified residents turned themselves in as clinically depressed. My sense is that the rest were mostly in denial. You don't see an income for nine years of training, and then you only see your income lost by paying back industrial strength loans and by paying vast malpractice premiums. I could go on about the relationship with HMOs and other 3rd parties including lawyers, but it's Friday and I'm in too good a mood. Yes, I love Lynn Detamore's suggestion for engaging Sesame Street ethics (at the minimum) and observing opportunities to cooperate. Not sell out, mind you. Definitely stand your ground! But cooperation while being strong within the paradigm of Chinese medicine will strengthen your position as a practitioner. It will also strengthen Chinese medicine as an institution. In Gratitude, Emmanuel Segmen Merritt College, Asia Natural I am sorry but I have to disagree with the writer below for a couple of reasons. 1st Reason: The " behaviour " on this list has not been " derisive, condescending " as she claims. It has in fact been pretty civilised from what I have read on some TCM lists. We need this kind of exchange. 2nd Reason: Western medicine and the institutions and infrastructure which support it is HUGELY CORRUPT. There may be good docs out there as Marcos in Guatemala reported, wish there were more, but there aren't. Just do a Google search on > Lupron scandal < to see what I mean. Sammy. Lynn Detamore [healthworks] 22 August 2003 10:30 Pracitioners teaching western doctors... i really do not understand the need for some of the derisive, condescending behavior exhibited by some group members. come on, let's be decent to one another. presumably, we are all adults here, eh? the days of 'medical deities' are over, save those vestiges of ego that do exist in white coats. it certainly is not fair to label the whole conventional medical establishment, nor any other profession, on the backs of those few self-righteous. those folks exist in every profession, including chinese medicine. we are all here to help patients. let's review some sesame street ethics, and recall examples of cooperation. if an md or do takes a short course in chinese medicine and learns enough to make good referrals in our directions, we only lose out if they don't already have our names and faces in their repetoire of connections! i also don't understand the notion of doctors getting paid 'big money' for medicare services. in real healthcare life no professional or patient can put 'big money' and 'medicare' in the same sentence, except to state that if doctors bill medicare, they'll never see much money, let along big money! it used to be that medical practices put caps on how many medicare patients they could take, sometimes expressed as a percentage of their patient base. at that point, they would not take more medicare patients. ah, but things are very different now. the present trend is that medical practices stop billing medicare altogether, meaning that their medicare patients have to go elsewhere. doctors get screwed by medicare. those few exceptions, the more computerized information is, sometimes end up in jail, or at least with no more medical practice. anyone see the 60 minute episode about the cardiologist and thoracic surgeon in redding, california? from someone who knew both of those doctors professionally, i am told they they were really nice guys. but, they must have been a little full of themselves, enough to think it was ethical to screw the system by which they felt screwed. remember karma, and the golden rule? 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