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5:34-- Guest_6937: Sometimes the "bean counters" tend to be telling us how we are falling short.
They come up with a number of scheme to get us to find out more patients than we could reasonably see or the best way to "create" more procedures in comparison with are called for. This is bottom-line or practice-centered medicine including my opinion is unethical in addition to immoral.
It is also outside of what we should are called to do and is unnecessary and counter to a balanced practice. What I believe generates a healthy practice and is basically at the heart of doing what is right for patients, is the patient-centered check with. This type of consult is designed to arrive at the root of the patient's issues and do all one can because of help them achieve their health and aesthetic goals.


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

The drug businesses tell us that Plavix is about 30% better than aspirin. What they do not tell us is that it is fairly 30% better. In total terms it is about 1% better. What does this mean? Well, in one study on CVA often the relative risk reduction has been quoted as 25% but the absolute reduction was 0.
9 for ASA vs 1 . 2 for Plavix or about 0. 3% (1). Now Plavix expenses $5. 00 per product and ASA is about $0. 05 so to the individual on the fixed income is the overall difference of 0. 3% worth $4. 95 every day? Maybe, maybe not depending on several factors.
Certainly it may be worth the cost to society but modern society is not paying the bill... the on a fixed income is definitely. This is the confusion between population based and individual treatments. Some have even strongly suggested taxing or eliminating Artistic procedures to reduce overall health costs in the US.
This may help many number followed by economists however is it serving the individual who is interested in a specific goal?

So what is the patient-centered consult? Medication is complex and in distinct, Aesthetic Medicine is sophisticated, yet it has been reduced to be able to sound bites on TV. Advertisements ask the question "Is it better than Botox? inch or "Is it greater than a Medical Peel?
" yet they do not give the respond to or any real helpful information. Patients have, in general, no reasonable idea of what can and can not be done for them. The patient-centered consult is an educational knowledge for the patient that helps all of them understand what is realistic and is not.

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