Double-Blind Medicine: When Doctors and Patients Are in the Dark

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Double Blind Medicine:

when doctor and patient are together

both in the dark

I met a dermatologist the other day and he gave me goosebumps. He is in his thirties, tall, thin, serious, like many doctors today. But what stands out the most is a fresh, full-colour, jaw-dropping tattoo on his right arm that snakes up his wrist, around his forearm, and slides from under his short-sleeved shirt into the unknown. anatomical area. I believe he also has tattoos on his left arm, but I was too dumb to notice at the time.

Now, you might think tattooed dermatologists are an oxymoron, as I do. It doesn’t take much imagination, or research on the internet, to realize that tattoos are bad for your skin.

The most obvious problem is that tattoos are done by piercing the skin, causing skin trauma and risk of infection. Interestingly, there are studies linking tattoos and skin damage from vaccinations as the cause of many skin reactions, including cancer.

2014 article in the journal “Tattoos and vaccination sites: possible nests of opportunistic infections, tumors, and immune abnormalities” Clinical DermatologyExplains, “Both skin tattooing and vaccination may alter the local immune response, creating an immunocompromised area at or near the site of placement. This may lead to the development of opportunistic infections, benign and malignant neoplasms, and local immune aberrant responses.” Including basal cells Various tumors including carcinoma and squamous cell carcinoma, keratoacanthoma and malignant melanoma have also been reported to be associated with tattooing… Vaccination sites also provide a setting for benign and malignant tumors. “

The ink used is also a concern, causing allergies and exposure to heavy metals. It is fairly common for individuals to have an allergic reaction to the dyes used in tattoos. Ink is actually filled with many chemicals and unnatural ingredients that can irritate one’s skin.

It has also been linked to skin cancer. When it comes to cancer, black ink can be particularly dangerous because it contains very high levels of benzo(a)pyrene. Benzo(a)pyrene is currently listed as a carcinogen by the International Agency for Research on Cancer (IARC). Black ink is the most commonly used color for tattoos.

You’d think that this doctor might have had tattoos before he became a doctor, so he didn’t know any better. But it’s a new tattoo. He’s showing it off, not hiding it.

Tattoos are now common and popular in certain circles. Doctors want to look cool, just like everyone else. They were raised like everyone else, exposed to, and brainwashed by, the same cultural messages. They simply choose to practice medicine.

I also met a cardiologist who smoked. He was also severely overweight and ate a large, juicy hamburger and fries for lunch. Of course, obesity, smoking and eating fried foods increase the risk of heart disease.

An obese, smoking cardiologist eating fast food makes as much sense as a tattooed dermatologist.

Perhaps these doctors were drawn to their specialty because they knew they would need treatment in that specialty because of their lifestyle? It’s like when deranged, neurotic people become psychologists or psychiatrists.

How about a female doctor who shrinks her breasts in tight bras for hours every day? There are many women’s breast health professionals, including breast surgeons, who wear bras that hurt their breasts. Their medical training never mentioned that tights cause circulation disorders and lymphatic stasis. These doctors willingly fixed and altered the shape of their breasts, concealed their nipples, and basically redesigned the appearance of their breasts for cultural reasons, despite the well-documented harm that bras cause, including breast pain, cysts, and cancer. They did it anyway. Wearing a bra is just something every woman is culturally expected to do, even doctors.

Is this hypocrisy? Should we expect doctors to be role models of health and a healthy lifestyle?

More fundamentally, when we ask for help, does the helper have anything to do with us being in the same predicament? In other words, can you trust the lifeline of someone in the same boat as you?

We seek help in many places.

Would you go to a priest who was a pedophile?

Would you use a mechanic whose car broke down?

Would you go to the hairdresser on a “bad hair day”?

Would you choose a plastic surgeon with a big nose, corns on the chin, and scars on the face?

How about eating at a restaurant where the chef went out with food poisoning?

You can also go to the health food store and buy chips, coffee, candy, wine, beer and many other unhealthy things.

And then there’s addiction recovery programs that offer everyone coffee, one of the most addictive substances we consume.

Clearly, there is a problem here. We live in a culture where there are many products and activities that can harm us. In fact, the biggest cause of disease and death is culture and all the bad things it teaches us to think, do and feel. We absorb these cultural messages from the womb as our nature is changed by our culture.

This applies to everyone. It also includes doctors. Just because someone studies medicine doesn’t mean they’ve personally removed all harmful cultural practices from their lives. The same cultural reasons for illness that flooded the waiting room also flooded their personal lives. In fact, medical culture is worse for doctors.

For some unclear reason, the medical system exploits doctors who work long hours and sleepless nights. Doctors are rushed and stressed, busy eating unhealthy snacks. They are tempted to abuse drugs to keep going, but may be content with 10-20 cups of strong coffee. They are also tempted to use drugs to relax, but may be content with a few alcoholic beverages. They have very little playtime or time with their families. According to their expertise, they are exposed daily to contagion, death, radiation, the soul-stirring sights and smells of hospitals, and the frustration of treating endless, often unhelpful remedies, and There is no known cause for the condition.

Obviously, being a doctor can make you sick mentally and physically. No wonder why so many doctors commit suicide. It’s just that practicing medicine is slow suicide.

It also means that doctors are not the ones telling patients to clean up their lifestyle. The lifestyle of doctors is at least as bad, in fact worse. They participate in unhealthy cultures, indulge in many of the same things, and suffer from the same psychological and physical problems as anyone else. But they are the ones who are going to solve these problems.

This is a fundamental reason why medicine does not emphasize lifestyle or other cultural causes of disease. How can a doctor tell a patient not to do what they themselves do?

This is also why many discoveries about cultural causes of disease go unnoticed by medicine. For example, when smoking is culturally considered safe and good for you, everyone smokes, including doctors.In the 1950s, there were Tobacco Company Ads Using doctors to promote smoking. New research showing that smoking causes lung cancer has been ignored, ridiculed and strongly opposed by many in the medical community.

No one likes being told that what they are doing is wrong and will hurt them, especially a doctor who is considered a health professional. Telling smoking doctors that their habit is actually bad is a challenge to their authority. How do they tell smoking patients to quit?

Another example can be found in today’s debate about the health hazards of bras and their link to breast cancer. I personally know this question because my wife Soma Grismaijer and I are co-investigators of the world’s first study focusing on the bra cancer link. We published our results in our 1995 book. Clothes kill: The link between breast cancer and brasnow updated for 2018.

There are many international studies Link breast cancer to wearing tight bras.

Essentially, women who don’t wear a bra have roughly the same risk of developing breast cancer as men do, and the risk increases when the bra is worn tighter and longer, 24/7, compared to a no-bra wearer. Women with bras have a breast cancer risk more than 100 times higher than women with bras.

But this message is still resisted by a culture that has become as addicted to bras as it is to cigarettes. Women have been conditioned to believe that they need artificially shaped breasts to be accepted in public. Even doctors have embraced the message. Under the glamor of the lingerie industry, women shudder at the thought of not wearing a bra in public, feeling naked and ashamed without a bra to confine their breasts.

So the bra issue still belongs to alternative health and fringe groups, even though women are now asking why they need to wear bras in a post #MeToo world. Should women’s breasts be constantly sexualized by being pushed, squeezed, poked, pinched, squeezed, shrunk, hacked, and bra-lifted? A lot of women are saying no these days.

Ironically, many of the female doctors who used bras insisted that under no circumstances did bras cause disease, especially cancer. The reason is that they cannot imagine themselves at work without a bra, which is the logical conclusion of the message. If they realize that bras cause disease, then they will have to defend their bra habits.

This means that doctors are as ignorant as anyone else about unhealthy lifestyles, leading to an additional problem. Not only does an unhealthy lifestyle doctor imitate unhealthy lifestyles, but that physician may also be personally and psychologically invested in defending those unhealthy lifestyles. They don’t want to stop doing what everyone else is doing. They want to feel like they belong, just like everyone else, even if that requires smoking, drinking, or engaging in other harmful behaviors.

But their denial matters to patients. Physicians model and teach by their own behaviour.

Should doctors be required to practice the latest lifestyle trends that are said to improve health and prevent disease? The biggest hurdle doctors face before considering such a thing is that their own medical culture mistreats them and drives them to depression and suicide. As long as the institutional and corporate powers that control medicine continue to mistreat doctors with a toxic medical culture, don’t expect medicine to pay attention to culture.

Medical culture is a glass house and doesn’t throw stones at pop culture.

Since the medical industry profits from detecting and treating the resulting diseases, there is actually an economic incentive to maintain the cultural status quo, even as the culture is killing doctors. There are many more premeds waiting to take their place.

This is a double-blind drug. Both patients and doctors were kept in the dark. It is the blind leading the blind, but the blind leader denying his blindness and laughing at those who see the light.

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