Originally Posted by
VX KAT
I just gotta say something here. I'm troubled by the word "DON'T" in your first post, and "100% Not needed" in your 2nd post, as well as the word "lazy predecessor". I think it's too far over the line to basically be espousing medical "information" and "advice" here. I do recall you mentioned you'd been accepted into a medical school, but that means you are not an MD (perhaps yet). I just think it's irresponsible to be doing that.
I know JAMAS is a smart guy, who's very cautious and does lots of research before he makes decisions on any topic. So I know he's not going to blindly take your words as gospel.
I'm all for Freedom of Speech here on our forum, within appropriate bounds. I read all the posts on your supplement thread. No one stopped you from posting about it. But, most importantly, no one was suffering from an acute medical condition at that moment. You don't have all the medical facts, you aren't a doctor, you can't condemn every diagnosis of cholecystitis as bogus and every physician as a scammer or just interested in money. And how in the world would you know if their predecessor was lazy?
Did you ever consider there can be alternate reasons for some of the data you mention (but don't provide citations for)? If there's been a spike in frequency in cholecystectomies, COULD that be because the laproscope has revolutionized abdominal surgery and they can now perform this procedure on more patients than were candidates for the open procedure?
Have you also considered the dramatic increase in morbid obesity as a possible cause for a corresponding increase in lap-choles being performed? Are you aware of the conditions that often contribute to cholecystitis? Are you aware there are numerous differences in the standard of practice/standard of care in medicine between the U.S. and other countries? Does that make one wrong and one right?
I'm not actually looking for answers to these questions, but I list them to give you and other readers some food for thought, when reading such strong statements such as yours.
I have a health care degree, and handled investigation and medical malpractice litigation for over 25 years, so believe me, I've seen, read, discussed, and know about more "adverse occurrences" than you could even possibly think of. I'm also "well versed" in many many medical conditions. Yet, I'd never claim to know or to suggest how JAMAS should proceed. The medical field is so vast, and there always are and always will be varying opinions.
I think it's best we wish JAMAS well, and let him and his medical team decide what's best for him. It's irresponsible and can even be deadly to insert ourselves into a situation where we're not an expert!