No, its nothing like that at all. Pharmacists know a shitload more about drugs than doctors. Doctors frequently get educated about drugs from pharmacy reps and lectures, frequently sponsored by pharmaceutical companies. Pharmacists take CPE to learn this stuff.
The only reason I mention this is because this attitude (analogizing pharmacists to waiters (or cashiers or vending machines)) is part of the problem. The Pharmacists job isn’t just to do whatever the fuck the doctor tells them. They are people. They understand better than most doctors what these drugs do and if they have a moral objection to dispensing a drug, why would we force them to do so if we wouldn’t also force a doctor to perform an abortion or apply euthanasia?
Driving habits for sure. Food issues a major item from birth on! In fact obesity prevention/treatment and healthy lifestyle development, including fitness, whether or not overweight, at individual, programatic, and community-wide levels is a major interest of mine. Matters a lot more to me than guns do honestly (that’s the bug up my personal butt). Household chemical storage, oh yeah, I talk about that. I do (by way of questionaire) ask if household members have been in prison … it is a risk factor for TB exposure and if so, or if one of several other risk factors, a TB skin test should be performed; if none of those are positive then the rate of false positives makes screening by skin test not advised. Talk about dogs and the need to train both the dog and the child about being around the dog (roughly 2.3 million dog bites a year in the US and a third are estimated to be by the family dog).
The list of what I should be covering is vast and honestly I don’t cover all of them. I pick the ones that I think matter the most for the kids based on the age of the child and what I know of my patients’ demographics … influenced by expert panel recommendations and my assessment of how much of an impact the discussion can have. In my mind, for my patient population, once again, guns are not in my top rotation (although it does sometimes come up, usually after that lead screening question, with no offense taken by anyone ever … albeit of little impact as those of my population who own guns are already pretty responsible owners, some of them being cops or with the FBI.)
Our society has obstetricians as a gateway to abortions. You can’t access an abortion without interfacing with an obstetrician.
So it shouldn’t be up to an individual obstetrician to determine whether to perform an abortion or not, since that undercuts the patient’s (and if you like, her primary care doctor’s) access to an abortion.
Are you fucking kidding me? Der Trihs is advocating shooting pharmacists who won’t dispense birth control.
Bricker is advocates the outlaw of elective abortions. I am pretty sure he would permit elective abortions to the victims of incest and rape but I am not sure.
Oakminster you do not consider “injury” in the purview of medicine? I presume that when you are in a car accident you will not go the Emergency Room physician?
Did your mama did not bring you to a doctor when she dropped you on your head as a baby? Cause that must be the explanation for this amount of stupid.
Yeah. What the fuck is the moral difference between a first trimester abortion and a birth control pill?
You are still forcing someone to do something that any reasonable professional should be willing to do, but some simply will not… for moral reasons and we respect those moral reasons in doctors and not in pharmacists.
If a doctor says "I won’t perform abortions because its against my religion’ we all nod our heads and say we understand. If a pharmacist says “I won’t dispense that drug because its against my religion” then we crucify the pharmacist.
Unintentional injury is the leading cause of death among children in the US as stated by the CDC as follows:
Unintentional firearm death is in the top ten for kids 5-9. Number 8 of all deaths to be precise. Taking out homicide by firearm (number 4) it moves into number 7. In the 10 to 14 year old group numbers 3 and 5 are homicide and suicide by firearm respectively. But these kids at least are not doing it by accident!
Of course transportation related and drowning are bigger overall. I really need to do a better job discussing water safety.
Oh wait … drowning is not a medical issue because it is not illness or disease. Not my job!
Right. The terminating the relationship is a red herring based on a hearsay story of one. And I highly suspect that what occured was a reaction like some of our brain damaged posters here said they do - abusive of the physician and the staff for asking the question - and a dismissal (with coverage for care for a reasonable period of time until another doctor was found) for abusive behavior.
This law has NOTHING to do with what is already established about patient abandonment.
Strawman fail. Treating injury is your job. Preventing it isn’t. You don’t give chainsaw safety lectures, you don’t give driving lessons, and you don’t teach gun safety. You’re a body mechanic, not a holy font of wisdom. Get over yourself.
Um, no we don’t. And even in the old days that was sales not education.
They have very little understanding of what drug is the right medicine for what condition and why. Their job is to be a level of doublecheck against drug drug interactions and dosing errors and to provide an educational service as required about the medication to the patient. Not to decide the medical care and treatment course. Not to over-rule the treatment course decided upon. And if they don’t know that Amox is now dosed at 80 to 100 mg/kg for otitis media in kids instead of the old 40 to 50 mg/kg, they call me and verify that I meant it and then fill the damn script. If they falsely believe that a past Amox allergy means a high risk of an allergic reaction to Keflex they also call me and verify that such is what I really want to do. And I say yes and they do it. If they call me and ask did I really mean 1 tsp and not 1 ml they call me and sometimes, no, I made an error, and I thank them very much for catching it and calling me. They are an integral part of a system to check and double check so that the occassional human error does not have a chance to cause harm. Important professionals. But not the decision maker. That is the patient in partnership with the doctor.
Disagreeing with you is not idiocy. I assume you’re a reasonably competent doctor. If I get banged up, you can fix whatever the problem is. Sew me up, set a bone, prescribe medication, cut out parts that aren’t working, whatever. I don’t give a fuck what you think on any other subject.
Likewise, if you have a legal problem in my area, you can come to me and I’ll represent you. I can get you a bond set, negotiate a plea, see that you get a fair shake in a divorce, whatever needs to be done. You have no reason to give a fuck what I think on any other subject.
Emphasis added. Oakminster, you keep yabbering on about how you expect doctors to handle your medical treatment as an adult, but you seem to be totally ignoring the fact that this whole thread, and the law that inspired it, are specifically about how pediatricians should handle the preventive medical care of young children.
For Pete’s sake, quit embarrassing yourself by acting as though it’s somehow unheard-of or outrageous for pediatricians to be proactively addressing the question of household safety with parents of young children. That is generally and routinely recognized as a crucial part of their fucking JOB.
I’m not viscerally upset. I disagree with DSeid. I don’t think pediatricians have any business inquiring about guns in the household. I don’t accept this as a medical issue.