Quote:
Originally Posted by Thai
Are you so sure that he is on proper meds because of the scan result OR because the psychiatrist at AMEN clinic is competent? THINK about that for a moment. No one has said that AMEN Clinic docs are incompetent. No one.
As a doctor, it is much easier for me to treat someone AFTER they have been treated by another doctor. Why? I can see what has failed and what has not with the previous treatment(s). I can tailor make a treatment regimen that is different (great mental effect on patient) yet avoid the pitfalls of prior doctor's attempts. The different regimen provides a great stimulus for the patient to be more compliant since there is a difference (real or not). In the end, i can do no wrong...and patients love me for it because i "solved" their problem while others did not. I am a hero...but am i? There is only so many medications out there. It is just a matter of picking the right combinations. If i have a printout of what has been tried and failed, then my choices narrow down...thus, my job just got a lot easier.
Before you go and respond to me, PLEASE read what i just wrote. Use critical thinking that you claim to have. Please. SPECT is unnecessary. It pays the bills, nothing more, nothing less.
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I wrote this before...but want to bring it back for emphasis. I am a hospital doctor...meaning that people who get sick come to the hospital. I see what their family doctor has done...and it may not have worked. For me, my job is
much easier because i already knows what has failed (or not work as good as expected).
For example, lets say someone comes in with a blood pressure of 240/120 while being on Medication A and B. Well, being that i know medication A & B are not working, that is already half the battle! I know that i can now try a different combination or start on medication C&D or A&C, or B&C, etc.. I can then even do a renal ultrasound to check to renal artery stenosis (which in theory can worsen BP). Has this test been proven to help much? Not really...but just by doing this test, the patient already feels better because i have done something different, something that his/her family doc has not done...in addition to giving them new medications. Right there, i have won the battle, esp if their BP has come down.
Being the last one to treat in the line is a HUGE benefit...don't take that as a positive sign altogether.
Hope that you understand this, dapslappy. I doubt it since you have shown to be a rather blatant fanboy.
Quote:
Originally Posted by Thai
Few top researchers and scientists say that SPECT is anything but a research tool of limited clinical use in identifying strokes, brain injuries and the like. It is helpful in group studies, to say broad things about groups of patients, but not specific things about individual patients. And, researchers say, SPECT has largely since been surpassed by technologies such as PET and functional MRIs, which give images of far greater clarity. It’s no longer viewed as cutting edge.
A Harvard psychologist once noted:
“Before you start promulgating this and marketing it and profiting from it, you should ethically be bound to demonstrate it scientifically in a peer-reviewed, respected journal,” Kirsch said, and then you must have it tested by others.
Otherwise, you might as well get a pair of ponies, a buckboard and a traveling salvation show: “You’re just going down the path of being a snake oil salesman.”
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No one cares about SPECT in psychiatry, except for AMEN.
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