Thread: Medical ethics
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Old 02-11-2019, 08:21 AM
Brandigirl Brandigirl is offline
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Mine results similar to yours.
Cholesterol 215.
LDL 129
HDL 57
Which means your results were better than mine!. I was told we will just watch and was not put on cholesterol meds. These results were for 1.5 years ago in a different state. I Had repeat 3 months ago, here in FL, slightly lower but not by that much. Again, no recommendation to put on Cholesterol meds. Look at your Cholesterol/HDL ratio. Mine was 3.5 and normal was less than 5. It should be on your lab work.
Regarding bonus for prescribing meds, Years ago, that was a common. Reps would come in and bring the staff elaborate free lunches. Then the reps would talk to the doctors to prescribe the latest medication (Pharmaceutical Reps). Obviously the reps were compensated well if that medication was used for the patients. They even hosted free elaborate dinners at very nice restaurants and would have slide shows informing us about the latest new medication for the nursing staff/doctors. I know because I experienced it first hand. Then somehow, it was known that this was seen as some sort of bribe and congress or someone got involved and we no longer had free dinners or lunches. The staff got really used it. Then I moved to another state (recently) and they would bring again , elaborate lunches 3x/week for the staff. They would have a rep sit at a table in the break room to talk to the Nurse Practitioners and doctors as they got a break. We had to sign in a sheet of paper before we ate because they could get away with it by calling it "An informational lunch". The reps really only spoke to the doctors and NP one on one at the lunch table. It wasn't for everyone to hear (not a group discussion) although if you were really interested and asked a question, they would talk to you. I think I gained 10lbs that year! Some states ban this now but they have creative ways to get around it. Doctors, I think, got kick backs of some kind to prescribe and reps got bonuses. It was not that anything was wrong with these medication or unsafe, it was just a new medication to try. Years ago, they would give free samples to the patient to try the new meds and if it seemed to work for them, they would continue. The problem was, they were very expensive, had a patent on them and no generic available, so if the patient liked it and got good results, they wanted to continue. But then we know how insurance worked many years ago. Insurance paid almost everything in full so back then, there was no such things as deductibles, co-pays, maximum out of pocket, tier levels for drugs etc. So as time change, they become more creative.