Why do doctors prescribe ineffective drugs
Yes, doctors sometimes successfully use this effect, working with suggested patients. They deliberately arrange an imitation of intensive therapy with the infusion of any multi-colored ampules in the form of droppers, unnecessary intramuscular injections, and even placement in all kinds of things like spa capsules or using magnetic therapy devices.
Every day, up to 80% of patients who do not really need medical care apply to a neurologist. People who are worried about nagging in the back after dragging furniture, or a twitching eye, or crawling on the back for two seconds once every two weeks, are likely to recover without treatment (but a good doctor always remembers that back can ache from inflammation of the kidneys, and the eye twitches against the background of the debut of multiple sclerosis, and still carefully examines the patient). But for some reason, an honest explanation: “You have nothing to fear and do not need treatment,” - does not meet enthusiasm. Especially if everything happens in a state clinic of a provincial city.
A person signed up for two weeks, sat in a queue for two hours, listened to the dialogues of grandmothers, regulars in polyclinics full of excessive naturalism ... In order to find out what is healthy? While Google predicted him cancer, prostatitis and West Nile fever? ..
Therefore, an experienced doctor would prefer to prescribe something harmless and ineffective to such a sufferer, instead of convincing the patient not to rush to flee to the pharmacy.
Following official guidelines
For Russian doctors, many methodological recommendations have been written, in which serious professors explain to ordinary doctors a step-by-step algorithm for dealing with various diseases. All this is approved by the Ministry of Health. Take, for example, a stroke. And find the recommendations of drugs with unproven effectiveness. In other words, doctors at the official level are advised to treat a stroke by drawing on the stretching of the calf's brains, instillation of polypeptides into the nose, which in no way can penetrate the blood and have at least some effect, injections of vitamins and other things.
What remains to do the doctor? You can go against the system and treat the patient strictly in accordance with the principles of evidence-based medicine.However, if the approach is not evidence-based at the state level, it is not so easy to take a different path. It is much easier to honestly give a patient several glycine tablets, prick some drug with “neuroprotective properties”, which, according to Russian professors, “has great potential”, and according to serious clinical studies, is zero without a stick. And to transfer the patient to the ambulance doctors, who will continue the magical rites for the introduction of neuroprotectors, while the patient is being taken to the emergency room of the hospital.
In the case of a patient's complaint and subsequent rights review, it will be the doctor who actively pumped the patient with ineffective medications, creating a placebo effect not only for the patient, but also the relatives accompanying him. Because I acted in accordance with the guidelines recommended by the Ministry of Health. And actively created the appearance of intensive care. For it is impossible to explain to outraged relatives that at the prehospital stage, that is, while the patient with a stroke waits for an ambulance and travels to the hospital in it, no droppers are needed (and much more positive effect is made by the decision not to let the patient smoke while waiting for an ambulance).
Sometimes the use of ineffective drugs is the policy of the medical institution. In private clinics, treatment with pricks and droppers helps to increase profit. And in government it helps to avoid discontent of patients and their complaints.
Hot desire of the patient
Sometimes patients independently insist on the fact that they are prescribed this and that this medicine. In connection with the new order of the Ministry of Health, the number of prescription drugs has increased, which means that the “find out in Google - buy in a pharmacy” scheme has expanded by one more point - a trip to the doctor and getting a prescription.
A doctor who takes in 30 patients a day simply does not have the psychic resource to fight the windmills of the rabid desire of patients to be treated with useless medicines. And he doesn’t want to dilute his already difficult work by appearing to the authorities and writing explanatory, why he didn’t appoint the next actovegin to the suffering patient with inflammation of the cunning. Therefore, if ineffective drugs are relatively safe, the doctor will probably write out the desired prescription and give the desired direction for the drip.
How to avoid prescribing an ineffective medication?
Doctors prescribe ineffective medications not because of material interest. All that a representative of a pharmaceutical company can offer to an ordinary doctor is a pen and a can of coffee. Not too impressive reward for a deal with conscience, is it? Therefore, doctors prescribe "fuflomitsiny" to their patients not from the desire to get some material benefits, but from the high suggestibility of the applicants and the inability to regularly read a good medical periodical. That is, simply because of poor awareness.
Today, you can find private clinics that basically work in the framework of evidence-based medicine and honestly talk about it. True, they can only be found in the capital. In the province, it is still more profitable to create the appearance of active treatment with the help of a huge list of drugs, none of which have proven to be effective in research. In small towns, patients are not spoiled by free medicine, they are tired of the queues at polyclinics and the need to knock out any procedure, and therefore they take the list of appointments with delight.
But even in the most run-down state hospital you can also find a doctor who does not see the point in prescribing ineffective drugs. Usually it can be detected by negative reviews from older patients who wanted a drip and talk, and received a recommendation to buy a tonometer and go for a free trial consultation with a psychologist.
And still it is necessary to master skills of search of the objective medical information. Ignore the various advertising sites of Russian pharmaceutical products, fake reviews and terrible quality articles written by copywriters who have nothing to do with medicine. We'll have to tighten up English and learn to read articles from the pub medical and similar resources. More help blogs of doctors who are willing to share modern scientific data and give explanations to common questions.
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