The only problem is, Roger, that reading QuackWatch is like reading the 
Enquirer... Ohhh, I want to know!  *laughs*

The reason Barret is trying to clean up his act a bit, I bet, is the extreme 
legal pressure that is being applied.  Even this article below is a lie:

"Until you've worked for awhile as a Doc..." If that quote is by Barrett, his 
readers should know that he has never been a practicing physician of any type, 
and his degree is not even in medicine.

That said, the article was interesting...  Because it came from the Annals of 
Internal Medicine!

  ----- Original Message ----- 
  From: rogalt...@aol.com 
  To: silver-list@eskimo.com 
  Sent: Saturday, October 06, 2001 9:27 AM
  Subject: CS>A Revealing Look into the Mind of a Modern Day Physician


  List: Thanks to Quackwatch I got a rare look at what a modern day physician 
deals with day to day, and a peak at (in this case) her relative financial 
reward. Perhaps it will be short lived, but, at the moment, Quackwatch has much 
less diatribe and much more useful info. Roger   

  "Physicians can be as gullible as anyone else.  It takes time and energy to 
think critically about a subject and physicians are just as eager to find a 
magic solution as any other human.  Until you've worked for a while as a doc, I 
don't think you can understand who emotionally draining it is to be unable to 
solve difficult health problems.  There is a nice editorial in this week's 
Annals of Internal Medicine that compares published criticism of the Lancet 
homeopathy meta-analysis to the more muted criticisms of drug company sponsored 
RCTs. 

  I am not sure what to do when patients ask for referrals to alt providers.  I 
work in a multi-specialty group and one of my partners has recently completed 
an accupuncture course.  There are two physicians in the group who will 
recommend questionable diets, Great Smoky Mtns Lab tests, and make questionable 
diagnoses.  On two occasions I have sent "worried well" patients who were 
verbally abusive to me about "Western medicine" to these physicians.  I don't 
know what else to do.  I do refer patients who ask for chiropractor referrals 
to PT, but that's easy because insurance will always cover the PT and that is 
an excellent sales point!  I innocently sent one patient to our rehab doc for 
his tendonitis, but he freaked out and left when the guy offered him 
accupuncture (I didn't know this MD was now performing it).  Now I am reluctant 
to send patients to the rehab specialist. 

  I personally recommend a number of "complementary" therapies: exercise, 
soluble fiber drinks (e.g. Metamucil), exercise, calcium supplements, exercise, 
physical therapy (in our area all PTs seem to perform craniosacral therapy), 
exercise, folate/B12/B6, exercise, enteric coated peppermint oil, and exercise. 

  Just for the record: (although it's not strictly health fraud) I make as much 
per hour as I made 8 years ago as an engineer. I make a higher total amount 
than I did 8 years ago, but work more hours.  I would easily make 33% more and 
work fewer hours at today's wages as a programmer.  My husband who is not a 
physician makes 25% more than I do.  If anybody wants a really good programmer 
with a decade of Unix experience and an M.D. degree, let me know."