Rapid Responses to:

CHOICE:
Postmodern medicine
BMJ 2002; 324: 0i [Full text]
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Rapid Responses published:

[Read Rapid Response] Growth of healthcare
Joseph More, Middletown, CT 06457   (13 April 2002)
[Read Rapid Response] Do the right thing right at the right time
Friedrich Flachsbart   (13 April 2002)
[Read Rapid Response] Why not buy your lover a total body scan?
Richard Smith   (13 April 2002)
[Read Rapid Response] It Has Come a Full Circle
B. M. HEGDE   (16 April 2002)
[Read Rapid Response] Amarty sen is right!
dr mohan devegowda   (16 April 2002)

Growth of healthcare 13 April 2002
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Joseph More,
Service Medical Director
Connecticut Valley Hospital,
Middletown, CT 06457

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Re: Growth of healthcare

Uwe Reinhardt is wrong. All America would not become one big hospital, only half of it would, the other half would be a legal firm suing the hospital for malpractice

Do the right thing right at the right time 13 April 2002
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Friedrich Flachsbart,
general medicine
37085 Göttingen

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Re: Do the right thing right at the right time

Dear Editor,

Moličre (Le Malade imaginaire) focussed Our problem: The man in Europe suffers from respiratory diseases and their consequences: "C'est du poumon que vous etes malade." "Du poumon?" "Oui. Que sentez-vous?" "Je sens de temps en temps des douleurs de tete." "Justement, le poumon." "Il me semble parfois que j'ai un voile devant les yeux." "Le poumon." "J'ai quelquefois de maux de coeur." "Le poumon." "Je sens parfois des lassitudes par tous les membres." "Le poumon." "Et quelquefois il me prend des douleurs dans le ventre, comme si c'etait des coliques." "Le poumon."

Most diseases are consequences of respiratory infections. And thrombosis is the help of natura mediatrix:

"Et pous épaissir votre sang que es trop subtil, il faut manger de bon gros boeuf, de bon gros porc, de bon fromage de Hollande, du gruau et du riz, et des marrons et des oublies, pour COLLER et CONGLUTINER" That's all.

Why not buy your lover a total body scan? 13 April 2002
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Richard Smith,
Editor
BMJ

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Re: Why not buy your lover a total body scan?

Unfortunately it wasn't until we had completed our theme issue on medicalisation that I came across the supreme symbol for the issue. I'm in California and have discovered that Californians were urged this year to buy their lovers total body scans for Valentine's Day. Forget flowers, chocolates, silk underwear, perfume, or Mozart quartets.

Richard Smith, Editor, BMJ

It Has Come a Full Circle 16 April 2002
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B. M. HEGDE,
Vice Chancellor
Manipal-576 119. India

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Re: It Has Come a Full Circle

Dear Sir,

I have written hundreds of articles and a couple of books as to how one could avoid the ravages of modern medicine! Many situations where people are given expensive and potentially dangerous medicines belong to the so-called doctor-thinks-you-have-a-disease group.

Promoting wellness with proper immunizations, life style changes, sensible eating habits, moderate exercise in unpolluted environment and avoiding alcohol and tobacco should see most people through most of the time without serious problems. Disease is an accident,but the divine interventionalists do not seem to have made a real dent in that arena.

Oliver Wendell Holmes was not far off the mark when he wrote that if all the medicines were to be sunk to the bottom of the seas, it would be that much good for mankind and worse for the fishes! How true? Medicine started with prayers for curing illnesses and we have come one full circle to the same ritual again.

bmhegde

Amarty sen is right! 16 April 2002
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dr mohan devegowda,
GP
mohans clinic 613 2nd main first stage indiranagar bangalore560038

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Re: Amarty sen is right!

Dear Sir,

I totally agree with the editorial. I have been practising for the last 17 years wherein I have seen literacy and information age has made human beings more insecure, which is unfortunate. People are forgetting the old principle of leading a simple meanigful life. I see people coming for trivial reasons and asking for health check ups!. Instead of pushing ourselves we are getting pushed. At the same time commercialisation of health is playing havoc with the profession. I do not think it will ever change.

thanking you
sincerely
mohan