It may pain a few of us medical boffins to realize this, but the reality is that there are a handful of nurses and paramedics in any given facility that have more specific expertise than any doctor in the joint. So when we consult with them, we should endeavor to shut up and listen to them. They’re actually giving us highly distilled field notes. It would take hours to get anywhere close to that volume of knowledge by reading the medical journals. They give us this information not because they like us, or because they respect us, or because they want to be like us. They give you this information because they think there is a functional probability that you will actually absorb most of it, find some of it useful, and then use that new knowledge to help their patients.
Funny thing about those NPCGs (non-physician caregivers) it’s as if their ability to disconnect from the realities of commerce in medicine gives them a kind of superpower to actually put the well-being of their patient and their patient’s loved-one as priority.
Enough of this hyperbolic nonsense. You are here because Dr. St. Clair sent you here. And as a physician, you are here to seek wisdom in how to handle these emerging truths in your practice that have put you at the crossroads of ethics and commerce.
Right?
Here’s what you do; nothing.
I don’t mean that as a joke, or as an insult, I mean that because “nothing” is sound advice that will allow you to fight another day. Yeah, a handful of you male physicians want to get shitfuck drunk with Rick Yukon, and a good number of you womyn physicians want good ol’ Rick “Atomic Clock” Yukon to calibrate your internal compass.
And I can promise you, as long as you don’t make it difficult for me to do so, I will help calibrate your internal compasses, ladies … one at a time, because a proper calibration takes a while and should not be rushed, but savored for the precision process that it is.
Apologies, I digress … do nothing. If you suspect that messenger-RNA vaccines that have been functionalized on genetically-modified organisms may present a potential danger to the patients that you live to protect, then shut the fuck up, gather your data, and when the time is right, publish your results. You will not be able to publish your results if your staff hates you and think you a dumb-dumb, nor if a chunk of your family has driven you from the ranch.
Most the people who can make your life miserable will never read an academic medical journal. The people who can read academic medical journals? Ninety percent of them will look at your data, and consider your findings with the merit that your findings deserve.
You are not an applied physicist. You may have a family, debt and obligations. You also have an obligation to your patients. You will be able to fulfill few to none of these obligations if you rock the boat with anything short of conclusions based on measured data. You are are not an applied physicist, the world does not hate you. You are a caregiver, the world thinks of you as a hero, and only a tiny handful of them will ever read your dispatches in The Lancet. Even if you start to take data now, say in an obstetrics practice, you’ll still be months away from peer review and publication. Once a few hundred others like you similarly publish, you’ll be safe, and then you won’t need to worry about damaging your career.
And you can luxuriate in your wealth and comfort, as your macro-biologist friend starts to see disturbing things about a bunch of dead birds with infected eyeballs. But don’t worry, the world hates them too, same as us physicists. They have the machinery to live broke, you don’t. You are are the relief pitchers for your patients, they’re going to need you. Stay loose.