Therapeutic Nihilism

The HIV/AIDS epidemic caused fear and panic in the 1980s. Yet physicians stepped up, set new protocols, and continued to treat patients without requiring HIV tests before seeing them At the time this disease was 100% fatal and they did not fully know how it was transmitted. Today, COVID-19 if you are under 60 the crude mortality rate is less than .4% and if you are under 30 this rate is less that .2%. Yet even with known precautions, patients with severe NON-COVID disease are being put off, sent to the ER or ignored. It’s an embarrassment to the medical community. Most of the heroes of the HIV era are gone, replaced by physicians that would rather cower behind overblown fear than take care of their patients.

A part of the modern hippocratic oath as taken by physicians today says:

I will apply, for the benefit of the sick, all measures which are required, avoiding those twin traps of overtreatment and therapeutic nihilism.

I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon’s knife or the chemist’s drug.

John Smith, (not his real name) waited weeks for an appointment to meet with the orthopedic surgeon to remove infected bone from his hip. He had already been diagnosed with osteomyelitis (an infection in the bone) in his hip. After waiting two weeks as his infection raged in his hip he developed a fever but was finally able to come to Birmingham for his appointment and leg and life saving surgery. Upon arriving at his doctor’s office they took his temperature. Then sent him away.

From: https://www.youtube.com/watch?v=P9gO6sCzcnc

It does not take much intelligence to figure out why he had a fever. Instead the doctor puts his patient at risk by refusing to see him. He will now have to go through an emergency room and will likely lose his leg or his life.

Another friend of mine, call her Jill, has been diagnosed with bronchial pneumonia. She has tested negative for COVID. The pneumonia is getting slowly worse. Her doctor refused to see her for two weeks. This too will most likely result in an ER visit at the point her life is in danger.

Where are the physicians, those heroes that took the Hippocratic Oath, the one’s who swore to do something to help the sick and injured, who swore not to do nothing. Yet, doctor after doctor is letting their patients get sicker and sicker, even die rather than take the chance a patient might be infected with COVID. Even when they know their patient does not have COVID from testing, they are turning them away, or delaying seeing them.

This used to mean something.

I have been unable to see my cardiologist for 3 months past when they told me I needed to be checked. If I had a problem, they would let me go to the ER or have a heart attack before I was treated. No heroes there, and I have tested COVID negative.

These few examples are being repeated millions of times across the country. Yet physicians have gone along with this approach to healthcare, intentionally putting their patients at risk rather than seeing any patient that might carry the disease. The patient and the doctor can wear masks and limit the time of exposure yet fear rules these former heroes.

Since when was being a physician supposed to be risk free? Each one signs on to treat sick people. Healthy people have no need for doctors. With the advent of COVID, they are violating, en mass their commitment to patients. Is this why they are so highly paid, so they can cower behind policies that keep patients away. It’s like a roofer that won’t go up high because he might fall. But the roofer is at much greater risk and has far more fortitude than those that are not caring for their patients.

From: https://www.chicagotribune.com/sns-real-estate-hiring-a-roofer-story.html

No one is measuring the deaths that could have been prevented with normal care. So if a patient waiting to see his physician gets COVID he or she is more likely to die or to be sicker than if they had been treated properly.

We should call it the hypocritical oath instead. These former heroes took an oath they refuse to uphold. It is a shameful response to a virus that seldom kills anyone without underlying disease. If they had not taken such an oath I would not hold these physicians responsible, but they did take the oath. History is full of physicians that took much greater risks in order to treat infectious patients. Yet, even knowing a patient does not have COVID many of these doctors are still not seeing their patients or are delaying treatment.

No wonder our ERs are full, everyone with an issue, or fever, or cough is being sent to the ER, even if the cause is known. This exposes these patients to COVID when it is completely unnecessary. Even if they did not have COVID, by the time they leave the hospital or ER, they will have it. Where are the doctors that took the Hippocratic oath? Why don’t they speak up against this crime against their patients? This approach to personal safety is putting every patient at risk. It is killing many of them.

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