My points remain as stated. Physicians are people but like people many are not the best. Remember, the medical student who scores and performs the poorest but still graduates is still called doctor. One needs to be careful about selecting a doctor and this remains a problem since there are too few neurologists. Too many doctors do not read current literature, nor do they practice artful medicine where they look beyond the standard treatment. Accreditation requirements are minimal standards that a doctor must meet to meet continuing education for licensure. When the problems go beyond the standard gabapentin and pregab treatment an artful physician would look at the patient and discuss potential other approaches. BUT most will only perform the very least necessary. It is a catch 22 for physicians given lawsuits, but off label treatments are used all of the time. Thus cilastizol should remains an off label option for some.
Secondly many physicians do profit from all the testing. They are a part of a medical group. My general doc is part of a group and they have an independent lab, along with some cardiac testing. The profits from all of these tests are part of the group's income and adds to the physicians bottom line. The cost of medical treatment is a problem. In our system only those covered by insurance get the better treatment while those less fortunate are mostly overlooked. Where is our humanity for them? We pay way too much for medical care and physicians as a group look the other way since the current setup pays them very well. Again I generalize, there are always exceptions. Those I can admire!