Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

What’s barbaric in medicine?

Lisa Masson, MD, MBA
Education
January 3, 2019
Share
Tweet
Share

Late one evening, I received a text from my oldest daughter.

“What in medicine, that we do now, will we think is barbaric in 50 years?”

Wow. They play more provocative bar games now than they played when I was in my 20s.

I promptly texted back my knee-jerk response: “chemotherapy.” As we are on the brink of precision medicine, what will the next generation think of our “slash, burn and poison” paradigm for cancer?

Her sister, a budding orthopedist, replied “open surgery.” Indeed, with tinier and tinier incisions, and robotic surgery, our stem to stern scars will seem, if not sadistic, at a minimum unnecessary.

I don’t yet consider myself old, or at least not very old, yet I learned to take out a gallbladder through a right upper quadrant incision. When I started practice, a female over 20 was likely to have that RUQ surgical footprint. For that matter, we don’t see as many right-lower quadrant scars anymore either. The new generation of surgeons are more familiar with scopes and robotics than they are Deaver and Balfour retractors.

The question can be reversed. What did we do 50 years ago? My father used to regale me with tales. He took care of soldiers who had been treated for their syphilis with injections of mercury. X-rays of their buttocks “lit up like a Christmas tree.” Yes, mercury. Wait! Really? Only a generation ago? I had to look. My father graduated from medical school in 1942. Penicillin was introduced in 1943. OK. Maybe he really did see those X-rays.

Will diabetics be treated not just with smart indwelling insulin pumps but with gene therapy to repair their pancreas? The notion of an insulin sliding scale will seem as absurd as Marie Curie working with radiation without shielding herself. Yes, radiation is a useful tool but how much damage was done before we learned to work used behind lead shields.

Our text conversation then darkened. Insurance — the entire scaffolding of our current care — will be seen as cruel. Perhaps that sentence does not need to be in the future tense. We all (Democrats, Republicans, Libertarians … I mean all of us) recognize that the current system is broken.

What about how we approach treatment of pain and addiction? The stigma is enormous. Access to treatment is either always difficult and often nonexistent. To find Harry Potter’s Platform 9 3/4, you must be magical.

The first day of medical school is etched into my memory. Like so many other first-year students over the decades, we were told: “Fifty percent of what we teach you is wrong.” The difficulty is that we don’t know which 50 percent.

We can predict that some of our ministrations will be rapidly outdated. For now, the barbarism is the best we have. Better to have a possibly effective shot of madness producing mercury in your gluteus than to be told there is no treatment for your purulent dripping genital appendage.

Encourage the bright young minds. Share a beer with my daughter and her friends. Let’s reflect on the past and aim to brighten the future with humane and innovative treatments, renovations, configurations, organizations, and governance of health care.

ADVERTISEMENT

Lisa Masson is a family physician.  This article originally appeared in Doximity’s Op-Med.

Image credit: Shutterstock.com

Prev

What do you do when all else fails with a patient?

January 3, 2019 Kevin 1
…
Next

A radiologist saved my father's life

January 4, 2019 Kevin 12
…

Tagged as: Oncology/Hematology

Post navigation

< Previous Post
What do you do when all else fails with a patient?
Next Post >
A radiologist saved my father's life

ADVERTISEMENT

More by Lisa Masson, MD, MBA

  • Medical board tests are worse than airport security

    Lisa Masson, MD, MBA
  • The clinical burden of documentation

    Lisa Masson, MD, MBA
  • Computers are the modern stethoscope

    Lisa Masson, MD, MBA

Related Posts

  • How social media can advance humanism in medicine

    Pooja Lakshmin, MD
  • The difference between learning medicine and doing medicine

    Steven Zhang, MD
  • From online education to frontline medicine

    Diana Ioana Rapolti, Deepika Khanna, Vivian Jin, and Shikha Jain, MD
  • Medicine won’t keep you warm at night

    Anonymous
  • What’s the biggest problem with medical education?

    The Curious Radiologist, MD
  • Delivering unpalatable truths in medicine

    Samantha Cheng

More in Education

  • Why clinical research is a powerful path for unmatched IMGs

    Dr. Khutaija Noor
  • Dear July intern: It’s normal to feel clueless—here’s what matters

    Tomi Mitchell, MD
  • Why medical schools must ditch lectures and embrace active learning

    Arlen Meyers, MD, MBA
  • Why helping people means more than getting an MD

    Vaishali Jha
  • Residency match tips: Building mentorship, research, and community

    Simran Kaur, MD and Eva Shelton, MD
  • How I learned to stop worrying and love AI

    Rajeev Dutta
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Life’s detours may be blessings in disguise

      Osmund Agbo, MD | Physician
    • Inside the heart of internal medicine: Why we stay

      Ryan Nadelson, MD | Physician
    • The quiet grief behind hospital walls

      Aaron Grubner, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • Bundled payments in Medicare: Will fixed pricing reshape surgery costs?

      AMA Committee on Economics and Quality in Medicine, Medical Student Section | Policy
    • How Project ECHO is fighting physician isolation and transforming medical education [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 7 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Life’s detours may be blessings in disguise

      Osmund Agbo, MD | Physician
    • Inside the heart of internal medicine: Why we stay

      Ryan Nadelson, MD | Physician
    • The quiet grief behind hospital walls

      Aaron Grubner, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • Bundled payments in Medicare: Will fixed pricing reshape surgery costs?

      AMA Committee on Economics and Quality in Medicine, Medical Student Section | Policy
    • How Project ECHO is fighting physician isolation and transforming medical education [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

What’s barbaric in medicine?
7 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...