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

Patient demand doesn’t justify medical excess

Michael Kirsch, MD
Physician
December 18, 2019
Share
Tweet
Share

We live in an era where plastic surgery is routine.   Indeed, in many parts of the country, plastic surgery is an expected rite of passage.   Years ago, facelifts and “tummy tucks” were done on those in middle age who were trying to experience a surgical time machine.  Now, folks in their 20s are having all kinds of work done, not to recreate a prior image, but to create a new one.

The traditional scalpel is only one of the many tools used to perform body design work.  There is a smorgasbord of injectable fillers that plastic surgeons, dermatologists, and other physicians provide to a public who is zealously combating every wrinkle.  Once a person is of the mindset that the only good wrinkle is a dead wrinkle, he will commit yourself to a lifelong odyssey of cosmetic work.  These folks are generally never fully satisfied with how they look.  They are always finding imperfections that they target for correction.

I enthusiastically recommend readers to read Nathaniel Hawthorne’s short story, The Birthmark, which speaks so elegantly to this issue, despite that it was published in 1843.

There is an important role for plastic surgery in the medical arena.  These talented professionals perform amazing work in reconstructing folks who have suffered trauma and accidents.  I also recognize that cosmetic surgery provides significant benefits to many patients.  However, it is beyond dispute that our society is preoccupied with physical appearance and is striving for an idealized an unrealistic level of beauty.   Many folks blame Barbie, who convinced generations of girls and women that she was the paragon of beauty and attractiveness.

A few days before I penned this post, I read about women who bring designer shoes to podiatrists so they can have surgery that will permit them to wear their choice of stylish footwear.   Indeed, there are foot surgeons who specialize in these procedures.   My reaction?  Outrageous.   We’re not referring here to correcting podiatric deformities.   Can a doctor defend performing surgery on healthy feet so that a pair of shoes, probably not designed for a human, can fit in?  I am sure that there are analogous absurd examples of surgeries and procedures involving other body parts that should embarrass the medical profession.

Patient demand doesn’t justify medical excess.   Physicians need to call out abuses in our own house.  I expect that those practitioners who are bringing disrepute to the profession will claim that they are fulfilling an important medical function.

Michael Kirsch is a gastroenterologist who blogs at MD Whistleblower.

Image credit: Shutterstock.com

Prev

The thought cancers that almost took my life

December 18, 2019 Kevin 0
…
Next

An orthopedic surgeon goes to a bar. Here's what happened next.

December 19, 2019 Kevin 3
…

Tagged as: Surgery

Post navigation

< Previous Post
The thought cancers that almost took my life
Next Post >
An orthopedic surgeon goes to a bar. Here's what happened next.

ADVERTISEMENT

More by Michael Kirsch, MD

  • Are Ozempic patients on a slow-moving runaway train?

    Michael Kirsch, MD
  • AI-driven diagnostics and beyond

    Michael Kirsch, MD
  • The surprising truth behind virtual visits

    Michael Kirsch, MD

Related Posts

  • A universal patient medical record

    Michael R. McGuire
  • Digital advances in the medical aid in dying movement

    Jennifer Lynn
  • Burnout doesn’t start in medical school

    Anna Goshua
  • Medical education must be patient-centered

    Christian Rubio
  • A medical student was discriminated against by a patient

    Nada Awad
  • The impact of panels early in medical school on informing patient-centered care

    Sangrag Ganguli and Varun Mehta

More in Physician

  • Why every physician needs a sabbatical (and how to take one)

    Christie Mulholland, MD
  • The moral injury of “not medically necessary” denials

    Arthur Lazarus, MD, MBA
  • Is physician unionization the answer to a broken health care system?

    Allan Dobzyniak, MD
  • The decline of professionalism in medicine: a structural diagnosis

    Patrick Hudson, MD
  • The patchwork era of medical board certification

    Brian Hudes, MD
  • How neurodiversity in relationships shapes communication

    Farid Sabet-Sharghi, MD
  • Most Popular

  • Past Week

    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • Ecovillages and organic agriculture: a scenario for global climate restoration

      David K. Cundiff, MD | Policy
    • How honoring patient autonomy prevents medical trauma

      Sheryl J. Nicholson | Conditions
    • SNF discharge planning: Why documentation is no longer enough

      Rafiat Banwo, OTD | Conditions
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • Escaping the golden cage of traditional medical practice to find joy again [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why pediatricians are key to postpartum depression screening

      Mikenna Reiser | Conditions
    • Prostate cancer genomic testing: a physician-patient’s perspective

      Francisco M. Torres, MD | Conditions
    • Why every physician needs a sabbatical (and how to take one)

      Christie Mulholland, MD | Physician
    • Retail health care vs. employer DPC: Preparing for 2026 policy shifts

      Dana Y. Lujan, MBA | Policy
    • Taiwan’s “Yi-Dong-Yang”: a preventive aging model for super-aged societies

      Gerald Kuo | Conditions

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 5 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

ADVERTISEMENT

  • Most Popular

  • Past Week

    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • Ecovillages and organic agriculture: a scenario for global climate restoration

      David K. Cundiff, MD | Policy
    • How honoring patient autonomy prevents medical trauma

      Sheryl J. Nicholson | Conditions
    • SNF discharge planning: Why documentation is no longer enough

      Rafiat Banwo, OTD | Conditions
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • Escaping the golden cage of traditional medical practice to find joy again [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why pediatricians are key to postpartum depression screening

      Mikenna Reiser | Conditions
    • Prostate cancer genomic testing: a physician-patient’s perspective

      Francisco M. Torres, MD | Conditions
    • Why every physician needs a sabbatical (and how to take one)

      Christie Mulholland, MD | Physician
    • Retail health care vs. employer DPC: Preparing for 2026 policy shifts

      Dana Y. Lujan, MBA | Policy
    • Taiwan’s “Yi-Dong-Yang”: a preventive aging model for super-aged societies

      Gerald Kuo | Conditions

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

Patient demand doesn’t justify medical excess
5 comments

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

Loading Comments...