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

A call to action for my medical colleagues

Uma Pisharody, MD
Conditions
May 10, 2022
Share
Tweet
Share

Modern medicine, a system originally designed to fix acute health care problems, now creates more chronic health care problems than helping to solve them. I see the dangers of over-testing and over-prescribing taking place each day in my day-to-day pediatric clinical practice.

It scares me to see how many doctors reflexively prescribe pills designed to merely mask symptoms rather than take time to understand the underlying cause or that most chronic diseases are reversible through healthy lifestyle and nutrition. Nowhere is this more evident than the change in pediatric health care landscape in the three decades since I went to medical school.

I didn’t go into pediatrics expecting to treat adult diseases. But this is exactly what now makes up much of my practice! How did it become that children now get fatty livers, gallbladder problems, and Type 2 diabetes before graduating high school? And all we have to offer them is surgery and medication?

I wonder how it gets to this point that health care has failed our kids so badly. If a child has constipation, I’m trained to prescribe laxatives. If kids complain of heartburn, doctors will often prescribe acid-blockers. When children complain of chronic head, joint, or body aches, we recommend pain killers.

Infants are now prescribed strong medications for spitting up, equating their regurgitations with adult heartburn and reflux. Older children are being diagnosed with hypertension, ADHD, sleep disorders, anxiety at alarming rates and then suffering the consequences of the side effects of the polypharmacy that we prescribe. Kids are medicated more than ever before. If one drug doesn’t work, we suggest trying another. If a pill fails, we try an injection, and if that fails, we try invasive procedures and surgeries followed by even stronger medications.

Let’s face it, most doctors are trained to be pill-pushers. Tell us your symptoms — we will medicate you. We love prescribing medications, which essentially work like applying band-aids to external symptoms because we don’t understand how to prevent, treat, or reverse chronic disease. We simply don’t understand diet and lifestyle intervention.

We were never taught this in medical school.

Conventional medical school training still follows the outdated acute illness paradigm: the traditional health care model that worked great for short-term problems like broken bones and acute appendicitis. Unfortunately, applying the test and treat model is making us all sicker. Current health care statistics reveal:

    • Chronic diseases cause 71 percent of global deaths.
    • Only 12 percent of Americans are metabolically healthy.
    • Americans are taking more prescriptions than ever.
    • Already, a quarter of the world’s adult population has metabolic syndrome and this condition is appearing with increasing frequency in children and adolescents.
    • Today’s children are the first generation predicted to have a shorter life expectancy than their parents.
    • Chronic disease spending accounts for 86 percent of health care costs.

 

To promote awareness of the pitfalls of the traditional health care model, doctors need better education.

We health care professionals want to do right by our patients and realize that much of what we learn during traditional medical school is outdated, aimed towards acute care, and doesn’t serve our patients well in the long run. Even worse, our treatments may cause harm and be part of this epidemic of chronic disease that now plagues even the most vulnerable, our children.

We can and must do better. With proper education, we will.

Uma Pisharody is a pediatric gastroenterologist.

ADVERTISEMENT

Image credit: Shutterstock.com

Prev

Introducing a new kind of financial advisory. Custom built to serve physicians.

May 9, 2022 Kevin 0
…
Next

Recognizing and addressing medical malpractice stress syndrome (MMSS)

May 10, 2022 Kevin 0
…

Tagged as: Cardiology, Gastroenterology, Primary Care

Post navigation

< Previous Post
Introducing a new kind of financial advisory. Custom built to serve physicians.
Next Post >
Recognizing and addressing medical malpractice stress syndrome (MMSS)

ADVERTISEMENT

Related Posts

  • Digital advances in the medical aid in dying movement

    Jennifer Lynn
  • A dean of admissions on affirmative action in medical school

    Noreen Kerrigan, MPA
  • Sleep and the medical profession have an uneasy relationship

    Yoo Jung Kim, MD
  • Medical school and the science of sleep

    Sarah Murad
  • Let’s not be petty about affirmative action in medical school

    Thalia K. Robakis, MD, PhD
  • How the COVID-19 pandemic highlights the need for social media training in medical education 

    Oscar Chen, Sera Choi, and Clara Seong

More in Conditions

  • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

    William J. Bannon IV
  • Facing terminal cancer as a doctor and mother

    Kelly Curtin-Hallinan, DO
  • Why doctors must stop ignoring unintentional weight loss in patients with obesity

    Samantha Malley, FNP-C
  • Why hospitals are quietly capping top doctors’ pay

    Dennis Hursh, Esq
  • Why point-of-care ultrasound belongs in emergency department triage

    Resa E. Lewiss, MD and Courtney M. Smalley, MD
  • Why PSA levels alone shouldn’t define your prostate cancer risk

    Martina Ambardjieva, MD, PhD
  • Most Popular

  • Past Week

    • 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
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • 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

    • Why the heart of medicine is more than science

      Ryan Nadelson, MD | Physician
    • How Ukrainian doctors kept diabetes care alive during the war

      Dr. Daryna Bahriy | Physician
    • Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

      Harvey Castro, MD, MBA | Tech
    • How women physicians can go from burnout to thriving

      Diane W. Shannon, MD, MPH | Physician
    • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

      William J. Bannon IV | Conditions
    • Beyond burnout: Understanding the triangle of exhaustion [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 2 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
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • 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

    • Why the heart of medicine is more than science

      Ryan Nadelson, MD | Physician
    • How Ukrainian doctors kept diabetes care alive during the war

      Dr. Daryna Bahriy | Physician
    • Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

      Harvey Castro, MD, MBA | Tech
    • How women physicians can go from burnout to thriving

      Diane W. Shannon, MD, MPH | Physician
    • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

      William J. Bannon IV | Conditions
    • Beyond burnout: Understanding the triangle of exhaustion [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

A call to action for my medical colleagues
2 comments

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

Loading Comments...