During the years of training in medical school, we are taught, first, the order of the body, followed by its functionality, physiology, and in the second half of the career we learn the disease process, nosology, and how to fight it
However, part of the doctor’s expertise consists in combating the disease individually, although there are clinical guidelines that are made by international consensus, the great clinicians always emphasize the same mantra: “patients are treated, not diseases”. ”, and they are absolutely right, because each body responds differently to treatments.
Medicine must be understood as an individualized, human science that solves problems in living, complex beings, with interconnected processes, not just isolated problems, more than a science, medicine is defined as an art, warm, human, fraternal.
Part of the big mistake made by pharmaceutical companies that hire doctors for adjoining clinics is to think that they are kitchen recipes and that the same medicine will help each person in the same way, this being a mistaken idea, which has not been amended, since the pressure on objectives is so much that they put so much pressure on the doctor to have an average ticket that the management that should be personalized becomes monotonous.
It is the duty of the doctor not to bend his ethics, nor fracture his academic training, much less give in to interests outside the main decree of medicine “First do no harm”.
Freedom of choice in medical management must be allowed, as well as adherence to the guidelines and their management by both the doctor and the patient, since it is common for antibiotics to be requested for anything, thus promoting the bacterial resistance and promoting the birth of super bacteria.
According to some predictions, the next pandemic might not be a virus, but a superbug resistant to all known tricks, but that’s a topic for another column.