dagblog - Comments for "Diabetes: 1 in 5 US adolescents is now prediabetic, study says"

Note the Medscape graph shows

rmrd0000 — Thu, 05 Dec 2019 22:13:33 +0000

In reply to (No subject)

Note the Medscape graph shows endocrinologists below internists

(No subject)

rmrd0000 — Thu, 05 Dec 2019 22:12:16 +0000

In reply to From Medscape.

From Medscape.

rmrd0000 — Thu, 05 Dec 2019 22:10:10 +0000

In reply to Sorry, not buying, I think

From Medscape. Endocrinologists are near the bottom

https://www.medscape.com/slideshow/2019-compensation-endocrinologist-6011328#2

P.S. plus the P.A. is the one

artappraiser — Wed, 04 Dec 2019 04:26:54 +0000

In reply to Sorry, not buying, I think

P.S. plus the P.A. is the one who deals with all the compliance crap so you don't have to!

Sorry, not buying, I think

artappraiser — Wed, 04 Dec 2019 04:24:59 +0000

In reply to So there is a plot operating

Sorry, not buying, I think that's spin of two years ago

I googled, here's the ads that come up first for me, tailored to my locality cookies, of course

Salary Estimates

Salary.com

$209k–364kper year

Physician - Endocrinology

New York, NY

Glassdoor

$230k–359kper year

Endocrinologist

New York, NY

ZipRecruiter

$215k–361kper year

Endocrinologist

New York, NY

Cry me a river.

And here's the AMA in late 2018 on where the real dearth of practitioners and the main problem is:

The lowest-paying specialties were in the primary care fields, with internal medicine ($230,00), family medicine ($219,000) and pediatrics ($212,000) being listed among the bottom five specialties in annual compensation.

Actually, dentists with an advanced specialty degrees are actually the ones raking in the big dough right now, not M.D.s except for like plastic and orthopedic surgeons. M.D.'s in general have had a big awakening since Obamacare, about lifetime income expectations, leaving private practice in droves--seeing little profit with tons of paperwork, and joining corps. and conglomerates where they are salaried. If you want big money, you go periodontist where there's no rules and no bargaining with United Health or Humana...

Ever hear of capitation? Not making enough money, doc? See more patients in the same amount of time. Throw the simplest diagnosis code at em and follow the protocol and get paid, just that simple. Especially poor folk with the Medicaid insurance, got to crank out more to make the same. No time to figure out what their real problem is, and nice thing about it, you scare them into eating healthier and lowering their b.p., no one is going to sue you for that.

So there is a plot operating

rmrd0000 — Wed, 04 Dec 2019 03:04:24 +0000

In reply to And another thing: seems like

So there is a plot operating out in the open to falsely diagnose patients with diabetes in the United States?

A Growing Shortage of Endocrinologists

Currently, fewer than 6500 endocrinologists in the United States are available to care for the millions of patients who suffer from diabetes, thyroid disease, osteoporosis, and other hormonal conditions. Although this shortage has many contributing factors, poor compensation is a key driving force.

As seen in the 2017 Medscape Endocrinologist Compensation Report, compensation for endocrinologists is the lowest of any internal medicine specialty and is even lower than that of internists with no specialty training. It is ironic that the three additional years of training to become an endocrinologist are rewarded with a $5000 salary reduction

https://www.medscape.com/viewarticle/881849

Gotta keep docs working. Low

PeraclesPlease — Tue, 03 Dec 2019 23:24:05 +0000

In reply to And another thing: seems like

Gotta keep docs working. Low hanging fruits...

And another thing: seems like

artappraiser — Tue, 03 Dec 2019 23:02:41 +0000

In reply to P.S. And lordy, after a

And another thing: seems like 90% of endocrinologists these days specialize in "diabetes" and don't bother with any of those other supposedly unrelated hormones. This enquiring mind wonders: which is the chicken and which is the egg? Did the massive growth in diabetes diagnoses come first, or the huge number of endocrinologists who are prone to diagnose it come first?

P.S. And lordy, after a

artappraiser — Tue, 03 Dec 2019 22:58:34 +0000

In reply to Thank you, I was suspicious.

P.S. And lordy, after a couple years struggle trying to find a doctor knowledgeable enough to fine tune my hormone replacement therapy, and giving up to DIY fiddling with an obliging OB/GYN, I just gotta say: all those trans people getting endocrinological "help" these days to have their body match their mind? BEWARE folks, they don't know what they're doing, you are all guinea pigs. To quote head of Endocrinology at Mt. Sinai to me: well, we don't really know what normal levels of many of those sex-related hormones should be

Thank you, I was suspicious.

artappraiser — Tue, 03 Dec 2019 22:53:02 +0000

In reply to Crap science? Fewer than 2%

Thank you, I was suspicious. Definitely thought it newsworthy, however, in that it will effect many for good or ill. Whatever the heck they are actually measuring here--the true meaning I have no doubt be revealed a decade or more down the road--it is interesting that they found it much more prominently in males than females.

Take it from experience patient arta who has heard the truth from top docs: the practice of endocrinology is in its infancy, that is: THEY DON'T UNDERSTAND SHIT ABOUT HUMAN HORMONES, how they work and what they do.

Okay boomer bonus anecdotals: I remember when there was only one kind of cholesterol and it caused heart disease.

I also remember in the mid 60's when my father was diagnosed as pre-diabetic and was told not to eat any sugar at which we commenced at finding him sweet treats without added sugar for several years. Then all of a sudden that was nonsense and he could eat sugar again. He ate a lot of sweets and stayed trim his whole life to his early 90's and never developed diabetes. My overweight mother (weight gained and never lost, I am convinced, with every childbirth.--I amm the oldest and saw her bear the others and saw everything she ate which was not that much--so: HORMONES--she was was tortured to death in her mid-70's by 13 years of complications of type 2 diabetes.