Doctors “firing’ Patients

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Refuse to get your child a vaccine and get ‘fired’ by your Pediatrician. Who would of thunk?

 Refuse Vaccine, Get ‘Fired’ by Pediatrician?

 Well over a third of pediatricians — 39% — say they would “dismiss” families that refuse all vaccinations, a new study suggests. That’s surprising, says study leader Erin A. Flanagan-Klygis, MD, assistant professor of pediatrics at Chicago’s Rush Medical College.

But another finding surprises Flanagan-Klygis even more. More than one in four pediatricians — 28% — say they would fire families that agreed to some vaccinations but refused one or more other vaccinations.

This study is based on questionnaires filled out by 302 randomly selected members of the American Academy of Pediatrics who give recommended childhood vaccinations. Ref: October issue of Archives of Pediatrics and Adolescent Medicine.

 

Dismissing the Family Who Refuses Vaccines

A Study of Pediatrician Attitudes

Results Fifty-four percent faced total vaccine refusal during a 12-month period. Pediatricians cited safety concerns as a top reason for parent refusal. Thirty-nine percent said they would dismiss a family for refusing all vaccinations. Twenty-eight percent said they would dismiss a family for refusing select vaccines. Pediatrician dismissers were not significantly different from nondismissers with respect to age, sex, and number of years in practice. Pediatrician dismissers were more likely than nondismissers to view traditional vaccines (diphtheria and tetanus toxoids and acellular pertussis; inactivated poliovirus; Haemophilus influenzae type b; measles, mumps, and rubella) as “extremely important,” but they were no more likely to view newer vaccines (7-valent pneumococcal conjugate, varicella-zoster virus, hepatitis B) as “extremely important.”

Conclusions Pediatricians commonly face vaccine refusal that they perceive to be due to parent safety concerns. In response, many pediatricians say they would discontinue care for families refusing some or all vaccines. This willingness to dismiss refusing families is inconsistent with an apparent ambivalence about newer, yet recommended, vaccines. The practice of family dismissal needs further study to examine its actual impact on vaccination rates, access to care, and doctor-patient relations.

 

Logically though, how can you as a parent or your child be ‘fired’?  They provide a service to YOU. You don’t work for THEM. Without YOU, who would THEY WORK FOR? Would you honestly want a physician that didn’t TRUST and RESPECT YOU to KNOW what is best for YOUR child?  Would you really want a physician that didn’t RESPECT your RIGHT to choose what you believe to be in the best interest of your child? Patients can fire their doctors. Doctors can only refuse to see you as a patient in the future. :)

 

 According to the American Medical Association, doctors have “an obligation to support continuity of care for their patients” and “should not neglect a patient.” But if a doctor must end the relationship, they have to provide enough notice so the patient can secure another health care provider.”

I’ve often found that doesn’t happen. Doctors simply tell patients to find a new doctor and in not so nice words. 

Take care when firing a patient

 A physician may legally and ethically decide not to continue treating a patient as long as the patient is not in need of immediate care and has been given a reasonable opportunity to find another doctor, which is consistent with the recommendations of the American Medical Association Council on Ethical and Judicial Affairs.

 

According to the AAP:

Responding to Parental Refusals of Immunization of Children

Douglas S. Diekema, MD, MPH and the Committee on Bioethics

 The American Academy of Pediatrics strongly endorses universal immunization. However, for childhood immunization programs to be successful, parents must comply with immunization recommendations. The problem of parental refusal of immunization for children is an important one for pediatricians. The goal of this report is to assist pediatricians in understanding the reasons parents may have for refusing to immunize their children, review the limited circumstances under which parental refusals should be referred to child protective services agencies or public health authorities, and provide practical guidance to assist the pediatrician faced with a parent who is reluctant to allow immunization of his or her child.

 

So much for the Hippocratic Oath. Or respecting a parents RIGHTS under the LAW. Perhaps they have even forgotten that vaccines are not mandatory. They are only mandated for school or daycare attendance, without an exemption.

 

Parents often feel they have to explain their reason for not vaccinating. Why? If a physician’s belief  is to vaccinate everyone under the sun, nothing you say will make a difference to them. If not vaccinating is your choice, own it. If you do not vaccinate for religious reasons, simply state it. You owe no further explanation and it is against the law for a physician to question your faith or religious beliefs further. If it is against your philosophical beliefs, much like religion, simply state it, and no further discussion needed. You don’t question their religious beliefs, so nothing gives them the right to question or discriminate against yours.

Bullying? Yes, I’ve heard this one too. Remember, only you allow a physician to bully you. If a physician is unethical and unprofessional enough to start it, calmly leave without comment. A physician has no right to bully, yell, discriminate, name call, harass or threaten you, ever. We would call those descriptions ‘abuse’ and that is exactly what they are doing, and they are not above the law.

 

Finding the Right Physician

1. Make a list of physician’s names and get references from friends or families who have similar views as yours.

2.  Call and ask the receptionist if non-vaccinating/selective/delay patients are accepted before making the first appointment.  If you are comfortable with the answers to your questions, book an appointment.

3. Direct any further questions directly to the physician at the appointment.

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One Response

  1. May I suggest people print this comments out and ask the doctor the following – you will find that none of them will have any hope of answering them sensibly:

    If you were to ask a doctor whether vaccines should be held responsible for the rise in autism, SIDS, asthma, diabetes and allergies given the statistical relationship over the past 50 years or so and that many parents see their children come down with some of these illnesses soon after a vaccine, these doctors will tell you that correlation doesn’t equal causation, and regale you with a lecture in logic on post hoc ergo proctor hoc and argument by anecdote fallacies. Fair enough I suppose. However, if you were to ask those same experts in logic: how do we know that vaccines work? They will point to the statistical relationship between the polio vaccine and polio reduction (and smallpox and others). They will also regale you with anecdotes about countries that have reduced their vaccination rate (such as Britain’s MMR take-up after Andrew Wakefield’s report) and experienced a rise in measles or some other illness.

    But aren’t correlation equals causation and arguments by anecdote supposed to be fallacies?

    To give some explanations for their (the disease prevalence) falls:

    Smallpox is not caused by a virus it is caused by bedbugs (hence the spread by ‘contaminated’ blankets) and whilst it is far less common than a few hundred years ago (because of better linen washing practices), it has not been eradicated and still occurs in poor countries (India had an outbreak a few years ago), but it is usually called something else (cowpox etc).

    Polio was barely, if at all, reduced much less eradicated. One of the main causes of polio was vaccinations (for example, diphtheria). When the polio vaccine was introduced, the definition of polio was changed so that almost all cases of it were now called viral (aseptic) meningitis. Hence the skyrocketing numbers of kids with meningitis and plummeting number of kids with polio in the past 50 years. Statisticians wiped out polio, but the vaccine most certainly did not. Other names for polio are – acute flaccid paralysis and chronic fatigue syndrome. In general, the diagnosis for polio is only ever made if you have not been vaccinated for polio and you have been to one of the few countries that governments admit it still exists in. This is a beautiful way to work the numbers. It looks like the vaccine is absolutely effective because by definition, if you have been vaccinated and you get the exact same symptoms, you must have something else.

    Diphtheria is now called tonsillitis.

    After the Hib (bacterial meningitis) vaccine was introduced, the numbers of that particular type of bacterial meningitis plummeted – a perfect success! Unfortunately – by pure coincidence I’m sure – the number of different ‘strains’ of bacterial meningitis skyrocketed. (Incidentally, the proteins in the Hib vaccine are almost identical to that found in peanuts – bet you can’t guess when peanut allergies started).

    But this is just scratching the surface.

    We are told to get boosters for various diseases. Why do you think that is? Whenever a vaccinated person comes down with the mumps say, doctors, not being the brightest group of people (as well as wanting to cover their asses), determine that the problem is that people are not vaccinated enough, and order a fresh round of vaccinations for everybody. It is a perfect system, if there is a correlation between disease reduction and vaccination, then the vaccine is hailed, if there is no correlation then the decision is made to vaccinate more! And the people believe it! If somebody has been vaccinated once and still gets the mumps, the doctors will declare that they are unvaccinated and tell everybody that it just goes to show that vaccinations are needed.

    Of course, there is another excuse that gets used for diseases like the flu. The virus, cunning little bastard that it is, is supposedly mutating so quickly that it is impossible for our heroic vaccine researchers to keep up. But why does this virus mutate so quickly? The theory of evolution maintains that all mutations are random, so why hasn’t the so-called small pox virus mutated? Or the measles virus? It seems unlikely that if all mutations are random then the flu vaccine can mutate 4 or 5 times a year and the measles not once in hundreds! I believe mathematicians would give this probability a zero. Still, people swallow this crap and continue to line up like cattle to get the flu shot, despite even the CDC data demonstrating that there has been no reduction in flu incidence since flu shots started.

    But of course even this is just scratching the surface of the flaws in the germ theory/vaccination doctrine:

    Why do people have germs that supposedly cause disease but have no symptoms?

    Why do people with the same symptoms not have any of these germs?

    How could vaccinations work? How do our T-cells remember how to fight pathogens, they don’t after all have brains?

    Why do we only decompose after we die – wouldn’t that suggest that bacteria only attack dead cells?

    Why don’t doctors get sick all the time?

    Why do supposed pandemics come and go without herd immunity or vaccinations, such as SARS or bird flu?

    If viruses are not actually alive, how can our bodies fight them? How can we kill something that is already dead? How can vaccine manufacturers kill them with formaldehyde?

    Many people are exposed to people who supposedly have a viral infection but are unaffected. The mainstream medicine explanation for that is that in order to be susceptible to viruses your immune system must be down for some other reason. But if viruses only attack us when we are weak and subsequently weaken us still further, then how could anybody ever recover after falling sick from a virus?

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