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The question is "does said physician keep up with the advance of medical science or is the physician trapped in an algorithmic world where he/she follows diktat often written by Big Pharma"? I'd wager that few physicians read an entire research paper, they just read a summary and then they follow said diktat which becomes "the standard of care". Who establishes standard of care? Journals under the sway of Big Pharma have enormous clout. Are you sure your physicians are reading entire papers or are they skimping? Are they compelled by insurance companies to follow said diktat? Science is one thing but adherence to societal/professional mandates is quite another. Are you the best possible evaluator of a physician's command of his/her field of activity? Are you a studied individual that knows terminologies or do you depend on the physician to impact on your perhaps scanty knowledge and understanding?

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Michael: As a physicist I am competent to read and understand medical studies. Based on my wife's longterm ailments, I have studied that subject area quite thoroughly. No MD has the time to read 95% of the studies published. However, when presented with a particular problem, conscientious ones will then do that. Further, with our physicians, I have given them copies/links to studies I have found interesting. In every case they were receptive to my research. Like every field, there are good and bad doctors. Our experience is that most are good.

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