SUMMARY: Why did you go into Medicine? Dr. Ramsis Ghaly, Board Certified in Neurosurgery, Anesthesia, Critical Care Medicine, & Pain, presents a complicated patient's story of Cervical and Lumbar spine disease. What would you do? Get the facts. See the whole video or hear the Podcast and decide. Lots of messages about spine surgery and Medicine as it is practiced today in the USA. Is the practice of Medicine better in HIC than LMIC? 

 This is a case of a Failed Diagnosis and MIS Surgery by her second physician- failed physician syndrome, not a failed back syndrome as is commonly diagnosed. She also had a fracture of vertebral body by cage insertion, extensive fusion that was unnecessary more failed physician training, and a failed closed health system preventing her from seeing the physician she wanted, failed Insurance, and failed reimbursement of a physician in a health system that does not recognize competence and time do diagnose and properly treat patients.

All of these disincentives are caused by the business takeover of Medicine placing profit before competence. Also there is obvious inadequate educational training of the physicians who cared for her and likely poor standards for certification. Is this incompetence, or DEI, political correctness, or the failure to attract and educate competent people as physicians? The patient comes last while profit dominates for the providers and insurers. Will AI solve such problems? Will more technology be the answer? Robot physicians? How are these deficiencies corrected? Are the professional societies responsible? Who pays the patient for these inadequacies leading to her and her family's destroyed lives? Why didn't the patient file a malpractice complaint? No lawyer to testify in her defense, as physicians' associations prevent that from happening? She was not told the truth by some physicians who were covering their errors and told nothing could be done. How is that behavior fixed? Where did the physician learn that? Is the government responsible? How does the physician today avoid all these errors in this business-dominated monetary- incentivized, government-regulated system that places money before the concern for the patient? Should you do anything to correct this system? Only concerned about your problems? Beyond your pay grade? What does the patient expect of their physician? This is the world we live in. What is the Truth? Should we accept it from doctors? Is that why the respect for physicians has fallen 20% in the last Gallup poll? What would you have done in this case? Why did you go into Medicine? 60 minutes. (JIA)