A doctor’s dilemma: treating patients during a storm of misinformation about vaccinations and pain relievers

“First, do no harm” is the core tenet of the Hippocratic Oath. As a physician, I am compelled by this principle to evaluate the effectiveness of the treatment of my patients but also the broader implication of the guidelines and recommendations we are expected to follow.

Today, after 30 years in practice, I find myself at a crossroads with the governing body that is responsible for protecting the health and well being of all Americans, particularly regarding vaccinations and the discussion surrounding pain relievers like Tylenol and their alleged link to autism. Until recently, federal guidelines have advocated for a robust vaccination schedule touting the greatest success story in modern medicine.

As a result, we have seen a reduction in illnesses in children and adults, and we are living longer as a result. Unfortunately, the persistent myth that vaccines and even Tylenol contribute to autism is fueled by this governing body through misinformation and anecdotal reports. As a physician, I face the challenge of reconciling scientific evidence with the fears and beliefs of the families I serve.

My patients are torn between trusting their physician’s medical advice and their instinct to protect their children, their loved ones as well as themselves. While the scientific community dismisses such claims, the fear remains palpable amongst my patients.

As I navigate these concerns, I am aware that my role as a physician is not just to dispense medical advice but also to understand the concerns of my patients.

If I choose to adhere strictly to the current federal recommendations without acknowledging the fears expressed by my patients, I risk alienating those I aim to help.

And if my adherence to the guidelines leads to harm whether through a breakdown in trust or even the decision to forgo vaccinations altogether or  Tylenol for fevers during pregnancy — am I truly upholding the Hippocratic Oath? As physicians, we must advocate for science-based practices while also engaging in open, honest conversations with our patients.

We must listen to their concerns, provide support and educate them about the rigorous safety measures in place for vaccines and medications. Only through dialogue can we hope to bridge the gap between scientific evidence and our patients’ fears. My commitment to the Hippocratic Oath compels me to critically assess the guidelines I follow. 

While vaccinations and medications like Tylenol are crucial in promoting public health, I cannot ignore the harm that has surfaced from the way these recommendations are currently being communicated and perceived by our government. We as physicians must remain steadfast in our dedication to evidence-based medicine.

But the true essence of “First, do no harm” extends beyond the clinical settings: It must embrace the ability to foster trust, understanding and informed choices in the communities we serve.

Dr. Kevin J. Weiland of Rapid City is board-certified in the specialty of internal medicine. He graduated from the University of South Dakota Sanford School of Medicine and completed his internal medicine residency at the University of Wisconsin Hospital and Clinics in Madison, Wis.

Photo: public domain, wikimedia commons

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