I'm currently an FNP student and as I'm progressing into my program, gaining that provider mentality, a conversation with my mother-in-law got me thinking...
She was telling me a few stories how her older relatives hardly received treatment for things; going to the doctor meant you had something beyond what a little salve could take care of (or, for fans of my My Big Fat Greek Wedding, a little Windex). I'm sure we've all encountered those people that say "ehhhh I'll just wait it out I'm not running to the doctor for every little thing" and they actually turn out to be fine.
One story in particular really got me thinking: an aunt of hers was born 8 weeks early in her home at a mere 4lbs. She was not in the NICU for weeks or hooked up to machines. I'm sure there was some intervention, but nothing compared to protocols we have today. Her aunt is completely fine.
I responded to my MIL by saying that there are individuals who do not survive and cannot live with some ailments like they can today. Such situations led to research and treatment development that make it possible to overcome sickness and live with disease. But I couldn't help but still ask myself the question: are we really intervening too much? Of course there are evidence based practices, but is the million dollar workup really implemented because of money or is it more to cover our butts, even for minor things? If you are presented with something minor, how much do you really intervene? Is there middle ground?
Sincerely,
A curious FNP student.