I didn't row over to read it, Frank, but I would not conclude from the excerpts that the OP is actually a physician. Though he does as much as possible to create that impression, he does not actually say so in so many words, which is something to which my BS detector is carefully attuned after many years of experience with posers trying to pass as qualified professionals.
From the content, the poster could just as easily be a much lower-status medical worker such as a counselor or psychologist with a mere masters degree, a nurse, or even a paramedic with a bad case of know-it-all. When one of them actually owns a high-status professional license, they are usually at great pains to state that fact explicitly at the earliest opportunity.
Remember, DUmmies lie. They always, always lie.