Genuine question. Do people think that us hospital serfs just sit around and invent cutting-edge breakthrough medical treatments in between call room fucks like on Grey’s Anatomy?
We don’t. So I’ll never understand why people come to the hospital yet refuse all the recommended, appropriate, and life saving treatments. Instead they’ll insist “we need to figure something else out.”
Like bro…this is it. Let me fix you, or go to Heaven. Those are your options. 🤦♂️
#docchain
My doctor recommended statins because my cholesterol is too high. I'm not strict carnivore but I heard someone here in Texas say that "a steak a day keeps the doctor away" and I'm not taking statins or going to heaven any time soon.
I wish I could listen to all doctors, respect their authority, and be healthier because of it but especially recently, that doesn't seem to be the case.
No clue what kind of doctor you are but the answer isn't always pills and surgery 🤷
Did the doc recommend a statin around the first pic, or second? ASCVD calculations don’t tell the whole picture. I can’t recall recommending a statin on the basis of cholesterol numbers alone. NNT not worth it IMHO.
I only work with acutely ill patients that are actively decompensating, or have a high chance of doing so. I am not talking preventative/maintenance medications. I’m talking about preventing celestial transfer medications.
I agree with you that many medications are often times not the answer and I frequently find myself consolidating/discontinuing unnecessary medications that others may have started. I tell patients my reasoning, give them my recs/educate, and tell them to have a conversation with their doc about it too.
Why do you feel that “recently” listening to doctors is a problem?
Doc recommended around the 2nd because when I switched to a meat first diet, my cholesterol went up. With "recently" I'm referring to the big push from the doctors i saw to get the Covid vaccine. That made me trust their advice much less
Possibly. The extent of their medical "education" might be as many episodes of scrubs or grey's anatomy as you have years of actual medical education and experience. Also, they are probably scared and understandably skeptical of bad incentives built into the system, even if they can't grasp why/how. You have a hard job, not just because the science is complex but because people are complex
Yup met just a few folks like that, but if they truly felt that way it’s a bit odd to show up and then refuse help…like you said fear probably plays a role. 99% of the time people get it with the appropriate education/reasoning. Their life, their decision at the end of the day.
Everyone here likes to talk about these “bad incentives, “ but the only incentive I have is to get people better. I’m just a dude trying to help. The “incentives” are more of a national/health system problem. I’m but a humble serf.
Finally, the science is a tad bit harder than most think. I had to memorize the Krebs cycle for no reason and maths is hard sometimes 😂.
Ha, sorry. I was just listening to the book “fiat ruins everything” — I wasn’t saying *you* have bad incentives. Just a meta-observation of the system
🤝🫡 🫂
I knew what you meant fren and the system is indeed broken/teetering.
Had to clarify that point though for folks that may not know otherwise. 😆
Are costs and lack of insurance a thing that would stop a patient?
There’s a serious lack of trust that permeates through our culture at the moment.
Many are probably thinking you are recommending the most expensive, highest yielding treatment to satisfy the administrative trolls that run your hospital.
Here in Canada, people usually only refuse life saving treatment for religious, ideological, or trust issues.
💯. Costs are too damn high and definitely a concern…with a sprinkle of ignorance (eg I hope this lump in my ballsack goes away…oops six months went by lemme get it checked out = bad times).
One of my favorite parts of my job is pissing off some C-suite types by ninja-ing un/underinsured people into the hospital for cancer biopsies, because if I don’t do it they probably won’t get it done before it’s too late.
You’re definitely right about the lack of trust. I have to FREQUENTLY reassure patients that IDGAF about their insurance status and just want them to get them the best care possible.
It’s sad hospital plebs gotta deal with this from all sides nowadays. Can’t wait to quit my fiat gig and do this for free in a couple years.
Yeah, I don’t think people (the ignorant and uninitiated) can separate the physicians from the CEOs and admin staff that can sometimes have divergent goals.
There are lot of easier ways to make a lot of money than being a doctor. 99% of the ones I’ve met could’ve been successful in any field, and the reasons they became physicians was to help people. If you don’t have that mindset, being a doctor would be fucking miserable.
It’s the same with teachers. If you don’t want to help kids, or are only doing it for the time off, there’s nowhere to hide. And trust me, there are some who I’m like, do you even like kids?
You going on a mission soon?
Not anytime soon with the small ones around.
Depending on how things go might have to try my hand at opening my own shop and offering my services for free on the side.
That sounds like a plan! Overheads a killer though…..
After insurance coverage the overhead shouldn’t be that bad for a one man show…so sayeth the initial numbers.
Yeah, I said it without any knowledge of what kind of specialist you are 😂
Just a humble generalist/internist/PCP type. Only working with acutely sick nowadays tho. Seeing healthy people in an office would weird me the fuck out 😂
Ah, that’s awesome. I didn’t know you still had generalists in the states. I thought it was all specialists, or mostly specialists.
Most doctors still deny that Ivermectin is an effective treatment for Cancer and Respiratory... and that the flu vaccine helps prevent flu.
Unfortunately, we should now all be exhaustively crosschecking any and all doctors' recommendations.
That sounds like what my patients who get their medical information from Facebook say 😭.
Last few “studies” I perused about Ivermectin tried to suggest that it could play a role in inhibiting growth involving a few cancer cell lines…but all this was from China 😬. The lab and real world with real people are different things.
I’ve taken care of a few folks that were on Ivermectin before they got way too sick and had to come meet me instead. I’ll be pissed if you give the credit of their recovery to IVM 😆
Just kidding. IDGAF if you give IVM the credit. I’m just happy they got better.
I'm not on Facebook. Never have been.
Ivermectin is an effective treatment for all types of cancer except brain cancer.
You might want to widen your search range for studies; the leading ones are all corrupt.
I mean…anyone can punch me in the dick and call it a treatment, but that doesn’t mean it’ll save my life.
Perhaps you need to stop gaslight lighting your patients and read some more Ivermectin studies.
I swear…some people here will never like, or trust a doctor unless they walk in and catch one of us dry-humping the shit out of a bottle of Ivermectin.
😂😂 😂😂😂
damnit nostr:npub19xgymswuxyq4sx58enft9c6algrm72a6lchplm4rjzgklufn9ygq5kcu58 reposted it 😂🤣
😂😂
I loved it. I had too nostr:npub1m6gvtkek5sq3l82cfh7p3hs62ujxs6r8npre8m6jvvcm28utg05sde2e6g
😂🎯
