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I do not think it true that it goes "both ways." Patients do not have a collective responsibility to doctors. Patients should not go untreated because other pat
by escape_goat 2y ago
I do not think it true that it goes "both ways." Patients do not have a collective responsibility to doctors. Patients should not go untreated because other patients lie about their addictions. Being a doctor means exactly watching dozens of horses go in and out the door each day and saying "that's a zebra" before the zebra makes it to the exit. There's a fundamental responsibility to perform differential rather than normative diagnosis.
- s1artibartfast 2y agoPatients do not have a collective responsibility to doctors, but I dont think doctors have the responsibility to provide a diagnosis at all. I think people have strange and exaggerated expectations. You don't go to a car mechanic and expect them to have all the answers and perfect accuracy. The expectation is that they will take a look and provide their fallible opinion.
- TillE 2y agoIf a particular doctor is clueless, that's what referrals are for. You don't just shrug and move on.
- azinman2 2y agoWhen there are single digits for the number of people experiencing this, and many digits for those who are alcoholics, you cannot expect anything but Occam’s razor.
- s1artibartfast 2y agoExactly, that is where patient responsibility for their own care comes into play.
- ok_dad 2y agoDoctors should be held to higher standards than auto mechanics.
- s1artibartfast 2y agoYou can make up whatever standard you want, but it will fail when an impossible expectation collides with reality. Reality is messy, and optimal care has a non-zero failure rate.
- ok_dad 2y agoMy standard is that doctors listen to patients, which they don’t do because they don’t respect them. They think they’re all knowing, incapable of mistakes, and let their personal biases rule. Every doctor I’ve been to has struggled to listen. Listening is not an impossible standard.
- s1artibartfast 2y agoI have never expereinced a doctor that doesnt listen to their patient. However most dont take everything the patient says at face value. Processing, weighing, and interpreting what patients say is a fundamental part of their job. Sifting through crappy data and figuring out what is relevant. You are paying them for their personal biases.
- ok_dad 2y ago“I haven’t drank alcohol.” The doctors interpretation: “She’s clearly a drunk.” Like I said elsewhere, a night in the hospital would have solved this immediately, but the doctor was unable to get past their own bias.
- s1artibartfast 2y agoI don't disagree, but what you are missing is that those biases are correct 99.9999% of time. It's unclear if the doctors she saw even knew that Auto Brewery syndrome existed.
- ok_dad 2y ago