Current Events > Doctor: Don't confuse your Google search with my 6 years at medical school

(+) Yeah! (+)

Our society is going to ****

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Firewerx posted...

Living with a condition for 10+ years will give you plenty of experience in what works and what doesn't work in symptom management.

This is almost always stated with pain as the symptom management in mind. Narcotics being the agent the patient wants. An alternate management plan being advocated by the physician.
The physician is correct, unless the patient is in hospice.
Antibiotics are another issue, as you can tell from the topic. They're over-prescribed, because we let patients drive their own management too much.
As far as the plaque goes, it's unnecessarily antagonistic and unproductive.

There is no reason for a physician to ruffle their feathers at patients. If you don't want that patient to get antibiotics because it's wrong, they won't be getting antibiotics. If you don't want that patient to get narcotics because it's wrong, they won't be getting narcotics.

I'm not intimidated or threatened by google in the least. People curious enough about their health to use google are a welcome partner.

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benjjjamin posted...

This is almost always stated with pain as the symptom management in mind. Narcotics being the agent the patient wants. An alternate management plan being advocated by the physician.

consider the following: patient citing chronic irritating skin flareups disturbing sleep; physician trying to peddle sleeping pills, dismissing it as allergies, and refusing testing

don't generalize

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Testing for what, pray tell. Anthrax?

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benjjjamin posted...

Testing for what, pray tell. Anthrax?

Yeah this is a great attitude from a physician
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konokonohamaru posted...

Yeah this is a great attitude from a physician

A physician has to be a steward of resources, which is a part of the training. A poor physician will waste the community's money by being a revolving door of any number of patient-driven requests.

What test for the skin lesions do you want?

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arrogance is part of medical school training, apparently
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Neither of those is a skin test, so I can't comment on how reasonable the request is. I'm not the ones who went with the example.
What do you want?

I can't explain to you what a doctor could have been thinking till you tell me what you want.
We covered narcotics.
We covered antibiotics.

What else?

What are we talking? Lupus? Psoriasis? Bedbugs? A dermal shear test for a rare epidermal anchor deficiency?

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Patient is a moron.
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DuranOfForcena posted...

no one here really gives a s*** what you can or can't comment on

Unnecessary hostility is a common feature of these conversations when someone wants something a doctor has. The hostility is an indication that you don't want to understand the doctor's reasoning. You want something they have.

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benjjjamin posted...

This is almost always stated with pain as the symptom management in mind. Narcotics being the agent the patient wants. An alternate management plan being advocated by the physician.

This attitude and prejudice against patients from doctors, believing us all to be painkiller seekers and also generally being dismissive of genuine pain is absolutely disgusting. If you actually are a doctor and not just pretending to be one online, you shouldn't be.

What are we talking? Lupus? Psoriasis? Bedbugs? A dermal shear test for a rare epidermal anchor deficiency?

Well, it looks like we're finally getting somewhere. I'm glad we've moved beyond anthrax as the prime candidate
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I also have personal experience of doctors being straight up wrong, telling me that therapy won't help for my child and that he can't recommend it. Said my kid may not ever walk. Well we did therapy and he was walking a few months later.

doesn't mean I don't trust doctors - I do. but many of them need to chill out with their stance of being right on everything and the patients all being stupid
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corneliusmagus posted...

This attitude and prejudice against patients from doctors, believing us all to be painkiller seekers and generally being dismissive of genuine pain is absolutely disgusting. If you actually are a doctor and not just pretending to be one online, you shouldn't be.

Declining to prescribe narcotics isn't dismissing pain. It's taking it more seriously than a stereotypical pill miller you see being shut down on the news after he killed 10 people. Narcotics have little role in the management of chronic pain, and they have surpassed antibiotics in terms of inappropriate prescriptions.

konokonohamaru posted...

Well, it looks like we're finally getting somewhere. I'm glad we've moved beyond anthrax as the prime candidate

Is that an "I'll take all of those tests, yes!!"

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Patients should be engaged as informed in their care and treatment. Critical thinking too, is always important. If a treatment plan is not working, and your doctor is failing to provide a satisfactory explaination, request a second opinion. A good medical care professional wants input from the patient, but the fact remains that sometimes sometimes professionals of all sorts are ethically required to speak truth to power. This requires telling people what they need to hear and not what they want to hear.

I look at my deceased grandmother. She was the only child of a medical doctor with a PHD from George Washington University. As an adult, she doctor shopped always looking for one that would tell her what she wanted to hear and not what she needed to hear. She had diabetes and heart problems, but resisted doctor's orders thinking they were being mean to her or self righteous. She died in her early 80s at home, with multiple maladies that could have been controlled if she had only listened to medical professionals telling her what she needed to hear and not what she wanted.


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benjjjamin posted...

Declining to prescribe narcotics isn't dismissing pain. It's taking it more seriously than a stereotypical pill miller you see being shut down on the news after he killed 10 people. Narcotics have little role in the management of chronic pain, and they have surpassed antibiotics in terms of inappropriate prescriptions.

What's going to help serious prolonged pain if not painkillers? Seriously.

corneliusmagus posted...

What's going to help serious prolonged pain if not painkillers? Seriously.

Non-narcotic medications, physical therapy, injections, TENS, acupuncture, and meditation have all been proven in respected studies to manage pain and improve quality of life ratings, which is the goal.

Narcotics are not shown to alter chronic pain ratings, and they have been shown to reduce quality of life for chronic pain.

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Lawyers put the same thing up in their offices too.

I guess this is why people that defend themselves are always SO successful.

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benjjjamin posted...

Non-narcotic medications, physical therapy, injections, TENS, acupuncture, and meditation have all been proven in respected studies to manage pain and improve quality of life ratings, which is the goal.

Lmao.

furb posted...

Lawyers put the same thing up in their offices too.

I guess this is why people that defend themselves are always SO successful.

I agree that a physician with that on their wall is at a higher likelihood of being sued, and potentially even successfully sued, than your average physician.

It's not an appropriate posture to lead with in your lobby.

corneliusmagus posted...

Lmao.

You weren't being honest when you said seriously, then. Do you want the pain managed professionally with modern practices or not?

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Acupuncture is pseudoscience and meditation is religious appropriation that does nothing for pain.

corneliusmagus posted...

Acupuncture is pseudoscience.

Turns out 8000 years of pseudoscience checks out. Go figure. Same as meditation. It's not my cup of tea, but the data is pretty good. Give it a shot.
Just because it doesn't work how the practitioners say it does...doesn't mean it doesn't work.

It's a proven management for chronic pain. Data's the data.

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corneliusmagus posted...

Acupuncture is pseudoscience and meditation is religious appropriation that does nothing for pain.

Just say you want the damn pain meds already

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Gotta say, the anecdote about getting no satisfaction from a physician for a skin flareup that disturbs sleep still has me intrigued. Where the hell did that person go? Narcotics for chronic pain and Z packs for snotty noses?...zzzz come on. Such clich patient-physician sticking points.

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You were like this when I got here.

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This.

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Doctors don't know everything. Patients know less. Laypeople shouldn't lecture people on how to do their jobs, outside of maybe morality.

Do everything yourself if you want to control how everything is done. Don't pay someone else to be your yes man.

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DuranOfForcena posted...

but you were the one who started being unnecessarily hostile soooooo

No he wasn't. He brought up good points, then you got pissed. Just admit when you're triggered, widdle baby.

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Veggeta_MAX posted...

So both are being stupid.

And?

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Doctors don't know everything, I can speak from experience

The major difference is that we know just how much we don't know, and that's an important thing to be aware of

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If an obese person claims theyre perfectly healthy even though their doctor says otherwise and tells them to change their lifestyle is their opinion equally as valid as the doctors?

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RebelElite791 posted...

If an obese person claims theyre perfectly healthy even though their doctor says otherwise and tells them to change their lifestyle is their opinion equally as valid as the doctors?

When it comes to health, there are things that are subjective and things that are objective. It's okay to disagree on things that are subjective. But, if you are objectively wrong about something, like obesity being "healthy," it needs to be called out.

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DuranOfForcena posted...

are you just being willfully ignorant, or are you as arrogant as he is and thus unable to see the arrogance?

He's just taking a hardline empirical stance...which is exactly what you SHOULD do. If that's arrogance to you, then the problem is with you.

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People often equate personal conviction with arrogance. Again, your problem.

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I know, and I can't seem to figure out why.

Like, is it really not hard to admit that what I'm saying is correct? Plenty of people in your position would be offended by what is allegedly "arrogance", but that's because people feel like their opinions are threatened by someone who doesn't let bias interfere with their perspective.

People like to assume that their opinions are worth more than they are, but there's nothing inherently special about us at all. Be humble and get over it.

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How do I lack self-awareness?

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