I don't trust doctors anymore

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:AI needs to compleley upend PCP.

It is absolutely despicable we have a concierge system. It just means the rich get healthcare while everyone else dies. Do you want a French Revolution? Because this is how you get one.

AI cannot come fast enough to complete replace PCPs altogether. You input your vitals, blood work, and panels of tests and AI can mine the data to determine health issues during a routing checkup. Cannot come fast enough.

Poe's law strikes again!

Did you think Poe's Law can only be present once in a thread?

Definitely not. But my sarcasm detector is completely broken in this thread.

What percentage of these posters are trolls mocking the medically anxious? I suspect many are serious, but presumably this AI poster is a troll. Right?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I do a lot of research when I pick doctors, and my policy is to wait for the doctor I want rather than go to first available doctor. For me, it’s always been worth the wait, and going to the first available doc generally has led to wrong diagnoses or more unnecessary testing. You can get lucky (say there was a cancellation), but often you just get the practitioner who nobody else wants b/c they have cruddy bedside manner or are new.

Obv you can’t do this for emergency situations, but having a good PCP who can assist you in those times helps a lot. Your PCP should be just as trusted as your therapist, IMO. They are the conduit to good specialists.

I also favor women doctors. Some of the rudest doctors I’ve been to have been women, but at the same time my favorite doctors have all been women. Men tend to be dismissive of women… talking. I’m fine with men for surgeries and things where they’re just doing the thing (eg removing the polyp), but not for anything that involves listening or explaining.

I’m sure there are wonderful, caring male doctors who are patient and can listen and explain; I just haven’t been to any. It could be me—I’m generally anxious when I go to the doctor, and maybe that anxiousness has led to them dismissing me.

Yeah, ok. But have you tried to find a good PCP in the DMV lately? One you can actually get in to see? My PCP, whom I'd been seeing for years, was running a 6 mo wait for appointments, and her NP was a mess. I finally chose to go concierge, which has worked out really well, but it took me months to find one who is a good fit because most of the good concierge PCPs have long wait lists at this point.

I am a woman and have had serious issues with male doctors being dismissive as well (it almost killed me once), so I look for female physicians as well.

This is reflective of the fact that good doctors cannot give the kind of care they want, for the most part, in non-concierge settings. They need fewer patients, and to make that model work, it's concierge.

I am a doctor who works as a federal employee with an underserved population, and I chose this job for two reasons: 1) security of my own health insurance (have congenital issues that make me a liability in that area), and 2) there isn't the constant pressure from an equity firm to get patients in and out in less than 10 minutes per visit, or the requirement to see over 30 patients a day.

I make less money, and that is fine. I do just fine. But more importantly, the explicit mission is to give good care, and one way or another, I am supported in that.

Your patients are lucky to have a provider who cares. Thank you for that service.

Thank you for noticing.

I love the work. It's a job, and I've never thought I was a god, but it's a job that takes a long stretch of training and a lot of experience to do well. It's worth doing well, though. That means more than the money.

Done well, the healing arts are beautiful. Done poorly, it's sacrilege.

No disagreement here.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:AI needs to compleley upend PCP.

It is absolutely despicable we have a concierge system. It just means the rich get healthcare while everyone else dies. Do you want a French Revolution? Because this is how you get one.

AI cannot come fast enough to complete replace PCPs altogether. You input your vitals, blood work, and panels of tests and AI can mine the data to determine health issues during a routing checkup. Cannot come fast enough.

Poe's law strikes again!

Did you think Poe's Law can only be present once in a thread?

Definitely not. But my sarcasm detector is completely broken in this thread.

What percentage of these posters are trolls mocking the medically anxious? I suspect many are serious, but presumably this AI poster is a troll. Right?

I'm not sure it's the medical anxiety that is being mocked.

[Anonymous]

Anonymous wrote:AI needs to compleley upend PCP.

It is absolutely despicable we have a concierge system. It just means the rich get healthcare while everyone else dies. Do you want a French Revolution? Because this is how you get one.

AI cannot come fast enough to complete replace PCPs altogether. You input your vitals, blood work, and panels of tests and AI can mine the data to determine health issues during a routing checkup. Cannot come fast enough.

Presumably this post is a troll, but while there's a future in AI in medicine, it isn't in replacing PCPs. The signal-to-noise ratio from patients is far too low for these to be able to make diagnoses from what they get from patients. And various incentives in the medical and legal systems would push these systems to diagnostic testing to a wildly impractical degree.

The real potential is computer vision becoming much, much better than radiologists.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:AI needs to compleley upend PCP.

It is absolutely despicable we have a concierge system. It just means the rich get healthcare while everyone else dies. Do you want a French Revolution? Because this is how you get one.

AI cannot come fast enough to complete replace PCPs altogether. You input your vitals, blood work, and panels of tests and AI can mine the data to determine health issues during a routing checkup. Cannot come fast enough.

Poe's law strikes again!

Did you think Poe's Law can only be present once in a thread?

Definitely not. But my sarcasm detector is completely broken in this thread.

What percentage of these posters are trolls mocking the medically anxious? I suspect many are serious, but presumably this AI poster is a troll. Right?

I'm not sure it's the medical anxiety that is being mocked.

Phrase it how you want. "Medically anxious" seemed like the gentlest way to describe some of these posters. What term would you use?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:AI needs to compleley upend PCP.

It is absolutely despicable we have a concierge system. It just means the rich get healthcare while everyone else dies. Do you want a French Revolution? Because this is how you get one.

AI cannot come fast enough to complete replace PCPs altogether. You input your vitals, blood work, and panels of tests and AI can mine the data to determine health issues during a routing checkup. Cannot come fast enough.

Poe's law strikes again!

Did you think Poe's Law can only be present once in a thread?

Definitely not. But my sarcasm detector is completely broken in this thread.

What percentage of these posters are trolls mocking the medically anxious? I suspect many are serious, but presumably this AI poster is a troll. Right?

I'm not sure it's the medical anxiety that is being mocked.

Phrase it how you want. "Medically anxious" seemed like the gentlest way to describe some of these posters. What term would you use?

Probably the ones they use for themselves. Not being sarcastic or snide here -- the gestalt of this trend of posts is not one that is generally well served by other people putting labels on it.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:AI needs to compleley upend PCP.

It is absolutely despicable we have a concierge system. It just means the rich get healthcare while everyone else dies. Do you want a French Revolution? Because this is how you get one.

AI cannot come fast enough to complete replace PCPs altogether. You input your vitals, blood work, and panels of tests and AI can mine the data to determine health issues during a routing checkup. Cannot come fast enough.

Poe's law strikes again!

Did you think Poe's Law can only be present once in a thread?

Definitely not. But my sarcasm detector is completely broken in this thread.

What percentage of these posters are trolls mocking the medically anxious? I suspect many are serious, but presumably this AI poster is a troll. Right?

I'm not sure it's the medical anxiety that is being mocked.

Phrase it how you want. "Medically anxious" seemed like the gentlest way to describe some of these posters. What term would you use?

Probably the ones they use for themselves. Not being sarcastic or snide here -- the gestalt of this trend of posts is not one that is generally well served by other people putting labels on it.

Sure, but to convey a relatively obvious point that would turn a two-word description of a group into a paragraph, when that's not even the main point to convey.

[Anonymous]

Funny I only trust doctors now.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:AI needs to compleley upend PCP.

It is absolutely despicable we have a concierge system. It just means the rich get healthcare while everyone else dies. Do you want a French Revolution? Because this is how you get one.

AI cannot come fast enough to complete replace PCPs altogether. You input your vitals, blood work, and panels of tests and AI can mine the data to determine health issues during a routing checkup. Cannot come fast enough.

Poe's law strikes again!

Did you think Poe's Law can only be present once in a thread?

Definitely not. But my sarcasm detector is completely broken in this thread.

What percentage of these posters are trolls mocking the medically anxious? I suspect many are serious, but presumably this AI poster is a troll. Right?

I'm not sure it's the medical anxiety that is being mocked.

Phrase it how you want. "Medically anxious" seemed like the gentlest way to describe some of these posters. What term would you use?

Probably the ones they use for themselves. Not being sarcastic or snide here -- the gestalt of this trend of posts is not one that is generally well served by other people putting labels on it.

Sure, but to convey a relatively obvious point that would turn a two-word description of a group into a paragraph, when that's not even the main point to convey.

Which is what, exactly?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:AI needs to compleley upend PCP.

It is absolutely despicable we have a concierge system. It just means the rich get healthcare while everyone else dies. Do you want a French Revolution? Because this is how you get one.

AI cannot come fast enough to complete replace PCPs altogether. You input your vitals, blood work, and panels of tests and AI can mine the data to determine health issues during a routing checkup. Cannot come fast enough.

Poe's law strikes again!

Did you think Poe's Law can only be present once in a thread?

Definitely not. But my sarcasm detector is completely broken in this thread.

What percentage of these posters are trolls mocking the medically anxious? I suspect many are serious, but presumably this AI poster is a troll. Right?

I'm not sure it's the medical anxiety that is being mocked.

Phrase it how you want. "Medically anxious" seemed like the gentlest way to describe some of these posters. What term would you use?

Probably the ones they use for themselves. Not being sarcastic or snide here -- the gestalt of this trend of posts is not one that is generally well served by other people putting labels on it.

Sure, but to convey a relatively obvious point that would turn a two-word description of a group into a paragraph, when that's not even the main point to convey.

Which is what, exactly?

That it is very hard to tell which posters really have these mental health issues impacting their ability to seek medical care, and which posters are writing absurd things to mock that first group.

In other words, Poe's law.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:AI needs to compleley upend PCP.

It is absolutely despicable we have a concierge system. It just means the rich get healthcare while everyone else dies. Do you want a French Revolution? Because this is how you get one.

AI cannot come fast enough to complete replace PCPs altogether. You input your vitals, blood work, and panels of tests and AI can mine the data to determine health issues during a routing checkup. Cannot come fast enough.

Poe's law strikes again!

Did you think Poe's Law can only be present once in a thread?

Definitely not. But my sarcasm detector is completely broken in this thread.

What percentage of these posters are trolls mocking the medically anxious? I suspect many are serious, but presumably this AI poster is a troll. Right?

I'm not sure it's the medical anxiety that is being mocked.

Phrase it how you want. "Medically anxious" seemed like the gentlest way to describe some of these posters. What term would you use?

Probably the ones they use for themselves. Not being sarcastic or snide here -- the gestalt of this trend of posts is not one that is generally well served by other people putting labels on it.

Sure, but to convey a relatively obvious point that would turn a two-word description of a group into a paragraph, when that's not even the main point to convey.

Which is what, exactly?

That it is very hard to tell which posters really have these mental health issues impacting their ability to seek medical care, and which posters are writing absurd things to mock that first group.

In other words, Poe's law.

Fair enough.

Probably just shows that this situation is so complex and mired in both misunderstandings and bad faith that of course sarcasm is going to be unclear.