3 ms·

This is definitely more at the specialist, chronic care level. Like anything else, if you have a weekly contact with them, you are much more significant than a

by kbutler 10y ago

This is definitely more at the specialist, chronic care level. Like anything else, if you have a weekly contact with them, you are much more significant than a once or twice a year visit.

maxxxxx 10y ago
Probably correct. My girlfriend just had a few surgeries. I was shocked how little time these specialists gave their patients. I bet most of them spent less than an hour thinking about the whole case. There are exceptions but we had several surgeons who stopped by a few minutes before the surgery and didn't remember anything about the case or confused cases. Then they took 3 minutes to get up to speed. They also often don't look for feedback after the surgery. Some don't even call and when you tell them that it didn't work they disappear. Also, they rarely talk to each other. So every procedure starts from scratch and the patient has to explain the case history. I can't imagine how bad software development would be if we acted like the medical system.
- magnetic 10y ago
  I was following you until... > I can't imagine how bad software development would be if we acted like the medical system. ...which made me laugh. Until I realized you weren't sarcastic (I think).
  - bayouborne 10y ago
    ..but I understand his broader point - these are not deeply introspective, gifted individuals. A front line GP (and probably many 'specialists') is an auto mechanic who replaces an awful lot of ECM modules unnecessarily along to way to actually fixing the problem. In an aggressively supervised service field many of these people wouldn't make it. Doctors may get flagged when they kill enough people over a local threshold, but qualitatively dismal performance (empathy, followup, even a solid fundamental knowledge of the subject matter) is tolerated quite nicely in the system.
  - maxxxxx 10y ago
    I wasn't kidding. The management aspect of the medical system is terrible. The quality standards of individual procedures is high but the overall management is terrible. Nobody talks to each other, everybody just does their little part without anybody having a bigger picture. My girlfriend now has had several failed surgeries. Whenever we go to a different surgeon they never ask the previous guy what he has done. I once suggested he should call and ask. The surgeon seemed really insulted. And as I said before when something fails there is no retrospective. They disappear and send a 50000 dollar invoice.

by kbutler 10y ago

This is definitely more at the specialist, chronic care level. Like anything else, if you have a weekly contact with them, you are much more significant than a once or twice a year visit.

maxxxxx 10y ago

Probably correct. My girlfriend just had a few surgeries. I was shocked how little time these specialists gave their patients. I bet most of them spent less than an hour thinking about the whole case. There are exceptions but we had several surgeons who stopped by a few minutes before the surgery and didn't remember anything about the case or confused cases. Then they took 3 minutes to get up to speed. They also often don't look for feedback after the surgery. Some don't even call and when you tell them that it didn't work they disappear. Also, they rarely talk to each other. So every procedure starts from scratch and the patient has to explain the case history. I can't imagine how bad software development would be if we acted like the medical system.

magnetic 10y ago
I was following you until... > I can't imagine how bad software development would be if we acted like the medical system. ...which made me laugh. Until I realized you weren't sarcastic (I think).
- bayouborne 10y ago
  ..but I understand his broader point - these are not deeply introspective, gifted individuals. A front line GP (and probably many 'specialists') is an auto mechanic who replaces an awful lot of ECM modules unnecessarily along to way to actually fixing the problem. In an aggressively supervised service field many of these people wouldn't make it. Doctors may get flagged when they kill enough people over a local threshold, but qualitatively dismal performance (empathy, followup, even a solid fundamental knowledge of the subject matter) is tolerated quite nicely in the system.
- maxxxxx 10y ago
  I wasn't kidding. The management aspect of the medical system is terrible. The quality standards of individual procedures is high but the overall management is terrible. Nobody talks to each other, everybody just does their little part without anybody having a bigger picture. My girlfriend now has had several failed surgeries. Whenever we go to a different surgeon they never ask the previous guy what he has done. I once suggested he should call and ask. The surgeon seemed really insulted. And as I said before when something fails there is no retrospective. They disappear and send a 50000 dollar invoice.