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People are _really_ bad at self diagnosing. So who's to say that the risks of going to the doctor are greater than the risks of self diagnosing? Off the top o

People are _really_ bad at self diagnosing. So who's to say that the risks of going to the doctor are greater than the risks of self diagnosing? Off the top of my head I know three family members who now suffer some disability because they didn't go to the doctor for symptoms they thought were non-threatening.

astura 9y ago
Are they though? In my lifetime the vast majority of my acute health issues went away on their own without any particular medical intervention. I mean well over 99.9%. I know what's "minor ache" feels like and I know what "this seems serious" feels like. I try to let my immune system take care illnesses when possible. On the other hand I know someone who died from a complication of anesthesia during an (almost certainly) unnecessary surgery. It's a multifaceted problem. Patients (especially the kind that present to the doctors office for a cough) tend to want doctors to do something, they don't like hearing "rest up, you'll get better on your own." Doctors provide a service, patients want to feel like their time was worth it. At the same time doctors don't want to put themselves in a position of missing something. Everyone remembers the time the doctor missed a serious disease but since we can't have alternative timeline where the treatment and/or tests weren't done then its very difficult to say, on an individual level, what was over treatment. Sprinkle in a healthy dose of the placebo effect stir. Judgement gets clouded by biases on all sides. Not only all that, but sometimes the data just isn't there on what the best course of action is. The studies haven't been done so we just do what feels "right." And we've learned that what feels right might not lead to the best outcomes.
- tachyoff 9y ago
  > In my lifetime the vast majority of my acute health issues went away on their own without any particular medical intervention. I mean well over 99.9%. To be fair, if they didn't, you might not be here to talk about it, so there's definitely some survivorship bias there. The people who waited and died obviously can't say anything because they're dead.
AnIdiotOnTheNet 9y ago
In my experience, your average doctor is really bad at diagnosis too, they just have way more confidence in their diagnosis than the average person has in their own.
kolbe 9y ago
Doctors are _really_ bad at aligning the interests of their patient and their employer. So who's to say that the risks of going to the doctor are less than the risks of self diagnosing? Off the top of my head I know two family members who were murdered because they did go to the doctor for symptoms that were non-threatening, and instead received an opioid addiction and premature death.

astura 9y ago

Are they though? In my lifetime the vast majority of my acute health issues went away on their own without any particular medical intervention. I mean well over 99.9%. I know what's "minor ache" feels like and I know what "this seems serious" feels like. I try to let my immune system take care illnesses when possible. On the other hand I know someone who died from a complication of anesthesia during an (almost certainly) unnecessary surgery. It's a multifaceted problem. Patients (especially the kind that present to the doctors office for a cough) tend to want doctors to do something, they don't like hearing "rest up, you'll get better on your own." Doctors provide a service, patients want to feel like their time was worth it. At the same time doctors don't want to put themselves in a position of missing something. Everyone remembers the time the doctor missed a serious disease but since we can't have alternative timeline where the treatment and/or tests weren't done then its very difficult to say, on an individual level, what was over treatment. Sprinkle in a healthy dose of the placebo effect stir. Judgement gets clouded by biases on all sides. Not only all that, but sometimes the data just isn't there on what the best course of action is. The studies haven't been done so we just do what feels "right." And we've learned that what feels right might not lead to the best outcomes.

tachyoff 9y ago
> In my lifetime the vast majority of my acute health issues went away on their own without any particular medical intervention. I mean well over 99.9%. To be fair, if they didn't, you might not be here to talk about it, so there's definitely some survivorship bias there. The people who waited and died obviously can't say anything because they're dead.

AnIdiotOnTheNet 9y ago

In my experience, your average doctor is really bad at diagnosis too, they just have way more confidence in their diagnosis than the average person has in their own.

kolbe 9y ago

Doctors are _really_ bad at aligning the interests of their patient and their employer. So who's to say that the risks of going to the doctor are less than the risks of self diagnosing? Off the top of my head I know two family members who were murdered because they did go to the doctor for symptoms that were non-threatening, and instead received an opioid addiction and premature death.