3 ms·
It sounds like you fall into the tail of medical diagnosis. Doctors are incredible good at traumatic response, that's where they're at their best. They're not
by nscalf 7y ago
It sounds like you fall into the tail of medical diagnosis. Doctors are incredible good at traumatic response, that's where they're at their best. They're not so great at chronic illness. They're terrible at prevention. If you fall into the edge case of a chronic illness, where it is tough to diagnose (i.e. a test doesn't just spell it out for the practitioner), you may as well be on your own. You have to do tons of research into symptoms, isolate your environment and diet, etc.
I've been through this, and I've seen a close friend go through this, and doctors have been far more harmful than helpful in my n=2 experience. They're quick to diagnose the most common possibility, and dismissive of any other possibility. But here's the thing: that all makes sense! Given the demands on doctors time and the ROI for quality of life for patients, doctors are, and should be incentivized to spend as little time as possible per patient and to diagnose them with what is most likely, given the evidence and previous knowledge.
I think medicine is one of the last great frontiers for the people to relaim through the internet. We don't take anyone's word for it when it comes to any other field, only medicine. I think we should all come to accept that we are our own doctors, first and foremost. We need to research how to take care of ourselves. Doctors are dramatically undertrained on preventive medicine (particularly diet), and I've had them tell me things that are flat out wrong, including outdated science: "losing that much weight is bad for you" when I dropped from being obese over a 6 month period, "that diet is very unhealthy" when I tried Paleo, "fat's will give you heart disease" when I tested with keto and wanted blood work done, "there really is no need to supplement" when my blood work showed severe deficiencies in vitamin D and Magnesium (both extremely important), etc etc.
Preventive medicine and health optimization does not come from doctors, we need to stop expecting it.
- blix 7y agoI went to several specialists for a chronic digestive disorder and got wildly varying, directly conflicting instructions on which, if any, dietary choices might help me feel better. The common belief was that no dietary choice could make a significant difference. After 2 years of weekly injections, during which my health declined precipitously, and a couple of surgeries that took ~4x longer than expected for recovery, I abandoned this approach. I have since gotten my condition almost entirely under control through diet and other lifestyle changes. If a doctor had told me the simple rules I now follow, perhaps surgery and $4k/mo biologics could have been avoided, but the incentives are aggressively aligned against this option.