4 ms·

This is what infuriates me about medical Susan. if something is wrong with you and it's not something in top percentile, you feel nobody's got your back. Every

This is what infuriates me about medical Susan. if something is wrong with you and it's not something in top percentile, you feel nobody's got your back. Every specialist works in an isolation. Imagine you have an app and something is broken and is hard to pinpoint. You involve the cto who involves everyone else: backend, devops, data, frontend... Specialists from entire spectrum. There is no such counterpart for human body. You ping pong from doctor to doctor untill you die or end up in er where right doctors are finally on call. Doctors would spend less than a minute if they could. I wish there was a new sort of health company that would do yearly full diagnosis. Go through all markers in blood etc for example signs of cancer, Alzheimer, prediabetes show up in blood years before.., misbalance of biomes, fluid pressure, pinched nerves.. right now that's not the case.

lostlogin 7y ago
It sounds like you’re asking for a multidisciplinary meeting, which is a thing and is regularly used in healthcare for complex cases. I used to help with the image side of a fortnightly breast MDM. It had physicians, an oncologist, pathologist, surgeons, nurse, radiologist and probably a few more disciplines too. There are numerous meetings for other body parts and systems around town. This many vary country to country, I’m in New Zealand.
- mjevans 7y ago
  What they're really asking for is (attempted) automated diagnosis, where routine tests are done and fed to a computer and a list of things that might be wrong can then be evaluated by humans. If something looks possible more precise tests could then be done to confirm the diagnosis.
  - nradov 7y ago
    Except that wouldn't have helped in this case because the proper tests hadn't actually been done. Clinical decision support systems have been developed to assist physicians with semi-automated diagnosis and they can work, to an extent. But the hard part is gathering an accurate medical history and then reducing it to discrete concept codes that software can understand. Computers can't effectively interview a patient or ask the right questions for rare or complex conditions.
  - xkcd-sucks 7y ago
    rather, if the "annual checkup" was actually a weekly detailed review or audit; which is already possible right now for people who can afford it

lostlogin 7y ago

It sounds like you’re asking for a multidisciplinary meeting, which is a thing and is regularly used in healthcare for complex cases. I used to help with the image side of a fortnightly breast MDM. It had physicians, an oncologist, pathologist, surgeons, nurse, radiologist and probably a few more disciplines too. There are numerous meetings for other body parts and systems around town. This many vary country to country, I’m in New Zealand.

mjevans 7y ago
What they're really asking for is (attempted) automated diagnosis, where routine tests are done and fed to a computer and a list of things that might be wrong can then be evaluated by humans. If something looks possible more precise tests could then be done to confirm the diagnosis.
- nradov 7y ago
  Except that wouldn't have helped in this case because the proper tests hadn't actually been done. Clinical decision support systems have been developed to assist physicians with semi-automated diagnosis and they can work, to an extent. But the hard part is gathering an accurate medical history and then reducing it to discrete concept codes that software can understand. Computers can't effectively interview a patient or ask the right questions for rare or complex conditions.
- xkcd-sucks 7y ago
  rather, if the "annual checkup" was actually a weekly detailed review or audit; which is already possible right now for people who can afford it