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I am a US medical student so I am in a hospital or clinic almost every day. Our hospital is a tertiary care safety net hospital and all the patients are sick as
by jac241 6y ago
I am a US medical student so I am in a hospital or clinic almost every day. Our hospital is a tertiary care safety net hospital and all the patients are sick as hell because they have poor access to healthcare. So I know what that looks like, and I'm not arguing that the American "system" is good. I just think you can't say that patients present with higher stage cancers in America based on what's presented in that paper. America likely has worse health outcomes for lower income people, and my guess based on what I've seen is that that's driven by untreated diabetes, hypertension, and higher rates of smoking leading to increased incidence of MI, stroke, and kidney disease, but I have no data to back that up. I would also guess that the reason you're not seeing higher stage presentation in those papers is that poor people who would have had those later presentations are dying of heart disease and CKD before they can develop those cancers. Just my suspicion and I am happy to be proven wrong by data. It is just frustrating to me when people on this site who are generally more educated than your average person will toss anecdotes and unsupported claims around, particularly about healthcare.
- inopinatus 6y agoHere’s a fun fact for you. When I talk to my wife, and she tells me things about work, I don’t say “citation needed”; nor would I change that in response to whinging demands from the peanut gallery, and doubly not as followup from that of a comment/opinion/anecdote-driven website as riddled with bad-faith weasels as this one. Which is, of course, in part, why I’m still married. Alternatively, for a related experience, since you're on rotation, try going up to your CMO and demanding evidence for some off-the-cuff remark they've made about their own professional choices. Good luck.
- refurb 6y agoDon't play the victim here. You posted something that the available data doesn't support. People questioned it, asked for more information, and you're now claiming hurt feelings and a need to "keep peace in your marriage"?
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- inopinatus 6y agoAdding personal invective to your litany of misquotations, misrepresentations, straw-man arguments, and sealioning, as in comments passim, is not an inducement to further discussion.
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- disabled 6y agoThanks for calling me a “bad faith weasel”, LOL. BTW, I upvoted you for your sense of humor.
- inopinatus 6y agoOh, it was another, far more vitriolic correspondent I had particularly in mind with that epithet, but thanks.
- disabled 6y agoTrue. As for my personal situation, one of the rare diseases that I have is believed to have caused the autoimmunity that caused my T1D. It is a form of autoimmune autonomic neuropathy, and it showed up 6 months before the T1D diagnosis. We also believe that I am susceptible to other endocrine and neurological immune-mediated diseases through the anti-peripherin antibody. It’s the common denominator relating most of my health problems together, but there is no commercial test available for it at the moment.