4 ms·

H. Pylori has been around for 20 years, hundreds of papers written on it. My wife went in and the doctor said - huh, I haven't seen that before I need to go loo

H. Pylori has been around for 20 years, hundreds of papers written on it. My wife went in and the doctor said - huh, I haven't seen that before I need to go look up how to treat it, I'll be right back. That is, of course, after we did our own GI-MAP and took it to a doctor, not that a doctor would EVER suggest doing that. A naturopath? Yes they do it as a standard. Standard doctors are operating on 1960's textbooks.

Retric 4y ago
Doctors are required to keep getting recertification based on current practices, they can’t just regurgitate outdated information. General practitioners refer people to specialists because nobody can keep up with every bit of new research out there. A doctor looking something unusual up isn’t a sign of incompetence but rather best practices.
- cjbgkagh 4y ago
  > they can’t just regurgitate outdated information. Based on my extensive experience with doctors and the extensive experience of many others that I know they sure can.
  - Retric 4y ago
    I am not saying they have to be completely up to date, just that they must keep up with many advancements because they can fail these tests. That said you can read up on all the latest research for a condition because you don’t care about all the other research. Doctors can’t get away with such a limited focus.
    - cjbgkagh 4y ago
      I mostly see specialists and even there they’re consistently out of date. I get that not everyone can be a top tier researcher and many doctors have a business to run, but once we reach the limit of their knowledge I’d much rather hear “I don’t know” than “that’s all anyone knows.” Doctors to me are a minor inconvenience to prescription medication.
      - rhacker 4y ago
        You're speaking my language. My wife and I have self diagnosed and fixed a shit-ton of ailments. Most of it with natural supplements, but occasionally we'll get the pharma stuff.
UncleOxidant 4y ago
> A naturopath? Yes they do it as a standard. Best doc I ever had was a naturopath. Unfortunately, he tired of dealing with insurance companies and moved to a retainer model with a limited number of patients. Why was he so much better than any other doc I've had? 1) he listened. Appointments were at least 45 minutes. Sometimes over an hour. When I go to an MD I'm lucky to get 10 minutes. 2) He tested. Annual blood tests were extensive (and, yes, could be expensive because of those insurance companies not wanting to cover a lot of stuff) 3) As he listened he was on his laptop pulling up relevant papers ("I was just reading a paper on this topic that came out a couple weeks ago") He'd print out the paper for you and highlight the relevant passages 4) He was interested - by that I mean, I never got the idea he was just going through the motions. He loved this stuff and nerded out on it.
- jgust 4y ago
  The common denominator here seems to be caseload. Lower caseload, lower hours per week, lower burnout, more focus time, more deep thinking. Sound familiar to anyone in software?
- jsonne 4y ago
  Yeah I am not in this tier of wealth but being in tech / working with VCs I rub elbows with it. They consistently suggest to get a concierge doctor and its so great because they have a small number of patients and they actually listen to them and help them get whatever medicine needs, read studies on their conditions and recommend like niche and newer treatments / drugs. It sounds great but you know I can't afford a 3k a month retainer. The medical system once again seems to work incredibly well if you have means but that sort of expense is even outside the realm of most 1%ers.
theranfear 4y ago
I'd like to ask what GI-MAP provider you used. Based on what you said it seems like you were able to get tested without needing a provider to order the test. I've had gut issues for a while and I'm surprised this has never come up.
- rhacker 4y ago
  Diagnostic Solutions performs the actual GI MAP. DirectLabs is a reseller that has a physician on staff that approves your GI Map. So contact direct labs, order the kit, poop and vial it, drop it in the mail, wait 15-20 days. PDF of your results will be in your DirectLabs account online.
  - theranfear 4y ago
    Thanks alot!!

Retric 4y ago

Doctors are required to keep getting recertification based on current practices, they can’t just regurgitate outdated information. General practitioners refer people to specialists because nobody can keep up with every bit of new research out there. A doctor looking something unusual up isn’t a sign of incompetence but rather best practices.

cjbgkagh 4y ago
> they can’t just regurgitate outdated information. Based on my extensive experience with doctors and the extensive experience of many others that I know they sure can.
- Retric 4y ago
  I am not saying they have to be completely up to date, just that they must keep up with many advancements because they can fail these tests. That said you can read up on all the latest research for a condition because you don’t care about all the other research. Doctors can’t get away with such a limited focus.
  - cjbgkagh 4y ago
    I mostly see specialists and even there they’re consistently out of date. I get that not everyone can be a top tier researcher and many doctors have a business to run, but once we reach the limit of their knowledge I’d much rather hear “I don’t know” than “that’s all anyone knows.” Doctors to me are a minor inconvenience to prescription medication.
    - rhacker 4y ago
      You're speaking my language. My wife and I have self diagnosed and fixed a shit-ton of ailments. Most of it with natural supplements, but occasionally we'll get the pharma stuff.

UncleOxidant 4y ago

> A naturopath? Yes they do it as a standard. Best doc I ever had was a naturopath. Unfortunately, he tired of dealing with insurance companies and moved to a retainer model with a limited number of patients. Why was he so much better than any other doc I've had? 1) he listened. Appointments were at least 45 minutes. Sometimes over an hour. When I go to an MD I'm lucky to get 10 minutes. 2) He tested. Annual blood tests were extensive (and, yes, could be expensive because of those insurance companies not wanting to cover a lot of stuff) 3) As he listened he was on his laptop pulling up relevant papers ("I was just reading a paper on this topic that came out a couple weeks ago") He'd print out the paper for you and highlight the relevant passages 4) He was interested - by that I mean, I never got the idea he was just going through the motions. He loved this stuff and nerded out on it.

jgust 4y ago
The common denominator here seems to be caseload. Lower caseload, lower hours per week, lower burnout, more focus time, more deep thinking. Sound familiar to anyone in software?
jsonne 4y ago
Yeah I am not in this tier of wealth but being in tech / working with VCs I rub elbows with it. They consistently suggest to get a concierge doctor and its so great because they have a small number of patients and they actually listen to them and help them get whatever medicine needs, read studies on their conditions and recommend like niche and newer treatments / drugs. It sounds great but you know I can't afford a 3k a month retainer. The medical system once again seems to work incredibly well if you have means but that sort of expense is even outside the realm of most 1%ers.

theranfear 4y ago

I'd like to ask what GI-MAP provider you used. Based on what you said it seems like you were able to get tested without needing a provider to order the test. I've had gut issues for a while and I'm surprised this has never come up.

rhacker 4y ago
Diagnostic Solutions performs the actual GI MAP. DirectLabs is a reseller that has a physician on staff that approves your GI Map. So contact direct labs, order the kit, poop and vial it, drop it in the mail, wait 15-20 days. PDF of your results will be in your DirectLabs account online.
- theranfear 4y ago
  Thanks alot!!