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I don’t think Wikipedia should be used to steer a decision. It just aggregates information on a topic. Regarding drug use, it’s up to the parents. If the paren

by ambyra 3y ago

I don’t think Wikipedia should be used to steer a decision. It just aggregates information on a topic. Regarding drug use, it’s up to the parents. If the parents are unable to tolerate their child’s behavior, they’re more likely to accept giving their child drugs. If they’re on drugs themselves, they’ll be more likely to give them to their child. If they’re more “hands off” they’re more likely. Is it better to have a wild, moody, potentially suicidal child or a baked potato? Some parents prefer the baked potato.

sirobg 3y ago
If it accurately aggregates information on a topic, it should instead be a great tool to steer a decision, don't you think? Regarding the opposition between a potentially suicidal child and a baked potato, in fact wiki introduction says that antidepressants could make suicidal behavior even worst: > There is an increased risk of suicidal thinking and behavior when taken by children, adolescents, and young adults Also, if a baked potato is the outcome you get from antidepressants, it means that you think doctors behave a bit like the parents in your example, and prefer a potato than a problematic patient in their hands? I might be naive, but I hope the majority of doctors want to do good and help patients, and do not just use the simplest way _for them_ to get rid of a problematic patient.
- ambyra 3y ago
  It is naive (in the USA, at least); doctors apply standards of care, even if they personally would not recommend them in a certain set of circumstances, to avoid lawsuits and generate income for the hospital. “My daughter killed herself bc she wasn’t prescribed medication/other intervention” (she could have killed herself regardless). A patient may sue a doctor who didn’t perform an unnecessary intervention, just because there is money on the table, and hospitals reward doctors who “perform”. To avoid unnecessary interventions, you need the advice of a family friend who is also a doctor specializing in that particular field :)
  - sirobg 3y ago
    You are most probably right. I was being too European/French centric. I think here, suing a medical professional is less common. At least generalists, because they don't perform surgeries so their misjudgments/mistakes are probably less impactful and thus less obvious. It's a bit sad and scary that this is a reality in the healthcare field, but I think you got a point. The positive side of the story is that if you have a reason to trust the doctor you have in front of you (because he's a friend for example, as you said), you should get a good advice. On the other hand, if the subject is controversial, like antidepressants seem to be, I suppose you would need several advices from several trusted sources, and in the end you might not even have a clear path forward.

by ambyra 3y ago

sirobg 3y ago

If it accurately aggregates information on a topic, it should instead be a great tool to steer a decision, don't you think? Regarding the opposition between a potentially suicidal child and a baked potato, in fact wiki introduction says that antidepressants could make suicidal behavior even worst: > There is an increased risk of suicidal thinking and behavior when taken by children, adolescents, and young adults Also, if a baked potato is the outcome you get from antidepressants, it means that you think doctors behave a bit like the parents in your example, and prefer a potato than a problematic patient in their hands? I might be naive, but I hope the majority of doctors want to do good and help patients, and do not just use the simplest way _for them_ to get rid of a problematic patient.

ambyra 3y ago
It is naive (in the USA, at least); doctors apply standards of care, even if they personally would not recommend them in a certain set of circumstances, to avoid lawsuits and generate income for the hospital. “My daughter killed herself bc she wasn’t prescribed medication/other intervention” (she could have killed herself regardless). A patient may sue a doctor who didn’t perform an unnecessary intervention, just because there is money on the table, and hospitals reward doctors who “perform”. To avoid unnecessary interventions, you need the advice of a family friend who is also a doctor specializing in that particular field :)
- sirobg 3y ago
  You are most probably right. I was being too European/French centric. I think here, suing a medical professional is less common. At least generalists, because they don't perform surgeries so their misjudgments/mistakes are probably less impactful and thus less obvious. It's a bit sad and scary that this is a reality in the healthcare field, but I think you got a point. The positive side of the story is that if you have a reason to trust the doctor you have in front of you (because he's a friend for example, as you said), you should get a good advice. On the other hand, if the subject is controversial, like antidepressants seem to be, I suppose you would need several advices from several trusted sources, and in the end you might not even have a clear path forward.