4 ms·

Common things are common, so going through common things first doesn't strike me as wrong. If someone suffers from something really exotic then I'd argue that i

Common things are common, so going through common things first doesn't strike me as wrong. If someone suffers from something really exotic then I'd argue that is what specialists are for. The 10 minute window is more an external/financial constraint, I'd say.

wredue 2y ago
One of the main issues doctors face today is that everyone is really fat, and being fat leads to every diagnosis under the sun. People don’t like being told that being fat is causing their problem (when it almost definitely is), and this is creating a lot of distrust in doctors. I mean, you see these examples of it being more than just overweight, but that’s the minority, and everyone being fat unfortunately contributes to increasing the rate of these misdiagnosis.
aantix 2y ago
I saw multiple cardiologists in Lincoln, NE, and San Francisco, CA. Multiple nephrologists throughout the 25 years. These are the "specialists" I was referred to from my general physician. I had to work side-by-side with them to manage my condition. I had lost significant weight in the past, but it never reduced my blood pressure medication intake. But there was nothing special about these doctors. They simply had no answers beyond the typical. The equivalent for software would be that a bug report comes in and the engineer responds with "have you tried rebooting the servers?" Just superficial, unhelpful recommendations.
- RandomLensman 2y ago
  Why do you think your diagnosis was so difficult to get to (given that it wasn't something very exotic if I understand it correctly - not an expert of any sort there but just doing a quick search)?
  - aantix 2y ago
    Hyperaldosteronism is a disease of the adrenal gland, so its diagnosis would fall under an endocrinologist. Most people think of cardilogy when thinking about blood pressure. General physicians included. That's natural. Heartbeat ->blood pressure. Less think of a nephrologist. But they still get recommended by general physicians. The kidneys play a big role in BP regulation. I never had an endocrinologist recommended. Never. But aldosterone is produced in the adrenals. It regulates water/salt retention. I had been experiencing edema for many months after stopping spironolactone. I thought the weight gain was from me getting fatter. But it was water retention. My ankles were swollen. This should have been the first red flag. I was also responsive to spironolactone when I started it again. I lost 15 lbs immediately (lost the water retention). My BP dropped significantly. That should have been another indicator that it could be aldosterone-related. I don't think it's on the cardiologist/nephrologist's radar. They have different subsystem concerns entirely.
magicalhippo 2y ago
That's how I approach analyzing a software issue as well. Start with the basics, is the application even running, is it actually reading the file you think it's reading etc. So often it's not something weird.

wredue 2y ago

One of the main issues doctors face today is that everyone is really fat, and being fat leads to every diagnosis under the sun. People don’t like being told that being fat is causing their problem (when it almost definitely is), and this is creating a lot of distrust in doctors. I mean, you see these examples of it being more than just overweight, but that’s the minority, and everyone being fat unfortunately contributes to increasing the rate of these misdiagnosis.

aantix 2y ago

I saw multiple cardiologists in Lincoln, NE, and San Francisco, CA. Multiple nephrologists throughout the 25 years. These are the "specialists" I was referred to from my general physician. I had to work side-by-side with them to manage my condition. I had lost significant weight in the past, but it never reduced my blood pressure medication intake. But there was nothing special about these doctors. They simply had no answers beyond the typical. The equivalent for software would be that a bug report comes in and the engineer responds with "have you tried rebooting the servers?" Just superficial, unhelpful recommendations.

RandomLensman 2y ago
Why do you think your diagnosis was so difficult to get to (given that it wasn't something very exotic if I understand it correctly - not an expert of any sort there but just doing a quick search)?
- aantix 2y ago
  Hyperaldosteronism is a disease of the adrenal gland, so its diagnosis would fall under an endocrinologist. Most people think of cardilogy when thinking about blood pressure. General physicians included. That's natural. Heartbeat ->blood pressure. Less think of a nephrologist. But they still get recommended by general physicians. The kidneys play a big role in BP regulation. I never had an endocrinologist recommended. Never. But aldosterone is produced in the adrenals. It regulates water/salt retention. I had been experiencing edema for many months after stopping spironolactone. I thought the weight gain was from me getting fatter. But it was water retention. My ankles were swollen. This should have been the first red flag. I was also responsive to spironolactone when I started it again. I lost 15 lbs immediately (lost the water retention). My BP dropped significantly. That should have been another indicator that it could be aldosterone-related. I don't think it's on the cardiologist/nephrologist's radar. They have different subsystem concerns entirely.

magicalhippo 2y ago

That's how I approach analyzing a software issue as well. Start with the basics, is the application even running, is it actually reading the file you think it's reading etc. So often it's not something weird.