> 1) why didn’t doctor not even think of it This is such a strange question. Of course they thought of it. Imagine you're a software developer, and you're not

> 1) why didn’t doctor not even think of it This is such a strange question. Of course they thought of it. Imagine you're a software developer, and you're not paid on the basis of software quality, responsiveness, features, or any other standard metric. You're paid on number of bugs closed, even if the bugs are only closed temporarily. Your incentive structure is such that if you write a kludge for a bug, close it, and there is a regression on that same bug in 3 years, you get paid twice for the same bug. Now you know what it's like to be a physician. Maybe when you were younger, you idealized making great quality software. But as of now, you'll make way more money putting band-aids on bugs and your lifestyle already requires a $20k monthly nut for your instagram "model" girlfriend's travel requirements, so you do what you have to do. This is the world of medicine. You don't care about the patient, you probably know what the correct diagnosis is, but this other diagnosis will make sure that the Eli Lilly pharma rep will top you off in the handicap stall at your next "meeting" if you hit those prescription quotas, and your patient will keep up your billables, so that's what you choose to do. Also, the last thing you want to do is refer your patients to that asshole gland removal surgeon, because he has a better handicap than you do at the Doctor's Country Club, so fuck him. You will NEVER go wrong assuming the worst of physicians. Keep your BMI on the low side, exercise regularly, and avoid known carcinogens. If you're lucky, this approach will delay you from ever having to interact with these psychopaths until your sixties.