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mentalhealth
searching PlanetScale…
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11 ms
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1.
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by
mentalhealth
8y ago
Going all in on the "unintelligible black box" model of health insurance, I see.
2.
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by
mentalhealth
8y ago
Since I can't respond to my own child comment as it was flagged, I'll just note that when I made it, this comment said only: The rest of us have to compete in a free market for our skills. Why not doctors? And the rest was
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by
mentalhealth
8y ago
a profession as wealthy as medicine needs the taxpayer to fund its training is preposterous Most doctors already come from wealthy families (specifically, they have doctor parents) because in addition to the tuition of medical school, the
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by
mentalhealth
8y ago
Healthcare is much closer to auto repair than software development. Sure, on a car that's running that you can't turn off, with parts you can't replace, a maintenance history you can't see, and an ECU that actively mis
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by
mentalhealth
8y ago
This is manifestly not the case, and there are a large number of studies showing why this is true (many linked elsewhere in this thread). Most people do not have a good understanding of the risks associated with ongoing medical testing
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by
mentalhealth
8y ago
you are basically accusing them of foolish behavior at best, fraud/unethical behavior at worst Given the conflict of interest in this article, I'd say that's the least of what the authors should be accused of.
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by
mentalhealth
8y ago
I'm sure he's proud to have his name on the only major trauma center in the US without a helipad due to NIMBY pressure.
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by
mentalhealth
8y ago
The way many metabolic conditions work is that essential products are not synthesized, or toxic products are not cleared. These can cause unrecoverable damage within hours or days of birth if not treated. So, tests are performed to identi
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by
mentalhealth
9y ago
We (for the most part) intrinsically understand the internal nature of naturally generated thoughts, even spontaneous ones. If someone played a recording of your own speech, would you have difficulty determining if you had thought the word
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by
mentalhealth
9y ago
This is a reasonable statement to want to make, but (with a vanishingly small number of exceptions), suicide is not a choice. It's the result of depression combined with loss of inhibition (due to stress, chemical imbalance, or other
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by
mentalhealth
9y ago
A favorite of mine from medical school... "two drinks a day!" Oh yeah? What do you usually drink? "A box of wine and a handle of whiskey."
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by
mentalhealth
9y ago
Residents barely have time to eat (we called it "low food security"), let alone consider their mental health. I've actually heard it vocalized as a strategy for hospital administration -- keep the residents absurdly overwork
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by
mentalhealth
9y ago
Easily, the single most vocal group about piece work payments are the medical doctors I've talked to. To be fair, there are unusual incentives in place here -- depending on the specific circumstances, each individual task or procedur
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by
mentalhealth
10y ago
Re imaging, throw away the community hospital crap that IBM's been peddling. We need quality imaging, with diagnostics, with followup data, from major quaternary care research centers.
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by
mentalhealth
10y ago
Run some numbers on outcome-based repayment -- nighthawking no longer makes sense for the hospitals.
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by
mentalhealth
10y ago
No, it would not work. Neither fMRI or "bulk EEG data" (whatever that is) reproduces brain activity patterns for even the most basic ideation, I have no idea why you would think they do. This is fantasy.
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by
mentalhealth
11y ago
That is an extreme and unfortunate example (and there is an entire additional set of issues around bedside manner and how our current training and practice environments select against it). However, establishment medicine is, in general, ge
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by
mentalhealth
12y ago
There's definitely not enough information in the article to draw that conclusion. Moreover, the description is entirely compatible with a disassociative episode. You have some pretty clear biases you're projecting onto the situat
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by
mentalhealth
12y ago
I'm on my way out, so this'll be quick, but a few other restrictions on supply: * There can notionally only be as many fill-able residencies as there are graduating medical students -- this number would probably be the most easy t
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by
mentalhealth
12y ago
And I can tell you that quality of care poor get is the same as rich ones get. That's because you're an anesthesiologist, and you see the acute cases which have already been admitted to the hospital. Poor people don't rece
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by
mentalhealth
12y ago
I would highly recommend that anyone who finds this interesting read the book by Rokeach (there's a good, cheap edition from NYRB that I buy a lot of people as a gift) -- goes into far more detail, particularly with respect to the medi
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by
mentalhealth
12y ago
This is a poorly considered view of experimental treatments. Particularly in the case of aid work, experimentation on the patient population is not only unethical in every formalizable sense, it is quite likely to inculcate a sense of dist
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by
mentalhealth
12y ago
I do partially agree with you, but it's at least worth noting that people in the medical field are much more likely to have the capacity to genuinely consent to the receipt of experimental drugs (in the sense of actually understanding
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by
mentalhealth
12y ago
It's at least worth noting that it's only within the last decade that such an approach has become viable -- we're still entirely unable to establish any relationship between genetics and psychiatric illness via theory, so mas
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by
mentalhealth
12y ago
“Many hospitals are unaware of the high risk associated with these devices,” I assure you that while this is the hospital's official stance, many people within the hospital are well aware of the shoddy software on their medical devic
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by
mentalhealth
12y ago
Back in the day (I haven't been in a while, unfortunately, so I don't know the current status), at nicer theatres and at the opera, they had a service available for emergency personnel (doctors, et cetera) where they'd take y
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by
mentalhealth
12y ago
It's extremely difficult to study the effects of sleep deprivation on the rate of medical error, but several studies have shown that the highest numbers of medical errors occur during handoffs between shifts. Reducing the frequency of
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by
mentalhealth
12y ago
> I want to warn against taking medical opinion/advice that is found on the internet This is excellent advice, but the scaremongering re Reye's is unnecessary. Many more lives & livers would be saved by people ceasing thei
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by
mentalhealth
13y ago
Suicidal ideation is, in general, not a choice a person makes. It's the result of a combination of depression and lack of inhibition, due to anything ranging from psychosis to extreme anxiety or stress. If you were sufficiently depre
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by
mentalhealth
13y ago
I appreciate your response -- regarding a misuse of "diagnosis", you're absolutely correct, "indication" would have been more accurate. I try to use medical terminology in a way that accurately communicates what I&
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