I missed this because I am working on becoming a doctor and am therefore incapable of scientific deduction.
Hardly your fault, my good man, after all, you are training to be just Medical doctor.
It's true. Interventional Neuroradiology with a Trauma cert doesn't even require that much science. Just the recognition of patterns for the diagnosis of complex brain injuries and disease and the prescription of massive quantities of highly powerful drugs. And, y'know, the ability to operate on the body's most complex organ through a catheter in a booth while viewing CT slices.
If only I was to be a scientist. Alas, I am but a glorified plumber. Such is life.
Wow. Thanks for the broad-as-fuck generalization. Have your arguments, but don't insult an entire profession just to make a point in a stupid internet dick-measuring contest.
I am linked to the profession, I have friends who are Medical doctors who were Veterinarians and also those who have worked in the medical field chosen the Veterinary field. The basic thing that keeps the two industries separate, are legalities, society's valuation of differing life and which industry gains more money which feeds the research and clinical aspects of that field. I believe I have the right to comment on my own profession and my own experiences.
Maybe you have difficulty reading but I described that I was under no illusion of dick size. However if you keep on putting your hand down strangers' pants and grabbing at genitalia, you're going to get some sort of response. Pro tip hopefully you don't do this in real life.
Case example (because that's how I role) - My mother started developing arthritis. She was immediately placed on systemic corticosteroids. The dosage she was prescribed was enough for a person that was 20kg heavier than what she weighed. In addition to this, the drug choice resulted in the most obvious side effects - polyuria, polydypsia, polyphagia, reallocation of fat away from muscular extremeties (centralising fat to the abdominal area).
I told her to demand Meloxicam instead (a non-steroidal anti-inflammatory), the GP questioned her. Apparently one of his main arguments was to question why she wasn't worried about the corticosteroids used in the cream she applied for a skin condition. This guy is an utter retard for not understanding the basic side effects of corticosteroids and the extremely basic difference between topical treatment versus systemic treatment. The Meloxicam that he ended up giving her after she insisted worked just as well and the side effects of the corticosteroids stopped after approximately a week.
The same doctor could not cure a simple cold that she had, he prescribed amoxycillin which is fine as a broad spectrum drug to begin with. However when there was no resolution or relief provided by the drug, he just continued to give her the same drug. My mother finally changed doctors and was put on a Fluroquinolone which covered the bacterial population that the initial Amoxycillin did not and she was fine within 5 days.
pattern recognising techniques to skip actually performing any science
That...that is what science is. We observe patterns and draw conclusions! That's what we do!
Holy hell man.
Yes within reason however - Case example
At my my previous place of work I had a Veterinarian treat a dog with mild arthritis, that was getting lethargic with non-steroidal anti-inflammatories. 9 times out of 10 this would be a correct assumption (that Vet was using pattern recognition). I saw the case after a month of treatments when I had swapped days at short notice with my colleague. During my auscultation there was a 6/6 mitral valve heart murmur, respiratory sounds were being obliterated by irregular heart sounds and the lungs were full of fluid from backwards flow positive pressure. That patient ended up having to be euthanised because the owners could not afford emergency treatment and recovery. If the first checkup wasn't some bullshit pattern recognition the patient would have been quite stable or at the worst diagnosed and euthanised at an earlier state of disease.
I can list many more cases similar to this if you would like.
I missed this because I am working on becoming a doctor and am therefore incapable of scientific deduction.
My issue isn't specifically with Medical Doctors, it is with both professions. You will do the most Science in your career while in University (if you choose the clinical route). As soon as you graduate and start working you may well see many clinicians who have picked up bad habits in either of the two professions, (I'm not sure if this reaches out beyond medicine or not).
They may be able to do consults way faster than you but they are also not doing full work ups. When I graduated, I thought I was going to be scrutinised for lack of knowledge. However the main complaints I got were for taking too much time.
When you graduate you will have the broadest and most up to date understanding of your subject. Hopefully you won't end up in a hospital or clinic which pushes you along the lines of trying to get as many consults done in the shortest period of time, taking whatever shortcuts you need to make the most income for the practice.
If only I was to be a scientist. Alas, I am but a glorified plumber. Such is life.
My disagreement with the medical field originated from my experience with Medical General Practioners.
The specialists that I speak to or am friends with are smart enough to understand that I do have a valid point as they too have encountered it at some point or another.
I don't understand the fragmentation of medicine and surgery in human medicine.
Case Example - I drove myself and 3 friends to an emergency hospital in Sydney after we had been attacked at a train station, (one had been stabbed in the back, the rest of us were just beaten up a bit).
I didn't understand why all of us couldn't get mild anti-inflammatories for all the bruising likewise for the friend that was stabbed. The emergency doctors present at the time were not willing to give any relief in this manner. (If I personally have a patient that has come in with deep wounds and inflammation I give them anti-inflammatories, unless contraindicated).
The nurses prepared my friend's stab wound for surgery but the doctors on staff that evening refused to stitch it up, saying they would call the surgeon on call for the surgery. We literally waited 12 hours for the surgeon on call to show up in a polo shirt, thongs and shorts to come in and stitch up the most simple wound (with no local anaesthetic for some reason). I was so tempted during those 12 hours to do it myself but I would be risking my own job and the room had 2 openings - one that was in direct sight of the nurses and doctors.
I don't get why medical doctors can't take bloods? I don't all doctors know how to do basic surgery? Why can't all medical doctors do radiography and basic ultrasonography?
Yet you have many GPs with terrible pattern recognition habits doing an absolutely terrible job. I'm left wondering how they got to that position other than laziness.
Just so you know, the only things stopping me reading your posts in their entirety is your lack of punctuation. I find this HIGHLY ironic considering you started this flame war by attacking the grammar and spelling of someone else.
I am linked to the profession I have friends who are Medical doctors who were Veterinarians and vice-versa.
If I have to read you first sentence three times to make sure I understand your meaning, I'm not going to struggle through the next dozen or so paragraphs (and I'm not sure how many paragraphs because you don't put double spaces between them, as is the standard with screen type, nor do you use indentation).
Maybe you have difficulty reading but I described that I was under no illusion of dick size however if you keep on putting your hand down stranger's pants and grabbing at genitalia you're going to get some sort of response.
I don't have difficulty reading in general but generally or at least on this forum people use commas to separate clauses in sentences. I mean "I don't have difficulty reading in general, but generally, or at least on this forum, people use commas to separate clauses in sentences."
Comments
If only I was to be a scientist. Alas, I am but a glorified plumber. Such is life.
Maybe you have difficulty reading but I described that I was under no illusion of dick size. However if you keep on putting your hand down strangers' pants and grabbing at genitalia, you're going to get some sort of response. Pro tip hopefully you don't do this in real life.
Case example (because that's how I role) -
My mother started developing arthritis. She was immediately placed on systemic corticosteroids. The dosage she was prescribed was enough for a person that was 20kg heavier than what she weighed. In addition to this, the drug choice resulted in the most obvious side effects - polyuria, polydypsia, polyphagia, reallocation of fat away from muscular extremeties (centralising fat to the abdominal area).
I told her to demand Meloxicam instead (a non-steroidal anti-inflammatory), the GP questioned her. Apparently one of his main arguments was to question why she wasn't worried about the corticosteroids used in the cream she applied for a skin condition. This guy is an utter retard for not understanding the basic side effects of corticosteroids and the extremely basic difference between topical treatment versus systemic treatment. The Meloxicam that he ended up giving her after she insisted worked just as well and the side effects of the corticosteroids stopped after approximately a week.
The same doctor could not cure a simple cold that she had, he prescribed amoxycillin which is fine as a broad spectrum drug to begin with. However when there was no resolution or relief provided by the drug, he just continued to give her the same drug. My mother finally changed doctors and was put on a Fluroquinolone which covered the bacterial population that the initial Amoxycillin did not and she was fine within 5 days. Yes within reason however -
Case example
At my my previous place of work I had a Veterinarian treat a dog with mild arthritis, that was getting lethargic with non-steroidal anti-inflammatories. 9 times out of 10 this would be a correct assumption (that Vet was using pattern recognition). I saw the case after a month of treatments when I had swapped days at short notice with my colleague. During my auscultation there was a 6/6 mitral valve heart murmur, respiratory sounds were being obliterated by irregular heart sounds and the lungs were full of fluid from backwards flow positive pressure. That patient ended up having to be euthanised because the owners could not afford emergency treatment and recovery. If the first checkup wasn't some bullshit pattern recognition the patient would have been quite stable or at the worst diagnosed and euthanised at an earlier state of disease.
I can list many more cases similar to this if you would like. My issue isn't specifically with Medical Doctors, it is with both professions. You will do the most Science in your career while in University (if you choose the clinical route). As soon as you graduate and start working you may well see many clinicians who have picked up bad habits in either of the two professions, (I'm not sure if this reaches out beyond medicine or not).
They may be able to do consults way faster than you but they are also not doing full work ups.
When I graduated, I thought I was going to be scrutinised for lack of knowledge. However the main complaints I got were for taking too much time.
When you graduate you will have the broadest and most up to date understanding of your subject. Hopefully you won't end up in a hospital or clinic which pushes you along the lines of trying to get as many consults done in the shortest period of time, taking whatever shortcuts you need to make the most income for the practice. My disagreement with the medical field originated from my experience with Medical General Practioners.
The specialists that I speak to or am friends with are smart enough to understand that I do have a valid point as they too have encountered it at some point or another.
I don't understand the fragmentation of medicine and surgery in human medicine.
Case Example -
I drove myself and 3 friends to an emergency hospital in Sydney after we had been attacked at a train station, (one had been stabbed in the back, the rest of us were just beaten up a bit).
I didn't understand why all of us couldn't get mild anti-inflammatories for all the bruising likewise for the friend that was stabbed. The emergency doctors present at the time were not willing to give any relief in this manner. (If I personally have a patient that has come in with deep wounds and inflammation I give them anti-inflammatories, unless contraindicated).
The nurses prepared my friend's stab wound for surgery but the doctors on staff that evening refused to stitch it up, saying they would call the surgeon on call for the surgery. We literally waited 12 hours for the surgeon on call to show up in a polo shirt, thongs and shorts to come in and stitch up the most simple wound (with no local anaesthetic for some reason). I was so tempted during those 12 hours to do it myself but I would be risking my own job and the room had 2 openings - one that was in direct sight of the nurses and doctors.
I don't get why medical doctors can't take bloods?
I don't all doctors know how to do basic surgery?
Why can't all medical doctors do radiography and basic ultrasonography?
Yet you have many GPs with terrible pattern recognition habits doing an absolutely terrible job. I'm left wondering how they got to that position other than laziness.