People are being hostile to doctors, but they're only the face of (and products of) a system.
The other issue is doctors being prosecuted for "medical malpractice". So basically the doctor can't experiment on you off the beaten path, or even tell you what experiments need to be done, but has to stick with "standard medical advice". And can't try to save your money. Nope prescribe all kinds of tests just to cover their backside.
Example: From personal experience, ideally you need to "titrate" to figure out the minimum dose that'd work for the particular individual, to minimize the side effects. And if the patient reduces lifestyle factors causing it, the minimum dose may change as well. Nope. They just write out the standard dosage, and just tell the patients to accept the side effects. No guidance on experimentation with the dose.
And who controls the standard? The ones with the money to fund the research.
I think most doctors start out in medical school thinking they'll be able to do some good in the world. But by the time they come out, they're put in a legal straightjacket by the law, a salesman straightjacket by the hospital they work for, a financial straightjacket by the bank they owe money to, a temporal straightjacket by the industry culture that allows no time for doing research etc. And the disdain they pick up on in medical school (cultural influence) on what is or isn't "proper medicine" (eg: things that might not have the funding to be "peer-reviewed research")...
You're not wrong. But practice still means practice. And cookbooks go wrong without a chef... Ingredients, environments, idiosyncrasies, all vary; particulars outside of stats must be handled.
The best advice I give to people when dealing with doctors is this: get a doctor that will point blank ask “how do you want me to treat you?” It puts the onus on you, as a customer and rational and autonomous human being to do your own research and determine what’s best for your own health.
Substatially agree; some of us are scientists and critical analysts, but FAR too many are not.
People are being hostile to doctors, but they're only the face of (and products of) a system.
The other issue is doctors being prosecuted for "medical malpractice". So basically the doctor can't experiment on you off the beaten path, or even tell you what experiments need to be done, but has to stick with "standard medical advice". And can't try to save your money. Nope prescribe all kinds of tests just to cover their backside.
Example: From personal experience, ideally you need to "titrate" to figure out the minimum dose that'd work for the particular individual, to minimize the side effects. And if the patient reduces lifestyle factors causing it, the minimum dose may change as well. Nope. They just write out the standard dosage, and just tell the patients to accept the side effects. No guidance on experimentation with the dose.
And who controls the standard? The ones with the money to fund the research.
I think most doctors start out in medical school thinking they'll be able to do some good in the world. But by the time they come out, they're put in a legal straightjacket by the law, a salesman straightjacket by the hospital they work for, a financial straightjacket by the bank they owe money to, a temporal straightjacket by the industry culture that allows no time for doing research etc. And the disdain they pick up on in medical school (cultural influence) on what is or isn't "proper medicine" (eg: things that might not have the funding to be "peer-reviewed research")...
You're not wrong. But practice still means practice. And cookbooks go wrong without a chef... Ingredients, environments, idiosyncrasies, all vary; particulars outside of stats must be handled.
The best advice I give to people when dealing with doctors is this: get a doctor that will point blank ask “how do you want me to treat you?” It puts the onus on you, as a customer and rational and autonomous human being to do your own research and determine what’s best for your own health.
I work as a consultant to the pt's health. I also fire patients on occassion.
yeah i'd probably be a shitty dr.
"Hey I have a problem." "here's how to fix it. stop doing what you were doing that caused it and do X"
2 weeks later
"I still have that problem" "did you stop doing X?" "No its just to hard" "..... get the fuck out of my office."