@justalexoki This isnโt quite that. Feel like the joke is that heโs hard to recognise because the beginning of his reels are so generic, and even if youโve seen him do this bit 5 times, he tends to get you again before you can recognise him.
@awgaffney@Etanarachel Strongly agree. Medicine enthusiasts love speculating about mechanisms and theory. Doctors know that this is mostly irrelevant next to what the trials show
Doc gave me a vitamin D injection cos I had 'dangerously low Vitamin D levels' in my blood and I feel like I could fight godzilla you mother fuckers have had this much energy this whole time????
Main take away from becoming a doctor is that as disappointing as evidence-based medicine is, itโs still 100x better than personal anectode-based medicine.
People love โI did X and then Yโ but itโs more often noise than useful information.
500mcg 1-2x daily, 45 days
> fixed my gut. no more brain fog, smoother mood
> fixed half-decade long shoulder injury
> didnโt even need to inject
> available literally everywhere
body protection compound.
@HughGriffin2 These guys are cookers and probably doing tax evasion but theyโre not admitting to tax evasion here, just to avoiding transaction fees.
@NobleRingleader@angryhacademic It sounds like absolute torture. Iโve heard personal stories both ways. From people who say that being encouraged to push through/perservere/ignore made everything, worse, and also the opposite (e.g. any of the 1000 gushing reviews of John Sarnoโs book on Amazon)
@maximumwelfare I used to think that poverty could be solved by giving money to everyone whoโs poor and then I started working in the hospital with battlers every day and learned that JobSeeker gives diminishing returns on having a shit childhood and intergenerational trauma.
The biggest shift in my understanding about this issue was that health insurance companies have slim profit margins, approx 5%. Even if government ran it just as efficiently (big โifโ), theyโd have to be almost exactly as stingy. This is the case in Aus.
@SalvMattera Shattering and valuable story. Thanks for sharing. Resonates with me as a doctor that struggles with medicineโs inability to help many people. Agree that false hope is often better than nothing when nothing the only other option on the menu
@justalexoki This meta-analysis suggests strong effects of CBT, which implies some gut-brain axis component, but also the quality of RCTs is rated as poor: https://t.co/1SEEDD4bik
@daveclarkemd Neuroplastic/psychosomatic chronic pain is a diagnosis of exclusion is it not? When you say 88% of cases were neuroplastic do you really mean that in 88% of cases we couldnโt figure out what was going on?
@ImmunoFever Eye tracking is interesting but is it just n=1? Is it seen consistently in others and if so why canโt it be used as a diagnostic marker?
@danaparish If spirochetes can really be found in 8/10 patients with MS, it should be really easy to confirm this by PCR looking for spirochetes DNA. Whatโs your explanation for why no-oneโs done this in the 20 years since?