B

[B @benbr100]

@Takesfordays If you’re talking about competitive sports sure. The average skinny bloke can put on enough muscle to look aesthetic though, in fact they can do it more easily than fat blokes. Though aesthetic is something like Ronaldo. They can’t build a rugby players physique yeah.

[B @benbr100]

@OpenNoteGrapple Nah, you will end up building a bloat physique if you powerbuildmaxxx in the gym. Body building is often conflated with weight lifting, see eg basement bodybuilding on this.

[B @benbr100]

@akarlin It isn’t even that actually. It’s that doctors have to deal with the general public and all that it entails. Tech dudes live in an autistic echo chamber and have no grasp of human nature.

[B @benbr100]

@bitcloud RGP training these days has more emphasis on communication and soft skills. It turned out that patients didn’t like GPs who were focused more on rigorous clinical reasoning etc. You tech people think your weird autistic brain scales to the population at large. No self awareness.

[B @benbr100]

@jetpen @alexandrosM I’m glad things worked out well for you Ben, but doctors see a lot of patients with failed back surgery syndrome (FBSS) too. Interestingly, when you MRI asymptomatic people lots have herniated discs hence why we now challenge the causality between herniated discs and pain.

[B @benbr100]

@iron_redux Computer science people also aren’t nearly as smart as they think they are, and show serious Dunning Kruger. Lots of maths/physics people have contributed profound things to biology, they are able to engage with biologists. These people don’t understand medicine.

[B @benbr100]

@jetpen @alexandrosM This is a common occurrence in the US. In the UK where surgeons decide who has surgery and there’s no monetary incentive in it, we perform much less surgery for back pain because surgery doesn’t work.

[B @benbr100]

@jetpen @alexandrosM Radiologists only comment on the imaging. You do an MRI spine for your back pain. The report says you have a herniated lumbar disc, that’s all. It turns out there is no causal connection between that and your back pain but you end referred to a surgeon. Surgery doesn’t work.

[B @benbr100]

@jetpen @alexandrosM If we could enact laws protecting doctors legally from patients who of their own free will want to hand their health to chatbots, I have no problem with any of this. Do what you want, just don’t expect us to take legal responsibility for the inevitable bad consequences.

[B @benbr100]

@jetpen @alexandrosM Sure but that isn’t what happens. For some reason, I get lots of patients coming to me asking for advice after their private MRIs. I never requested it and I’m obviously inferior to ChatGPT but people still come to me expecting me to take legal responsibility for interpretation.

[B @benbr100]

@AmandaAskell There’s a reason why most medics on twitter are against this, it’s from experience. You can’t ignore it. Doctors hate defensive medicine but modern medico-legal reality is necessitates it. We over investigate and over treat, that’s the standard medical culture as a result.

[B @benbr100]

@distributionat I’m a physicist turned MD. It’s more so that engineers are autistic and have a poor understanding of human nature. We have to be cautious because risky decision making will get you sued and your license revoked. If the scan passes randomized trials etc doctors will adopt.

[B @benbr100]

@irl_danB I’m a physics dude turned MD and can tell you that the problem is the techbros don’t understand how people work. We tried this with the PSA test for prostate cancer, and it leads to masses of men who end up living with the complications of invasive testing with no cancer.

[B @benbr100]

@KeithWoodsYT Socialism doesn’t work. Even without the immigrants the country is in a death spiral of redistribution from young and productive to the welfare dependent and pensioners.

[B @benbr100]

@anaesthetic_spr Medicine is a cognitive job, the single best predictor of job performance in the long run is always cognitive ability. If the physio is smarter they’ll do a better job in the long run but neither profession selects for top decile ability like medicine does.

[B @benbr100]

@ejwwest @tomhfh @D__Melb Yeah, I don't think the zoomers care gramps. They do care about their living standards being on a downward ratchet so that global emissions can be reduced by less than 1%.

[B @benbr100]

@StatisticUrban Macroeconomics has about as much predictive power as any other social science i.e. negligible. There are useful concepts from microeconomics e.g. the trade-off but these aren't specific to economics. The basic assumption that huemans are rational is false.

[B @benbr100]

@TD_EW91 @shycollie This is not even to get into the fact that more women physicians means less full time work. I don't know about the US but this is a fact in the UK. Over their careers, women work significantly less hours than men and so we have not even considered that part of the economics.

[B @benbr100]

@TD_EW91 @shycollie You have no evidence for the contrary. These studies you cite measure outcomes and do not offer any economic analysis - which you basically asserted without any evidence.

[B @benbr100]

@TD_EW91 @shycollie Whether male or female medical decision making style is 'better' is a value judgement. You may prefer increased resource expenditure for marginally better healthcare outcomes. I personally don't and prefer more accessible healthcare at the cost of marginally worse outcomes.