Right

[Right @RealRavalicious]

@LudwigAhgren @imTOXENA @michaelreeves YOU PRONOUNCING IT “JOO” DIEN EVERY TIME KILLED ME. SAY “JIO” BRO

[Right @RealRavalicious]

@SKolls @rbmichae80 @jabberwock951 Even IF I was the universe’s #1 rocket engineer. NASA should STILL double check my work. Especially if it was as easy as talking to me. Because the best in the universe is still a human, still has bad days, and the temp at the launch site might affect the engine differently.

[Right @RealRavalicious]

@SKolls @rbmichae80 @jabberwock951 I have no reason to mistrust them. Yet I have a responsibility to verify certain things. The bear minimum of which is to talk to my patient and ask them questions. Genuinely, I am trying to give you benefit of doubt in explaining this. It’s getting difficult to continue that.

[Right @RealRavalicious]

@SKolls @rbmichae80 @jabberwock951 Who said I was going to re-order the genetic testing? We are literally talking about one doctor asking you questions about your symptoms or your prior diagnostic work-up from another doctor. That is often sufficient. Apparently that is unacceptable for those in the thread above.

[Right @RealRavalicious]

@SKolls @rbmichae80 @jabberwock951 It also depends on whether you’re seeing the new doctor for a second opinion or for an entirely different problem altogether. Which brings me back to my very controversial thesis statement: “It’s OK for your doctor to ask you questions about your symptoms”. Blasphemous I know

[Right @RealRavalicious]

@SKolls @rbmichae80 @jabberwock951 Trust but verify. We have to question our own diagnoses. We have to question other doctor’s diagnoses. That is the service you are paying for, among other things like a good bedside manner and respectful communication. Misdiagnoses and medical errors keep us up at night.

[Right @RealRavalicious]

@adamrocketblack

[Right @RealRavalicious]

@adamrocketblack https://t.co/AxNFL1hGGL

[Right @RealRavalicious]

@adamrocketblack I would say “seek help”, but you probably wouldn’t listen to any medical advice even if you did seek it

[Right @RealRavalicious]

@adamrocketblack @rbmichae80 @jabberwock951 Congratulations. I wish you health and wellness along your journey

[Right @RealRavalicious]

@adamrocketblack @rbmichae80 @jabberwock951 Imagine going to a restaurant, and when asked what you’d like to order, you say you already know how to make a chicken sandwich, that you don’t need the chef to make anything. You tell the server to stop wasting your time with the menu, bring the microwave to your table right now

[Right @RealRavalicious]

@id_vortex @rbmichae80 @jabberwock951 Yes chronic illness is difficult & bad healthcare experiences scar people. I agree we have to ask questions respectfully, some doctors lack the human touch. My point is, in order to help you, we always have to “trust but verify”. This may involve some redundant Q’s about symptoms

[Right @RealRavalicious]

@id_vortex @rbmichae80 @jabberwock951 I would be happy to answer all of these questions for any of my patients. This is not the point of the convo above. We have a responsibility to avoid something called anchoring bias and begin with a broad differential diagnosis. Which is why we START with asking about symptoms.

[Right @RealRavalicious]

@id_vortex @rbmichae80 @jabberwock951 Of course the majority of patients do understand this. Which is why they allow us to also ask follow-up questions about their symptoms. As opposed to the poster, who expressed frustration that doctors don’t say “case closed!” If someone walks in with a self-diagnosis from GPT

[Right @RealRavalicious]

@rbmichae80 @adamrocketblack @jabberwock951 In my view, from inside the system, the broader trend in the profession itself is toward shared decision making, especially among younger doctors. Compared to the paternalistic medicine which was the prior norm. Outside forces obviously play a large role: AI and corporate greed

[Right @RealRavalicious]

@danceswitbears @shycollie @notaproviderMD It’s also a crime to practice medicine without a medical license! But it appears most of the people on this app today feel ready to be doctors without spending the requisite 12+ years it takes to earn the license. I will start posting the link to the MCAT exam for ease of access

[Right @RealRavalicious]

@legittreehugger @hopppernickle A good doctor should always be wary of anchoring bias

[Right @RealRavalicious]

@rbmichae80 @adamrocketblack @jabberwock951 Shop around for a doctor that doesn’t make you feel that way. I believe in shared decision-making, and I’m interested in what worries my patients. However, I also have a responsibility to take a thorough history so I don’t miss something life threatening