View Full Version : Don’t go anywhere near a DOCTOR in our SCAM system
This Dr nailed it!
https://youtu.be/8lhtioo2rpc
davidjinks
06-30-23, 18:44
Did you mean to put this in GD?
Did you mean to put this in GD?
No....
ChattanoogaPhil
07-02-23, 07:30
If some folks wish to believe the benefits of early detection of cancer is a scam or wish to wait until their teeth are rotting out of their head to visit a dentist or or or.... I have little interest in convincing them otherwise. Sure... tell your wife to skip the mammogram and wait until she "absolutely needs" medical attention. Indeed, "Stay AWAY from doctors" as Dr YouTube recommends. Cheers.
If some folks wish to believe the benefits of early detection of cancer is a scam or wish to wait until their teeth are rotting out of their head to visit a dentist or or or.... I have little interest in convincing them otherwise. Sure... tell your wife to skip the mammogram and wait until she "absolutely needs" medical attention. Indeed, "Stay AWAY from doctors" as Dr YouTube recommends. Cheers.
The underlying anti-intellectualism of both the left and the right these days does not bode well for the future. Anti-elitism I get, humility is a virtue after all, but everyone seems to be throwing the baby out with the bathwater these days.
It’s a big conspiracy. They’re all in it to kill us. My doctor is anti forced masking and anti forced vax but it all must be a ruse to put nano bots in my bloodstream anyway with his “medicine”. [emoji23]
If some folks wish to believe the benefits of early detection of cancer is a scam or wish to wait until their teeth are rotting out of their head to visit a dentist or or or.... I have little interest in convincing them otherwise. Sure... tell your wife to skip the mammogram and wait until she "absolutely needs" medical attention. Indeed, "Stay AWAY from doctors" as Dr YouTube recommends. Cheers.
I make all of my important life decisions based upon YouTube videos. After all everyone is fully vetted, accredited and independently verified as an expert in their field. I'd say more but I have to go make a video about how Sphinx statues are proof that such creatures once existed and they were the secret pyramid builders in the ancient world until the UFOs showed up and killed them off.
ThirdWatcher
07-03-23, 06:55
I make all of my important life decisions based upon YouTube videos. After all everyone is fully vetted, accredited and independently verified as an expert in their field...
Same here, more convenient than getting my medical advice off of Coast-to-Coast radio like I did when Iwas still on the job.
This Dr nailed it!
https://youtu.be/8lhtioo2rpc
I have followed some of Dr Dehands stuff for a while. He makes some valid points, but the problem is, his points will be taken out of context and the points will be filtered through confirmation bias, that is, people will hear what they want hear from it. He, like many docs, is very disillusioned with modern med, and I can't blame him for that. Many docs not in specialties are leaving med BTW, and it's becoming more and more difficult to find a GP, which he also alludes to.
I think for the general public, vid will do more harm than good. Those who really apply some critical thinking to what he's saying, perhaps willing to do some digging, perhaps have some sci/med background and such, will see it in context and get something from it.
While I "get" where he's coming from, was more venting than really useful. One things that's 100% true, they suck at prevention, very good at ER, and others. There's no $ in prevention, and that's mostly on us to figure out. That does not mean not getting labs (cholesterol, CRP, A1c, etc) and such.
If some folks wish to believe the benefits of early detection of cancer is a scam or wish to wait until their teeth are rotting out of their head to visit a dentist or or or.... I have little interest in convincing them otherwise. Sure... tell your wife to skip the mammogram and wait until she "absolutely needs" medical attention. Indeed, "Stay AWAY from doctors" as Dr YouTube recommends. Cheers.
That's where people need to do their homework. For example, largest study done in most prestigious of journals found those colonoscopy they recommend had no impact on all cause mortality. Should we still get them? Some docs still recommend them, some don't. It has opened a debate among the sci/med community. I would recommend seeing what latest evidence is for various cancer screenings, triangulate via various sources, make decisions based on that.
The underlying anti-intellectualism of both the left and the right these days does not bode well for the future. Anti-elitism I get, humility is a virtue after all, but everyone seems to be throwing the baby out with the bathwater these days.
It's become part of the culture wars. Considering the total cluster F that was the last few years, and how major three letter gov orgs destroyed their credibility by taking political sides in the culture wars, it's not difficult to understand the reasons some have lost all faith. But, being anti science/anti-intellectualism is throwing baby out with the bath water and is a very bad idea all around. It's also exactly what they want: keep people polarized and ignorant. So far, they're succeeding sadly.
I make all of my important life decisions based upon YouTube videos. After all everyone is fully vetted, accredited and independently verified as an expert in their field. I'd say more but I have to go make a video about how Sphinx statues are proof that such creatures once existed and they were the secret pyramid builders in the ancient world until the UFOs showed up and killed them off.
Their are some solid vetted experts in their field making vids, Dr Dehand aint one of them. He's not a quack or an idiot, and does have some decent info to share, but has become rather bitter and disillusioned in the last few years, and it's hard to blame him!
Many docs not in specialties are leaving med BTW, and it's becoming more and more difficult to find a GP, which he also alludes to.
We moved to a pretty rural area a couple years ago, and have run into this problem big-time. Most of the GPs that practiced here have either quit or retired and those that are left are overworked and burned out to the point that they really just DGAF anymore. Getting a basic appointment takes weeks, and then expect to have to personally follow up at least half a dozen times to actually get your Rx or testing or lab results or whatever, and then a few more times to fix billing errors.
Specialists are bad here too...We waited 8 months to get in with an endo. Had to drive 2 hours to the city and ended up seeing some 90 year old NP lady who knew nothing about modern T1 treatment methods. Then, after 10 days of follow-ups, she still failed to actually write the Rxs we needed and ran my wife out of insulin. Because it took so long to get the appointment in the first place, we had depleted our back stock of supplies. After all that, to have that old bat just casually disregard her obligation was SUPER frustrating. Then to top it all off, we got a $600 bill. I'm sure she probably saw a hundred people that day, though, but still...
So yeah, some docs suck and the system is broken. Can't really just give up on going, though, even though some days I kinda want to.
We moved to a pretty rural area a couple years ago, and have run into this problem big-time. Most of the GPs that practiced here have either quit or retired and those that are left are overworked and burned out to the point that they really just DGAF anymore. Getting a basic appointment takes weeks, and then expect to have to personally follow up at least half a dozen times to actually get your Rx or testing or lab results or whatever, and then a few more times to fix billing errors.
Specialists are bad here too...We waited 8 months to get in with an endo. Had to drive 2 hours to the city and ended up seeing some 90 year old NP lady who knew nothing about modern T1 treatment methods. Then, after 10 days of follow-ups, she still failed to actually write the Rxs we needed and ran my wife out of insulin. Because it took so long to get the appointment in the first place, we had depleted our back stock of supplies. After all that, to have that old bat just casually disregard her obligation was SUPER frustrating. Then to top it all off, we got a $600 bill. I'm sure she probably saw a hundred people that day, though, but still...
So yeah, some docs suck and the system is broken. Can't really just give up on going, though, even though some days I kinda want to.
All the problems are amplified by being in rural areas for sure. The med system is in bad shape overall. I went through 3 GPs in under 2 years who worked at the Cleveland Clinic, so not a small unknown place by any means. None of them were close to retirement age, they just got burnt out and up and quit. Now I have a NP who is ok, well meaning, just refers to specialists if it's anything beyond the most basic stuff, I can do myself, like check BP, etc.
I have a network of docs I can ping things off of as friends/colleagues which helps a lot, not many people have such a network though.
I am very fortunate that I work where I work, I can get one of the top cardiologists, neurologists, neurosurgeons, oncologists, whatever, on email or on the phone inside a few minutes.
Of course, as a patient in the system, I am often a victim of the system as much as anyone else in being an employee does not often guarantee quicker results.
Absolutely rural medicine is awful in regard to quality and time to service. States and the feds have pushed a lot of money to try to rectify that, and it often does not. Ironically I've spent the past few days in eastern part of our state which is extremely rural, you might not have a doctor inside a hundred miles. I know a guy who got a grant funded job as a nurse practitioner near the coast in a rural area, he sees his patients and even does house calls and then he fishes and hunts. If you work in rural medicine you know you're not going to get rich doing it. My friend has even bartered services for goods (eggs, meat, etc).
Averageman
07-03-23, 15:34
I am very fortunate that I work where I work, I can get one of the top cardiologists, neurologists, neurosurgeons, oncologists, whatever, on email or on the phone inside a few minutes.
Of course, as a patient in the system, I am often a victim of the system as much as anyone else in being an employee does not often guarantee quicker results.
Absolutely rural medicine is awful in regard to quality and time to service. States and the feds have pushed a lot of money to try to rectify that, and it often does not. Ironically I've spent the past few days in eastern part of our state which is extremely rural, you might not have a doctor inside a hundred miles. I know a guy who got a grant funded job as a nurse practitioner near the coast in a rural area, he sees his patients and even does house calls and then he fishes and hunts. If you work in rural medicine you know you're not going to get rich doing it. My friend has even bartered services for goods (eggs, meat, etc).
My Dad was the only Doctor within 150 miles in Arizona in the 70's.
Goats, Chicken, eggs, meat processing, vehicles, all kinds of crazy stuff. I asked my Dad, who obviously didn't want or need most of this stuff why, he said letting people pay any way they could was allowing them to keep their honor with you. Honestly it became a revolving door after a while patients were being given a dozen eggs or five pounds of cheese after a visit .
The Seven of us couldn't even keep up with the volume of stuff.
My Step Dad had been a Corpsman at the Yalu river when the Chinese got frisky, he already had two years of Med School under his belt and this is how he chose to serve. Cool old guy.
So when you bad mouth Doctors I always think about my old Man.
My Dad was the only Doctor within 150 miles in Arizona in the 70's.
Goats, Chicken, eggs, meat processing, vehicles, all kinds of crazy stuff. I asked my Dad, who obviously didn't want or need most of this stuff why, he said letting people pay any way they could was allowing them to keep their honor with you. Honestly it became a revolving door after a while patients were being given a dozen eggs or five pounds of cheese after a visit .
The Seven of us couldn't even keep up with the volume of stuff.
My Step Dad had been a Corpsman at the Yalu river when the Chinese got frisky, he already had two years of Med School under his belt and this is how he chose to serve. Cool old guy.
So when you bad mouth Doctors I always think about my old Man.
Over 30 years I've worked with some incredibly awesome docs, and I've worked for some who were in line to lose their license. It's a bell curve.
I got into med school (UNC-CH), but chose nursing school. Had I gone to med school I would have likely done family medicine. Me, I'd love to be a provider in rural NC. They know they're not getting paid what their colleagues are making, but doing it for a good reason.
So when you bad mouth Doctors I always think about my old Man.
Shocking that a group as diverse as "doctors" would run the spectrum from the very professional to the very questionable. Anytime anyone engages in absolutes, they are usually telling me how completely retarded they really are.
Shocking that a group as diverse as "doctors" would run the spectrum from the very professional to the very questionable. Anytime anyone engages in absolutes, they are usually telling me how completely retarded they really are.
Docs follow the 10% rule in my experience, which applies to every profession I have ever been exposed to, from house painter to docs to attorneys: 10% are good to great at what they do, 20-30% are average, the rest suck at it.
Docs follow the 10% rule in my experience, which applies to every profession I have ever been exposed to, from house painter to docs to attorneys: 10% are good to great at what they do, 20-30% are average, the rest suck at it.
Oh, yes, the bell curve...
We moved to a pretty rural area a couple years ago, and have run into this problem big-time. Most of the GPs that practiced here have either quit or retired and those that are left are overworked and burned out to the point that they really just DGAF anymore. Getting a basic appointment takes weeks, and then expect to have to personally follow up at least half a dozen times to actually get your Rx or testing or lab results or whatever, and then a few more times to fix billing errors.
Specialists are bad here too...We waited 8 months to get in with an endo. Had to drive 2 hours to the city and ended up seeing some 90 year old NP lady who knew nothing about modern T1 treatment methods. Then, after 10 days of follow-ups, she still failed to actually write the Rxs we needed and ran my wife out of insulin. Because it took so long to get the appointment in the first place, we had depleted our back stock of supplies. After all that, to have that old bat just casually disregard her obligation was SUPER frustrating. Then to top it all off, we got a $600 bill. I'm sure she probably saw a hundred people that day, though, but still...
So yeah, some docs suck and the system is broken. Can't really just give up on going, though, even though some days I kinda want to.FYI: Walmart pharmacy sells old (not expired, just old technology insulin over the counter, no prescription required. Its better than nothing if you run out. I think its humulin R and N. Most likely 90's technology but again better than nothing).
I've been T1 for 46 years and stay in an urban area to avoid what you are describing.
FYI: Walmart pharmacy sells old (not expired, just old technology insulin over the counter, no prescription required. Its better than nothing if you run out. I think its humulin R and N. Most likely 90's technology but again better than nothing).
I've been T1 for 46 years and stay in an urban area to avoid what you are describing.
Wow...Good to know! We got it sorted out now, but we could definitely rock some R for a day or two if that crap happened again. I might just go ahead and buy a vial to stick in the fridge just in case.
Thanks brother!
Wow...Good to know! We got it sorted out now, but we could definitely rock some R for a day or two if that crap happened again. I might just go ahead and buy a vial to stick in the fridge just in case.
Thanks brother!You're welcome.
I've had to do it before and it didn't hurt my A1C, just realize the dosages will be a little different than the current insulin's.
It's going to take 9 months for me to get a colonoscopy. I remember when you could schedule them less than 30 days out. I'm not sure what happened.
I've got a good doc. He's actually a P.A. but he takes his shit serious and has been instrumental in diagnosing a couple health issues I've had and making my life far better.
Docs follow the 10% rule in my experience, which applies to every profession I have ever been exposed to, from house painter to docs to attorneys: 10% are good to great at what they do, 20-30% are average, the rest suck at it.
Most docs I know happen to be military and typically are exceptional. I also think it very much matters what kind of doctor we are talking about. Surgeons will typically be more competent than GPs and so on. I also think it is very, very zip code related. I'm sure there are places where every person in the building is borderline incompetent and there are other places where every person in the building is on top of everything.
ChattanoogaPhil
07-04-23, 07:03
That's where people need to do their homework. For example, largest study done in most prestigious of journals found those colonoscopy they recommend had no impact on all cause mortality. Should we still get them? Some docs still recommend them, some don't. It has opened a debate among the sci/med community. I would recommend seeing what latest evidence is for various cancer screenings, triangulate via various sources, make decisions based on that.
In my experience, everything flows from the primary care physician so that's where I focused my 'homework' over 30 years ago in selecting the right one. He's the guy who guides my preventative care, diagnose and treats minor ailments and refers me to specialists for more complex issues and treatment. It's crucial to have a solid PCP. While I of course have the final say, I'm not the doctor in the room and don't try to outthink my primary care physician with YouTube doctors and Googling up my own diagnosis. If I felt that was necessary then I've made a poor choice in selecting a PCP.
The experience folks have with healthcare is like many other things, two different worlds. Some feel like they are victims of a lousy healthcare system, while others enjoy an outstanding healthcare system. Life is full of choices, particularly in America, choose wisely.
Most docs I know happen to be military and typically are exceptional. I also think it very much matters what kind of doctor we are talking about. Surgeons will typically be more competent than GPs and so on. I also think it is very, very zip code related. I'm sure there are places where every person in the building is borderline incompetent and there are other places where every person in the building is on top of everything.
Military doctors are in a different world. Some are exceptional, some are criminals who couldn't hack it in civilian practice. The exceptional ones know it's a calling because they make peanuts compared to their civilian counterparts.
I think it's a mistake to conflate specialty with competence. A GP will work circles around a surgeon in a primary care clinic, an ENT will outshine a neurosurgeon in matters of facial surgery, a cardiovascular surgeon doesn't know how to diagnose a rash so they defer to a dermatologist.
Location does matter for sure. A hospital that is a stroke center, a trauma center, etc, will have better outcomes with those populations than a 50-bed community hospital staffed by all internal med and family med folks.
ChattanoogaPhil
07-04-23, 13:09
Same here, more convenient than getting my medical advice off of Coast-to-Coast radio like I did when Iwas still on the job.
For really important advice I press the audio record button then leave my home empty for a few hours. Upon returning home, I play back recordings of EVP from 'the other side'. Absent a recording device, I've had good results consulting with my Magic 8 Ball.
Military doctors are in a different world. Some are exceptional, some are criminals who couldn't hack it in civilian practice. The exceptional ones know it's a calling because they make peanuts compared to their civilian counterparts.
I think it's a mistake to conflate specialty with competence. A GP will work circles around a surgeon in a primary care clinic, an ENT will outshine a neurosurgeon in matters of facial surgery, a cardiovascular surgeon doesn't know how to diagnose a rash so they defer to a dermatologist.
Location does matter for sure. A hospital that is a stroke center, a trauma center, etc, will have better outcomes with those populations than a 50-bed community hospital staffed by all internal med and family med folks.
I was just making a point that people who do high risk medicine such as brain and heart surgeons typically have more competence than a GP. I wasn't trying to disparage GPs.
I was just making a point that people who do high risk medicine such as brain and heart surgeons typically have more competence than a GP. I wasn't trying to disparage GPs.
My point was, that's not true. It seems that way because of what we ascribe as value to high-risk professions. They practice in a silo in their respective specialty.
Heavyweight
07-05-23, 10:16
My point was, that's not true. It seems that way because of what we ascribe as value to high-risk professions. They practice in a silo in their respective specialty.Chuckman nailed it. It's a big mistake to assume one physician is smarter or better based on the time they spend in residency. Some of the absolute smartest and best physicians I know are in primary care specialties. They have to be the jack of all trades in order to be effective diagnosticians. I think the volume of knowledge required to be a competent internist or family medicine provider is staggering. In my humble opinion it's much easier in the long run to specialize. Yes, a neurosurgeon will spend 7 years in residency vs. 3 years for internal medicine. But so much of that time is focused on the surgical technique that's required to effectively cut into the brain and spine without killing the patient. And practice.....lots and lots of supervised practice. And then that's all he's going to do for the rest of his career. The primary care doc has to be able to recognize virtually any disease or illness that is affecting any system in the human body. Throw in other factors like age, ethnicity, sex, medical history, etc. and my head starts spinning. Don't misunderstand me. Highly trained specialists are very, very smart. But just because one doctor decides he doesn't want to specialize doesn't mean he's any less smart. It's really apples and oranges.
Stay safe
Heavyweight
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