A good Dr is someone who listens thinks and tells me the options and why, and listens to my responses. and also doesn't jump to conclusions to quickly. I also like to hear what I can do and shouldn't. I do. I also like to be a little bit smarter when I leave. It gives me a good feeling, at I didn't waste my Time.
Every time I've gone to see my doctor about worsening asthmatic symptoms and inconsistent response to medication, it's always somehow ended in a handshake with no changes to treatment and no new tests. I'm getting the impression that as soon as my bloodwork and imaging came back normal, he didn't care that I didn't feel normal. I take it's time to find a new doctor.
Last week, after 6 months of waiting to see a neurologist here in Vancouver Canada, he cancelled the appointment because he was too busy. He called me later and told me that my choking on my own saliva, numbness on my right side, and dizziness could not be explained by my MRI because the 10 brain lesions were not large enough to explain my symptoms. But he said that I would be wasting his time to have any additional testing. An utterly despicable “health care provider” and human being.
I'm very sorry to hear about your experience. Like all professions, there are some great physicians, lots of average ones, and some awful ones. I hope you don't let a terrible experience dissuade you from seeking another opinion, but I understand long wait times may make this impractical.
The front staff is the face of the practice and members should be good with people and attentive to patients as well. If patients are complaining about the front staff, then the doctor should take this into account and do something about it. Don't you want a pleasant staff, after all? If not, why? It is only logical.
I also think staff are important: the doctor talks with their staff and takes their opinions on board. The nurse is the first one to present your situation to the doctor and how they present it can impact what the doctor thinks before the doctor even enters the exam room. If the triage person dismisses a patient’s concerns, they might predispose the doctor to also downplaying the situation. Lastly, if all the staff that work with the doctor seem miserable and hate their job, maybe the doctor’s interpersonal skills are a contributing factor and they just fake it well in font of patients. I want a surgeon who treats their team with respect creating a more effective team. If the surgeon is a jerk behind closed doors, that attitude will negatively affect others who also will be keeping me safe and caring for me. I can’t focus and don’t do my best work when I work for a loose cannon boss and I am sure the medical industry is no different!
I know this is an older video but I have been treated horribly regarding my pain and due to GI issues, I cannot take anything but Tylenol...which doesn't work!! I used to have migraines and my quality of life is poor. I have no family, and a 4 year old. I used to work at the hospital as an RN. These doctors will lie right to your face and leave you suffering. Life is not good when every task is hell
My doctor doesn't listen or go into depth about my health results..My Doctor looks at the watch and keeps Peeping at the pc.screen when listening to you..come back next week tell me that again.Next patient please!!!!!.
I believe a good doctor is indeed one who pushes dietary interventions such as keto on a potentially diabetic patient. This doctor is not only good but also 20 years ahead of his time.
If you are saying a doctor who pushes X therapy is ahead of their time, you are necessarily saying that what they are promoting is neither standard of care nor supported by the current available evidence. That doesn't mean it's necessarily wrong, but it does mean that a recommendation of X needs to be tempered and needs to be accompanied by an informed discussion with the patient of the potential benefits vs. harms, and of the limitations of our current collective knowledge.
@@StrongMed Yes, progressive practitioners are steering away from the Standard of Care, or what is now referred to as the "Standard of Don't Care." They are improving health outcomes by changing the previous paradigm, which was to keep patients sick and prescribe lifetime medications. Examples of experts who I follow that are changing the dynamics of health include Dr. Eric Westman, Dr. William Davis, Dr. Brian Mowll and many more. They all offer life-changing information for those who are ready to make diet and lifestyle changes.
@@StrongMed Just because it's not standard of care does _not_ mean it's unsupported by current available evidence. Take smoking; doctors were prescribing cigarettes well after the evidence against cigs was in. Standards take time to catch up. That said, a doctor who pushes keto is probably a bad doctor, mostly because there are other less extreme dietary interventions with good evidence behind them. Even if keto works, going straight to keto is extreme. Most keto diets also have proven harms (though not all keto diets, since keto is just a macro ratio).
I am still a junior resident but I am guilty of becoming buddies with patients and not do the uncomfortable and the better choice some times including steering off tougher conversations, I am willing to change that immediately
Be sure not to swing too far the other direction! Of course it's totally fine to be friendly with them and to joke around a little. You just don't want a feeling of friendship to be so strong as to lead to cognitive biases, or to lead to an avoidance of uncomfortable topics.
First, I love your videos (especially the symptomatology based approach ones). Have to take a little issue with the specific dis on the keto though. Would guess that for every one patient that gets told 'they must go keto for their high normal BS', a hundred will go through life on escalating DM2 drug therapy without ever being told that viable dietary alternatives exist. I did a rotation in a Native American clinic, unbelievable how devastated by metabolic disease! I researched the historic, ancestral (basically prior to the epidemic), diet for that population, it was essentially keto. Why not bring that fact up and discuss it? The drugs weren't working all that great either. Again, love your videos. They've helped me tremendously in NP school and look forward to more!
I know of a few people they committed suicide because their pain was so bad and doctors would not give them anything for any pain so I guess they ended their pain the best way they know HOW sad but REALLY TRUE
My doctor never has time to really look at my history. I have been breathless for a few years now but it has gotten worse this past year. I also have serious back problems. But my doctor can’t seem to remember this and can only remember the last test she sent me for, though she forgot in the last blood test what she wanted tested and one week later I had to take the test again. Is this normal.
My eye doctor and my OB/ GYN are both good doctors. I know I can trust them. Not so much my PCP. I had to get quite frank with my Neurologist just to get them to listen to me, but they now take me seriously. They are the ones who prescribed me a back brace and pain medication and they are the ones who diagnosed me with EDS. I also have Epilepsy ( which doesn’t pertain to my EDS) . Of course I have a question: From my research, experts are trying to link them together, could that possibly be a comorbidity?
Assuming you are referring to foreign-trained docs in the US, there are 2 main categories: 1. US-born individuals who go abroad for med school (often the Caribbean) and then return to the US for residency. 2. Individuals born overseas who go to school in their home country, complete residency (or the equivalent) there, and then immigrate to the US, where they usually need to repeat residency. There are a few studies on this question (which of course have significant limitations): www.bmj.com/content/356/bmj.j273 www.ncbi.nlm.nih.gov/pubmed/27429031 www.healthaffairs.org/doi/10.1377/hlthaff.2009.0222 In this last study, it was found that among patients hospitalized for CHF or acute MI, patients cared for by docs from category #2 had lower mortality than those from either category #1 or docs who went to school in the US. There are lots of possible explanations for this finding, including that most of these individuals completed 2 residencies (one in their home country, and one in the US), and were therefore better trained. Regarding US-born docs who went to school in the Caribbean, obviously this is almost always because they were unsuccessful at getting into a US medical school, which suggests that their undergrad grades and/or MCATs were suboptimal. So the average student who matriculates to a Caribbean school will be weaker than the average student who matriculates to a US school. However, Caribbean schools are infamously difficult with high rates of failing students out. So the average student who successfully graduates from a Caribbean school is probably very similar to the average student who graduates from a US school. Overall, I think the average "foreign trained doctor" who is currently practicing in the US is probably very similar to the average US-trained doctor. In fact, one of the first attendings I worked with as a Stanford intern went to med school in India, was fantastic, and remains one of my colleagues 16 years later. So yes, I would be happy to go to a foreign-trained doctor, if they seemed good by the other measures I discuss in the video.
In the U. S. There's nothing but foreign doctors, very rarely can u find a non-immigrant. I like to see more African American doctors doctors that are more familiar with my culture of lifestyle but without assumptions, I found 3 in the four years I've been going thru this health problem out hell of four years
i cant get an apointment. i feel like a pest. most of the receptionist. think its up to them they want to no your symptoms then decide if you can have a phone. call. or see a doctor they are not medically qualified to make these decisions thats why we try go to hospital we cant fix ourselves we need a doctor who is realy to blame for the over crowded waiting rooms at hospital i dont suppose its the receptionists who are making decisions they are not qualifid to make
I'm sorry, but I don't have any videos on organic chem. If looking for intro/undergrad level material on orgo, I'd recommend checking out Professor Dave Explains, and for more advanced topics/grad level stuff, Molecular Memory. There's also a channel called Organic Chemistry Tutor, but aside from knowing it exists, I don't otherwise know anything about it, so can't vouch for it's accuracy. And if you need more general chem stuff, Science with Tyler is the gold standard of TH-cam chem tutorials.
Thank you for your video your video really makes real sense because they are a lot of crooked doctors that really don't know what they are doing AlSO some good doctors
Recently I've Gone to a new clinic, I've seen 4 Dr's, All of which Have had a list of meds they wanted to prescribe base solely on my blood pressure and BG.....None of them wanted to see blood work prior to medicating Me....None of actually physically examined my Body.... My arms and legs are quite skinny but very muscular (and it's obvious) yet my Belly is bloated and obviously fatty.... MY JOB is constantly physically active, like wight training for hours on end... But my fasting BG is always higher 🤔 rapid sudden drops of BG while working are becoming frequent since being prescribed long acting glucose 🤔 I'm scared 😳
I've just found a new doctor or at least I have thought so comes right in sits down on the stool pulls himself right up to the computer and that's it oh he'll talk to me but he's staring at the computer the whole time he is there
Here in Canada I was sick with bronchitis and went to a clinic, when i saw the doctor during the conversation I mentioned that I found USA doctors to be much better and his response was "were done here" and he just walks out. I will never forget that lollll.
Yea, 25% of your "Plate" should be carbohydrates.... for people who have a metabolic intolerance to carbohydrates... yea right... Thanks registered dietitians, but, no thanks... get with the evidence, sometime soon please.
Be careful what you wish for LOL. You will need to like examinations, and 14 or 15 hours per day studying for a considerable number of years, but if you do not mind examinations and long hours studying, yea, go for it.
I'm sorry your doctor fell short on their communication and empathy. I can't give specific, individualized medical advice on here, but I will say that the PSA test can be confusing, in part, because the "normal range" depends on age (i.e. PSA naturally increases the older men get), and because the rate of change over time is more predictive of cancer than the absolute value at a single point in time. So a 4.2 in a 70 year old man whose PSA was 3.9 a year ago would likely not be concerning in most patients, compared to a 4.2 in a 45 year old man whose PSA was 1.0 a year ago in whom that would be concerning. The NIH has a good layperson-directed page about the PSA here: www.cancer.gov/types/prostate/psa-fact-sheet [Once again, this is not intended to be personal medical advice, and I recommend talking with your own doctors about your concerns or abnormal test results.]
Here are the two questions I've developed as a result of being an outlier within my condition: 1) Do you treat the patient, or the tests? (some people with my condition test in the 'normal' range yet have severe symptoms, which if treated a little more aggressively, will entirely resolve. But by then we test 'out of range'. Relevant to my #2, some research suggests that there are problems with the established range.) 2) Will you actually read this research literature which I've found in the relevant medical journals? (even tho it contradicts the conventional wisdom that leaves us outliers feeling sick.) We're talkin' BMJ, JCEM, and the like, not Mercola's Ad Flyer. And as to their credentials: Trained in the U.S., Canada, UK, or Australia. (Hard lesson learned from veterinary medicine, but it carries over.) Beyond that, I've learned to select for older and male, because younger ones are still full of education and empty of experience, and few female doctors are willing to learn anything from their patients.
1) "The good physician treats the disease; the great physician treats the patient who has the disease.” - William Osler (supposedly). Of course, we should treat the patient, and not tests! But test results (in addition to the history and physical exam) help to guide our diagnostic reasoning process. Plenty of patients come to the clinic and hospital already convinced they have a particular disease based on something they've read on-line. Sometimes they are right. Sometimes they aren't. 2) A good physician always considers a patient's ideas and concerns, which includes looking at additional literature the patient brings with them. In my experience, most of such additional literature is either poor quality or not directly relevant to the patient's situation (both characteristics may require formal medical training to recognize, and it's not the patient's "fault" per se). But occasionally this outside literature significantly changes my view on a patient's likely diagnosis or my proposed treatment. "...because younger ones are still full of education and empty of experience...": While I wouldn't say a younger physician is "empty" of experience, they obviously have less. I discuss the tradeoff between age and experience in the video, and a personal preference for an older physician because of this is absolutely 100% ok. "few female doctors are willing to learn anything from their patients." Alright. You know in the video where I say a good doctor occasionally pushes back on something a patient says? I'm gonna channel that here. It seems like maybe you had a bad experience with a doctor or two who happened to be women. If so, I'm sorry you had that experience. However, after working with 100s of doctors, training 100s of medical residents, and teaching 100s of medical students, I can say with a very high degree of confidence that the sex and gender of a physician has no bearing at all on the overall quality of care he or she provides.
really WHY ? Opiates really help severe pain are they anything else will help severe pain and why is it doctors will not describe opiates if it really helps severe pain got to be something else could help severe pain maybe NOT because hundreds of thousands of other people that has severe pain says nothing else will help any severe pain what's so bad about opiates if people take it the way it's supposed to be taken
What about the doctor refusing to see unvaccinated patients? I got into Healthcare to help patients- not to refuse care, discriminate, or shame them. I consider ALL causes even if you don't think an adverse reaction is from a vaccine.
That's just one doctor doing that, and I believe that every doctor who I personally know (even ones who I wouldn't necessarily recommend) would strongly disagree with that action.
I have a long list of medical conditions, that seems to get more complex all the time. A Dr that listens and doesn't just blow me off is very important. Also one who isn't going to give up. For the first TIME in a while I have All of my doctor's on the same page. That is such an amazing feeling. Your Video is awesome 🤩😎
Excellent commentary. I have personally observed that at my home country doctors of my culture tend to be slightly more empathetic. That is just to say that if the doctor believes you both to be the same culturally or behaviourally they might be more attentive or understanding of body language etc.
![So You Want to Be a SURGEON [Ep. 2]](http://i.ytimg.com/vi/nKP1v_ZXkbg/mqdefault.jpg)
A good Dr is someone who listens thinks and tells me the options and why, and listens to my responses. and also doesn't jump to conclusions to quickly. I also like to hear what I can do and shouldn't. I do. I also like to be a little bit smarter when I leave. It gives me a good feeling, at I didn't waste my Time.
Absolutely
All true.
a good doctor does not yell at you and call you names, then throw you out of office after grabbing you in a attacking manner when you are 73 years old
That sounds oddly specific...
Agreed - he should wait until you're at least 75 years old.
Every time I've gone to see my doctor about worsening asthmatic symptoms and inconsistent response to medication, it's always somehow ended in a handshake with no changes to treatment and no new tests. I'm getting the impression that as soon as my bloodwork and imaging came back normal, he didn't care that I didn't feel normal.
I take it's time to find a new doctor.
Last week, after 6 months of waiting to see a neurologist here in Vancouver Canada, he cancelled the appointment because he was too busy. He called me later and told me that my choking on my own saliva, numbness on my right side, and dizziness could not be explained by my MRI because the 10 brain lesions were not large enough to explain my symptoms. But he said that I would be wasting his time to have any additional testing. An utterly despicable “health care provider” and human being.
I'm very sorry to hear about your experience. Like all professions, there are some great physicians, lots of average ones, and some awful ones. I hope you don't let a terrible experience dissuade you from seeking another opinion, but I understand long wait times may make this impractical.
The front staff is the face of the practice and members should be good with people and attentive to patients as well. If patients are complaining about the front staff, then the doctor should take this into account and do something about it. Don't you want a pleasant staff, after all? If not, why? It is only logical.
They get away with murder
I also think staff are important: the doctor talks with their staff and takes their opinions on board. The nurse is the first one to present your situation to the doctor and how they present it can impact what the doctor thinks before the doctor even enters the exam room. If the triage person dismisses a patient’s concerns, they might predispose the doctor to also downplaying the situation. Lastly, if all the staff that work with the doctor seem miserable and hate their job, maybe the doctor’s interpersonal skills are a contributing factor and they just fake it well in font of patients. I want a surgeon who treats their team with respect creating a more effective team. If the surgeon is a jerk behind closed doors, that attitude will negatively affect others who also will be keeping me safe and caring for me. I can’t focus and don’t do my best work when I work for a loose cannon boss and I am sure the medical industry is no different!
Great video! I'm a medical student from Brazil and i love your videos, because they help me to improve my english and also my medical knowledgment!
I know this is an older video but I have been treated horribly regarding my pain and due to GI issues, I cannot take anything but Tylenol...which doesn't work!! I used to have migraines and my quality of life is poor. I have no family, and a 4 year old. I used to work at the hospital as an RN. These doctors will lie right to your face and leave you suffering. Life is not good when every task is hell
Sure will that's what it's like exactly
Happened to me too then they gave me benzos which soothed the stomach pain. Then they took them away & labeled me.
My doctor doesn't listen or go into depth about my health results..My Doctor looks at the watch and keeps Peeping at the pc.screen when listening to you..come back next week tell me that again.Next patient please!!!!!.
I was misdiagnosed by a doctor for a couple of years, eventually a general practice physician sent me in the right direction..
I believe a good doctor is indeed one who pushes dietary interventions such as keto on a potentially diabetic patient. This doctor is not only good but also 20 years ahead of his time.
If you are saying a doctor who pushes X therapy is ahead of their time, you are necessarily saying that what they are promoting is neither standard of care nor supported by the current available evidence. That doesn't mean it's necessarily wrong, but it does mean that a recommendation of X needs to be tempered and needs to be accompanied by an informed discussion with the patient of the potential benefits vs. harms, and of the limitations of our current collective knowledge.
@@StrongMed Yes, progressive practitioners are steering away from the Standard of Care, or what is now referred to as the "Standard of Don't Care." They are improving health outcomes by changing the previous paradigm, which was to keep patients sick and prescribe lifetime medications.
Examples of experts who I follow that are changing the dynamics of health include Dr. Eric Westman, Dr. William Davis, Dr. Brian Mowll and many more. They all offer life-changing information for those who are ready to make diet and lifestyle changes.
@@StrongMed Just because it's not standard of care does _not_ mean it's unsupported by current available evidence. Take smoking; doctors were prescribing cigarettes well after the evidence against cigs was in. Standards take time to catch up. That said, a doctor who pushes keto is probably a bad doctor, mostly because there are other less extreme dietary interventions with good evidence behind them. Even if keto works, going straight to keto is extreme. Most keto diets also have proven harms (though not all keto diets, since keto is just a macro ratio).
I am still a junior resident but I am guilty of becoming buddies with patients and not do the uncomfortable and the better choice some times including steering off tougher conversations, I am willing to change that immediately
Be sure not to swing too far the other direction! Of course it's totally fine to be friendly with them and to joke around a little. You just don't want a feeling of friendship to be so strong as to lead to cognitive biases, or to lead to an avoidance of uncomfortable topics.
First, I love your videos (especially the symptomatology based approach ones). Have to take a little issue with the specific dis on the keto though. Would guess that for every one patient that gets told 'they must go keto for their high normal BS', a hundred will go through life on escalating DM2 drug therapy without ever being told that viable dietary alternatives exist. I did a rotation in a Native American clinic, unbelievable how devastated by metabolic disease! I researched the historic, ancestral (basically prior to the epidemic), diet for that population, it was essentially keto. Why not bring that fact up and discuss it? The drugs weren't working all that great either. Again, love your videos. They've helped me tremendously in NP school and look forward to more!
I know of a few people they committed suicide because their pain was so bad and doctors would not give them anything for any pain so I guess they ended their pain the best way they know HOW sad but REALLY TRUE
My doctor never has time to really look at my history. I have been breathless for a few years now but it has gotten worse this past year. I also have serious back problems. But my doctor can’t seem to remember this and can only remember the last test she sent me for, though she forgot in the last blood test what she wanted tested and one week later I had to take the test again. Is this normal.
yes i hate doctors am scared that they don't know what they doing and might do wrong things. ..
Thank you Dr :) limitation of physical exam :) nowadays case is early detect.
I am almost a really good doctor, trust me 😏👌
I was always given something to get rid of me
Basically are they a nice kind human? love your videos helps me so much in med school!
Thank you I will find this helpful when I’m all grown up!🙂
My eye doctor and my OB/ GYN are both good doctors. I know I can trust them. Not so much my PCP. I had to get quite frank with my Neurologist just to get them to listen to me, but they now take me seriously. They are the ones who prescribed me a back brace and pain medication and they are the ones who diagnosed me with EDS. I also have Epilepsy ( which doesn’t pertain to my EDS) . Of course I have a question: From my research, experts are trying to link them together, could that possibly be a comorbidity?
Goodness, where do I find a good doctor??? Sound almost unrealistic?
You have to get lucky. Or you have to just do it yourself and find answers yourself and then you utilize them
What’s your take on foreign trained doctors? Would you go to such a doctor or recommend to someone?
Assuming you are referring to foreign-trained docs in the US, there are 2 main categories:
1. US-born individuals who go abroad for med school (often the Caribbean) and then return to the US for residency.
2. Individuals born overseas who go to school in their home country, complete residency (or the equivalent) there, and then immigrate to the US, where they usually need to repeat residency.
There are a few studies on this question (which of course have significant limitations):
www.bmj.com/content/356/bmj.j273
www.ncbi.nlm.nih.gov/pubmed/27429031
www.healthaffairs.org/doi/10.1377/hlthaff.2009.0222
In this last study, it was found that among patients hospitalized for CHF or acute MI, patients cared for by docs from category #2 had lower mortality than those from either category #1 or docs who went to school in the US. There are lots of possible explanations for this finding, including that most of these individuals completed 2 residencies (one in their home country, and one in the US), and were therefore better trained.
Regarding US-born docs who went to school in the Caribbean, obviously this is almost always because they were unsuccessful at getting into a US medical school, which suggests that their undergrad grades and/or MCATs were suboptimal. So the average student who matriculates to a Caribbean school will be weaker than the average student who matriculates to a US school. However, Caribbean schools are infamously difficult with high rates of failing students out. So the average student who successfully graduates from a Caribbean school is probably very similar to the average student who graduates from a US school.
Overall, I think the average "foreign trained doctor" who is currently practicing in the US is probably very similar to the average US-trained doctor. In fact, one of the first attendings I worked with as a Stanford intern went to med school in India, was fantastic, and remains one of my colleagues 16 years later. So yes, I would be happy to go to a foreign-trained doctor, if they seemed good by the other measures I discuss in the video.
In the U. S. There's nothing but foreign doctors, very rarely can u find a non-immigrant. I like to see more African American doctors doctors that are more familiar with my culture of lifestyle but without assumptions, I found 3 in the four years I've been going thru this health problem out hell of four years
i cant get an apointment. i feel like a pest. most of the receptionist. think its up to them they want to no your symptoms then decide if you can have a phone. call. or see a doctor they are not medically qualified to make these decisions thats why we try go to hospital we cant fix ourselves we need a doctor who is realy to blame for the over crowded waiting rooms at hospital i dont suppose its the receptionists who are making decisions they are not qualifid to make
Thanks for your video.
Do you have a video on organic chemistry? if not, a lot of people like me need your help.
I'm sorry, but I don't have any videos on organic chem. If looking for intro/undergrad level material on orgo, I'd recommend checking out Professor Dave Explains, and for more advanced topics/grad level stuff, Molecular Memory. There's also a channel called Organic Chemistry Tutor, but aside from knowing it exists, I don't otherwise know anything about it, so can't vouch for it's accuracy. And if you need more general chem stuff, Science with Tyler is the gold standard of TH-cam chem tutorials.
Excellent
Thank you for your video your video really makes real sense because they are a lot of crooked doctors that really don't know what they are doing AlSO some good doctors
Recently I've Gone to a new clinic, I've seen 4 Dr's, All of which Have had a list of meds they wanted to prescribe base solely on my blood pressure and BG.....None of them wanted to see blood work prior to medicating Me....None of actually physically examined my Body.... My arms and legs are quite skinny but very muscular (and it's obvious) yet my Belly is bloated and obviously fatty.... MY JOB is constantly physically active, like wight training for hours on end...
But my fasting BG is always higher 🤔 rapid sudden drops of BG while working are becoming frequent since being prescribed long acting glucose 🤔 I'm scared 😳
I've just found a new doctor or at least I have thought so comes right in sits down on the stool pulls himself right up to the computer and that's it oh he'll talk to me but he's staring at the computer the whole time he is there
I disagree with online reviews especially when you understand the ratio value, I find too much praise is a red flag just as not enough
Here in Canada I was sick with bronchitis and went to a clinic, when i saw the doctor during the conversation I mentioned that I found USA doctors to be much better and his response was "were done here" and he just walks out. I will never forget that lollll.
Thanks for the keto comment! Shout out from a registered dietitian :)
Yea, 25% of your "Plate" should be carbohydrates.... for people who have a metabolic intolerance to carbohydrates... yea right... Thanks registered dietitians, but, no thanks... get with the evidence, sometime soon please.
Oh i want to be a doctor
Be careful what you wish for LOL. You will need to like examinations, and 14 or 15 hours per day studying for a considerable number of years, but if you do not mind examinations and long hours studying, yea, go for it.
Love your videos
I am a medical student
First view
First like
Check # of twitter followers? :P
That would make Dr. Oz the greatest doctor on the planet. So maybe not.
A Doctor puts the patient's healing and interest first ( Not Money ).
My Doctor. Told my PSA is 4.2 which is dangerous high and could 25 per cent of cancer No sympathy or support. From the doctor.
I'm sorry your doctor fell short on their communication and empathy. I can't give specific, individualized medical advice on here, but I will say that the PSA test can be confusing, in part, because the "normal range" depends on age (i.e. PSA naturally increases the older men get), and because the rate of change over time is more predictive of cancer than the absolute value at a single point in time. So a 4.2 in a 70 year old man whose PSA was 3.9 a year ago would likely not be concerning in most patients, compared to a 4.2 in a 45 year old man whose PSA was 1.0 a year ago in whom that would be concerning. The NIH has a good layperson-directed page about the PSA here: www.cancer.gov/types/prostate/psa-fact-sheet [Once again, this is not intended to be personal medical advice, and I recommend talking with your own doctors about your concerns or abnormal test results.]
Your voice 👌
Here are the two questions I've developed as a result of being an outlier within my condition:
1) Do you treat the patient, or the tests? (some people with my condition test in the 'normal' range yet have severe symptoms, which if treated a little more aggressively, will entirely resolve. But by then we test 'out of range'. Relevant to my #2, some research suggests that there are problems with the established range.)
2) Will you actually read this research literature which I've found in the relevant medical journals? (even tho it contradicts the conventional wisdom that leaves us outliers feeling sick.) We're talkin' BMJ, JCEM, and the like, not Mercola's Ad Flyer.
And as to their credentials: Trained in the U.S., Canada, UK, or Australia. (Hard lesson learned from veterinary medicine, but it carries over.)
Beyond that, I've learned to select for older and male, because younger ones are still full of education and empty of experience, and few female doctors are willing to learn anything from their patients.
1) "The good physician treats the disease; the great physician treats the patient who has the disease.” - William Osler (supposedly).
Of course, we should treat the patient, and not tests! But test results (in addition to the history and physical exam) help to guide our diagnostic reasoning process. Plenty of patients come to the clinic and hospital already convinced they have a particular disease based on something they've read on-line. Sometimes they are right. Sometimes they aren't.
2) A good physician always considers a patient's ideas and concerns, which includes looking at additional literature the patient brings with them. In my experience, most of such additional literature is either poor quality or not directly relevant to the patient's situation (both characteristics may require formal medical training to recognize, and it's not the patient's "fault" per se). But occasionally this outside literature significantly changes my view on a patient's likely diagnosis or my proposed treatment.
"...because younger ones are still full of education and empty of experience...": While I wouldn't say a younger physician is "empty" of experience, they obviously have less. I discuss the tradeoff between age and experience in the video, and a personal preference for an older physician because of this is absolutely 100% ok.
"few female doctors are willing to learn anything from their patients."
Alright. You know in the video where I say a good doctor occasionally pushes back on something a patient says? I'm gonna channel that here. It seems like maybe you had a bad experience with a doctor or two who happened to be women. If so, I'm sorry you had that experience.
However, after working with 100s of doctors, training 100s of medical residents, and teaching 100s of medical students, I can say with a very high degree of confidence that the sex and gender of a physician has no bearing at all on the overall quality of care he or she provides.
So I'm told that mine isn't.. Lol
🙏🙏🙏🙏
I have totally lost faith in the medical community.
Due to what?
really WHY ? Opiates really help severe pain are they anything else will help severe pain and why is it doctors will not describe opiates if it really helps severe pain got to be something else could help severe pain maybe NOT because hundreds of thousands of other people that has severe pain says nothing else will help any severe pain what's so bad about opiates if people take it the way it's supposed to be taken
What about the doctor refusing to see unvaccinated patients? I got into Healthcare to help patients- not to refuse care, discriminate, or shame them. I consider ALL causes even if you don't think an adverse reaction is from a vaccine.
That's just one doctor doing that, and I believe that every doctor who I personally know (even ones who I wouldn't necessarily recommend) would strongly disagree with that action.
It can be difficult to tell, and most people just look at online reviews.
I have a long list of medical conditions, that seems to get more complex all the time. A Dr that listens and doesn't just blow me off is very important. Also one who isn't going to give up.
For the first TIME in a while I have All of my doctor's on the same page. That is such an amazing feeling.
Your Video is awesome 🤩😎
Excellent commentary. I have personally observed that at my home country doctors of my culture tend to be slightly more empathetic. That is just to say that if the doctor believes you both to be the same culturally or behaviourally they might be more attentive or understanding of body language etc.
Learn how to take care of your own health, no doctor required.
200 to 2000. it s so amazing