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Doctor's mindset

some food for taught .
today from 8am to 2pm in clinic I saw 70 patients . well that's roughly 5min 10sec per patients if the patient are divided evenly in all hours but no the load of the patients come after 10 .
I wonder how you think I must divide the time , what at clinic we must do ? send the patient away and tell them come another day that the load is lighter ? I wonder what is your answers . does in this 6 hours I'm entitled to some rest .
what your answer is if you knew last night I was also at clinic from covered the 7pm-8am shift . and I could only rest my eyes for less than 2 hours .and I had to manage a ruptured kidney patients (that gave me no history of trauma only sudden pain in flank after sex that was worsening) and to top it up for 4 hour I could not receive any radiologic help as it seems because of new year holidays there were not enough radiologist in Tehran to cover even one single shift after 3 in the morning.

here people are very ready to condemn the Doctors but be honest with yourself how many of you asked yourselves what is the situation that they are working ? have you ever wondered how many times you went to a doctor and tried to hide a fact from him ? how many time you went and tried to fake symptoms to get more drugs or get a justify your absence from work ? or how many time when the disease was easily manageable you did not go to a medical center and after it become complicated they take you there ? how many time for a simple disease you went to a medical center at 3 in the morning because you were coming back from a party at that time and saw the medical center .how many times you guys didn't completed the prescription and then said the prescription was not good and the doctor knew nothing


you see every action have a reaction equal and in opposite direction . don't you think all these make doctors tired and weary .you see you guys many times heard of Doctors life but how many of you knew the percentage of doctors who has that famous life.
have you ever taught about the pressure responsibilities of making a diagnosis
Regarding constraints doctors have:

If so, doctors should honestly tell, "Your diagnosis may take very long or your diagnosis may be impossible in our hospital/clinic because of circumstances here. Hence I will refer you to another doctor." Instead, they do wrong diagnosis. What do you say to this?
 
Another trait of doctors I have observed is that they comprehend perfectly the illness description if the condition is some discovered-documented disease because the concepts have been already taught to them. But when they read description of undiscovered disease, they just read without comprehending. All they can make out is that there is some distress without understanding the cause of the distress.
 
I hate doctors. They're arrogant, robotic sons of b

Patients are just a money machine to them.

Their egos reach the sky
 
I wanted to suggest diseases in order to help doctors arrive at correct diagnosis. But the mindset of doctors is a problem. The behavior of doctors is as follows:

• Doctors don’t have an open mind. Their refrain is, “We are professionals. We know better.” They forget that laymen patients can reveal something because they are the ones experiencing the symptoms.

• I think it is because medicos aren’t trained to deal with certain situations. When they were studying medical, they weren’t instructed on what to do if they come across anything unique/strange/unfamiliar. They see everything through the prism of known diseases. The culture of out-of-the-box thinking is not there. They simply dismiss the patient by citing some universal condition. I suspect that doctors suffer from ‘frog in the well’ syndrome. Just as frogs cannot imagine a world beyond it’s well, doctors are discouraged from thinking anything outside the realm of documented diseases.

• There are some ‘universal diseases’ which doctors use to wash their hands off patients. The symptoms of these universal diseases are present in everyone to some degree. So it is hard to argue with doctors. For instance, if anyone is unemployed and poor or suffers from cancer, obviously he would be worried and/or sad and obsessed about his problems. Would it be proper for medical professionals to declare it as anxiety or depression or OCD? The sufferer’s problem would be unemployment and poverty or cancer NOT anxiety/depression/OCD. One doctor actually uttered this line, “Looking at the TONE of your description, it seems it is anxiety/depression/OCD.”

• Most doctors lack the patience to notice subtle things and pursue difficult concepts. They forget that many functions are apparently simple and taken for granted. But if there is a slight change in the mechanism of these functions, it paralyzes the patient. Most doctors overlook that some subtle changes damage the patient just enough to ruin his life but not enough for others (at least lay people) to notice it.

• So stubborn are doctors about the ambit of known-documented diseases that some ignore the symptoms present in the patient and thrust the symptoms absent in the patient to ensure that patient comes within the ambit of known-documented diseases. One guy who had ‘diagnosed’ depression, anxiety, stress etc actually told me, “When are you happy? Admit that you are never happy.”

• When you demand explanation for the symptoms not matching with diagnosed disease, doctors have endless number of excuses to brush aside the question. For example if the patient asks the doctor to check in his textbooks whether the exhibited symptoms and the symptoms of the diagnosed disease are same, the doctor replies, “Yes, in advanced stages of the disease, these symptoms appear,” although it is not true. It seems when doctors do MBBS, they are trained to churn out excuses. Some doctors even ridicule the demand for diagnosis i.e. leave alone correctness of the diagnosis, it would be big thing if they just reveal the diagnosis.

Examples of excuses doctors churn out. It should tell about the attitude of doctors.

1. Once when I began to complain about memory damage, pat came the doctor’s reply, “Everybody’s caliber is not the same.”
Explanation: Memory damage can happen to Einstein-Newton as well as to a retard. Where does the question of caliber come in this?

2. When I complain of doctors not reading the description of symptoms properly, I was actually told that it is because they don’t have time.
Explanation: My description takes barely 15 minutes to read. If doctors can’t spare 15 minutes to know symptoms, why are they in the profession of psychiatry then? It is their duty to spend time in properly reading the description.

3. When I suggested that mobile phone waves may be causing neurological problems, they asked one illogical question, “Why mobile waves don’t affect others?”
Explanation: Most people may be immune to effects of mobile phone waves but few may be susceptible. Thus mobile waves may indeed be the cause albeit affecting only minority of people. Why ask this senseless question?

4. If doctors make diagnosis of disease ‘A’ and I point out to them that actually the symptoms of disease ‘B’ match with my ordeal, their answer is: Both disease ‘A’ and disease ‘B’ are one and the same. If you have any one of them, you automatically get the other. Disease ‘A’ is the advanced stage of disease ‘B’ and vice versa.
Explanation: You cannot win argument with doctors even if your points are valid.

All of the above are real life anecdotes. Including the one regarding thrusting absent symptoms (mentioned elsewhere).

• After all the hurdles are cleared and if at all the doctor understands that the disease may indeed be something undiscovered, he would be indifferent to the concerns of the patient. He would not suggest the next course of action like way to contact clinical researchers. Doctors are like, “This is some undiscovered disease. What do I care? Tell him anything and just dismiss the patient.”

• Another grouse I have about medical fraternity is their blind support for doctors. They don’t see the merits of the case. They support other doctors just because they are doctors.

• I also hear sermons about trusting doctors. For reader’s information, initially for a very long time I trusted doctors completely i.e. for four long years during a crucial period of life. I took doctor’s words at face value. It is doctors who should be questioned why they make patients lose faith in the system by not giving proper response and clearing valid doubts. That is how doctors force patients to surmise that their condition is some undiscovered disease. For instance, in 17 years of consultation with umpteen doctors, not once did I hear a single sentence which I can relate with. Not once did I get the feeling, “The doctor’s description is reminiscent of my ordeal.”
@That Guy
 
There is a popular saying in medicine- the eyes see only what the mind knows. Most clinicians are quick to appreciate the tell-tale signs associated with diseases, in these cases diagnosis is easy and straightforward. In others diseases may manifest with altered signs/symptoms or there may be an overlap with other illnesses, and the presence of simultaneous co-morbidities. Diagnosis in those require a different approach, say by exclusion, or letting the disease run its course.

There was a time when physicians would diagnose illnesses on the table but these days with the litigations and manhandling of doctors ever increasing, every one wants to play by the book and be doubly sure before arriving at a conclusion. That doesn't mean the next gen doctors are any less capable, merely adapting to the changing needs of the time.

OP is wrong in thinking that diagnosis takes longer because some doctors are not well versed, they may have to rule out tens of diseases to nab the culprit and that takes time, and more often than not patients are already put on empirical treatment in the intervening period.

We deal with such impertinent patients with OP's mindset every freaking day, those that think that they have diagnosed their ailments by tallying symptoms from Google and Wikipedia, and feel compelled to visit their physicians only to get the prescription medicines. These kind of half-educated, know-it-all patients then resort to self medication which is primarily responsible for the burgeoning antibiotics resistance threatening humankind, that's widely prevalent in our South Asian countries.
 
All the opinions of the ppl who are not doctors are like a layman trying to make a atomic bomb. You have no idea what a physician sops are and you have no idea of the fundamentals of diagnosis and treatment and how to adjust the doses and how to increase the antibiotic doses everyone comes in thinking they would be fixed diagnosed at the spot and by one dose that not how it works we are scientist first so we do all the a parameter before diagnosing anything cause if we mess up that person is in some bad bad place or die so our window for failing is to short and no one I mean no one has any idea except another doctor what is going through the mind of a doctor or how he got to be one in first place it’s hard studying and then you get to these absolute morons of pt. coming in giving there recommendations to how to treat em then I believe doctor has a right tell to go **** off in a polite manner
 
As not all engineers are fit for the engineering field, same is the case with doctors. Some find their way into this field due to family pressure or lack of career counseling.
Taking advantage of having the attention of all the doctors of this forum in this thread, I would like to ask about a problem I'm facing myself for past few months i.e. raised systolic blood pressure of about 20mmHg for no obvious reason. Initially I thought it's due to the death of a close relative but almost six months have passed and I still read it around 140mmHg despite normal heart related and kidney tests and I still am under 30.
 
As not all engineers are fit for the engineering field, same is the case with doctors. Some find their way into this field due to family pressure or lack of career counseling.
Taking advantage of having the attention of all the doctors of this forum in this thread, I would like to ask about a problem I'm facing myself for past few months i.e. raised systolic blood pressure of about 20mmHg for no obvious reason. Initially I thought it's due to the death of a close relative but almost six months have passed and I still read it around 140mmHg despite normal heart related and kidney tests and I still am under 30.

Avoid eating meat and eggs for a month and then check if it reduces your blood pressure.
 
Avoid eating meat and eggs for a month and then check if it reduces your blood pressure.
I have reduced my salt intake to almost zero for a couple of months after my blood pressure first shoot straight to 220/110mmHg but when I left my medication after two months in favor of low salt mostly vegetarian diet my systolic b.p. never came back to the normal level.
 
I have reduced my salt intake to almost zero for a couple of months after my blood pressure first shoot straight to 220/110mmHg but when I left my medication after two months in favor of low salt mostly vegetarian diet my systolic b.p. never came back to the normal level.

How much is your meat, dairy and egg consumption during all this time?
 
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