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TopicDoctor: Don't confuse your Google search with my 6 years at medical school
benjjjamin
12/14/19 10:05:26 PM
#120
Yeah CE in general. You do you.
That doctor office sign really is garbage though. It strikes me as something a doctor who graduated in the 70's would put in their office. They may be afraid of google because it's more up to date than they are.

There's almost no reason to antagonize a patient. Doesn't even need said. Handling patients who want pain medications, unnecessary tests, and antibiotics are part of the modern expected skill set of a physician. If you can't navigate that without a sign, you are falling behind as a modern physician.

Anyway, I want to know about that skin lesion.

---
Schiff: We're better than that
Morgan Freeman: But they were not better than that. That night saw 4 new articles of impeachment and Jim Jordan fought a raccoon
TopicDoctor: Don't confuse your Google search with my 6 years at medical school
benjjjamin
12/14/19 9:25:00 PM
#117
glitteringfairy posted...
Ah, a true legend visits CE this evening. I admire the work you do on Hellhole, friend.
Just repeating that you all were totally like this when I got here. I can't stress that enough.

---
Schiff: We're better than that
Morgan Freeman: But they were not better than that. That night saw 4 new articles of impeachment and Jim Jordan fought a raccoon
TopicDoctor: Don't confuse your Google search with my 6 years at medical school
benjjjamin
12/14/19 9:19:02 PM
#115
I still want to know what the person wanted to be tested for that the doctor refused. All I have to go on is "chronic irritating skin flareups disturbing sleep."

You had my curiosity, now you have my attention.
I thought the anthrax line was a good example of something a patient would come up with based on internet searches, and it's a good example of something a doctor is going to likely try to talk you down from before wasting money.

"I want tested for cutaneous anthrax."
"Sir, this is a Wendy's."

---
Schiff: We're better than that
Morgan Freeman: But they were not better than that. That night saw 4 new articles of impeachment and Jim Jordan fought a raccoon
TopicDoctor: Don't confuse your Google search with my 6 years at medical school
benjjjamin
12/14/19 6:14:12 PM
#84
This.

---
Schiff: We're better than that
Morgan Freeman: But they were not better than that. That night saw 4 new articles of impeachment and Jim Jordan fought a raccoon
TopicDoctor: Don't confuse your Google search with my 6 years at medical school
benjjjamin
12/14/19 6:12:02 PM
#82
You were like this when I got here.

---
Schiff: We're better than that
Morgan Freeman: But they were not better than that. That night saw 4 new articles of impeachment and Jim Jordan fought a raccoon
TopicDoctor: Don't confuse your Google search with my 6 years at medical school
benjjjamin
12/14/19 6:08:10 PM
#80
Gotta say, the anecdote about getting no satisfaction from a physician for a skin flareup that disturbs sleep still has me intrigued. Where the hell did that person go? Narcotics for chronic pain and Z packs for snotty noses?...zzzz come on. Such clich patient-physician sticking points.

---
Schiff: We're better than that
Morgan Freeman: But they were not better than that. That night saw 4 new articles of impeachment and Jim Jordan fought a raccoon
TopicDoctor: Don't confuse your Google search with my 6 years at medical school
benjjjamin
12/14/19 5:48:39 PM
#77
corneliusmagus posted...
Acupuncture is pseudoscience.

Turns out 8000 years of pseudoscience checks out. Go figure. Same as meditation. It's not my cup of tea, but the data is pretty good. Give it a shot.
Just because it doesn't work how the practitioners say it does...doesn't mean it doesn't work.

It's a proven management for chronic pain. Data's the data.

---
Schiff: We're better than that
Morgan Freeman: But they were not better than that. That night saw 4 new articles of impeachment and Jim Jordan fought a raccoon
TopicDoctor: Don't confuse your Google search with my 6 years at medical school
benjjjamin
12/14/19 5:44:14 PM
#75
furb posted...
Lawyers put the same thing up in their offices too.

I guess this is why people that defend themselves are always SO successful.

I agree that a physician with that on their wall is at a higher likelihood of being sued, and potentially even successfully sued, than your average physician.

It's not an appropriate posture to lead with in your lobby.

corneliusmagus posted...
Lmao.

You weren't being honest when you said seriously, then. Do you want the pain managed professionally with modern practices or not?

---
Schiff: We're better than that
Morgan Freeman: But they were not better than that. That night saw 4 new articles of impeachment and Jim Jordan fought a raccoon
TopicDoctor: Don't confuse your Google search with my 6 years at medical school
benjjjamin
12/14/19 5:39:53 PM
#72
corneliusmagus posted...
What's going to help serious prolonged pain if not painkillers? Seriously.

Non-narcotic medications, physical therapy, injections, TENS, acupuncture, and meditation have all been proven in respected studies to manage pain and improve quality of life ratings, which is the goal.

Narcotics are not shown to alter chronic pain ratings, and they have been shown to reduce quality of life for chronic pain.

---
Schiff: We're better than that
Morgan Freeman: But they were not better than that. That night saw 4 new articles of impeachment and Jim Jordan fought a raccoon
TopicDoctor: Don't confuse your Google search with my 6 years at medical school
benjjjamin
12/14/19 5:32:33 PM
#69
corneliusmagus posted...
This attitude and prejudice against patients from doctors, believing us all to be painkiller seekers and generally being dismissive of genuine pain is absolutely disgusting. If you actually are a doctor and not just pretending to be one online, you shouldn't be.

Declining to prescribe narcotics isn't dismissing pain. It's taking it more seriously than a stereotypical pill miller you see being shut down on the news after he killed 10 people. Narcotics have little role in the management of chronic pain, and they have surpassed antibiotics in terms of inappropriate prescriptions.

konokonohamaru posted...
Well, it looks like we're finally getting somewhere. I'm glad we've moved beyond anthrax as the prime candidate

Is that an "I'll take all of those tests, yes!!"

---
Schiff: We're better than that
Morgan Freeman: But they were not better than that. That night saw 4 new articles of impeachment and Jim Jordan fought a raccoon
TopicDoctor: Don't confuse your Google search with my 6 years at medical school
benjjjamin
12/14/19 5:26:31 PM
#62
DuranOfForcena posted...
no one here really gives a s*** what you can or can't comment on

Unnecessary hostility is a common feature of these conversations when someone wants something a doctor has. The hostility is an indication that you don't want to understand the doctor's reasoning. You want something they have.

---
Schiff: We're better than that
Morgan Freeman: But they were not better than that. That night saw 4 new articles of impeachment and Jim Jordan fought a raccoon
TopicDoctor: Don't confuse your Google search with my 6 years at medical school
benjjjamin
12/14/19 5:22:45 PM
#59
Neither of those is a skin test, so I can't comment on how reasonable the request is. I'm not the ones who went with the example.
What do you want?

I can't explain to you what a doctor could have been thinking till you tell me what you want.
We covered narcotics.
We covered antibiotics.

What else?

What are we talking? Lupus? Psoriasis? Bedbugs? A dermal shear test for a rare epidermal anchor deficiency?

---
Schiff: We're better than that
Morgan Freeman: But they were not better than that. That night saw 4 new articles of impeachment and Jim Jordan fought a raccoon
TopicDoctor: Don't confuse your Google search with my 6 years at medical school
benjjjamin
12/14/19 5:15:05 PM
#56
konokonohamaru posted...


Yeah this is a great attitude from a physician

A physician has to be a steward of resources, which is a part of the training. A poor physician will waste the community's money by being a revolving door of any number of patient-driven requests.

What test for the skin lesions do you want?

---
Schiff: We're better than that
Morgan Freeman: But they were not better than that. That night saw 4 new articles of impeachment and Jim Jordan fought a raccoon
TopicDoctor: Don't confuse your Google search with my 6 years at medical school
benjjjamin
12/14/19 5:09:23 PM
#54
Testing for what, pray tell. Anthrax?

---
Schiff: We're better than that
Morgan Freeman: But they were not better than that. That night saw 4 new articles of impeachment and Jim Jordan fought a raccoon
TopicDoctor: Don't confuse your Google search with my 6 years at medical school
benjjjamin
12/14/19 5:04:23 PM
#52
Firewerx posted...
Living with a condition for 10+ years will give you plenty of experience in what works and what doesn't work in symptom management.

This is almost always stated with pain as the symptom management in mind. Narcotics being the agent the patient wants. An alternate management plan being advocated by the physician.
The physician is correct, unless the patient is in hospice.
Antibiotics are another issue, as you can tell from the topic. They're over-prescribed, because we let patients drive their own management too much.
As far as the plaque goes, it's unnecessarily antagonistic and unproductive.

There is no reason for a physician to ruffle their feathers at patients. If you don't want that patient to get antibiotics because it's wrong, they won't be getting antibiotics. If you don't want that patient to get narcotics because it's wrong, they won't be getting narcotics.

I'm not intimidated or threatened by google in the least. People curious enough about their health to use google are a welcome partner.

---
Schiff: We're better than that
Morgan Freeman: But they were not better than that. That night saw 4 new articles of impeachment and Jim Jordan fought a raccoon
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