Board 8 > Holy wow the comments on this YouTube short about drug-seeking patients

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NeatoAnAccount
10/23/23 11:52:03 AM
#1:


This YouTube doctor is like "all my patients fake medical conditions for pain meds"

All the comments are like "you sound like this doctor who labeled me a drug-seeker because he couldn't instantly identify the source of my pain and then my appendix burst"

THOUSANDS of comments, overwhelmingly against the message of the video. Truly bananas.

https://www.youtube.com/shorts/0xXqUCTu3vw

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Kenri
10/23/23 11:54:54 AM
#2:


Didn't watch it but I think I'm on team comments tbh

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Forceful_Dragon
10/23/23 12:02:02 PM
#3:


nah I think I'm on the side of team doctor here.

You have a real medical concern? See your PCP and insist on referrals and tests. ER Doctors have to weed out legitimate medical concerns with the very illegitimate and it is not the place to show up repeatedly to get treatment for unspecific pain. Obviously in extreme and emergency pain you go to the ER, but that's not what's being showcased in the skit.

"You made a skit about scenario A, and I was once in completely different Scenario B so I'm upset now!" is a bonkers take.

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WazzupGenius00
10/23/23 12:18:46 PM
#4:


If I remember right this is the guy that is not an actual medical professional (he used to be a nurse years ago from what I remember) and he just makes all these ragebait videos for the clicks

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Forceful_Dragon
10/23/23 12:20:31 PM
#5:


He is primarily a comedian now yes with a comedy tour schedule and the whole 9 yards.

But the rage is actually just wrong (imo)

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NeatoAnAccount
10/23/23 12:25:28 PM
#6:




Forceful_Dragon posted...
Obviously in extreme and emergency pain you go to the ER, but that's not what's being showcased in the skit.

yes this skit is a perfectly neutral representation of this type of interaction, not filtered through the lens of someone with an agenda at all, no sir

Forceful_Dragon posted...
You have a real medical concern? See your PCP and insist on referrals and tests.

I didn't have a PCP for years. And a lot of these people in the comments were also being dismissed by their PCPs. The general public doesn't have intimate knowledge of how the medical industry works. They're in pain, they go to "the hospital." It feels like an emergency so they go to the ER. You don't have to be an idiot to have big gaps in your knowledge about the different types of facilities and the SOP for getting the treatment you need.

And it's silly to deny someone pain meds just because you haven't pinpointed the specific problem. Even if you can't yet fix the underlying issue you can make the ouch go away in the interim.

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swordz9
10/23/23 12:32:50 PM
#7:


ER is generally a lot faster than ok Ill just see my primary doctor and oh joy earliest they can see me is 5 weeks out too. Some people cant handle pain well and having something wrong causes them added anxiety/stress over it too. Seeing your primary usually just takes way too long imo, but instead of the ER people could try stuff like Urgent Care first I guess
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Forceful_Dragon
10/23/23 12:33:44 PM
#8:


That' a broader conversation then, about making the medical system work better and be more clearly understood.

But as it actually functions and ER visit should be limited to "I might be dying, help me to not die" (heart attack, etc) or "this is something that absolutely cannot wait". I understand the concept of people not realizing that and going to the ER for every medical thing, but that's part of the problem.

And I'm in no way defending the health insurance system or anything like that. Learning to navigate it is an absolute nightmare and in the US in particular it needs improvement. But when it's your own health that you are concerned with then it's worth the hour(s) it will take to figure out how to see a regular doctor and how to insist on the treatment you need. You don't just throw up your hands and say "well the system sucks so I'm just not going to bother, I mean it's only my health we're talking about".

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Forceful_Dragon
10/23/23 12:35:03 PM
#9:


swordz9 posted...
ER is generally a lot faster than ok Ill just see my primary doctor and oh joy earliest they can see me is 5 weeks out too. Some people cant handle pain well and having something wrong causes them added anxiety/stress over it too. Seeing your primary usually just takes way too long imo, but instead of the ER people could try stuff like Urgent Care first I guess

Right, I wasn't going to mention urgent care, but that is the appropriate middle ground for something that isn't life threatening but also can't wait for an appointment. (though if 5 weeks is the best your PCP can do then it could be worth changing to a doctor with less patients)

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NeatoAnAccount
10/23/23 12:35:22 PM
#10:


WazzupGenius00 posted...
If I remember right this is the guy that is not an actual medical professional (he used to be a nurse years ago from what I remember) and he just makes all these ragebait videos for the clicks

lol you're right

his name is Steve Ioe, on TikTok he titled the video "Discharging patients in the ER #MuFKR | steve ioe controversy"

This tik tok person claims that he is an "ex ER tech" lol

it's really funny watching him with this in mind. Like I don't know if he's actually not a medical professional but he sure seems like someone who wants to heavily imply he's a medical professional without outright stating it so he can be like "what i never claimed that i'm not lying about anything it's all in your head lmao"

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Kenri
10/23/23 12:57:51 PM
#11:


Forceful_Dragon posted...
nah I think I'm on the side of team doctor here.

You have a real medical concern? See your PCP and insist on referrals and tests. ER Doctors have to weed out legitimate medical concerns with the very illegitimate and it is not the place to show up repeatedly to get treatment for unspecific pain. Obviously in extreme and emergency pain you go to the ER, but that's not what's being showcased in the skit.

"You made a skit about scenario A, and I was once in completely different Scenario B so I'm upset now!" is a bonkers take.
Yeah you probably should be going to the urgent care and not the ER, but on the other hand, the urgent care I go to now has a big sign up about how they will no longer prescribe painkillers at all. So if you legitimately need painkillers, where else can you go but the hospital?

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Forceful_Dragon
10/23/23 1:03:58 PM
#12:


the pharmacy to take as much OTC painkillers as you need until your scheduled doctor's appointment.

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Maniac64
10/23/23 2:10:56 PM
#13:


Forceful_Dragon posted...
though if 5 weeks is the best your PCP can do then it could be worth changing to a doctor with less patients
Might not be that easy

When I went looking for a new PCP after moving there were only two doctors in my network that were even taking new patients. Both had over a month wait to get an initial appointment.

Edit: I guess there were more if I was willing to drive to a different city for my appointments. But I was not.

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Forceful_Dragon
10/23/23 2:35:06 PM
#14:


I looked it up after and it looks like the average time to schedule an appointment with a PCP is in the ballpark of 21~ days (down from 29~ days in 2017). But there are outliers like Portland (44 days) or Washington D.C. (8 days).

Definitely some variance, but a lot of the comments were like "my ER doctor didn't screen me for cancer, and it turns out I had cancer!" and unless your body is actively shutting down from the cancer the ER should not be your go-to location for getting screened.

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redrocket
10/23/23 3:03:44 PM
#15:


Forceful_Dragon posted...
the pharmacy to take as much OTC painkillers as you need until your scheduled doctor's appointment.

You realize this is bullshit, right? OTC painkillers might as well be water for what a lot of people have to deal with.


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NeatoAnAccount
10/23/23 3:23:31 PM
#16:


Being in pain for 21 days is a long time. Even 8 days is a long time. "As much OTC painkillers as you need" might cause liver or kidney damage.

The reason they're mad that the ER doc didn't diagnose them with cancer is that the doctor sent them away without any sort of treatment, including pain relief. They're not going "time for my cancer screening, I can get that done at the ER!" They're in pain and they want to be seen now. If you're in enough pain to put your life on hold to make it stop, it's an emergency by all but the most tortured definitions.

Also, a lot of people are mentioning gallstones and burst appendices, which are ER things that were missed. From these comments alone I have learned that if someone complains of severe abdominal pain you check the gallbladder, appendix, ovaries, and uterus.

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Forceful_Dragon
10/23/23 4:08:59 PM
#17:


And I'm not excusing not checking those things when someone comes in with acute abdominal pain.

But there are a not-insignificant number of people who learned the right words to say to be prescribed opioids and that's something that has to be considered when you see the same person in the ER multiple times (which is the situation being described).

Again please see:

Forceful_Dragon posted...
"You made a skit about scenario A, and I was once in completely different Scenario B so I'm upset now!" is a bonkers take.

You keep adding qualifiers that change the scenario.

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NeatoAnAccount
10/23/23 4:32:11 PM
#18:


It sounds like they didn't actually fix this issue and he's still in pain for the same reason. There isn't enough information to conclude that this skit is scenario A. And the comments are full of people falsely accused of scenario A when they're doing scenario B.

Also, I don't actually care about hospitals being used as candy shops. Go ahead and go to the oxy store to get oxy, idgaf. Go directly to the pharmacist without bugging any doctors or nurses or prosecutors or defense attorneys or judges or cops. Just delete all the laws limiting what you can put in your own body.

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