Chetzemoka

joined 2 years ago
[–] Chetzemoka@kbin.social 3 points 2 years ago

Loki be like...

[–] Chetzemoka@kbin.social 3 points 2 years ago

Yes, but that's different from subjective evidence and I think that's part of the problem. There's a difference between somatic symptoms and subjective evidence.

We differentiate between the two all the time without explicitly identifying it as such. "Patient says the feel a lot better this morning" vs. "patient says they still feel rotten" is valid subjective evidence that we really do take under consideration when evaluating treatment response.

Onset, duration, aggravating and alleviating factors, and consistency of reported symptoms are all things that distinguish evidentiary subjective reports from somatic ones. I've walked psychotic patients through things that were distressing to them that I knew were somatic. And I've caught "real" things where the patient subjective report was really the only indication we had. It IS possible to differentiate.

Granted, this demands more time than the corporations we work for would like to permit us to spend with our patients. Which is a huge part of the problem that we should all be protesting.

[–] Chetzemoka@kbin.social 1 points 2 years ago* (last edited 2 years ago)

I disagree with the court. We're allowed to do that

[–] Chetzemoka@kbin.social 1 points 2 years ago* (last edited 2 years ago) (2 children)

You can’t have a cop sued whenever he makes a minor mistake

Your words

[–] Chetzemoka@kbin.social 1 points 2 years ago* (last edited 2 years ago) (4 children)

You ABSOLUTELY can have a cop sued for making a minor mistake. They can carry malpractice insurance, just like I do. Don't give me that shit. There is no reason cops should be immune from lawsuits

[–] Chetzemoka@kbin.social 16 points 2 years ago

Most map projections dramatically underestimate the size of the Pacific Ocean:

https://www.atlasobscura.com/places/point-nemo

We're just not used to seeing this half of the planet depicted, and the Pacific IS almost half of the entire planet.

[–] Chetzemoka@kbin.social 3 points 2 years ago

Trained people become impervious to chemical fumes.

[–] Chetzemoka@kbin.social 9 points 2 years ago* (last edited 2 years ago) (2 children)

The problem is the complete dismissal of subjective evidence as being a valid form of evidence. We have deified objective evidence to the point of hubris, denying the existence of anything that doesn't show up easily using our current technology. In my experience, it's less often gaslighting and more often an embarrassing lack of epistemological humility and a pretense that we are have somehow reached the pinnacle of medical technology already and have nothing left to learn.

We're here to treat patients, not test results. If a patient is reporting that they are experiencing distressing symptoms or that something is making them feel better or worse, they deserve to be taken at their word. Ignoring them because our current tests are not sophisticated enough to identify everything invalidates their subjective experience, and that's not patient centered care.

This is the real issue when people are talking about medical gaslighting. Every endometriosis patient being told for years on end that their debilitating symptoms are "normal" period pain. The embarrassing statistics on how long it takes someone with an autoimmune disease to be correctly diagnosed.

We've become too impressed with our technological toys and forgot how to see the real human beings in front of us.

[–] Chetzemoka@kbin.social 27 points 2 years ago (4 children)

Funny story, instead of referring to groups of adults as " hey guys," I like to refer to them as "hey kids." You know how many grown adults I've had object to this? Zero. Not one. Ever.

We all know it's true

[–] Chetzemoka@kbin.social 6 points 2 years ago

Why did his eye color change? Lol

[–] Chetzemoka@kbin.social 35 points 2 years ago* (last edited 2 years ago)

Jesus Christ

Whoever you are, wherever you are, make the extra effort to make sure you can vote this cycle. Just because of how much they don't want you to

[–] Chetzemoka@kbin.social 2 points 2 years ago* (last edited 2 years ago)

Agreed wholeheartedly. That said, Oppenheimer is officially the only biopic I've ever watched twice and will definitely watch again someday. Which makes it my favorite biopic, for whatever that is worth about a genre that I loathe.

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