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by matheusmoreira 1611 days ago
> Person doesn't feel good, so the doctor orders a useless test, test comes back negative so the person feels better.

Person doesn't feel good. Mild flu-like symptoms. There's a good chance that the patient will get better if I do literally nothing. However, I also know that it could be X, Y, Z... So I order a test to prove that it's not those diseases because if it turns out to be them it would make me guilty of gross negligence.

Concrete example: symptoms of hypothyroidism are similar to depression, therefore you must rule out hypothyroidism in order to diagnose depression.

> 10 full blood panel samples a year

Why? Where's your evidence that this waste of money will benefit anyone? Even yearly screenings are sometimes questioned in medicine and they do have evidence backing them up showing reductions in mortality. What are you even trying to find?

1 comments

> 10 full blood panel samples a year

Also, because we haven’t done this at scale, we don’t know the true baseline for most people who may have something on the blood panel samples but never get tested because they are asymptomatic. So then we have this whole group of people with recommended treatment because of the results, even though they are asymptomatic. And they are treated, which then leads to increased costs and side effects…

And now we’ve effectively increased medical costs and decreased quality of life for asymptomatic patients. BUT - if we do it with just a drop of blood, we might be able to start a startup and raise some funding… We could call it Thermos or something…