[Terry_Roll]

> I find myself naturally skeptical of people who seem overly interested in what’s going on in my life and overwhelming positive and complimentary of anything I mention

Yep, as an INTJ, I find myself often repeating pertinent points because I dont see any lights-going-on moment in their faces, the negative for me is that I've been labelled by some as having dementia for repeating myself! I just dont see people reacting to the significance of some of the things I've said to them though and thats worrying when its authority type figures.

Classic example, kidney disease test uses creatinine as an indicator of estimated Glomular Filtration Rate (eGFR test). Things that elevate creatine and its breakdown product creatinine, is vitamin D and creatine body building supplementation. Vets and GP's use these creatinine tests to prescribe a whole host of drugs and treatments yet the lab test cant quantify and account for the Vit D and Creatine supplementation. My vet was surprised I give my dog creatine, but about 30% can be destroyed by heat and the raw diet makes huskies perform better by about 20%, ergo creatine supplement for dogs on cooked food can help get them closer to what they would have had on a raw diet.

Even GP's dont ask if someone is doing creatine supplementation at least on the NHS here in the UK. For the record you need to two weeks off Creatine supplementation for the lab test to become accurate and longer like at least 8-12 weeks for Vit D (Vit D has a 4 week half life) to get out of your system before arriving at a more accurate creatinine lab test. If GP doesn't ask the right questions, they could put your through unnecessary treatments which is a waste for taxpayers and the patient.

And thats just one example out of loads.

[pbhjpbhj]

Maybe your conversation needs practice?

It's pretty hard to see what your long (in this forum), detailed anecdote about your dog has to do with the conversation at hand.

This is not intended as any sort of slight, but based on this comment alone I would suspect you may have Aspergers.

[salawat]

Ffs. This is s exactly their point. You're seven steps behind the game. The point is that if you don't ask the right questions, the 'ah ha' moment one would need to realize they will be defeated by using a standard testing technique because there is extra context that you, the General Practitioner are unaware of.

Then instead of sitting down and engaging a few brain cells on abstract thinking, you blame the poster for having Aspberger's because you can't make the topical leap.

This happens all the time in topics where one can actually be bothered to accrue significant knowledge, in my experience.

[pbhjpbhj]

I didn't have a problem following them [AFAICT, there's nothing particularly complicated about the subject], to me the content structure lacks hierarchy that others naturally apply; rather like unintentionally burying the lede. Their point seemed like it was 'left as an exercise for the reader' -- fine if they intended that style is prose.

I didn't blame the GP; friends who have conversed with me in that manner (only 2) have had diagnoses of Asperger's [which is why I chose that term over ASD].

FWIW there were several interesting things in the comment, and I'm glad they made it.

[Terry_Roll]

> Maybe your conversation needs practice?

I'm more used to talking to computers tbh.

[darkerside]

I can relate (sort of). I got a blood test shortly after a night of heavy drinking, and ended up getting an (unnecessary) ultrasound because of my creatinine levels!

I can also relate to feeling as though people are not getting what I'm saying. I really wish more people were active listeners, but it's one of those things you can't really ask someone else to do gracefully.

I feel like the best you can do is make sure you've designed your sentence so that the full impact gets through. Example, telling my doctor that I was an 8 or 9 out of 10 in pain was met with shrugs. Saying that I was woken at night with waves of pain that felt like I was being stabbed with a knife got their attention.

[Terry_Roll]

> I feel like the best you can do is make sure you've designed your sentence so that the full impact gets through

There's no emotion in text or little anyway and some people I think are more focused on their surroundings or body language, beside text (sight) is the fastest input into the brain.

>I feel like the best you can do is make sure you've designed your sentence so that the full impact gets through

And this is another point, GP's dont do a saliva test to see how high our cortisol/adrenaline levels are so someone in a high stressed situation wont feel pain like someone who is relaxed so then if the GP/paramedic asks the question of "1-10 10 being most painful how painful is something?", they have failed by not measuring the circulating levels of cortisol and adrenaline which is masking the pain level the brain is trying to convey to the GP.

Put another way, you go to the dentist and have a filling, the dentist injects whatever to numb the pain but some patients need more than they amount/kg. Why is this? Do they have a healthy liver which metabolises the drug faster, better blood circulation, higher levels of bilirubin or high levels of manganese which improves the nervous system?

So many variables to factor into a single or double ml shot of painkiller!

[darkerside]

I was talking about spoken sentences. Yes, I design sentences for use in important conversations, and I have no idea if that is weird or not. :)

But yes, great point on body language. My saying 9 calmly through gritted teeth was received differently from my gesticulated comment on waves of pain..