[s1artibartfast]

Did the woman come in and say "I have auto-brewery syndrome, and I want you to test me for it"?

If so, then the comparison is off. It isnt that the doctors "didn't listen", it is that they didn't correctly deduce a 1 in a million cause, based on the information they had.

[ok_dad]

She came in, the doctor asked if she had drunk alcohol, she says no, what more is there to understand? This doctor didn’t listen. If he had, even if he didn’t know about this specific disease, he could have started tests and brought in other doctors. Instead, suffering. Not hard to understand. Doctors don’t listen.

[s1artibartfast]

You keep saying they don't listen, but there's no evidence they didn't hear what she said. It seems your problem is more with how much weight they put on that information, and how much effort they put into getting to the bottom of things.

Most doctors aren't interested in playing Detective for the extremely rare cause. They treat the most likely cause given the information that they have on hand

[ok_dad]

So you’re admitting they don’t listen, they just try whatever’s most common.

[s1artibartfast]

I think you are hung up on the word listen, and I am saying there are a lot of things that happen after they hear what a patient says.

patients aren't saying "I have auto brewery and would like you to confirm it".

Patients are instead reporting symptoms which the doctor then has to interpret and find a likely cause. Even if they 100% believe the patients, the diagnosis may not be obvious. IF they dont 100% trust the patient, or think they may be confused, then it is even harder. Patients ARE very unreliable.

[ok_dad]

So if patients are so unreliable, why not send her to inpatient for one night to find out? There was a really simple way to solve this.

[s1artibartfast]

To find out what? What are they looking for in this hypothetical?

That's my whole point.

Why not make her do hand stands? Why not make make her wear pink?

You are picking a test because you know the disease.