[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.

[ok_dad]

They think she’s a drunk, she says she isn’t, the easiest way to find out is ensure she can’t have alcohol. Not that hard to do at a hospital! Seems like a simple idea to me.

Remember, it took several visits to figure this out, and no one even tried this simple thing to suss out if she was truly an alcoholic.

[s1artibartfast]

Why do you say they never tried this? were you there?

If they kept her at the hospital and took multiple BAC measurement, her BAC would be going down, making her look like a drunk.

The only way they would see BAC spike is if they loaded her up with carbs, which only makes sense to do if they already suspected auto-brewery.