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by flakeoil
741 days ago
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> That seems to be a senseless concern, since offered the evidence of a lab test, a physician should be prompted to investigate further. No physician (nor individual) should ever be making a diagnosis or treatment decision based on a single line of evidence. You talk like an engineer who only has one product/project/patient to work on for weeks/months/years. A doctor has to see 40 patients a day, and the next day there are a completely new set of 40 patients etc. To investigate further the quality of a lab test result isn't something a physician has much time to do unfortunately. |
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For me personally, there should be a substantial difference between a surgeon and a diagnostician. Someone who's only job it is to look at evidence and lab results and walk through what problems it could be. This is a wholly different job than actually doing any of the procedures and would attract new people.
Moreover, I know many doctors who are skilled surgeons but terrible at diagnosis.
Take my own wife, who, up until we figured out what worked for her and found a doctor willing to do it, had miscarriage after miscarriage (seven total), and the fix was fairly straightforward, but it took forever to get there, and most of the obstetricians and MFMs we saw (great surgeons, themselves), were not actually very knowledgeable on the latest research. Nor should they be. The intricacies of various blood disorderse, genetic recombinations, etc, has so little to do with their practice of gynecological surgery that it's crazy we confuse the two. At the end of the day it took my wife and I (both coming from scientific backgrounds and familiar with academia and statistics) took matters into our own hands, got familiar with the data, and suggested appropriate treatments (which have worked several times now in a row, so clearly something changed, unless probability is really trying to screw with us).