You Know What Really Grinds My Gears? Now with 3x more gears...

[fotze2]

Originally Posted by Locke

Man...my Doctor prescribes too much. I really like her for the most part, but there are times man...

"My shoulder hurts!"

- Go get an X-Ray at Emergency and here is a prescription for painkillers usually reserved for Elephants!

I'm not a Doctor or anything, nor do I play one on TV, but I think all of that is rather extreme...also, unless my arm is literally hanging by a thread? I'm not going to emergency. Thats for emergencies.

That’s because baby aspirin is too spicy for you. I need something for this an doc. Here’s some T1/8ths. Who’s, go easy there Renton, I’m not Begbie.

[btimbit]

Originally Posted by Locke

Man...my Doctor prescribes too much. I really like her for the most part, but there are times man...

"My shoulder hurts!"

- Go get an X-Ray at Emergency and here is a prescription for painkillers usually reserved for Elephants!

I'm not a Doctor or anything, nor do I play one on TV, but I think all of that is rather extreme...also, unless my arm is literally hanging by a thread? I'm not going to emergency. Thats for emergencies.

Meanwhile I can never get painkillers for the life of me. Tonsils so infected they've gone black and every breathe is like eating razor blades? Yeah, here's some antibiotics, but piss off and take an advil

[TorqueDog]

Originally Posted by Fuzz

The solution is obvious, we need more small cars on the road.You'd be able to see the small cars if they weren't blocked by the massive ones.

Thank goodness you're here, Captain Obvious!

And actually, the solution is not that we need more small cars on the road; for this specific issue, we need them in parking lots.

[jayswin]

Originally Posted by fotze2

My doctor is accepting new patients and is awesome . Same day appointments will prescribe anything. What you want in a doctor.

No, that's the opposite of what you want. I got prescribed Percocet from the hospital after a serious injury. I was honestly pretty addicted after a couple weeks. They felt amazing and I was doing 6 a day when it was supposed to be 2.

I went to my family doctor for a refill and he saw what I took vs what I was supposed to take and flat out said "#### that, this isn't good, I'm taking you down to Tylenol 3 and then we'll go down from there, Percocet could and likely will destroy your life".

His defiance to prescription pills likely saved me from a terrible life and likely death, eventually as well. You're doctor, if he's doing that shouldn't have a medical license, to be honest. **** that guy. Easy and over use of opioid pills, enabled by doctors is devastating in our society. I seriously hope you're just exaggerating and he's not actually that easy when our country has worked really hard to make doctors move away from easy prescriptions. He's likely killing people if he'll prescribe what ever patients ask for.

[Fuzz]

Originally Posted by TorqueDog

Thank goodness you're here, Captain Obvious!

And actually, the solution is not that we need more small cars on the road; for this specific issue, we need them in parking lots.

Ah, I can get behind your idea of banning large vehicles from parking lots. Good call.

[Fuzz]

Originally Posted by jayswin

No, that's the opposite of what you want. I got prescribed Percocet from the hospital after a serious injury. I was honestly pretty addicted after a couple weeks. They felt amazing and I was doing 6 a day when it was supposed to be 2.

I went to my family doctor for a refill and he saw what I took vs what I was supposed to take and flat out said "#### that, this isn't good, I'm taking you down to Tylenol 3 and then we'll go down from there, Percocet could and likely will destroy your life".

His defiance to prescription pills likely saved me from a terrible life and likely death, eventually as well. You're doctor, if he's doing that shouldn't have a medical license, to be honest. **** that guy. Easy and over use of opioid pills, enabled by doctors is devastating in our society. I seriously hope you're just exaggerating and he's not actually that easy when our country has worked really hard to make doctors move away from easy prescriptions. He's likely killing people if he'll prescribe what ever patients ask for.

I think because it's Fotze, he was actually referring to boner pills. All the boner pills in the land.

[Shazam]

Originally Posted by Fuzz

To be fair, I think a lot of aspects about healthcare are more art than science. Or perhaps the interpretation of how to apply the science best. It sounds like your first doctor wasn't very good at applying it. But there is also a #### load of voodoo no one really understands, particularity when it comes to medicine. I'm not sure that has it make sense to not trust the science.


It's like how people have been convinced to not trust mainstream media by deceitful liars, and the alternative is ingesting mounds of feces. Which they seem happy enough to do. What's the alternative to not trusting medical science? Oh ya, horse paste.

Everytime someone says "it's more an art that science", that person needs to be punched in the groin repeatedly. It's what IT people say that don't know what they're doing.

"Oh it's art"

No dip####, you don't know what the strategy pattern is.

As for doctors, seek a second opinion. Or a third opinion. I realize that can be difficult in the Canadian system.

Hey did you know in BC, naturopaths can write prescriptions?

[Fuzz]

Originally Posted by Shazam

Everytime someone says "it's more an art that science", that person needs to be punched in the groin repeatedly. It's what IT people say that don't know what they're doing.

"Oh it's art"

No dip####, you don't know what the strategy pattern is.

As for doctors, seek a second opinion. Or a third opinion. I realize that can be difficult in the Canadian system.

Hey did you know in BC, naturopaths can write prescriptions?

So, first I said "a lot of aspects", not all. You don't think that for things like the actions of medications, results can be wildly different? There is no perfect say, antidepressant for everyone. And you don't know what is best for the patient until you try different ones.

Now, sure, there is most likely a scientific explanation, but we don't know or understand it at this point, so the practice of prescribing medication can be less certain than can be discerned from our current knowledge.

And then you have surgeries, where individual physiology can mean combining your scientific knowledge with experience and perhaps creativity to make a surgery successful.

If there weren't some art to healthcare, outcomes would be a lot easier to predict.

[GGG]

That doesn’t make it an art. It makes it even more sciencey.

You have a hypothesis, you test the hypothesis, you evaluate the results, based on the new results you revisit and change your hypothesis.

That’s science.

What you describe as prescribing different anti-despresents isn’t art. It’s diagnose, perscribe, test, reevaluate based on the best available information.

Science is inherently designed to be continuously improved on. It’s designed for the absense of good information

[calgarygeologist]

Trust the art.

[Fuzz]

Originally Posted by GGG

That doesn’t make it an art. It makes it even more sciencey.

You have a hypothesis, you test the hypothesis, you evaluate the results, based on the new results you revisit and change your hypothesis.

That’s science.

What you describe as prescribing different anti-despresents isn’t art. It’s diagnose, perscribe, test, reevaluate based on the best available information.

Science is inherently designed to be continuously improved on. It’s designed for the absense of good information

OK, now do the placebo effect, or the power of positive suggestion when prescribing.



Here's a good read too:
https://thehealthcareblog.com/blog/2...ribing-or-not/


You can go way back to this book....
https://www.amazon.com/Lessons-Presc.../dp/1164868373


But you don't have to go that far for a paper with that title, from 2024:
https://www.researchgate.net/publica...g_Prescription


I think it's a bit dismissive to say it is all science when we don't even understand the mechanisms of many drugs.

[PepsiFree]

Originally Posted by Fuzz

So, first I said "a lot of aspects", not all. You don't think that for things like the actions of medications, results can be wildly different? There is no perfect say, antidepressant for everyone. And you don't know what is best for the patient until you try different ones.

Now, sure, there is most likely a scientific explanation, but we don't know or understand it at this point, so the practice of prescribing medication can be less certain than can be discerned from our current knowledge.

And then you have surgeries, where individual physiology can mean combining your scientific knowledge with experience and perhaps creativity to make a surgery successful.

If there weren't some art to healthcare, outcomes would be a lot easier to predict.

This is correct. Same reason why top schools like Harvard put an emphasis on developing creative skills. While science forms the foundation and has a heavy hand in the structure and delivery, creativity/intuition are absolutely part of effective medical care.

Heck, none of the biggest scientific discoveries would have been possible without creativity and intuition. Maybe some literalist spectrum folks think “art” is just painting.

[Slava]

Originally Posted by Shazam

Everytime someone says "it's more an art that science", that person needs to be punched in the groin repeatedly. It's what IT people say that don't know what they're doing.

"Oh it's art"

No dip####, you don't know what the strategy pattern is.

As for doctors, seek a second opinion. Or a third opinion. I realize that can be difficult in the Canadian system.

Hey did you know in BC, naturopaths can write prescriptions?

Nah, this is just wrong. I know that everyone (particularly engineers) wants investment decision-making to be a science. They think we should just do some calculations and get to some nice, neat number at the end of it, and there is your investment decision. That's just not how it works at all. It might look good on paper, but in practice, it doesn't work that way.

And, I don't think that investing is peculiar in that sense. There are a lot of things that might seem like there are hard and fast rules, but in practice, those "rules and laws" are somewhat tenuous.

[PaperBagger'14]

Originally Posted by btimbit

Meanwhile I can never get painkillers for the life of me. Tonsils so infected they've gone black and every breathe is like eating razor blades? Yeah, here's some antibiotics, but piss off and take an advil

Hah you and me both. I had a surgery a few years ago that was pretty gnarly, got a few T3s at the hospital and a firm slap on the ass on the way out. I guess it’s better than the path that some people go down but I definitely would have appreciated a couple days of T3s.

I did turn down hydromorphone at the hospital though after breaking a rib because “sorry doc I’m driving”.

[Locke]

Originally Posted by btimbit

Meanwhile I can never get painkillers for the life of me. Tonsils so infected they've gone black and every breathe is like eating razor blades? Yeah, here's some antibiotics, but piss off and take an advil

Yeah, I keep telling her that I'm largely against Pain medication, it makes me incredibly sick, granted I've never dabbled in ye ol' opioids, maybe they're better? Maybe they're worse? I'm not super interested in finding out.

But I dont even take Advil or Tylenol for headaches, I just power through.

I constantly tell my Doctor: "My goal here is to take less medication, not more!"

Its a whole long story but I'm largely averse to painkillers in general.

[Dion]

Originally Posted by btimbit

Meanwhile I can never get painkillers for the life of me. Tonsils so infected they've gone black and every breathe is like eating razor blades? Yeah, here's some antibiotics, but piss off and take an advil

I refuse them when offered. I don't want to deal with an addiction problem from the pills when i'm healed. Maybe a few T3' to start but that's it

[fotze2]

Originally Posted by jayswin

No, that's the opposite of what you want. I got prescribed Percocet from the hospital after a serious injury. I was honestly pretty addicted after a couple weeks. They felt amazing and I was doing 6 a day when it was supposed to be 2.

I went to my family doctor for a refill and he saw what I took vs what I was supposed to take and flat out said "#### that, this isn't good, I'm taking you down to Tylenol 3 and then we'll go down from there, Percocet could and likely will destroy your life".

His defiance to prescription pills likely saved me from a terrible life and likely death, eventually as well. You're doctor, if he's doing that shouldn't have a medical license, to be honest. **** that guy. Easy and over use of opioid pills, enabled by doctors is devastating in our society. I seriously hope you're just exaggerating and he's not actually that easy when our country has worked really hard to make doctors move away from easy prescriptions. He's likely killing people if he'll prescribe what ever patients ask for.

It was definitely tongue in cheek that its a good thing. For sure agree. He's never prescribed opioids. Had morphine for a few days in the hospital, I don't get the love, made me dizzy and barfy and itchy. Not a good buzz at all. One T3 one night, not pleasant.

[Sliver]

Originally Posted by fotze2

It was definitely tongue in cheek that its a good thing. For sure agree. He's never prescribed opioids. Had morphine for a few days in the hospital, I don't get the love she dizzy and barfy and itchy. Not a good buzz at all.

I had morphine for a lacerated spleen. Went from agonizing kill-me-now pain to the best feeling I've ever felt in my life in the span of, like, three seconds once that intravenous of morphine was hooked up.

I could never go near opiates. They're goddamn magic, dude.

When it's time for my end-of-life/palliative care (hopefully way in the future), I'm truly looking forward to hitting those opiates for my final stretch. It's going to be awesome.

[CroFlames]

Yeah I had percocets after a procedure once. Phenomenal stuff.

Watching LOTR while on them was like an out of body experience.

[Coach]