Earlier quoted context omitted.
One thing that I think people need to understand is the distinction between science and the practice of medicine. The practice of medicine is not science. The practice of medicine can be informed by science - to a degree that is almost entirely up to the practitioner. ; but it remains more art than science. The distinction is similar to that between an aviation maintenance and aerospace engineering. Sometimes doctors…
Doctors are technicians. Technicians with a large toolkit, but technicians nonetheless. When you compare their behaviors to IT it all starts making sense.
I went to 50 different dentists: almost all gave a different diagnosis (1997)
411–420 of 585 posts
Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)
#412Earlier quoted context omitted.
>> I’m not a conspiracy nut. I believe in listening to experts (but ultimately making an informed decision). I believe in modern medicine. But that experience shook me and forever changed my trust in the dental industry. Ask anybody who’s experienced a “chronic” illness about the “experts” and they’ll tell you a tale or two. The experts are great until they have a case that is unusual. The don’t have the time or know…
"The experts are great until they have a case that is unusual. " I was so pissed by this I created a way to find experts. People that actually studied the issue, have actual publish papers on the topic. What I found was no one cared. No one wanted "experts" - they want a specialist that is in their network and close. Example of searching for mohs surgury. https://www.opendoctor.io/research/?research_papers=mohs&zip..…
Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)
#413The problem is that if dentis technicians speak up against a dentist, it usually means they lose a customer. Dentists will find someone else to fill their order. It's basically a mafia.
This happens in other fields as well, such as: shoving expensive pills down depressed teens throats to milk insurance money, then gain power of attorney over said kid to feed him 16 pills instead of one (true story, friend's son, named Bobby, would have otherwise recovered naturally, but is simply not himself anymore).
Here are a few problems:
* Money inventivizes immortal practices. Bigger (albeit unnecessary) procedure with lifetime consequences, but more insurance money. Or just money if you don't have insurance.
* The craft is polluted by bad role models. Normalizing said practices, effectively absolving young professionals from accountability.
* Flawed definition of good mentorship. Young Professionals need mentors that are a figurative handrail to honesty, and acceptance of feedback from peers. i.e. when dentists get remarks from dentist technicians that said procedure is unnecessary.
Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)
#414Earlier quoted context omitted.
Ok sample of N = 1, but here it goes. Flossing daily was the single thing that imroved my dental hygiene more than anything else. Brushing, mouthwash, fluoride treatment, gum laser treatment, regular dentist visits, nothing worked. Still had bleeding gum, pain here and there, bad smell, unstopabble tooth decay. In my mid 20-s I started flossing daily (even multiple times when I feel like food is stuck). Really my mou…
Have you tried a waterpik? Considering an investment there myself.
(I can't speak to plaque because I can't really measure it myself. But dentists seem to think I'm flossing quite well now. ha.)
I get so much more food junk out of my teeth with the waterpik. Floss never has and still never does remove much of it - even flossing, mouthwashing, and waiting until morning to try the waterpik consistently finds junk that isn't there if I waterpik. I still keep floss handy for getting truly wedged stuff out (it can provide much more force), but it's worthless for me otherwise.
Start out with a cheap one, and start both gentle and pointed across your teeth, not into your gums. It can be much too harsh when you start out. And very clearly mouths vary a lot, so if it doesn't work, it doesn't work - hence, start cheap.
Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)
#415Earlier quoted context omitted.
rich enough so you can afford personal concierge A few minutes research suggests it's not that expensive. (As little as ~2000/year).
For most people, that's expensive.
However, that is beside the point. Believe me, I hate explaining simple, simple things--but the person I was responding to is probably comfortably middle or upper-middle class and could afford a miserable 2000/year on a doctor. He doesn't have to become "rich enough", and almost 100 percent of the people in this thread don't have to either.
Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)
#416Earlier quoted context omitted.
Now imagine doing this on Canadian healthcare, having to wait months or years for each appointment, and nowadays they try to talk you into MAID to save resources…
I live in the US. I am a software engineer making more than a half a million annually. I have access to tremendous resources and can advocate for myself and my family. I live in a college town because of my wife's career. It is not a big city, but is also not rural middle of nowhere. Getting a routine gynecological appointment for my wife any time in the next six months is impossible. I gave up on trying to get an ap…
I wanted to get a sleep study done to get to the bottom of my occasional insomnia. My PCP at the time put in the pulmonologist referral (because this hospital network required a referral to get a sleep study done, which is insane in its own right, but that's neither here nor there).
This was in January. His next available appointment? March! For a friggin sleep study! And I have a HDHP + HSA and was going to pay full boat!
(He also prescribed me with an antipsychotic that can double as a sleep aid at low dosages, which I didn't take because five minutes of research into it made it obvious that taking that for extended periods of time is bad news bears. I stopped seeing him after that.)
(For those looking for answers like I was, I eventually stumbled upon Cognitive Behavioral Therapy for Insomnia, or CBT-I. It's essentially a rigid sliding window-style sleep schedule plus challenge therapy to make you rethink how you approach sleep. I've been doing this for six months now and it has been transformational. Best part? No meds!)
Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)
#417Earlier quoted context omitted.
>> I’m not a conspiracy nut. I believe in listening to experts (but ultimately making an informed decision). I believe in modern medicine. But that experience shook me and forever changed my trust in the dental industry. Ask anybody who’s experienced a “chronic” illness about the “experts” and they’ll tell you a tale or two. The experts are great until they have a case that is unusual. The don’t have the time or know…
One thing that I think people need to understand is the distinction between science and the practice of medicine. The practice of medicine is not science. The practice of medicine can be informed by science - to a degree that is almost entirely up to the practitioner. ; but it remains more art than science. The distinction is similar to that between an aviation maintenance and aerospace engineering. Sometimes doctors…
Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)
#418Earlier quoted context omitted.
>> It doesn't really matter if you see the best doctor in the world, if they can't spent the time and money running the tests you need you're not going to get a good diagnosis. Everyone in the UK should get to experience a private consultation just once. The difference between the rushed 10mins you get with the NHS and the considered 30mins you get private is amazing. You leave feeling like you’ve been taken care of…
I believe the NHS is seriously under-funded, the Tory government is responsible, and healthcare is suffering as a result. However, I do want to provide an anecdote to illustrate that private healthcare is not perfect. I had some persistent pain in my foot. Realized I wouldn't get anywhere with the NHS so I went private. The person I saw had an excellent manner. They suggested some fairly gnarly surgery. Said I should…
Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)
#419Earlier quoted context omitted.
> gender dysphoria (5% of young adults now) In no country is it true that 5% of young adults have been diagnosed with gender dysphoria. The Pew Research article that you linked only looks at how people identify themselves.
Right, but why has it been normalized? This is a disorder according to DSM V, and the word “dysphoria” also suggests profound discomfort and unease. Like “body dysmorphic disorders” like anorexia (another issue for young girls). Perhaps people are trivializing the actual affliction and are “appropriating” the identity the way it has been done with blackface or wearing drag for the fun of it etc. I actually hope so si…
Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)
#420My wife was shocked to learn in dental school how many people were there focused on the money. From her experience I learned that dentistry in particular is a profession that has a low investment / high payoff ratio. Relative to medical school dental school is easier to get into and shorter, and unscrupulous dentists can extract a lot of money out of patients. PS: I feel compelled to share her best advice re oral hyg…