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I went to 50 different dentists: almost all gave a different diagnosis (1997)

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Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)

#491
post #409

Earlier quoted context omitted.

Doctors are technicians. Technicians with a large toolkit, but technicians nonetheless. When you compare their behaviors to IT it all starts making sense.

Being a doctor is like debugging a unique humongous software application with thousands of years of organic patchwork added by a godlike AI which just generates random code and watches the failed experiments die, no source code to any of it just the final binary, no debugger that lets you kill the process and dump its memory or trace its execution, just a bunch of test cases that cost lots of money to run and may yie…

And much like software development, it will all soon be done by ChatGPT.

Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)

#492

Earlier quoted context omitted.

Being a doctor is like debugging a unique humongous software application with thousands of years of organic patchwork added by a godlike AI which just generates random code and watches the failed experiments die, no source code to any of it just the final binary, no debugger that lets you kill the process and dump its memory or trace its execution, just a bunch of test cases that cost lots of money to run and may yie…

And much like software development, it will all soon be done by ChatGPT.

Local models integrated into EMR systems could be a great tool for doctors but not ChatGPT. I really don't recommend feeding confidential medical information into a corporation's computer. At least doctors are ethically obligated to maintain confidentiality.

Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)

#494

Earlier quoted context omitted.

Pretty much yes, holding your brush at 45 degrees and following your gum line. I found I could feel and follow my gum line except on my back upper outside molars where I had to turn the brush about 30 degrees up (in the front to back direction). For some reason I can't feel that part of my gums very well. I'm pretty sure your mileage may very. It's also helpful to have a reliable hygienist check how you're going unti…

I appreciate the detailed reply! Just to clarify: You only floss once every 2 weeks?

No I brush once a day at the moment. I might brush more often if I can confirm that it won't damage my gums to do so. In any case, once a day for me has been working very well so far.

Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)

#495

Earlier quoted context omitted.

This is very true. I had a SO with severe chronic gastric pain and they got passed around by doctors for years. One jerk wrote "drug seeking behavior" into her file and that made things even worse. Finally someone took her seriously, got imagery done, and discovered surgery was necessary. In US healthcare you have to be your own advocate and be willing to push. The system breaks down if you don't have a routine and o…

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…

If you think waiting for months is a Canada-only problem, you clearly haven't tried to get a specialist appointment[1] in much of the US. And that's with good insurance.

[1] Or shit, even a PCP that accepts new patients.

Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)

#496

Earlier quoted context omitted.

I moved from the U.K. to the US and the situation is even worse in the UK. Unless you’re bleeding or have cancer it’s basically “please go away”.

So much he said she said is the UK better than us with healthcare or not?!

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Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)

#497

Earlier quoted context omitted.

yeah, I was just thinking about this today. Doctors seem less like engineers and more like QA testers or PMs trying to fix bugs since there's nobody better suited to the job available. Hopefully medical science will keep advancing rapidly here..

I doubt doctors will get better at this in our lifetimes. As we discover ever more about the human body, how are doctors expected to keep up with the research on top of everything else? I’m hoping AI systems can help. A good medical AI should be able to stay abreast of all the research, know your personal medical history and suggest and evaluate any and all medical tests that are needed. Doctors will hate it, but I e…

Just some statistics can help. My family doctor has some kind of awful green screen practice software but amazingly it has prognosis statistics for certain lab diagnostic results. Makes for better discussion about treatment plans.

Re: I went to 50 different dentists: almost all gave a different diagnosis (1997)

#500

Earlier quoted context omitted.

I moved from the U.K. to the US and the situation is even worse in the UK. Unless you’re bleeding or have cancer it’s basically “please go away”.

So much he said she said is the UK better than us with healthcare or not?!

If it were possible to answer that with a simple yes or a no, it wouldn’t be such a perennial debate.

Clearly both systems have benefits and drawbacks.

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