Chetzemoka

Herd animals gonna herd animal ¯\_(ツ)_/¯

Anticipation of surge? We're already on the downslope of a recent tiny surge up here in the Boston area:

https://www.mwra.com/biobot/biobotdata.htm

Ok, that was subtle. Well-played and thanks for explaining

Loki be like...

Yes, but that's different from subjective evidence and I think that's part of the problem. There's a difference between somatic symptoms and subjective evidence.

We differentiate between the two all the time without explicitly identifying it as such. "Patient says the feel a lot better this morning" vs. "patient says they still feel rotten" is valid subjective evidence that we really do take under consideration when evaluating treatment response.

Onset, duration, aggravating and alleviating factors, and consistency of reported symptoms are all things that distinguish evidentiary subjective reports from somatic ones. I've walked psychotic patients through things that were distressing to them that I knew were somatic. And I've caught "real" things where the patient subjective report was really the only indication we had. It IS possible to differentiate.

Granted, this demands more time than the corporations we work for would like to permit us to spend with our patients. Which is a huge part of the problem that we should all be protesting.

I disagree with the court. We're allowed to do that

You can’t have a cop sued whenever he makes a minor mistake

Your words

You ABSOLUTELY can have a cop sued for making a minor mistake. They can carry malpractice insurance, just like I do. Don't give me that shit. There is no reason cops should be immune from lawsuits

Most map projections dramatically underestimate the size of the Pacific Ocean:

https://www.atlasobscura.com/places/point-nemo

We're just not used to seeing this half of the planet depicted, and the Pacific IS almost half of the entire planet.

Trained people become impervious to chemical fumes.

The problem is the complete dismissal of subjective evidence as being a valid form of evidence. We have deified objective evidence to the point of hubris, denying the existence of anything that doesn't show up easily using our current technology. In my experience, it's less often gaslighting and more often an embarrassing lack of epistemological humility and a pretense that we are have somehow reached the pinnacle of medical technology already and have nothing left to learn.

We're here to treat patients, not test results. If a patient is reporting that they are experiencing distressing symptoms or that something is making them feel better or worse, they deserve to be taken at their word. Ignoring them because our current tests are not sophisticated enough to identify everything invalidates their subjective experience, and that's not patient centered care.

This is the real issue when people are talking about medical gaslighting. Every endometriosis patient being told for years on end that their debilitating symptoms are "normal" period pain. The embarrassing statistics on how long it takes someone with an autoimmune disease to be correctly diagnosed.

We've become too impressed with our technological toys and forgot how to see the real human beings in front of us.

Funny story, instead of referring to groups of adults as " hey guys," I like to refer to them as "hey kids." You know how many grown adults I've had object to this? Zero. Not one. Ever.

We all know it's true