this post was submitted on 19 May 2024
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Unpopular Opinion

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The way people online constantly say 'talk to your doctor' like it's a panacea is a lot like how medieval peasants weren't able to read scripture and they just had to trust their clergy's interpretations

Sick of it. Usually it's not even like if I'm trying to find out if I have fucking cancer, I'm saying oh i feel sad in the evenings. why in the NAME of GOD would i want to then, for that, find the guy's number, call, leave a message cause it's midnight, wait for them to call back, schedule something 2 weeks later, worry the whole time, and try to remember and rephrase in formal clinical terminology exactly what's happening and get formal cold clinical advice for it from a guy I see twice a year. Just tell me! Give me colloquial advice and home remedies! good god!

There could be so many miracle tips or tricks online that really work but nooo people constantly shout 'talk to your doctor! call your doctor!' i don't want to fucking call the doctor, medical environments give me anxiety and all the bureaucracy and insurance and bills don't help matters either.

some zoomers on tiktok seem to get this and happily share 'oh this worked for me!' and usually it's somewhat helpful and a very nice, casual interaction that doesn't involve interaction with an authority figure and potential bills. it's that easy.

'ooh what about liability' don't care. liability has destroyed modern america, gatekeeping knowledge behind a culture of fear. if you're so scared about liability over a reddit comment, simply don't say anything! rather than leaving a pointless piece of advice that every single person on the planet knows is the default 'ideal' answer, that isn't necessarily actionable for many who don't have easy or trivial access to healthcare.

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[–] [email protected] 1 points 5 months ago

It's mostly a boiler plate response to avoid being sued in case they suggest something that ends up leaving you worse than if they had said nothing at all

[–] [email protected] 1 points 5 months ago

Taking internet medical advice can help you, do nothing, or leave you with permanent damage.

Talking to a doctor is unlikely to cause additional harm.

[–] [email protected] 3 points 5 months ago

I agree with you. However, in part this is often done because giving or receiving medical advice online is generally ill advised. There can, in theory, even be legal concerns (potentially). Say someone gives bad advice and the person is harmed from it. I also think that all the misinformation that got disseminated during the pandemic left people gun-shy on these topics.

But I still agree with you in spirit. The "talk to your doctor" thing can be a too cold and reflexive with some folks. And there are a few home remedies that do work. And maybe the person asking just wants some emotional support and not the usual soulless canned advice.

This topic reminds me of people who automatically throw an 800 number out there whenever certain key words get mentioned. There's almost always good intentions behind that. But in the USA at least, calling such a number can make a person's life much worse. Loss of agency followed by a huge medical bill. Because it's not really about helping the person. It's about optics and collecting money.

[–] [email protected] 3 points 5 months ago (1 children)

Agreed, my experience supports what you're saying. I've had dangerous advice and prescriptions from doctors, and great advice from online that's produced long-term resolutions to health problems.

Yeah there's a lot of nonsense out there, you have to be savvy, so yes, some people should just stick with visiting professionals.

Long term, I've had better results for a lot of issues when I've gone online and learned vs when I've gone through the process of visiting multiple highly rated providers, including specialists. I've also been able to develop a good understanding of how my body works which has allowed me to develop a better wellness-oriented approach to my health.

Sad to see so many people in this thread ignoring what you actually said and attacking you with straw man arguments and extreme edge case scenarios.

[–] [email protected] 2 points 5 months ago (1 children)

exactly, yes, thank you. it drives me insane when people act like they're so infallible that it automatically makes everyone else wrong, immoral even, for even giving advice. if they're typing from canada or the UK or europe that's one thing, cause it is more trivial to talk to a doctor, but in the US it's extremely obnoxious and presumptuous when you damn well know the way this country works yet still constantly badger people about it, with this attitude that of course i don't know what's best for me, nor should i even attempt to find out myself or double check or find other opinions, of course not, how dare i. the only corroboration allowed is making another appointment with another doctor. it's my body and life. when i was 15 i diagnosed myself with an extremely rare speech disorder two weeks before the expensive ENT did the same thing except with far more bluntness and insensitivity. haven't cared much for the outright worship of them since.

maybe the reason most medical advice online is so 'untrustworthy' is because everyone's been yelling this for 20 years so the only people bothering to try are the real kooks.

[–] [email protected] 2 points 5 months ago

Yeah. I trust medical professionals but they're far from perfect. They might prescribe you expensive pills for digestive problems before teaching you about the importance of fiber, or give you powerful psychoactive medication before introducing you to cognitive behavioral therapy.

Everyone's worried about liability, which is fine if you're giving paid medical advice, but stomping on people trying to learn about health issues isn't the way to handle it.

[–] [email protected] 0 points 5 months ago

Abdication to authority, with a hint of hivemind mass-formation.

[–] [email protected] 14 points 5 months ago

Sorry that you're going through something OP. Everything I say after this is probably something you don't want to hear, so read on at your peril.

The reason people tell you to go to your doctor when you ask for medical advice online is because the question itself implies you want good or useful advice and nobody besides you're medical team can give you that. You can find some general stuff online or ask to speak to a different doctor if there's trust issues with your current provider, but nobody without access to your personal medical history is able to advise you accurately. It takes at least 8 years of constant study to be a newbie doctor. Human bodies are extremely complex, and we still don't know how everything works. Even if we did, not all bodies work the same way. On top of that, humans are shit at statistics, and we heavily bias anecdotal evidence, especially when it is our own anecdote or from someone we know.

Here's a simple example.

Say I get an upset stomach after eating meals and I complain about it to a friend. Trying to be helpful, they told me they used to get that too, so they tried switching to a vegetarian diet, and they got better. Sounds innocent enough, right? I know what vegetarian means (it's "common sense", right?) so I stop eating meat and start getting salads or fruit for lunch instead. After about a week, I fell asleep while driving home. Turns out, I'm anemic. I was getting just enough iron on my old diet to keep the worst symptoms that would have scared me enough to see a doctor at bay, but when I cut out meat I went from iron deficient to anemic. Had I gone to the doctor, they'd have easily seen my iron deficiency and put me on a supplement or advised me how to change my diet, and the nausea would have gone away. Instead, I end up imaking my condition worse and landing in the ER after an auto crash.

That didn't actually happen, but I think it's a good example for several reasons. It's a common side effect (nausea) of a common problem (iron deficiency) that you're likely to think doesn't warrant a doctor, but you'd still mention to a friend. It's a super common symptom associated with lots of conditions. The friend even gave good advice (for most people, changing their diet wouldn't have been an issue, but because of an underlying medical condition specific to our protagonist, it was bad advice FOR THEM). The friend had no way of knowing or even suspecting it could be dangerous advice because most people don't spend a decade learning about the body and disease more generally and they didn't know about the specific issues related to the specific case. It's the same reason you shouldn't get legal advice online... It's a super complex system, and every case is literally different.

[–] [email protected] 8 points 5 months ago

I was initially going to upvote this but the fact is that if someone cannot go to a doctor and get something resolved they will look elsewhere. Whether its a failure of the medical system or limitations of our medical technology there are many reasons someone cannot get treatment or even advice. That being said if one has access to speak to a doctor that should always be their first action.

[–] [email protected] 7 points 5 months ago

If you know your diagnosis, you can certainly look up standard of care treatments, prognosis, stats about the disease, and other really good information. The CDC has a really good website for looking up a lot of that stuff, as does the NIH, StatPearls, and a few others. If you have access to a university health library then you now have access to things like ClinicalKey, Ovid, Taylor and Francis, etc. that provide even more information, and if you're working for part of a hospital system you likely have access to UpToDate which residents, fellows, and attending doctors will pull up if they're unfamiliar with a treatment/disease. Heck even Wikipedia has some really good articles and the source list if you know what you're looking for.

But you don't know what you're looking for, you have a set of symptoms that need an MD, DO, PA, NP to diagnose and treat.

[–] [email protected] 26 points 5 months ago* (last edited 5 months ago) (1 children)

Yes, the doctor went to school and rigorously studied medicine for years. They are not a "wizard" they are simply an expert with expert knowledge.

Random people on the Internet are not, which is why they tell eachother to drink horse dewormer and other stupid shit. It doesn't matter how much some random layman thinks they know what's wrong with you, they have no expertise to support that belief.

The idea that people should stop telling others to check with a doctor if they need medical advice is absurd.

[–] [email protected] 8 points 5 months ago (1 children)

It's worse than that, even another doctor should not be diagnosing or advising people online...they don't have access to your medical history, current medications, comorbidities, etc and all of that data is VITAL to giving sound medical advice.

Anything beyond "eat a variety of foods - not too much or too little, get enough sleep, and exercise within your comfort limits" without any of that additional information should be considered bad advice and there's probably even cases where those 3 very general rules would be ill-advised.

[–] [email protected] 2 points 5 months ago

they don't have access to your medical history, current medications, comorbidities, etc and all of that data is VITAL to giving sound medical advice.

True, but also, some local public doctor hardly has time to do a deep dive into that with some 20min appointment instead of having a 30 second look into the brief the nurse you talked to jotted down, hap-hazardly

One can give advice without being too prescriptive, much like the example you gave. Some things are just good all around advice and such that they would practically never be harmful. Even your advice wouldn't be good for some things. Broken bone? Nope. Diabetic coma, nope.

[–] [email protected] 14 points 5 months ago

If you feel sick talk to your doctor. Internet "knowledge" doesn't work in case on medical issues. So called tips and tricks may work for a person who posted it but it could be dangerous for you. If calling a stranger (in this case a doctor's office) invokes anxiety, talk to a therapist.

[–] [email protected] 12 points 5 months ago

Man, this occur really an opinion, it's a rant.

Which is fine, I guess, but it means you won't get useful responses for the most part.

Here's the thing though. You can't crowd source medical advice. Well, you can, but doing so is an idiot's bet. You might get lucky and get good advice, but chances are it'll range from useless to possibly risky/dangerous.

It's hard enough to diagnose when you have a solid patient history and a good intake interview. Going from there to prescribing is another set of evaluations to get the most results with the least side effects.

And you sure as fuck need to give plenty of disclaimers if you do give advice so that some idiot doesn't follow it without thinking it through.

Me? Idgaf about liability because I won't give advice without a shit ton of disclaimers, and outright telling the person they shouldn't take the advice.

But I agree with you. If you aren't going to do something useful, just scroll on. No need to waste anyone's time with the bullshit.

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