New posts

Reply to thread

Message: <blockquote data-quote="Blade Runner" data-source="post: 1457852" data-attributes="member: 17573">I always get a kick out of these threads because there is much information, but there is also much speculation and even outright voodoo. I know this because I've been trained in it, I paid my dues, and I have seen the system first hand. I currently am in a position where I joke I could get fired any minute for my particular beliefs, though I'm particularly competent in various areas. Of course, critical thinking and understanding modern life to a greater degree than lemmings isn't all that hard - but it ain't always easy. Most people don't see the big picture and waste resources or at least grossly misuse them. Mostly this is because the system is afraid of telling the truth to people (the politics of it all, in general federally and at a hospital, let's say), the people can't handle said truth (same idea), and no one knows what garbage medicolegal claims can be made to give everyone an even greater headache - patients who vote or don't understand or demand tort reform yes, they are also part of the problem and why insurance costs are even higher, etc.First, let me tell you that just like in my training, when we get to a certain stage we take things for granted. You're an expert already? You can't suffer the first year resident or medical student. You already know everything about anatomy? Of course it's easier for you to synthesize information now, although I always thought there were better ways to teach - big picture (most important) to small detail (fill in expertise later). Patients are the same way. You got to the age of 65 or 70 that most humans from ages ago never got to? Oh, no gratitude, if things don't work out it must because "someone wants to make money off of you", not because you are sick and there just isn't that much to do. Or it bothers you that you see others living to 80+ with ease, as if you were promised or deserve that. Sorry to break it to you people. It's like with Roosh's sister (memory eternal indeed) ... uhh if you get cancer at 31, there's not gonna be much you can do. Why? It just doesn't happen. The equivalent is dying in a plane or auto crash ... happens to some, clearly a tragedy. No control over it and not medicine's fault.I have many smart colleagues. Most aren't wise. Most don't see the big picture. Most are algorithm followers (certainly primary care people are like this at this point). Women are going to be the worst, by far, at seeing the larger picture - they are social conformists and rule followers. The perfect worker bee. Not all, but 95%.Lemme tell you, it's like everything else we complain on in this site (which is fine, that's what it's for): we inherited a society of broken and corrupted families, versions of technocracies, fatties everywhere, confused masculinity and femininity, etc. Medicine is no different. It has huge university/political inputs. It has a system that costs physicians hundreds of thousands to train in, at increasing total time of training that's just going up. Then they have board certs. Now they have continuing board certs. Now they have to pay for this, now they have to credential for that. They walk in with a theoretical bullseye on their back each day in the name of lawsuits, just for going to work. You guys don't. You think after a while these people care about a system and populace that doesn't care about them? They're just trying to get paid something and go home like the rest of the people. If they can do good, great. Most of us want to do a really great job, and a lot of us do. But it's funny when the expectation is that we're gonna work nights and weekends, get sued, not get paid til age 30-something, have admins make far more than us (like hospitals), get extorted by voters and patients over and over ... and then act like this whole thing is noble?Sorry to break the news to you. But I think you knew anyway.</blockquote>

Verification