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Or if you’re a woman, they won’t bother trying and tell you you’re imagining things. Because a medical degree can’t cure being a jackass.
You have sudden onset chest pains and lethargy? Well I see your boobs are nicely sized but the rest of you could lose weight, I prescribe you with diet and exercise and diagnose you with anxiety because you thought you needed to come in. I can prescribe you both control if you continue to be anxious.
Bit of an ignorant take honestly. US medical system is horrible but we absolutely have some of the finest and most advanced teaching hospitals and medical research centers in the world if you’re fortunate enough to end up in their care. Mayo clinic, Cleveland Clinic, Massachusetts General, UCLA Health, UC Davis Medical Center, Johns Hopkins Medical Center, Mount Sinai Hospital, the list goes on.
House MD takes place in a fictitious teaching hospital in Princeton, NJ, of Princeton University fame. It is an extremely wealthy area and the reputation and prestige of the hospital is going to be far more important than what the patient can pay.
Also though, no hospital can legally refuse care if you aren’t stable, they might just not do much for you other than stabilize you enough to discharge you so you can die somewhere else.
It was never presented as representing a typical patient experience.
He did have quite a few patients who very, very clearly couldn’t afford what a hospital would charge to put up with his bullshit.
It was in many ways an idealized teaching hospital. A lot of episodes had “C” plots about House’s shenanigans in the free clinic.
See my post above about the Mayo Clinic. I recently got back from there. House it was not.
I was treated at Stanford. Same here. Our system sucks donkey nuts
“Let’s do some imaging on you that will cost you hundreds of dollars and pay me thousands”
Alternatively
“Have you considered that you’re faking it?”
I believe the hospital in House was also a college and the cases were for study purposes. Patients getting treated was just a side effect of the experimentation…
And there was an oft-maligned “clinic” where stupid people would go to be harassed by House when he was being punished with working a shift there.
Yes. Basically, doctor House had enough of a reputation to justify having a whole team.
I actually know people who died because they had cancer, but the doctor kept refusing to do actual examinations and just said “Oh uhh… just get more potassium or something…”
Not bothering to look further until it was too late… It’s very sad
I am not doing well at all healthwise due to a now possibly diagnosed illness. A few weeks ago, I was at the Mayo Clinic, one of the most prestigious hospitals in the country for rare illnesses, the sort of place you would expect House to work.
I was there ten days and saw three doctors for about an hour each. As I said, it’s now possibly diagnosed and, therefore, there’s a possible route to go down, but that and a bill were all I got.
I bet those lazy doctors didn’t even break into your house and go through your things.
We have a big dog. Probably scared off the Australian guy.
Nah probably had a great time hanging with the dog and forgot about the mission.
My dog really, really hates any man that isn’t me, so that’s doubtful, and I didn’t find bits of Australian all over the floor.
That’s generally all House’s patients get
I had, probably still have, a weird medical ‘condition’ that US military doctors and British doctors couldn’t figure out. Would have been neat to have a team of smarty pants working on the case.
At least in the US they exist. They’re called functional medicine doctors. They’ll charge a ton and they don’t accept insurance, but they’ll typically keep at your issue until they figure out what it is and have some sort of treatment recommendations.
… I mean, have you tried diet, exercise, and sleeping more? For more than a week or two?
Outside of a drama TV show where a 1 in a billion case shows up once a week, that’s usually a good start.
Not sure if you’re in community with many women or POC that feel comfortable speaking to you about these things, but VERY basic issues aren’t even being looked into. PCOS and cancer are two common ones. Things can vary place to place, but it seems like a pretty universal experience in my circles.
I mean I’m not a woman or PoC and I still get that same advice from doctors.
And as someone that’s worked in healthcare before, a lot, if not most, of what people go to doctors for is trivial or psychosomatic, so if they did a full range of tests for everyone that says they get headaches, then people with genuine conditions would be in an even worse place as they need to wait for resources to free up.
I did not say that only women or PoC get this suggestion, just that it’s common for their issues to be dismissed. I don’t know your personal medical history, but sometimes it is just that people need better diet and exercise. That does apply to women and PoC too. It’s possible that advice is or is not salient to your health, but I can speak from personal experience that it is used to dismiss life threatening conditions.
I don’t know where you live, but 1/3 of Americans don’t have a primary care physician and almost half of Americans didn’t get medical treatment due to costs in 2022 from a cursory search. This is not a population that can afford frivolous medical visits. I don’t know where in the medical field you worked, but your assertion does not seem evidence based. That may well be your personal experience, but that is subject to so many biases and if you were not giving people a full range of tests, how could you even know you weren’t turning away legitimately sick people. Maybe the medical field was not right for you if you truly believe it’s possible that most issues people seek treatment for are trivial or psychosomatic.
That is a very good point.
Appreciate your willingness to see things from another perspective and update your thoughts based on that.
Fun fact, both pcos and cancer have strong links to obesity as a major aggravating factor.
Then they should potentially be even more likely to be correctly diagnosed in people that are overweight. Having issues exacerbated by your weight does not mean that your weight is the issue. Additionally, PCOS and cancer can both cause weight issues, so it’s even less helpful to suggest that the weight is the issue if the weight could be caused by an underlying disease.
I did, it made my condition worse, thanks.
I sincerely doubt that, but if you’d like to elaborate I’ll listen.
They made a top level comment about a previously-unknown heart defect. Diet and exercise doesn’t fix a hole in the heart
Did they post anything to support that claim?
Diet and exercise can fix most “holes in the heart”. Even if they are the 0.01%, that doesn’t change my message for every single other person.
Did they post anything to support that claim?
What do you want, their medical records? Their doctor’s phone number?
Yes, if someone claimed that diet, exercise, and such had actively harmed them, I would want medical records to back that up.
That wasn’t what happened, and I understand that now.
Why should anyone show you their private medical records? Who do you think you are?
I was going to warn you not to engage with this guy, but I can see it’s already too late.
I have a PDF of all of the paperwork. I won’t be sharing, of course, but I have it.
No worries, I believe you. I don’t have any reason not to. I’m also dealing with major health issues, so I hope you have found solutions that work for you.
My previous misdiagnosis put me on meds that hid my symptoms and covid had my doctor’s office telling us that if we had no concerns, to not come in. By the time my symptoms began to show even with the meds, my heart was the size of a football (gridiron football, not association football) and required a transplant. Any increased effort made me nearly pass out.
I get where you’re coming from, MOST OF THE TIME diet and exercise are better than not. My circumstances were pretty atypical too, but lets not act like telling anyone that walks into a hospital just needs to jog their ailments away is the way to go. A lot of doctors would do well to try just a little harder, it likely would have saved me from needing to wait for another person to die to be able to continue to live.
I’m very sorry that happened to you. My problem was with your phrasing. As I’m sure you know: eating better, working out, and sleeping more did not make your condition worse. I interpreted that as what you claimed.
You were a victim of malpractice and negligence, not living a more healthy life.
Yeah, I know that. I just bristle at the thought of being told to lose weight instead of actually getting the help I needed. I don’t ACTUALLY think that stuff made me worse off. It was mostly the look on the doctor’s face when I told him I WAS working out and eating better, and he laughed in my face because I was gaining weight. Too bad I was retaining fluids… There’s a lot more to the story, but I don’t care to get into it.
Can you tell I’m a bit salty? Sorry for the trauma dump.
I don’t know what their situation is like, but with ME/CFS, for example, anything more than light exercises will actively make things worse: https://me-pedia.org/wiki/Exercise
Binging Chubbyemu vids last night sure makes it seem like that’s not exactly true… There are far too many that begin with “presenting to the ER visibly fucked, the doctor just tells them it’s anxiety and to stop being a little bitch about it. But it wasn’t anxiety and they were not, in fact, a little bitch.”
You forgot the inflection. “Pre👆🏻SENting to the emergency room…”
I mean its like being in tech support. Losing weight and not eating shit is the equivalent of “Have you tried turning it off and on again” it should be obvious but its not.
Which is a lazy response when actually trying to troubleshoot.
No, it is important to check the easy outs. If you act like the issue is solved or communicate the expectation you can be a harmful dick though.
And sadly, it doesn’t solve all problems. But it’s a good place to start.
In fairness, they’re the last reaort, so would happen after the “have you tried meditation?” Doesn’t work.
I had a couple seizures several years ago. Full on grand mal with an ER trip and all that fun.
The response from doctors has consistently been “yeah, sometimes people just have seizures.” They did CT scans, didn’t see anything abnormal and aren’t really interested in investigating more. Solution was that I’m just going to take anticonvulsants for the rest of my life.
Sorry to hear that. Are you better now?
Yeah - as long as I’m on Keppra I don’t have them.
It was just terrifying to wake up out of nowhere being carried by EMTs, spend a day in the hospital, be told “yeah idk go see a neurologist” and then just have to figure it out? Follow up with a neurologist was “yeah sometimes it happens, just don’t drive for the next six months.”
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Don’t forget “you’re over 30, your body just does that now”
I mean, this but unironically. There’s a lot of muscular-skeletal issues that you get from… sitting in an office chair for 20 years. Or not getting tons of physical activity for most of your adult life. Or various deterioration of this or that bodily function from over/under-utilization or simple wear-and-tear.
Ask a Sports Medicine doctor what to do about compounded injuries and most of what you’ll get is “We can replace the part that’s broken” or “Stop doing the thing that’s causing you injury”. After that, there’s no miracle cure that’s going to make decades of strains and bruises and stress injuries just vanish.
I’ve sustained far more injuries sitting at a desk than I ever did as a soldier, or manual laborer.
Then you were very lucky.
Met a guy last week who found himself next to two different IEDs while in Afghanistan and then Iraq. He had far more scars to show for it than I ever did as a desk jockey.
Obviously war time duty in a warzone is far more dangerous. I’m not trying to imply that sitting at a desk is more dangerous than fighting in a war. I’m saying that physical labor is better for your body than sitting on your ass.
I got “don’t worry, it should go away by the time you’re 30”
I was 19 at the time, and it did not
There is a lot of truth in that though haha.
But yeah, it sucks seeing stories of people getting told that it is just growing old, while they have a chronic illness.
In Canada they just skip that entirely and go straight to “kys lol”
Sleeping more isn’t always possible, but if you haven’t tried diet and exercise, that should be your first move.
People think that question is not taking their disease seriously, but it’s the other way around. People don’t take diet and exercise seriously enough. They’re ultra powerful determiners of health, including mental health.
