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[TheBiggerFish]

That's...Not good at all.

[TempAcc]

Russia got tired of all the sonic OCs. The only true sonic OC is comrade Sonikovsky, who protects the motherland alongside Putin against the evils of Dr. Merkel.

[LordBaal]

Saw the alleged video. Turns out it's a video from a well known porn page of a woman having sex with some dude that looks exactly 0 like me. The few body hair I have all over the body is thin and kind of fair, this dude has think, black curly hair all around. She's still pretty mad at me and she's right in being so, and told me stupid for falling into such idiotic temptation but she's also noticeably relief by knowing I never got real physical intimacy with any other woman, ever, since the day I meet her. I hope she can forgive me. The rest of my life will be devoted to her happiness, our happiness together.

[sprinkled chariot]

Edited.

[ChairmanPoo]

I'm dealing with a family in which a family member is seriously ill and treatment options are very limited, and relatives seem pathologically unable to understand this. This is causing me significant amounts of stress.

Ok. So I left written something along these lines:


 The general status of the patient is fragile, and given so and so base comorbidities, the therapeutic options are very limited. Nevertheless the family has refused to limit treatment to support therapy, insisting instead in opting for so-and-so second line treatment at so-and-so place.

In my opinion, however, it's impossible to start such a treatment with a concomitant infection by so-and-so, so we shall wait until the condition improves before referral for treatment. Likewise, once the general status of the patient allows it, we shall perform a myelogram to re-stage the syndrome.

[LordBaal]

Congrats.

Not something I feel like being congratulated for, but thanks anyway, could you please delete the quote?

I'm dealing with a family in which a family member is seriously ill and treatment options are very limited, and relatives seem pathologically unable to understand this. This is causing me significant amounts of stress.

Ok. So I left written something along these lines:


 The general status of the patient is fragile, and given so and so base comorbidities, the therapeutic options are very limited. Nevertheless the family has refused to limit treatment to support therapy, insisting instead in opting for so-and-so second line treatment at so-and-so place.

In my opinion, however, it's impossible to start such a treatment with a concomitant infection by so-and-so, so we shall wait until the condition improves before referral for treatment. Likewise, once the general status of the patient allows it, we shall perform a myelogram to re-stage the syndrome.

My granpa is in that exact position right now. I tried to help and people got angry, mostly my aunts, it's frustrating watching someone you love basically dying because people can't get their crap together.

[ChairmanPoo]

There's little enough that can be done. In all honesty, "so-and-so treatment" could help in the condition to an extent by controlling diseased cells, but it could exacerbate the comorbidities, which, at this point, are honestly more worrying than the base condition.

That's not the problem, however; I'd be less reluctant to go on with the show if this was a conscious, informed choice. The problem is that the relatives seem completely unaware as to the actual severity of the situation, to the extreme that I held an one-hour long conversation with one of them... to no avail. It was as if this person was hearing and replying to something different altogether from what I was actually saying.



This stuff has been keeping me on edge for days. The assistential pressure I've been under did not help, either.

[TempAcc]

Some people develop this weird practice of simply not trusting medical professionals. Its almost a cultural practice among certain groups, to the point they become convinced they absolutely know better than the actual doctor because they once read something somewhere, etc. You did good already expressing your professional opinion so well, so at least you're safe from any possible legal responsibility, though it still sucks that the family is willing to undertake measures that may endanger the patient simply because they refuse to listen.

[ChairmanPoo]

Some people develop this weird practice of simply not trusting medical professionals.

This is not these people's problem, towards me at least. The problem is that conversations go more or less like this: https://youtu.be/aI0euMFAWF8?t=56s (second 56)

[TempAcc]

:U
Thats even worse.

[Neonivek]

Some people develop this weird practice of simply not trusting medical professionals. Its almost a cultural practice among certain groups, to the point they become convinced they absolutely know better than the actual doctor because they once read something somewhere, etc. You did good already expressing your professional opinion so well, so at least you're safe from any possible legal responsibility, though it still sucks that the family is willing to undertake measures that may endanger the patient simply because they refuse to listen.

The issue is complicated because

You SHOULDN'T trust a doctor. To quote: "Nothing is more dangerous then a surgeon with an empty table and a mortgage to pay". Doctors are NOT beyond making you pay for procedures you don't need and are often paid to prescribe medications or referrals... There are a lot of issues with doctors that are well known.

The problem is that people do not have a avenue to act on this distrust except irrational distrust because people don't know what to do with it. So people don't get second opinions.

Though I have a feeling that isn't the situation

[ChairmanPoo]

For the record, I don't give two flying ducks if any of my patients wants a second opinion. I have a pretty high opinion of myself (I've been always been pretty good. And I'm the last disciple of the Bald Bastard before his exile, after all), but I'll be the first to admit that I'm relatively noob, and that in complicated issues a second opinion can clear up things. It's within their rights, and they're welcome to seek it, whether in public or private healthcare.

Goes without saying that if they go for private it's coming out of their own pockets, though. When they realize that many decide they don't want a second opinion after all. Those that do go through it for the most part come back with the same diagnosis, only several hundred € poorer.

[Neonivek]

Those that do go through it for the most part come back with the same diagnosis, only several hundred € poorer.

And Dare you go

"You can either trust me, spend lots of money, or distrust me"

---

Though to admit I have a lot of experience with misdiagnosis.

Because WOW did it take a LOOOOONG while and multiple doctors to get to Asthma... I am so thankful I live in Canada.

I got adult onset asthma. Yet I had to see several doctors... and during that my asthma got so bad I couldn't sleep.

---

To admit though people will distrust doctors so irrationally.

[Levi]

I had a friend in Univeristy who started having seizures.  The doctor who saw her wrote down that she was faking it for attention in her records, which got passed to each new doctor she saw.  It took like four years until she found one doctor who ignored it and was like "Oh yeah you probably have epilepsy" and gave her actual medication that made her better.  :|

I don't have a lot of trust for doctors anymore either.  All the ones I've gone too for minor stuff always seem like they are trying to rush me out and aren't terribly helpful. 

[Tack]

In the small sads corner- waking up early from good dreams, and later realizing the dream involved an ex I wasn't aware I missed.

The general status of the patient is fragile, and given so and so base comorbidities, the therapeutic options are very limited. Nevertheless the family has refused to limit treatment to support therapy, insisting instead in opting for so-and-so second line treatment at so-and-so place.

I'm having trouble internally layman-ing this.
So, the patient is basically a goner, but the family wants to keep throwing them through risky procedures which will likely just kill them anyway?