1262 pts · August 16, 2013
At this point I don’t know if we should be disseminating fundamental American values across the world…
This doesn’t say they are both nephrotoxic via the same method of action. Also this study only finds about a thousand incidents of renal failure after taking APAP in a national database over several years, with no further info on their comorbidities or the scenario (accidental overdose, concurrent sepsis etc). It also doesn’t talk about taking them together. So I stick with my view that your comment is not true enough to be used as sound advice.
this isn’t true enough to go spreading around and leading to people either being in pain unnecessarily or turning to stronger pain relief that have more side effects than paracetamol and ibuprofen together.
It’s also not 100% that it is the grandmas sister, it could be the wife’s sister but the grandma witnessed it
Nice! no one else seems to say this and I’m always surprised.
The Scottish middle class still speaks with a Scottish accent.
Or run the antenna/blasters round and you have afterburners! God I loved Lego
Yes! also the phones should go down to the bottom of the heel, not to her toe.
Has anyone checked the balls on that woman?! (this was a fun topical joke and a pun on balls. I in no way condone fiddling with the genitalia of exceptional young athletes)
Think of it like thrush. Can be passed back and forth between person to person during intercourse but isn’t really an STI. Also remember that risk of cancer with HPV is still low (less than 1%).
What’s the best way to prevent stone going like this in the first place?
Yes I see that now, my bad, thanks
Oh yep you are absolutely right.
If you replace the word ‘mush’ with ‘which’ it suddenly makes a lot more sense
"as someone who is a doctor... most doctors know significantly less than the textbooks", "skilled generalists are in the extreme majority". Seems like you are speaking out against colleagues to me. In front of already disenchanted patients no less, supporting the (I believe, false) notion that all primary care physicians are not worth listening to. How that is helpful is beyond me, hence me calling you out on it. Please reflect on that and consider how it may affect your patients.
I can’t comment on every country’s process for becoming a GP, maybe where you are from you can get around the system a lot more easily and only a tiny fraction finish training. Clearly I cannot convince you that you are not far superior (assuming you are a specialist) to a GP, but I would ask that you please do not lower the public’s faith in primary care. By all means tell your medical board, but criticising your colleagues in front of patients is unprofessional and unhelpful.
Selecting your field includes selecting whether to do further training to be a general practitioner. There are entrance exams and interviews to start GP training and further assessments to qualify. It’s not the default bucket everyone else falls into. I apologise if you you were offended by my examples of dodgy logic leading to incorrect stereotypes. I do not believe they are hateful as I do not believe being Asian, autistic or a specialist deserve any hate whatsoever.
Once again, I didn’t apply them. “Skilled generalists are in the extreme minority” is a hateful stereotype in itself, and my original point was that this stereotype is not helpful. A good doctor would understand that.
I think if you read back you’ll see I’ve done no such thing. I’ve said you shouldn’t generalise, it is inaccurate and not helpful to anyone, it would be the same oversimplified logic if I said that all specialists are autistic or Asian - these things are demonstrably inaccurate. Regardless of what level of experience you think qualifies me for an opinion, I’m the one here asking for people to respect each other. I’m not sure what that says about your evident rage.
Urgh. The autistic/Asian point was an analogy to how inaccurate and insulting your statement was, not an ignoratio elenchi. The fact that you think that the number of generalists who meet your definition of skilled are in the “extreme minority”, and that you think someone who is trained as a urologist will have the same knowledge of other areas as someone trained as a generalist shows a pretty hefty dose of ignorance and therefore this debate is quite pointless.
Your inability to read and understand my argument is disappointing. My points are that a) your argument is that “generalists are less skilled”; an unfair and insulting generalisation, as is “specialists are autistic”. B) exactly as you said, different skills are needed in different specialties, a generalists skill set is different from a specialist. A skilled urologist would make a rubbish generalist and vice versa. You therefore cannot say that specialists are ‘more skilled’ than generalists.
Well if you are saying “more skilled doctors become specialists” you must have an idea of what a skilled doctor is. It’s interesting that none of answers are particularly related to qualities that a patient would value in a doctor. One could say that Specialists are often autistic, because they like getting into fine details on one particular topic. Or that they are Asian, because they have family pressure to achieve high test scores. all are Very broad brush strokes that don’t help anyone.
What is a “skilled doctor”?
Because that’s how it’s always been!
It tells you there are fewer specialist positions compared to generalist positions, that’s pretty much it. You can’t then extrapolate to say all primary care physicians are the dregs. You also can’t compare generalist to specialists in terms of what makes a “good doctor”; they are performing different functions.
“Most good doctors end up as specialists”, has a rather insulting implication towards generalists.
Just for clarity regarding ‘art changing’ I’m thinking, you know, blackface or whatever. Not that the minstrel show was like Shakespeare…
Production of art has to change with modern values, but GOP values are just… wrong. Wait… does this mean MRS DOUBTFIRE is ILLEGAL NOW!?
At this point I don’t know if we should be disseminating fundamental American values across the world…
This doesn’t say they are both nephrotoxic via the same method of action. Also this study only finds about a thousand incidents of renal failure after taking APAP in a national database over several years, with no further info on their comorbidities or the scenario (accidental overdose, concurrent sepsis etc). It also doesn’t talk about taking them together. So I stick with my view that your comment is not true enough to be used as sound advice.
this isn’t true enough to go spreading around and leading to people either being in pain unnecessarily or turning to stronger pain relief that have more side effects than paracetamol and ibuprofen together.
It’s also not 100% that it is the grandmas sister, it could be the wife’s sister but the grandma witnessed it
Nice! no one else seems to say this and I’m always surprised.
The Scottish middle class still speaks with a Scottish accent.
Or run the antenna/blasters round and you have afterburners! God I loved Lego
Yes! also the phones should go down to the bottom of the heel, not to her toe.
Has anyone checked the balls on that woman?! (this was a fun topical joke and a pun on balls. I in no way condone fiddling with the genitalia of exceptional young athletes)
Think of it like thrush. Can be passed back and forth between person to person during intercourse but isn’t really an STI. Also remember that risk of cancer with HPV is still low (less than 1%).
What’s the best way to prevent stone going like this in the first place?
Yes I see that now, my bad, thanks
Oh yep you are absolutely right.
If you replace the word ‘mush’ with ‘which’ it suddenly makes a lot more sense
"as someone who is a doctor... most doctors know significantly less than the textbooks", "skilled generalists are in the extreme majority". Seems like you are speaking out against colleagues to me. In front of already disenchanted patients no less, supporting the (I believe, false) notion that all primary care physicians are not worth listening to. How that is helpful is beyond me, hence me calling you out on it. Please reflect on that and consider how it may affect your patients.
I can’t comment on every country’s process for becoming a GP, maybe where you are from you can get around the system a lot more easily and only a tiny fraction finish training. Clearly I cannot convince you that you are not far superior (assuming you are a specialist) to a GP, but I would ask that you please do not lower the public’s faith in primary care. By all means tell your medical board, but criticising your colleagues in front of patients is unprofessional and unhelpful.
Selecting your field includes selecting whether to do further training to be a general practitioner. There are entrance exams and interviews to start GP training and further assessments to qualify. It’s not the default bucket everyone else falls into. I apologise if you you were offended by my examples of dodgy logic leading to incorrect stereotypes. I do not believe they are hateful as I do not believe being Asian, autistic or a specialist deserve any hate whatsoever.
Once again, I didn’t apply them. “Skilled generalists are in the extreme minority” is a hateful stereotype in itself, and my original point was that this stereotype is not helpful. A good doctor would understand that.
I think if you read back you’ll see I’ve done no such thing. I’ve said you shouldn’t generalise, it is inaccurate and not helpful to anyone, it would be the same oversimplified logic if I said that all specialists are autistic or Asian - these things are demonstrably inaccurate. Regardless of what level of experience you think qualifies me for an opinion, I’m the one here asking for people to respect each other. I’m not sure what that says about your evident rage.
Urgh. The autistic/Asian point was an analogy to how inaccurate and insulting your statement was, not an ignoratio elenchi. The fact that you think that the number of generalists who meet your definition of skilled are in the “extreme minority”, and that you think someone who is trained as a urologist will have the same knowledge of other areas as someone trained as a generalist shows a pretty hefty dose of ignorance and therefore this debate is quite pointless.
Your inability to read and understand my argument is disappointing. My points are that a) your argument is that “generalists are less skilled”; an unfair and insulting generalisation, as is “specialists are autistic”. B) exactly as you said, different skills are needed in different specialties, a generalists skill set is different from a specialist. A skilled urologist would make a rubbish generalist and vice versa. You therefore cannot say that specialists are ‘more skilled’ than generalists.
Well if you are saying “more skilled doctors become specialists” you must have an idea of what a skilled doctor is. It’s interesting that none of answers are particularly related to qualities that a patient would value in a doctor. One could say that Specialists are often autistic, because they like getting into fine details on one particular topic. Or that they are Asian, because they have family pressure to achieve high test scores. all are Very broad brush strokes that don’t help anyone.
What is a “skilled doctor”?
Because that’s how it’s always been!
It tells you there are fewer specialist positions compared to generalist positions, that’s pretty much it. You can’t then extrapolate to say all primary care physicians are the dregs. You also can’t compare generalist to specialists in terms of what makes a “good doctor”; they are performing different functions.
“Most good doctors end up as specialists”, has a rather insulting implication towards generalists.
Just for clarity regarding ‘art changing’ I’m thinking, you know, blackface or whatever. Not that the minstrel show was like Shakespeare…
Production of art has to change with modern values, but GOP values are just… wrong. Wait… does this mean MRS DOUBTFIRE is ILLEGAL NOW!?