The St. Louis Transgender center hath hid serious medical issues faced by children transitioning, a front-page article on COVID-19 hath been debunked, and honor culture returns to America
Another great one. But a kind of cruel thought crossed my mind about the cancer survivor comment; at best, it's a total non-sequitor to try and relate it to your long COVID episode. At worst, it's the hardest brand of narcissism to criticism because of the subject matter.
This was not the first instance of an influencer whining that the public was insufficiently cooperative with her photoshoot, but it was probably the most egregious. Strangers have no obligation to participate in your content, which is exactly what they’re forced to do when someone parks a camera in from of them in public and starts filming.
The Babish thing is a good argument for the “ignore the screaming and it will stop” position, though I do think it helps that he has a generally normie audience. He’s obviously a huge HP fan & has done quite a few HP-themed episodes, which have gotten their own share of squawking in the comments, but he consistently ignores the issue and doesn’t seem to have suffered for it. Interestingly, I haven’t seen or heard a peep out of anyone on his crew, which suggests that he’s either a great boss or he’s hired some very sensible youngsters.
Minor qualm: Katie complains about Jesse’s pronunciation of “written” because it sounds like “ridden” BUT when Katie pronounces the same word she says it like “wri’en” (can’t think of a way to write it out) dropping the “t” sound entirely. Which is more irritating??
This pod is the whitest thing I participate in besides listening to Phish so I was glad to hear Katie almost get the honor thing right.
I don't know where it comes from, but among lower class Black and Latinos that I've known, we'll joke about beating folks up for blatant disrespect but it's not serious. Well, sometimes it is as you see gang violence in those groups and stuff like that. But yeah, Cardi nor the twitter weirdo was being serious. In fact, when I saw the tik tok this morning I sent it to a friend with the caption 'sis softer than charmin' making fun of her for not getting in their face.
My BS alarms were ringing like crazy when the report said that "interviews with providers identified no patients who had adverse physical reactions to medications prescribed by center providers."
People have adverse physical reactions to medications and treatments all the time. Good doctors do try to use discretion, for example, considering interactions with other medications the patient takes or avoiding certain treatments if the patient is a bad candidate for such treatments, but it's often unpredictable or unavoidable. Any medication or treatment that affects your physiological functions has the potential to affect said functions negatively. There are plenty of cases of people having adverse reactions to (usually safe when used properly) OTC drugs like Advil and Benadryl. Antibiotics and chemotherapy have saved millions of lives, but they also have the potential for strong side effects. We still recognize that in certain circumstances the benefits outweigh the drawbacks.
Physicians are humans, they can make an educated attempt to mitigate risk when prescribing, but you can't always predict who's going to have side effects and who won't. It's an unavoidable fact of practicing medicine that some of your patients will have negative reactions to medications and treatments. It doesn't mean that someone's a bad doctor, it's just that the human body is complicated and medicine is a process of trial and error.
Unless they've never prescribed anything or attended to patients, it's completely dishonest for a clinic to imply that none of their patients have ever had adverse reactions to any prescriptions made by their staff.
On doctors: I think doctors have two responsibilities: to take it seriously when a patient says something is wrong, and to be willing to look things up and reconsider.
I mentioned on the last thread that I had glomerial nephritis as a child. I had to go to two different doctors to get diagnosed because the first didn’t take my symptoms--vomiting and intense exhaustion--seriously. And its not like it was a hard diagnosis that defies lab tests: a urine test would have screamed kidney problems (and given that my pee was brown before I got diagnosed, it’s possible the nurse collecting the sample would have screamed kidney problems before the dipstick did). (With the additional symptoms, my normal pediatrician back home had me effectively diagnosed before I came in.)
I am also close to someone who has terrible chronic illness A, which has a more common related syndrome with different treatments which I will call B. She was textbook for A, anyone who had looked up the general symptom on a medical website once should have recognized it. I did, because I have B and found websites that explained the difference. (There is a huge difference in when symptoms occur and how long symptoms last.) She had a huge struggle to get properly diagnosed and treated, even though she was 100% correct on her self-diagnosis and any reputable medical source would back her up.
Cancer woman’s doctor took her concerns seriously. That’s what I want for all patients. Even if it turns out to be psychosomatic, that’s something that needs treatment. It does suck for general symptoms with no easy lab tests, though.
I read Labonita had a tripod set up. If someone turned a 3-hour baseball game into a photoshoot and I had the misfortune of sitting behind them, being distracted while they posed for fuck knows how long, I wouldn't be happy.
I cannot even imagine what I’d do if I found out my kid passed out at school and no one told me. Same school system probably sends kids home for suspected COVID if they cough twice.
I have an MD family member in a specialty in which it's extremely important to take a good patient history, because it's a specialty in which you often can't rely on labwork. So this person is very committed to that, spending lots of time reviewing charts BEFORE seeing patients the next day. (If you've been a patient much or taken family members to the doctor, you know this is a rare characteristic!)
This MD has also told me many stories about patients (1) demanding a specific diagnosis that doesn't fit the symptoms/patient history but does look plausible based on WebMD; (2) malingering in an effort to get pain medication even though the doctor has repeatedly made it clear that they will not prescribe it; and (3) lying or making misleading statements about alcohol consumption, smoking, substance use, and so forth.
(Example from the hospital: "I quit smoking." "When did you quit smoking?" "When I got hospitalized last week.")
I'm not even getting into more tragic cases like a patient whose PARENTS attempted to smuggle opioids into the hospital so the patient could use during their hospital stay. As my MD relative commented, "A patient like that doesn't stand a chance."
So yes, doctors should listen to their patients, which includes taking good histories, reading charts, and trying to figure out the relevant truths behind complex medical-social situations. For people like me who are patients, it can feel very annoying to be questioned as if I might be lying, and it's extremely frustrating to encounter doctors who don't take good histories or think carefully.
But I also have to remember that my doctor doesn't know what kind of patient I am until we establish a relationship; vague symptoms can point to a lot of different things and have to be assessed in context; and it's even more important for the doctor to be careful if I'm walking in and asking for a diagnosis of an ill-defined, poorly studied condition than if I'm coming in with something like a simple earache.
Adolescents who were born males who were placed on puberty blockers at Tanner stage 2 have no sexual function. This is despite the discussion that medications have no side effects reported. Dr. Marci Bowers has repeated this repeatedly and Dr. Joshua Safer, who wrote the Endocrine Society's guidelines on transgender affirmative health care, has backed her up. Here's her testifying to that fact on Mount Sinai Hospital's own YouTube channel with Katie Curry hosting. And she even says she doesn't think they gave true informed consent. https://youtu.be/PUxl50_X2i4?t=4104
Shouldn’t it be Cardia of B? Or are we genderqueering Latin now?
"What is a Woman's Retreat?"
It's the opposite of a Woman's March!
The offhand pronunciation of “la-tinks” followed by an offhand remark about calipers brought me so much joy.
Another great one. But a kind of cruel thought crossed my mind about the cancer survivor comment; at best, it's a total non-sequitor to try and relate it to your long COVID episode. At worst, it's the hardest brand of narcissism to criticism because of the subject matter.
This was not the first instance of an influencer whining that the public was insufficiently cooperative with her photoshoot, but it was probably the most egregious. Strangers have no obligation to participate in your content, which is exactly what they’re forced to do when someone parks a camera in from of them in public and starts filming.
The Babish thing is a good argument for the “ignore the screaming and it will stop” position, though I do think it helps that he has a generally normie audience. He’s obviously a huge HP fan & has done quite a few HP-themed episodes, which have gotten their own share of squawking in the comments, but he consistently ignores the issue and doesn’t seem to have suffered for it. Interestingly, I haven’t seen or heard a peep out of anyone on his crew, which suggests that he’s either a great boss or he’s hired some very sensible youngsters.
Minor qualm: Katie complains about Jesse’s pronunciation of “written” because it sounds like “ridden” BUT when Katie pronounces the same word she says it like “wri’en” (can’t think of a way to write it out) dropping the “t” sound entirely. Which is more irritating??
This pod is the whitest thing I participate in besides listening to Phish so I was glad to hear Katie almost get the honor thing right.
I don't know where it comes from, but among lower class Black and Latinos that I've known, we'll joke about beating folks up for blatant disrespect but it's not serious. Well, sometimes it is as you see gang violence in those groups and stuff like that. But yeah, Cardi nor the twitter weirdo was being serious. In fact, when I saw the tik tok this morning I sent it to a friend with the caption 'sis softer than charmin' making fun of her for not getting in their face.
Also, I think it was fake kinda?
My BS alarms were ringing like crazy when the report said that "interviews with providers identified no patients who had adverse physical reactions to medications prescribed by center providers."
People have adverse physical reactions to medications and treatments all the time. Good doctors do try to use discretion, for example, considering interactions with other medications the patient takes or avoiding certain treatments if the patient is a bad candidate for such treatments, but it's often unpredictable or unavoidable. Any medication or treatment that affects your physiological functions has the potential to affect said functions negatively. There are plenty of cases of people having adverse reactions to (usually safe when used properly) OTC drugs like Advil and Benadryl. Antibiotics and chemotherapy have saved millions of lives, but they also have the potential for strong side effects. We still recognize that in certain circumstances the benefits outweigh the drawbacks.
Physicians are humans, they can make an educated attempt to mitigate risk when prescribing, but you can't always predict who's going to have side effects and who won't. It's an unavoidable fact of practicing medicine that some of your patients will have negative reactions to medications and treatments. It doesn't mean that someone's a bad doctor, it's just that the human body is complicated and medicine is a process of trial and error.
Unless they've never prescribed anything or attended to patients, it's completely dishonest for a clinic to imply that none of their patients have ever had adverse reactions to any prescriptions made by their staff.
On doctors: I think doctors have two responsibilities: to take it seriously when a patient says something is wrong, and to be willing to look things up and reconsider.
I mentioned on the last thread that I had glomerial nephritis as a child. I had to go to two different doctors to get diagnosed because the first didn’t take my symptoms--vomiting and intense exhaustion--seriously. And its not like it was a hard diagnosis that defies lab tests: a urine test would have screamed kidney problems (and given that my pee was brown before I got diagnosed, it’s possible the nurse collecting the sample would have screamed kidney problems before the dipstick did). (With the additional symptoms, my normal pediatrician back home had me effectively diagnosed before I came in.)
I am also close to someone who has terrible chronic illness A, which has a more common related syndrome with different treatments which I will call B. She was textbook for A, anyone who had looked up the general symptom on a medical website once should have recognized it. I did, because I have B and found websites that explained the difference. (There is a huge difference in when symptoms occur and how long symptoms last.) She had a huge struggle to get properly diagnosed and treated, even though she was 100% correct on her self-diagnosis and any reputable medical source would back her up.
Cancer woman’s doctor took her concerns seriously. That’s what I want for all patients. Even if it turns out to be psychosomatic, that’s something that needs treatment. It does suck for general symptoms with no easy lab tests, though.
I read Labonita had a tripod set up. If someone turned a 3-hour baseball game into a photoshoot and I had the misfortune of sitting behind them, being distracted while they posed for fuck knows how long, I wouldn't be happy.
I cannot even imagine what I’d do if I found out my kid passed out at school and no one told me. Same school system probably sends kids home for suspected COVID if they cough twice.
That the WashU clinic situation is now a totally opaque cluster fuck is probably the best take on it.
I don't know why people feel so comfortable openly filming strangers. I would also be rude to someone who was being rude by filming me.
"The reason why they feel uncomfortable is because they're not self assured."
I think being filmed by a stranger is enough reason to feel uncomfortable.
IT’S JOHN MULANEY NOT MULVANEY 😭
I have an MD family member in a specialty in which it's extremely important to take a good patient history, because it's a specialty in which you often can't rely on labwork. So this person is very committed to that, spending lots of time reviewing charts BEFORE seeing patients the next day. (If you've been a patient much or taken family members to the doctor, you know this is a rare characteristic!)
This MD has also told me many stories about patients (1) demanding a specific diagnosis that doesn't fit the symptoms/patient history but does look plausible based on WebMD; (2) malingering in an effort to get pain medication even though the doctor has repeatedly made it clear that they will not prescribe it; and (3) lying or making misleading statements about alcohol consumption, smoking, substance use, and so forth.
(Example from the hospital: "I quit smoking." "When did you quit smoking?" "When I got hospitalized last week.")
I'm not even getting into more tragic cases like a patient whose PARENTS attempted to smuggle opioids into the hospital so the patient could use during their hospital stay. As my MD relative commented, "A patient like that doesn't stand a chance."
So yes, doctors should listen to their patients, which includes taking good histories, reading charts, and trying to figure out the relevant truths behind complex medical-social situations. For people like me who are patients, it can feel very annoying to be questioned as if I might be lying, and it's extremely frustrating to encounter doctors who don't take good histories or think carefully.
But I also have to remember that my doctor doesn't know what kind of patient I am until we establish a relationship; vague symptoms can point to a lot of different things and have to be assessed in context; and it's even more important for the doctor to be careful if I'm walking in and asking for a diagnosis of an ill-defined, poorly studied condition than if I'm coming in with something like a simple earache.
Adolescents who were born males who were placed on puberty blockers at Tanner stage 2 have no sexual function. This is despite the discussion that medications have no side effects reported. Dr. Marci Bowers has repeated this repeatedly and Dr. Joshua Safer, who wrote the Endocrine Society's guidelines on transgender affirmative health care, has backed her up. Here's her testifying to that fact on Mount Sinai Hospital's own YouTube channel with Katie Curry hosting. And she even says she doesn't think they gave true informed consent. https://youtu.be/PUxl50_X2i4?t=4104