It's just shocking to me that so many so-called learned doctors either couldn't do anything, or simply refused to do anything.
That's exactly the problem. They think education somehow means knowledge and wisdom. Doctors make terrible pilots and businessmen. DDD's, Dumb Doctor Deals, were a staple and steady cash flow stream in our office, untangling the messes various doctors got themselves into.
I've often said that doctors should be forced into trade school and work in a trade for a year before touching a patient. Learning how to logically troubleshoot something, whether it be HVAC, elevators, electrical, diesel engines, would help them greatly. Especially when in many trades, call-backs are on YOUR OWN dime, not the company's, so there's a health incentive to get it right the first time.
Doctors simply DO NOT listen to what their patients tell them. My mother went through this all the time with them.
That's been the way for at least 30 years, in my experience. Ms. TPA's blood pressure can't be measured with an automated cuff, full stop. She doesn't have hypertension, never has.
So many places refuse to take a manual reading, so I now have her refusing to allow them take her BP unless it's manual. They'll tout how great the machines are, how they're calibrated, etc. Even at Mayo last week in the ER, they insisted, so we insisted they get a manual cuff out first. They brought out the manual cuff but still insisted on the machine first, then took it manually. The machine consistently read 40-50 points higher on her systolic for the whole 4 days she was there. After we get through the first 3 issues on the list, we'll investigate that and see why and if it's actually a problem. The Mayo doctors did conclude that the manual cuff, lower numbers, were indeed the correct ones.
I'm glad we established that given she'll be having surgery later this month. The anesthesiologist will need to make note of it.
Treat the patient, not the machines, not the tests.
You also have the fact most doctors have such a large caseload these days that they can't spend all that much time with any one patient. The best advice is to hope you never get sick enough to need a doctor. Just three days in a hospital made me realize how bad US health care really is.
Anyone who thinks the US has a good healthcare system has never been truly sick.
I learned that one in my teens when I was in a hospital and a doctor was telling me what he wanted to do. I was in terrible shape, and I told him flat out, "even though my body is totally wasted right now, that sounds like a really bad idea." The doctor assured me, "It's our standard treatment protocol." I told him I thought their standard protocol was absolutely stupid. Within the next 24 hours I'd end up coding because of it. Fortunately by the time Cardiology arrived my heart was beating and I was breathing again, but they took me over to the Cardiology department, and made me a Cardio patient for the rest of my time in hospital, refusing to let the other ward and other doctors have me back.
My parents found this out the hard way with my dad's hydrocephalus turned brain haemorrhage. The haemorrhage was caused by a medication error by a doctor. Even the hydrocephalus was missed by three separate neurologists. I present the image wherein I noticed the hydrocephalus below. You don't have to be a neurologist, or even a doctor, to know a big 'ol hole like that has no business being in the brain.
and here's what it looks like when filled with blood:
Both totally preventable. Both missed by multiple doctors.
Medicine is one of those areas where I hate being right. I have
some medical education, but am not a full credentialed doctor myself. I used to get passing grades on practice USMLE Step 1 and Step 2 Clinical Knowledge tests
as an undergrad. I actually started tutoring med students on these as an undergrad. How the heck is some kid, before even setting foot in medical school, able to get passing grades on what are Year 2 and Year 4 medical school tests? And that's with me working 3 jobs, including heading out of town/state weekly for work, so school was
not my primary focus. I don't see myself as anything special.
BTW, a passing grade on these is only ~60%.
The bar is set waaaay too low, and it shows.