My mind keeps linking these two facts together:

• Only 28% of patients are able to complete the list of their symptoms without being interrupted by their physician. (Cf. Marvel, M K et al. “Soliciting the patient's agenda: have we improved?.” JAMA vol. 281,3 (1999))

• Victor Lustig, the fraudster who “sold” the Eiffel Tower, listed “being a patient listener” as the first commandment of con men.

Let's not be surprised if people who are in distress shun the doctors and turn to quacks.


That's not surprising about Doctors, as they are actively taught not to listen to themselves.

This is part of the process of "becoming a professional",


@BillySmith @miramarco I was reading that doctor in nursing are taught to relate to the patient to make them feel listened to.

Both methods fail if the doctor isn't actually trying to understand.

Miller's law needs to be better understood.

@BillySmith @miramarco Sadly, this is in the context of trying to talk to a psych DNP about how the medication my GF is on probably not being filtered from her system because her kidneys are failing due to diabetes.

We keep being told that it's not the doctors expertise.

But hey, at least patients don't sue them for feeling like they are not listening to them ;/

@ultimape @miramarco

I was having similar issues with one of the medics i am seeing.

I was told that it was because he's a surgeon, so most of the time he's dealing with people that are unconscious. :)

Listening is a skill that requires constant practice to stay skilled at it. :D

Good luck to your GF. :)

@miramarco I missed a callback today from a GP for something because I was asleep (I have a sleep condition, this is on my medical records) and I got this voicemail where he was completely rushing and mumbling what he was saying, I only just managed to understand the message of 'we'll try again later', but it just really makes me wondering why I'm bothering with trying to see doctors if I'm being treated like this.

@a_breakin_glass @miramarco I'm not sure, most of the other GPs at my practice have been decent at communicating stuff with me and at least making me feel like I wasn't wasting my time with working through diagnosed problems I have or getting prescriptions or such regardless of their workload. (And even worse responses have happened with more serious situations and it was really fucking bad and makes me feel really unsafe contacting them, I should really change surgery tbh)


Very true. Then there's a certain spell of arrogance in a lot of medical/science professionals, especially those without background in education. They speak from position of authority, and not explaining anything at all.

@kravietz @miramarco There are a lot of problems.

They buy into their own BS about being smart, when they’re just highly specialized.

They focus on their ego rather then understanding they are there to serve others.

Functional illiteracy, and they don’t really know what they’re doing. They’re all smoke, mirrors, and hand waving.

@miramarco I think it’s more the experts shun the distressed because their plight doesn’t reinforce the world view or data of the experts which allows the quacks to thrive.

If we’re not focused on solving problems, we’re just building ivory towers which will never get used. As a technologist, I need to meet people where they are in order to build solutions which solve real problems rather then prescribe solutions which fluff my ego.

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