A clinician argues that modern medicine has abandoned listening to patients, even though thorough histories once accounted for 80% of diagnoses. Today's 8-15 minute appointments and emphasis on rapid testing leave little time for the conversations that catch what technology misses.
I was taught in medical school, you know, if you listen to a person long enough, whatever's going on will declare itself. Now, the goal is to figure it out before the cancer pops up or whatever, but it's almost like now everything's become so technical and, and procedural oriented and technology oriented that it's almost like it doesn't matter what you say. Let's do some tests and images. There's nothing there. Go along. It's like, whoa, wait. Like medicine is supposed to be Primarily the diagnosis. 80% is made by the patient history and lab testing things helps you with that. The nuances of the 20% we flipped upside down. And like we do fancy tests. If they're negative, nothing's wrong with you. It's like it's a really bizarre world to be in, especially with our knowledge base now and everything that's going on. It's, it's kind of regressive in many ways.
And I think too just the system, it's set up for such short appointments that it's really hard to give patients the amount of time they need to give a proper history when we're seeing them in, you know, 8 to 12 max, 15 minutes without procedures for, you know, just quick check in visits. So I absolutely, I agree. I love that you're able to kind of recognize both aspects of medicine, the benefits, because we have, you know, for acute care, for cancer, for all of these things, we have incredible, incredible access in our country for those. And then we also have some shortcomings. I love your bounce.
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