You misunderstand me. I don't think I know better than doctors. Far from it. What I want from a doctor is information and informed choice, not a gatekeeper who makes decisions for me. As a group, physicians have been slow to adopt the patient-centered informed choice mentality that, for example, nurse practitioners and midwives have more thoroughly adopted.
The fact that you've doubled down here on calling patients idiots for being somewhat distrustful of the typical arrogant physician attitude confirms what I'm saying.
If I was going under anesthesia for a planned procedure, I would not drink or use drugs beforehand. If it was an unplanned emergency, I guess it would depend on the circumstances, but you are citing an extreme circumstance. If someone is actively high at the time they end up in the emergency department, well, that's bad luck and it might be wise to disclose since the staff will figure it out pretty darn quick anyway. Same if you are a severe alcoholic or opiate addict. That's not what I'm talking about, though. I'm talking about when doctors or nurses ask you about it as a lifestyle question.
You know as well as I do that the health care system classifies people in terms of their risk factors and then use that profile to make decisions about you. Once classified as a "drug user" in your chart, many doctors and nurses will treat you differently. They may or may not "care" from a moral perspective, and we know that they won't tell family or police, but that won't necessarily stop them from denying you necessary pain relief or deprioritizing you in triage. That's the actual concern.
There is absolutely no reason to tell a doctor if you use cannabis or engage in moderate alcohol use or occasionally use cocaine, LSD, or psylocibin. If you are prescribed a medication that has an interaction with a recreational drug, the doctor can simply tell you that. They don't need to know if you use that drug from time to time. Only you, the patient, need to know that so you can avoid the interaction. More extreme forms of drug use are a different story, of course.
Edit: Let me add one other overarching point. I think people are sick and tired of having doctors make decisions for them. I don't need a nanny. I need information about risks and benefits in order to make an informed choice. Doctors rarely do that. Instead, they decide what should be prescribed, or not prescribed, regardless of the patient's wishes. I know the reason is fear of liability, but here we are nonetheless.
That is a good analogy. I think phones and tablets being app-centric has really handicapped Zoomers in some ways. As Gen X, the first thing we learned about computers was the file system. That gave us a map of the computer. It also made it clear that the operating system, the applications running on the operating, and the data you generated and stored on the operating system were all different things. With app-centric devices and cloud-storage, people aren't exposed to that paradigm so much.
The new paradigm is more account-centric. You have a Microsoft account or a Google account or an Apple account and that's the ecosystem you work within.
I had a girl drop out of my University class because she couldn't figure out what a "file" was or how to "email" it to me. She just kept trying to share her Apple storage with me. Really sad. It's hard to help someone who gets to university without even grasping the basic nature of a file system.
I used to trust HCPs, but I know many of them now and have heard them shit-talk and judge their patients for mental health issues and drug use (among other things). I would NEVER, EVER tell a doctor or nurse about any form of drug or alcohol use now, or any kind of anger issues that could possibly be interpreted as aggressive. Especially not in a hospital where everything gets recorded in an electronic chart and may be used against you in the future. Fuck that.
How to fix it:
Definitely. The first couple seasons of BSG are almost as good as Babylon 5. Though neither of those is quite as good as Firefly.
That's what I have, but she likes the slim new hotness, and really prioritizes battery life. She isn't worried about Linux performance, though, because she doesn't use it, lol.
Oprah? Did AI get so advanced that it invented a time machine and sent us back to the 1980s? Next you'll be telling me that Phil Donahue is back.
I think you are misunderstanding the nature of the conflict. The war is between Iran and Israel. Gaza is just one tiny battlefield in the larger war. Iran and its proxies don't want to solve the conflict between Israel and the Palestinians. Cui bono? Iran and its proxies, that's who. Kamala Harris knows this. She isn't stupid and she is well-advised by experts. You and your fellow protesters aren't helping at all, you are just making her job of defeating Trump harder. Wake up, my friend.
Hezbollah and Hamas are Iranian proxies that have wrecked Lebanon and Gaza respectively. Hamas's murderous attack on Israeli civilians on October 7 was all about creating chaos, provoking Israel, and undermining the Abraham Accords. It wasn't about solving the problems of the Palestinian people, it was done to further Iran's "Axis of Resistance" goals. In that sense, Hamas's October 7 operation was very similar in nature and purpose to Bin Laden's 9/11 plan, and Israel is responding much the same as the US did back in the early 2000s against the Taliban and al-Qaeda.
Iran and Hamas started the current clash with the purpose of provoking Israel into a drastic response in Gaza. Gazan civilians are caught in the middle, but if you think it's Israel's fault, you are falling exactly in line with what Iran and their proxies intended.
The Russians, for all their faults, have a well-developed sense of realpolitik, and they have a term for people like you and your fellow protesters: useful idiots. I prefer the term "naive but well-intentioned", but there is quite a lot of overlap in this case. That "naive but well-intentioned" outlook is fine, even laudable, most of the time, but it is quite unhelpful at this moment when the competition between Harris and Trump is so close.
@sailingbythelee
@lemmy.world