Comments on: http://www.kevinmd.com/blog/2005/12/behold-9-hour-physical.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2005/12/behold-9-hour-physical.html#comment-57620 Anonymous Mon, 12 Dec 2005 07:24:00 +0000 http://clients.emmense.com/kevinmd/2005/12/19553.html#comment-57620 How ecumenical of you to look down on so many. It's not really for you to say whether other people should spend their money and take a risk having a physical YOU see no indication for. It's a free country. Personal choice. How ecumenical of you to look down on so many. It’s not really for you to say whether other people should spend their money and take a risk having a physical YOU see no indication for. It’s a free country. Personal choice.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/12/behold-9-hour-physical.html#comment-57612 Anonymous Sun, 11 Dec 2005 23:30:00 +0000 http://clients.emmense.com/kevinmd/2005/12/19553.html#comment-57612 And just to add to my comment at 6:27: my comment about people not knowing math/not thinking logically included some physicians as well as some patients: lots of doctors don't understand the same simple math as well. And just to add to my comment at 6:27: my comment about people not knowing math/not thinking logically included some physicians as well as some patients: lots of doctors don’t understand the same simple math as well.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/12/behold-9-hour-physical.html#comment-57611 Anonymous Sun, 11 Dec 2005 23:27:00 +0000 http://clients.emmense.com/kevinmd/2005/12/19553.html#comment-57611 <i>And might I add it seems that an unfortunate number of MDs are unable to have any humane respect for or understanding of their patients, and thereby fail as physicians. What an arrogant snob you show yourself to be. Why is it more fun to you to put people down than to deal with the issue on the table?</i><br/>I am a patient not a doctor... Just happen to know math. And might I add it seems that an unfortunate number of MDs are unable to have any humane respect for or understanding of their patients, and thereby fail as physicians. What an arrogant snob you show yourself to be. Why is it more fun to you to put people down than to deal with the issue on the table?
I am a patient not a doctor… Just happen to know math.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/12/behold-9-hour-physical.html#comment-57606 Anonymous Sun, 11 Dec 2005 19:40:00 +0000 http://clients.emmense.com/kevinmd/2005/12/19553.html#comment-57606 You just proved my point, doc. You just proved my point, doc.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/12/behold-9-hour-physical.html#comment-57597 Anonymous Sun, 11 Dec 2005 14:57:00 +0000 http://clients.emmense.com/kevinmd/2005/12/19553.html#comment-57597 anon 335<br/><br/>You need help. This is not an exam room, clinic, or dear Abby column. Chill out. anon 335

You need help. This is not an exam room, clinic, or dear Abby column. Chill out.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/12/behold-9-hour-physical.html#comment-57595 Anonymous Sun, 11 Dec 2005 08:35:00 +0000 http://clients.emmense.com/kevinmd/2005/12/19553.html#comment-57595 "It seems that some people are not able to do simple math and are unable to think logically."<br/><br/>And might I add it seems that an unfortunate number of MDs are unable to have any humane respect for or understanding of their patients, and thereby fail as physicians. What an arrogant snob you show yourself to be. Why is it more fun to you to put people down than to deal with the issue on the table? “It seems that some people are not able to do simple math and are unable to think logically.”

And might I add it seems that an unfortunate number of MDs are unable to have any humane respect for or understanding of their patients, and thereby fail as physicians. What an arrogant snob you show yourself to be. Why is it more fun to you to put people down than to deal with the issue on the table?

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/12/behold-9-hour-physical.html#comment-57592 Anonymous Sun, 11 Dec 2005 04:51:00 +0000 http://clients.emmense.com/kevinmd/2005/12/19553.html#comment-57592 <i>It's actually quite a rational fear, with today's rushed visits to be afraid your doctor will only be looking for the very obvious, and will gloss over or dismiss the subtle.</i><br/>The problem is that the tests to rule out something that appeared "abnormal" on one of these scans can be invasive and can have risks. You can have infection during some biopsy, something can be damaged. Sure the risk is small, but so is the probability of benefit. If you have 1 in 1000 risk of life-threatening complication from some invasive test you better be sure that your chance of benefit is greater; otherwise the test is harmful. If the desease is rare at your age; if early detection only helps in small percentage of cases, having harm from the test is more likely than benefitting from it. <br/>It seems that some people are not able to do simple math and are unable to think logically. It’s actually quite a rational fear, with today’s rushed visits to be afraid your doctor will only be looking for the very obvious, and will gloss over or dismiss the subtle.
The problem is that the tests to rule out something that appeared “abnormal” on one of these scans can be invasive and can have risks. You can have infection during some biopsy, something can be damaged. Sure the risk is small, but so is the probability of benefit. If you have 1 in 1000 risk of life-threatening complication from some invasive test you better be sure that your chance of benefit is greater; otherwise the test is harmful. If the desease is rare at your age; if early detection only helps in small percentage of cases, having harm from the test is more likely than benefitting from it.
It seems that some people are not able to do simple math and are unable to think logically.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/12/behold-9-hour-physical.html#comment-57591 Anonymous Sun, 11 Dec 2005 01:18:00 +0000 http://clients.emmense.com/kevinmd/2005/12/19553.html#comment-57591 anon 2:40<br/><br/>Occult means NO symptoms. We are talking about useless screening when it is not indicated and there are NO symptoms. A doctor has training in evaluating symptoms and the best way to proceed from there. anon 2:40

Occult means NO symptoms. We are talking about useless screening when it is not indicated and there are NO symptoms. A doctor has training in evaluating symptoms and the best way to proceed from there.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/12/behold-9-hour-physical.html#comment-57586 Anonymous Sat, 10 Dec 2005 19:40:00 +0000 http://clients.emmense.com/kevinmd/2005/12/19553.html#comment-57586 'Occult "problems" these days create exponential fishing expeditions for problems that are not dangerous.'<br/><br/>How do you know the 'problems' are not 'dangerous' if you never acknowledge symptoms and never evaluate the the patient's complaints? Wouldnya think the scientific method would start with symptoms and proceed to the diagnosis instead of just starting with the diagnosis without regard to the symptoms? Really. ‘Occult “problems” these days create exponential fishing expeditions for problems that are not dangerous.’

How do you know the ‘problems’ are not ‘dangerous’ if you never acknowledge symptoms and never evaluate the the patient’s complaints? Wouldnya think the scientific method would start with symptoms and proceed to the diagnosis instead of just starting with the diagnosis without regard to the symptoms? Really.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/12/behold-9-hour-physical.html#comment-57584 Anonymous Sat, 10 Dec 2005 18:02:00 +0000 http://clients.emmense.com/kevinmd/2005/12/19553.html#comment-57584 Wouldn't you just as soon, then, have folks who can afford it pay for extra attention elsewhere? <br/><br/>It's actually quite a rational fear, with today's rushed visits to be afraid your doctor will only be looking for the very obvious, and will gloss over or dismiss the subtle. Wouldn’t you just as soon, then, have folks who can afford it pay for extra attention elsewhere?

It’s actually quite a rational fear, with today’s rushed visits to be afraid your doctor will only be looking for the very obvious, and will gloss over or dismiss the subtle.

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