Opinion: I’m Not the Doctor for You: Cognitive Bias, Complex Illness, and a Moral Imperative, 2025, Kuon

This same doctor if they were practicing in the 80s:
(spoiler because contains homophobic stance)
“All you other doctors see gay people through such a homophobic lens which complicates treatment. I, as someone who cares about gay people, am qualified to provide highly effective gay conversion therapy”
[erfect analogy
 
Multidisciplinary interventions, such as graduated exercise therapy with the Modified CHOP POTS protocol,11 incorporating pacing after energy expenditures, cognitive behavioral therapy, and neuromodulation, alongside dietary and nutraceutical interventions, have all shown promise in managing Long COVID and CFS.

Have done so for decades, and always will. An inexhaustible source of research funds and clinical management.

I don’t get how medicine is so vulnerable to this type as a system thing but it’s fascinating
I think it is because doctors are not trained as scientists, but as high class technicians. Different skill and mind set.
 
Multidisciplinary interventions, such as graduated exercise therapy with the Modified CHOP POTS protocol,11 incorporating pacing after energy expenditures, cognitive behavioral therapy, and neuromodulation, alongside dietary and nutraceutical interventions, have all shown promise in managing Long COVID and CFS.

Have done so for decades, and always will. An inexhaustible source of research funds and clinical management.


I think it is because doctors are not trained as scientists, but as high class technicians. Different skill and mind set.
There’s this weird history of trust the salesman /aspects from the days much of it operated as a business before systems like nhs or science developed into it - as shown by how until whenever it was banned you used to have pharma reps visiting GPs etc didn’t they?

which is different to staying up on the research ‘to have something to offer patients’ or having specialists and the throughout of that knowledge doing better thru the chain - it feels like it’s all about avoiding getting enough specialists in the right area by moving funds into this sort of thing by skewing ‘demand figures’ by things getting categorised wrongly certainly almost knee-jerk early on as ‘it’ll just be lifestyle/behavioursl’ and hey presto they claim most illness is that based on order people that’s the pathway they have to follow for almost everything

not the right people at all who got put in charge of choosing where to spend big budgets of money for different’conditions’ they may have misdiagnosed into a dumping pot in the first place ?
 
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