Effective medical consultations require doctors to gather comprehensive patient history through targeted questioning, as patients often expect immediate diagnosis without providing information; chronic diseases like diabetes and hypertension are particularly burdensome because they lead to multiple complications (kidney damage, strokes, organ failure) and require lifelong management despite lifestyle modifications, making them significant targets for disease elimination efforts.
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The One Disease Doctors Would Erase Forever (We Couldn't Agree)Added:
All right, next post.
>> That was interesting.
>> All right. An elderly man walks in.
Patient. Good morning, doctor. Wearing a mean face. Good morning, sir. What is the complaint? Patient says my eyes. I just need to relax comfortably and looking sternly at me. Me? Yes, I know.
What is the complaint?
I don't quite get where this is going.
The patient says, >> "That's why I came in. That's why I came. So you tell me what is wrong with my eyes."
>> What's What is happening here?
>> I've come to tell you that my eyes are the problem. You are the doctor. I supposed to be able to supposed to know what is wrong. So this is very typical for people who feel like the doctor has to know everything from the onset. Like I I come to you and I tell you, "Oh, I have a headache." All right. So, I expect you to tell me your headache is caused by a brain tumor. This this this without asking you anything or without having to go in deep. So, some patients feel like when you ask them questions, it's like ah why I said my head is aching. Why you asking? Why you asking me if my meal is heavy? Erh consultation will involve history taking >> which involves asking you questions to either um increase suspicion or decrease suspicion on uh possible conditions.
>> Uhhuh.
>> But the thing is that it is long and it is sometimes considered some of the questions are considered too intrusive or unnecessary because they may ask about um personal or intimate details, right? But all of these go a long way into holistically managing the patient and that's something that a lot of people don't either get or understand and it sort of causes a friction in in management.
>> Yeah. Cuz why would you just enter and tell me my eyes >> then ask you what's wrong with your eyes? They say you want me to figure it out without just knowing that. See the the the some of the responses that you get sometimes is, "Aren't you the doctor?
>> Aren't you the doctor? You're the doctor. Tell me."
>> I was supposed to be able to tell.
>> No, but a doctor is more or less like an investigator >> trying to gather everything to make sense. So if if you come and tell me that you're the doctor, tell me. I don't know.
>> You've not given me enough.
>> Yeah, you've not given me enough. It's true. What they don't realize is that >> it's it's like being a detective. You're trying to find the caption to a story or a narrative. So deta magicians sometimes we genuely don't know what is going on.
>> So it's up to us also tell you that >> we cannot tell you what is wrong. It happens we can't know everything. So there's that as well.
>> So this this interestingly there was a patient who came female came in.
>> Yeah. You have stories. Yeah, the work there always there's always an experience there. But there's a patient with K female >> classic symptoms of anemia, headache, dizziness, >> um palpitation, all that. And so I'm trying to find if she's having some form of blood loss. And so I go into the history and I start asking about menstrual bleeding and if she has heavy menstrual bleeding to lead to. And she looks at me like, "Ah, I have a headache. Why are you asking me about menstrual bleeding? And so I noticed the look on her face and I was like, ah, why are you surprised I'm asking? Said doctor, but I said I have a headache.
Why? So then I took her through why I'm asking. And then it made sense to her and she actually did have heavy menstrual bleeding and we got to we got to find out that she has some gynecological condition that she needs to be treated for. And so everything made sense after explaining. So it's not like the doctor will just ask you random questions just to pass time and then eventually tell you to go and do a host of labs and then no we asking because we actually want to know. So this is an interesting one. It happens all the time.
>> That's I was informed that if you if you are taking a history and the question you're asking is not for diagnostic value is gossip.
>> Just so you know. Yes. Because every question you ask should be leading you closer to a diagnosis.
But so if you ask a question and it does not have diagnostic bearing, it is gossip. So that's how many windows do you have in your house.
>> Yo, that was such an outrageous question to have to ask.
>> It's actually necessary, but get >> How many pots do you use to cook?
>> Anyway, all right guys, let's So you can see the next one. This is funny.
Okay. So, is this okay again?
>> The hardest part of med medical school isn't intelligence. It's mental survival. Unpopular opinion about medical school that will put you in this position.
>> So, I think it says the unpopular opinion about medical school that will put you in a position of like being like harmed like this is that. So, that's the unpopular uh >> bro.
Sorry. You don't get it. Some of these post >> No. So this is like um your >> on come to >> off YouTube but he's on >> somebody on YouTube before the camera. Anyway, >> so the explanation to this post is >> like you see he's there are knives being directed at him. He's being threatened.
So what post will have you being threatened in this kind of position? And this person is saying that the hardest part of medical school >> isn't intelligence, it's mental survival. You what would you say the the hardest part for medical school for you was >> cuz I think we had significantly different courses.
>> Medical school was chill to be honest.
It was it >> medical school was chill. Not in the sense.
>> Mhm.
>> Minimal effort.
>> Minimal effort.
>> No, cuz you didn't have to exert yourself that much. Really, you have to know the things you need to do >> for yourself, Charlie.
>> And you think there are only a lot so many people.
>> It can be difficult.
>> There only so many people that will go this way with you. But medical school was like very tough. It was very demanding. It was long hours, waking early, incomplete activities, having to have more activities later, and then you have extracurricular activities. Yeah.
Like, and that's why they always say that medical students don't have a life.
And like there's too much for you to do.
There's no time to do other things.
>> Yeah. We still made time to to play video games.
>> Yeah.
>> So, because you play video games, medical school was fine.
>> No, but see, no. So you see people people people don't people don't take into consideration the amount of mental gymnastics you go through in medical school >> like every single day is a is a task on your mental health >> you wake up you have some lecture ch this lecture the way he is he's coming to ask some question you've not read then you go to class some tension when they ask you a question you can't answer the like things about it. What's what's going to happen with me? Then you go and learn for exam. You go and write the exam. You don't even know if the way what you wrote in the exam because when you come out you are hearing different things >> and then so you go back you go back and you try to take your mind off things and it still comes back to you because the next day you are going again. You're going to have another lecture. You're going to do this and it takes so much it puts so much stress on you. So it's not it's not really about being intelligent because you can be intelligent but if you're not mentally >> strong you break down >> resilient >> like if you're not resilient you just you just break down and it happened to a lot at the point >> what I would add to that is that this actually never ends because when you're in medical school is >> perpetually medical school you're always learning you're always going for some form of upgrading course and what's not so it actually never ends this relent endless daily tasking of your mental health and every day you have to go to work deal with systemic problems your boss patients that are coming in >> is just calling you >> yeah right and it just I think it just it just compounds somehow and shout out to doctors because yeah you're doing you're doing amazing you're doing amazing >> not okay >> anytime you share a story like that people are like ah so then like medical school you people get you picked by the bus everywhere you go you people don't struggle you met school like nobody's saying that yeah we are glorifying the struggle or whatever but >> a lot goes into it that people seem not to really understand until you are in it I'll just read this >> you are God for 24 hours your only goal is to eliminate one disease from the world which disease are you eliminating Mhm.
>> Wow.
>> That's that's >> okay. Me I have I have different perspective on things because >> it's it's essentially inconsequential because one disease >> might not be enough >> enough to to change >> change.
>> I don't want to please pick your disres.
No, >> but if I'm going I could pick like two or three. No, that was >> the one that sets the questions pick one.
>> I'm bored.
>> So like there are like 10 or like more than 10 diseases that if you actually eliminate >> if you have to eliminate 10 I mean that's still won't cover enough >> won't cover but then it would it would bring down the burden of that disease.
>> I think I I would go for a non-communicable disease. So I was going to say that maybe unless you're going to break it down into like what's communicable. It gives you broader classes too. But if you're going to pick specific diseases, I doubt you you you get ch this is a difficult one.
>> You still get to pick one. That's what the question says. So >> okay. So you have to pick one. That's fine. What's your is a broad a broad let me go first.
>> So if he picks what I picked then I won't pick. Of course you can't pick.
Of course you can't pick what I picked.
For me, my pick is going to be a condition that is more chronic. I think I'll go for cancer.
>> Cancer.
>> For for the other conditions, we can we can pretty much do some things about them. Cancer has a a a way of insidiously building up. Most of the time, you don't pick it up till it's is late on. It's got to a point that there's not much you can do about it. So if you can eliminate cancer, there more than a likely chance that some of the conditions we can tackle before they get to the point where we can't do anything about my >> Okay. No, you go.
>> Okay.
>> But cancer is not a disease.
>> Cancer is not cancer is a a group. So you have to pick one.
>> Yeah. Because no, that's exactly my point.
>> So this is >> because choosing one disease is very very inconsequential. Like you cannot if eliminate like >> Okay, fair. So what cancer would you pick?
>> That's not that's not >> so easy.
>> Okay. But okay, if it's about picking one, I have a question.
>> Is is stupidity a disease?
>> If it be >> cuz that one will help.
>> It will help too much.
>> That is true.
>> It will help you immense amount. Yeah. M >> so but so so right now what is this would you pick if now you can't pick >> no you pick you pick so you think about his cancer so okay I I'll I'll pick breast cancer >> breast cancer >> breast cancer I want to okay to they are concerned don't worry he's concerned about breast cancer >> I'll pick I'll pick I'll pick diabetes >> diabetes >> yeah because when you look at the the disease progression most people with diabetes don't end up with just diabetes. They end up with kidney issues.
>> Some could even get stroke. Some could get this. And if you look at how difficult it is to modify someone's lifestyle, just take the disease away because you can't count on their willpower. If if people's willpower and discipline and lifestyle modifications could have helped, >> we wouldn't be seeing a rise in cases.
And now there are there are children as as young as maybe 20 well not children but 17 18 they're beginning to develop symptoms of diabetes as a result of the environment that they live in. Tell me >> sorry >> is it? Yeah. Are you talking about Modi or type one or >> so type one?
No. But I see young even young not even the type 1 diabetes young people >> relatively younger people 25 year olds. Yeah. It's it's and you have to deal with that for the rest of your life.
>> Rest of your life. And most of the time diabetics will end up having some form of kidney issue.
>> Ending up in diialysis diialysis >> having to deal with strokes having to deal with all the issues. If I was God me I'll just come to Ghana and eliminate diabetes. Yeah.
>> GH okay >> no even worldwide diabetes cuz when you look at the thee that goes I think that goes for most chronic diseases because if you think about it in the terms of hypertension having to live chronically eventually you're going to end up having some kidney damage some possible brain damage liver damage all of that so >> it's it's a difficult question we'll do the next one >> this one because this is the last one >> I think the last one All too soon all too soon I think I've come to but then the has been interesting but that's fine that's fine yeah so I I think we would try and compile a bit more >> yeah this this was interesting >> so we have a second episode on this yeah >> all this we got to the end of this episode and uh guys what would you like to say to sign out >> so I think I think that people have very interesting takes on the internet some may come from people who are within in the healthcare space. Some may come from people who are outside. But all in all, a lot of people have a lot of information now and the things that they post sometimes may or may not be helpful. This was a reaction to things that we've seen on the internet, but it goes a long way to talk about how health should be taken seriously. We touched on different points, education, lifestyle modifications. So generally when it comes to health just be self-aware, educate yourself and I think that should that should cover it. Yeah.
>> And I think what I'll add to that is to always be uh concerned for your health.
You can ask for clarification from your doctor. You can ask for any information that you need from that you think that your doctor should provide. they are more likely than not the one supposed to provide them for you. So please feel free to ask and I'm sure that when prompted if if they do forget when prompted they should be able to fill you in on what you need.
>> All right guys so don't forget to comment like subscribe and share. We we like to know your thoughts in the comment section. This is beauty podcast and we are out.
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