Doctor Reacts to John Oliver | Last Week Tonight: Bias in Medicine

शेयर करें
एम्बेड करें
  • 22/08/2019 को प्रकाशित
  • John Oliver discussed medical bias on his latest episode and you requested that I react to it. This episode is slightly different than most of my other reaction videos as I gave a watch before doing the reaction video in order to vet the research discussed on the program. If you'd like for me to cover this topic in more detail please do comment below.
    Original Video: in-plus.biz/cainala/TATSAHJKRd8-vidiyo.html
    Diversity Video: in-plus.biz/cainala/KWkF2N4BFRA-vidiyo.html
    If you have an idea of something you want me to cover in-depth, please let me know because I take your requests seriously. We will be back with more Doctor Reacts Series, Memes, & Responding to Comments so please submit more names of shows/episodes & questions you'd like for me to watch. Love you all!
    - Doctor Mike Varshavski
    Please SUBSCRIBE for new videos every Sunday 11am EST ▶ goo.gl/87kYq6
    Let’s connect:
    IG goo.gl/41ZS7w - Doctor Mike
    Reddit www.reddit.com/r/DoctorMike/
    Twitter goo.gl/kzmGs5 - Real Doctor Mike
    Facebook goo.gl/QH4nJS - Real Doctor Mike
    Contact Email: DoctorMikeMedia@Gmail.com
    P.O. Box (send me stuffs to open on camera):
    340 W 42nd St # 2695
    NY, NY 10108
    ** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/mental health professional **

टिप्पणियाँ • 11 337

  • A Diamond
    A Diamond घंटे पहले

    What "hurts" is getting crap care due to bias.
    Also, your surprise at John Oliver being correct is -at best- silly. You are surprised they did their homework?
    As for "non-opiod medications" that is because these are over the counter like Ibuprofen, Tylenol or Aleve. Fine for minor short term aches, pains or fevers but useless when given for anything more serious than minor aches and pains or the occasional fever. Most people have these meds at home. There is no difference in access because there is no difference in the ability to walk across the street from the hospital to Walgreens and picking them up. This is the modern version of "Take two aspirin and call me in the morning."
    As for biological differences.. to hear a doctor use the word "races" is worrying. There are no "races" in any physical way.
    People may have individual differences but there is only one human race left on this planet, and we are all it.
    As for why do people in poorer clinics and hospitals have worse outcomes: because they aren't taken as seriously as they might in better facilities. My husband has memory issues, and got laughed at by a nurse while in the hospital. In a hospital that tends to better off people she would have been fired, maybe sued.
    Full stop.

  • woodworker Royer
    woodworker Royer 2 घंटे पहले

    19:00 I had a biology teacher tell me that black people are less adapted to cold climates than white people. Their brains don't cycle the blood as many times as whites and they end up getting frostbite more quickly. That isn't racist, it's different. I think black people are great. But they ARE different in some ways than white people.

  • Carla Lopes
    Carla Lopes 2 घंटे पहले +1

    Is the racial mortality gap closing because black people are living longer or because of the opioid crisis, white people are dying earlier? If it's the second, then it's not progress.

  • Happygetsfit
    Happygetsfit 4 घंटे पहले +1

    I had find a female doctor jus to be heard. I mental health was so bad and the Dr. I was seeing was really bad. He told me that my period should be painful because they are a punishment for not being pregnant(I was 19 at the time) and that my depression was just because I wasn’t fulfilling gods duty. He also said that I was making up my knee pain because women don’t experience pain like that.
    I have a not only a waaaayyyyy better doctor now, but a female one.

  • Charles Catt
    Charles Catt 10 घंटे पहले +1

    Why did i get a mcdonalds ad before this video...

  • Spidergirl79
    Spidergirl79 11 घंटे पहले

    Sex is not assigned at birth, its OBSERVED.

  • Gail Craig
    Gail Craig 13 घंटे पहले

    Love your vids, Dr. Mike! But....please....buy some decent fitting shirts! I get that you're nicely buff... but sleeves that cut into you because they're too tight & buttons that threaten to pop are quite distracting while watching, let alone in person at clinic/hospital. It's just gauche to brag/advertise your great physical condition by wearing clothes that are too tight...not professional.
    Keep up the great videos... Seriously appreciate your common sense approach to medicine!

  • alhanoof abdulrahman
    alhanoof abdulrahman 14 घंटे पहले

    I couldn’t help my self, your couch looks really comfortable.

  • Katelyn Ball
    Katelyn Ball 16 घंटे पहले +1

    It is even more of a struggle for women to get good healthcare when you go to doctors and tell them you have extreme pain and heavy bleeding and they don't believe you and throw ibuprofen at you to shut you up like that's gonna fix the issue. Or when they look at your record and see you've been in the hospital 3 times this month for excruciating pain and think you're just there for pain meds and ignore your complaints.

    • YummyCarrot
      YummyCarrot 2 घंटे पहले

      @Katelyn Ball Sorry you had this experience really. I didn't know it took 14 years. I was just trying to explain it in simple terms the management of period cramps because I thought you would be interested to know, but it's definitely unacceptable that it took so long to find a diagnosis. However, the treatment for endometriosis is still NSAIDs analgesics first line followed by contraception. Many people have endometriosis and if the first and second line treatment adequately controls pain, then you just closely monitor for any changes and continue as it is.
      The fact that you were hospitalised three times for this makes it extremely unlikely that the doctors didn't take you seriously. They must have done pelvic imaging and blood tests. Depending on the size of the ectopic endometrial tissue, sometimes it is not possible to pick up on the imaging and the diagnosis has to come from history only which is difficult, and in cases where treatment doesn't change regardless of the diagnosis, it is often redundant to pursue that diagnosis as extra tests carry it's own risks. This is quaternary prevention, and it is really important when doctors treat patients because one of the pillars of practicing medicine is first do no harm.
      I do hope that there was a good resolution of your condition and that you're satisfied with your care under the current doctor. Very unfortunate you had so much trouble with this.

    • Katelyn Ball
      Katelyn Ball 2 घंटे पहले

      @YummyCarrot I was mainly referencing the fact that it takes a woman with endometriosis close to 14 years to be taken seriously but k

    • YummyCarrot
      YummyCarrot 2 घंटे पहले

      Sorry you feel mistreated. But the treatment for period pain is NSAIDs which includes things like Ibuprofen. A stronger pain killer is in no circumstance indicated for period pains. No good doctor will ever prescribe you other analgesics because it's against all guidelines.

      The reason Ibuprofen is prescribed is because Ibuprofen specifically targets the source of menstrual pain. So while it is used as an over the counter drug for pain and inflammation in general, it's actually a specialized and targeted therapy for menstrual pain.

      Menorrhagia and dysmenrrhoea (Heavy flow and painful period respectively) may be a symptom of some other condition, and should be investigated further. Perhaps your doctor already did this, but in more than 90% of the time, it is a normal variant to have comparatively heavy and painful periods, especially if you don't have other accompanying symptoms that points towards another diagnosis.

      The doctor is right in prescribing Ibuprofen because that is the drug in the first line treatment for your condition, and is the best analgesic for that condition shown in every meta analysis.
      If NSAIDs fail to control the pain, the doctor will or should give you the option of using contraceptives. This prevents ovulation better than ibuprofen, and lessens the production of the endometrial lining.
      The oral combined pill works well for most people, but the coil is becoming more and more popular as it is once off procedure and it lasts 5 years.

      If you feel that your concerns aren't being taken seriously, I suggest switching doctors. I hope things go well.

  • Natalia Antunes
    Natalia Antunes 22 घंटे पहले +1

    The thing about maternal mortality though, while I understand this point of view, the way things are done in US are brutal. I’ve seen all kinds risk pregnancies being forced into natural deliveries, when the safest option would be a C-section. I’ve seen babies and mothers dying because of that, and I simply don’t understand why US loves forcing natural deliveries so much.

  • tomjanbart
    tomjanbart 23 घंटे पहले

    So basically John Oliver is really terrible at reading the original documents. Quoting correlation like it is causation. And secondly the USA should really fix their health care. "Developed" country 🤣

  • Diana Hickman
    Diana Hickman दिन पहले

    This is true about treating women differently than men. I went to the doctor for swelling in my hands and feet...after a ton of tests they said I had "inflammation" and they didn't know why... no treatments, nothing... Just "drink more water" and "maybe it will go away"... I can barely walk now because my ankles hurt so bad, but when I talk about it with the PA, I get "oh it's inflammation, just drink water." Somehow I think it's more than "just inflammation." I ended up giving up...

    • YummyCarrot
      YummyCarrot 19 घंटे पहले

      Don't give up Diana. Sorry if you felt mistreated by doctors, and I'm not going to make a guess since I don't know your situation. But please also understand that medicine isn't easy. Doctors can get it wrong, and sometimes they just genuinely don't know what is going on. If it is indeed causing you that much pain, I suggest going to a specialist. There is also no way a doctor sent you away with just drink water if you have such terrible pain. they would do lab tests to look for a cause, because so many things can cause inflammation. Find a new Family doctor and tell them your worries. Hope you get it sorted out, best of luck.

  • ra1nb0wb00tay
    ra1nb0wb00tay दिन पहले +1

    I hate that I am ALWAYS TOLD to bring a man with me because then i will be taken more seriously (i have chronic illnesses where i am undiagnosed right now and am being shuffled around from dr to dr)
    *also..I'm trans and that just throws a whole other wrench into things (no I'm not taking hormones or having surgery for anything to have changed or affected any of my symptoms)

  • Yuu Chang
    Yuu Chang दिन पहले

    I love and trust John Oliver's videos, so watching this was really interesting! I think you really did your research well and made some good points!

  • Jj Smith
    Jj Smith दिन पहले

    20:20
    So what? I'm homeless so I can't get an opioid to treat my pain? That's some socioeconomic bias right there.

  • Christine Shell
    Christine Shell दिन पहले

    My friend last year had a stroke and had to fight to get the police and EMT to check her for a stroke. They wanted to arrest her for suspected drug use after she called 911 shortly after backing out of her driveway and into her mailbox. She told them she thought she was having a stroke. They wasted precious time arguing that her slurred speech and other symptoms were drug related while she demanded they test her for a stroke.

  • Christine Shell
    Christine Shell दिन पहले

    Read this article. Bias against women is life- threatening. www.yahoo.com/lifestyle/heart-attack-mother-driving-car-150124006.html

  • t temp
    t temp दिन पहले +3

    I appreciate you doing the research and defending your profession, but some of the things you said just sounded like another white male going "well actually..."

  • Heleen Wolf
    Heleen Wolf 2 दिन पहले +11

    Just a moment of silence for all the woman with endomtrioses

  • Samantha Murphy-Keller
    Samantha Murphy-Keller 2 दिन पहले +2

    I just want to know why this was ever happening in the first place? 🤔 Like, if doctors are supposed to be so educated and unbiased - why did discrepancies like this EVER happen? 🤷🏽‍♀️ Shouldn’t they have been treating everyone perfectly equally?? I don’t know, I think when an absolutely unacceptable incident like the one with that woman who was experiencing unbearable pain and the moronic “doctor” wouldn’t take her seriously, he should be fired immediately. He doesn’t deserve to work in medicine.

  • Kira Brighton
    Kira Brighton 2 दिन पहले

    I'd love it if you could talk about the issues with a past (and sometimes present) lack of research in female predominant conditions like fibromyalgia!

  • Ischys Syrra
    Ischys Syrra 3 दिन पहले +6

    You say you wanna talk about why these biases exist within healthcare, but you do in a way excuse the racism and sexism by only concluding it's because of socioeconomic differences. These differences are merely a symptom of the racism and sexism ingrained in society.

  • Ischys Syrra
    Ischys Syrra 3 दिन पहले

    It's easy for a white male to say "remember, we're making progress" when the healthcare system and it's biased people has ruined so many lives. Mine included.

    Remember that.

  • Dr. Jeango
    Dr. Jeango 3 दिन पहले

    If research is not powered to have a balanced population ( meaning similar amounts of male and females), it is not a good enough research publication in general. That would be a weakness of at least a cancer drug study in the current era (unless we are talking obviously about prostate or penile cancer, or uterine, vulvar, cervix and ovarian cancer respectively in men or women). I am a cancer doctor and most of the current studies or for the past 2 decades, balancing the populations is paramount to get results that can be apply to more people in diseases that affect both genders, however the incidence of certain groups of diseases vary sometimes between male and female or even between races. Also, in certain diseases are simply hard to enroll patients, example, men can have breast cancer too but is about a 1% of the patients for obvious reasons and we have to extrapolate all the results from all the breast cancer studies to men because otherwise the studies could not be done or ever published. I agree with Dr. Mike that we are trained to not make recommendation or decide on what our patients get based on their race or gender, but based on their symptoms and objective data and the uniqueness of each patient. We are trained to treat without bias, and with respect and compassion. I believe that every doctor should do the same.

  • Sam Sileno
    Sam Sileno 3 दिन पहले

    I would argue that some of the highest rated, quality hospitals in the country are located in low income, urban centers with a high proportion of patients of color. Take a look at Johns Hopkins in Baltimore and Tulane in New Orleans as examples.

  • Kurt Julien
    Kurt Julien 3 दिन पहले +1

    No one should go into medicine to make money. A person should have a love of healing & humanity. That is my opinion

  • Lupinequeen13
    Lupinequeen13 3 दिन पहले +1

    I'd be curious to see how a country with universal health care like Canada compares. Because the government pays for everything (or almost everything), hospitals can treat patients without worrying as much about their income. I wonder if that changes things?

  • woo wooo
    woo wooo 3 दिन पहले

    When you say; because women are experiencing these atypical symptoms, that's the part that's attributing bias. - the moment we state that the symptoms of half the population are atypical you're already establishing with the way you think about this topic that women have unusual symptoms and that's why doctors don't register it often enough. Just thinking atypical vs typical for women is generating subconcious bias that affects how doctors look at patients and think about treatment. You're absolutely right that more awareness needs to be raised about the differences in how women and men present symptoms differently to close the gap. But subconcious bias, isn't about active discrimination its about missing how we think about things. And thinking about women's symptoms as atypical vs men's is the part of the bias' . This isn't an attack, but food for thought - the way we think about innocuous words like atypical as it relates to sex, when atypical is more often than not typical for 50% of your patients.

    • YummyCarrot
      YummyCarrot 19 घंटे पहले

      Just to clarify this: Typical and Atypical refers to constellation of symptoms that are more and less common respectively and has nothing to do with sex or race. To simplify it, typical = chest pain, atypical = stomach ache. The vast majority of women still present typically when they have a heart attack. Men can also present atypically i.e. theyre having a heart attack but they complain of stomach ache. However more women presents atypically than men. It has nothing to do with men being default or anything to do with gender/race and women still present typically in most situations. It's to do with how common something is. There are other uses of these said words in Medicine and differs depending on the condition you're talking about, but none of them are gendered at all.

  • Alexander Schmoldt
    Alexander Schmoldt 3 दिन पहले

    so wait
    who are the not assigned male at birth, are women? if not assigned male at birth how should a doctor treat them, like a man? even with different genes organs hormones etc.
    this is was peak gender confusion looks like on john oliver part.

    and yes when he is talking aboout study design it has gotten better, but not only in the 20 years this has started mostly after wii and slowly the better studies have come, futhermore computer have made it possible to handle the massiv amount of data if you wanna control so much. so its not doctors have been shitty in the 80 but it was oft not possible to handle so many variants. good studies in the 80/90 had 1000 patients. average cancer studies today have 20.000 in multiple hospitals.

  • Alexander Schmoldt
    Alexander Schmoldt 4 दिन पहले +2

    18 female 3 male, this is good diversity? is it though? would it be good diversity with 3 females on 18 males? in a 50/50 society?

    • Alexander Schmoldt
      Alexander Schmoldt 3 दिन पहले

      @Butcher Pete XD 2+2=5
      Yeah, they have mostly lost the plot. They want to fumble equality of out come when we haven't figured out equality of chance yet. And they hope they can do in reverse.
      Don't know which country you are from. But alone in socioeconomic education and health. (which are the 3 biggest factors many are fucked an left behind)
      This lead to now where cause a black poor child is as fucked as a white poor child. And I don't really care if there are disproportionate more poc children. And even if there would be a systemic problem like the gender pay gap. Let's just for 1 second think it's real. If we just pay every women 20% more. Would it solve anything? Would it make anything fairer or better?
      Than the male nurse gets 20% less than the female nurse, but that nurses are under payed and some bankers quite overplayed wouldn't solve anything.

    • Butcher Pete
      Butcher Pete 3 दिन पहले

      I'm glad someone said it. The modern idea of "diversity" is wrapped in political double-think. Diversity means privledge against white men, it has nothing to do with actually making anything "diverse." 2+2=5

  • Christina Schmidt
    Christina Schmidt 4 दिन पहले +2

    This is a really long way of saying #notallmen 🙄

    • Christina Schmidt
      Christina Schmidt 18 घंटे पहले

      YummyCarrot A black woman doctor is so much less likely to argue against the sexism and racism in the medical world. Show me a black woman doctor making these points and we’ll talk.

    • YummyCarrot
      YummyCarrot 19 घंटे पहले

      Well technically not since there are also women doctors, infact in larger numbers. If someone transcribed what he said into paper and got a black woman to say it, would you believe it more, and would it have more weight?

    • coffeyaum
      coffeyaum दिन पहले

      Yes!

  • Zexo Man
    Zexo Man 4 दिन पहले

    Learning about this now, i can't help but think what would these studies show if done in my homecountry Egypt.
    Would their be disparities between copts, nubians, arabs, amazigh? I bet there would.

  • J No
    J No 4 दिन पहले +6

    6:25 "Sex has been found to influence the expression, progression and outcome of many common medical conditions and can influence pharmacokinetics and responses to therapy". And yet a big part of the problem is that most drugs have not been and still are not tested on women. Specifically, because the results might be different!
    www.theguardian.com/science/2019/jul/28/medical-bias-against-women-drug-trials-cpr-medicine-gender-inequalities

  • Daniel de Andrade
    Daniel de Andrade 4 दिन पहले

    "If I was male I would've been treated differently"
    Mothetfucker, at this point you're batshit insane

  • El Rey
    El Rey 4 दिन पहले

    About the clip at 11:11
    I don't remember if we are told what type of doctor this woman went to, but I (a male) have personally had this experience where I went to the ER - for chest pain, as it so happens. They ran tests, and I was stuck in the waiting room for 5 hours. I couldn't leave to get food (I hadn't eaten anything that day, nor had dinner the night before), and by the time I left my hunger pains were worse than my chest pain.

    The doctor who spoke with me said almost exactly the same thing "well, we don't know what's wrong with you, but it's not one of these things that we were looking out for." When I expressed concern, the doctor responded somewhat callously "It's not our job to figure out what's wrong with you, just to tell you it's not life threatening. You need to schedule an appointment with your physician if you want more."

    ... and then when I went to the physician, they basically said the same thing. They scheduled a different set of tests, none of which showed anything definitive or worrying, I guess. The physician told me that even if the pain persisted indefinitely, it wasn't a problem and they wouldn't do anything more about it unless it got worse. As long as it wasn't getting worse, "try not to worry about it".

  • Timo Kampwerth
    Timo Kampwerth 4 दिन पहले

    Now this should be interesting

  • KateandZena
    KateandZena 5 दिन पहले +1

    Sex bias is very real in psychology, especially for diagnosis for Autism. When I was 3, I was originally diagnosed with Autism, but the diagnosis was thrown out because “girls can’t get autism.” I was 22 when when I was correctly diagnosed with Autism, after being misdiagnosed with bipolar, OCD, and even borderline personality.
    It took me 8 years to be diagnosed with Lupus. Why? “Well, are you sure you’re not making up your pain?” “Well, it’s not arthritis but you need some anti-anxiety meds.” Needless to say I cried when I was diagnosed because I was validated. I wasn’t nuts!

  • Martin Leipold
    Martin Leipold 5 दिन पहले

    Sometimes patients are drama queens regardless of sex. The female patient telling the doctor thought her to be a drama queen reminded me so much of a patient of ours who is a total drama queen. She shows up 6 times a month with absolutely nothing she should bother a doctor with. 5 of this 6 times she doesn‘t have a date scheduled with us even though she asks for treatment that should be scheduled and every damn time she had a scheduled date she showed up at least 20minutes late and our average waiting time for scheduled patients is 4minutes so she delays the whole process because patients who are scheduled after her learned that we are pretty quick and thus absolutely noone shows up an hour early and very few people arrive half an hour early. Most patients arrive 5 minutes before their scheduled date and get their names called on time in most cases. This patient annoys me so much and we know that she complained to other doctors and other patients that we are unfriendly towards her without reason.
    It‘s not said that the woman in the clip is just like our patient but everything about this woman reminds me of our patient and after some time you start developing a skill to spot difficult patients.
    Patients are in no way always the good people those clips are trying to label them as.

  • Brad Flores
    Brad Flores 5 दिन पहले

    The more and more I watch Dr Mike, the more and more I realize that he's actually trying to make a difference, and give hope and information about the medical world with an open heart. Good on you brother! Keep it going ! If all doctors were like you... We'd be MILES further 🤘

  • Rachel
    Rachel 5 दिन पहले +1

    It has been the norm in my experience. Both for myself and other female family members and friends. We've had conversations about it many times.

  • Thererno
    Thererno 5 दिन पहले +1

    Bias can be introduced systematically. It’s still bias. It’s still real.

  • Bill Carmichael
    Bill Carmichael 5 दिन पहले

    Each time you describe women's/non-white patients symptoms "atypical", you are reinforcing the idea that white men are typical ("normal"?) .

    • YummyCarrot
      YummyCarrot 4 दिन पहले

      Hey Bill, just to clarify this: Typical and Atypical refers to constellation of symptoms that are more and less common respectively and has nothing to do with sex or race. To simplify it, typical = chest pain, atypical = stomach ache. The vast majority of women still present typically when they have a heart attack. Men can also present atypically i.e. theyre having a heart attack but they complain of stomach ache. However more women presents atypically than men. It has nothing to do with men being default or anything to do with gender/race and women still present typically in most situations. It's to do with how common something is. There are other uses of these said words in Medicine and differs depending on the condition you're talking about, but none of them are gendered at all.

  • Thomai Hatsios
    Thomai Hatsios 5 दिन पहले

    Doctor Mike- this is an interesting bit of info "Women weren’t included in clinical trials until the 1990s. " from this article: www.theguardian.com/books/2019/sep/02/why-dont-doctors-trust-women-because-they-dont-know-much-about-us?fbclid=IwAR2vwyhzMn4CczJHYXTIOkvQ1y4Mf9z8wUvfkeXI6-WJFY5f3bYBa5e4k4A

  • Hannah T.
    Hannah T. 5 दिन पहले

    Speaking as a young woman with too much experience with pain and surgeries for both reproductive organs and a hip, I am consistently told by doctors (but not all doctors) that I cannot possibly be able to differentiate between specific pains. E.g., there is no way that I can know when a pain is or is not an ovarian cyst.
    I had PCOS and was extremely familiar with cyst pain. But even during my pregnancy when we had already established that I had a hyper
    -stimulated ovary from fertility treatments and we were monitoring its growth to 15 cm with three 8 cm cysts, when I went into the ER at 32 weeks for an extremely acute increase in that specific pain, and even I could clearly see the ultrasound show a lack of blood flow to that ovary, I had a team of doctors spend 24 hours looking for kidney stones and trying to convince me that that was more likely the issue. It wasn't until a hospital rotation that I got a doctor almost sprinting into my room saying he was taking me back to the OR NOW because my ovary had completely torsed in the imaging 24 hours before! Super dangerous.
    A miserable 8 surgeries in 8 years now (by no means a good thing), and a lot of instances in between, it turns out that Every Single Time I have told doctors that a pain was ovarian or uterine or my hip joint or something altogether different - every single time - I have correctly identified the source of my pain. But I have to fight tooth and nail to get the doctors to listen to me and do the work to get on the same page. It took 2 YEARS to get surgery to repair a badly torn hip labrum because they just refused to look in the right place. Over and over I was told it was pelvic pain and that I couldn't tell the difference.
    Unfortunately, in my experience, doctors have been extremely quick to dismiss my own experiences in my own body because THEY cannot differentiate between the pains a woman can feel, and because they want to tell me I am exaggerating.

  • singingfan
    singingfan 6 दिन पहले

    I’m an early 30 year old Caucasian woman. An example of a bias is when I was experiencing pain in my abdomen and chest. When I went to my local ER, I was sent home telling me to take acid reflux OTC meds. I then returned a few days later when I developed severe pain and severe throwing up. When I returned to the ER I needed an emergency gallbladder removal!!

  • Bahb Woolley
    Bahb Woolley 6 दिन पहले

    Oliver is a comedian, not accountable for opinions like a Doctor is. His inaccuracies are not killing people. Why be apolgetic (an apologist) for bad medical care?

    • YummyCarrot
      YummyCarrot 4 दिन पहले

      In my opinion, from what I've heard throughout Dr.Mike's video, he never excuses any bad behaviour for even a second. I think he put it best in his response and update video, that he's just trying to highlight other issues and factors that play a role in the disparity which are not being talked about. Which I think is a very good point.

  • looneyflight
    looneyflight 6 दिन पहले

    I love your break down so much better than John Olivers. He always slants thing to the left like its men trying to oppress women when there is so much more nuance to the situation. Not acknowledging differences between men and women that go into the differing outcomes. The same thing with actual differences between races.

  • hamdi hassan
    hamdi hassan 6 दिन पहले +2

    I love you doctor Mike but a lot of time especially during the parts of the video talking about people of color your explanation seemed a bit dismissive. I personally felt like you were unwilling to just except the facts but looking for any reason that it could be anything but racism or discrimination of black people that lead to these studies.

  • archangeldad2007
    archangeldad2007 6 दिन पहले

    Dr Mike - I know it’s a tough question, but I’d be interested in your thoughts...
    Some social commentary points to the idea that there is “no difference between men and women”. Has this impacted the practical application of medicine?

  • Maria Rib
    Maria Rib 6 दिन पहले +2

    12:12 Yes we are doing better but in your own language you perpetuate the issue. You say that women present with ATYPICAL symptom. These symptoms are not atypical for women. They are atypical for men. So even someone with your level of awareness still has the unconscious bias in the language you use to communicate the very issue at hand. I loved John Oliver's segment and I loved your discussion. I have already changed two of my doctors after his episode. Not only am I female but I'm morbidly obese with chronic pain issues. A doctor who doesn't look beyond these factors is not in my best interest.

    • YummyCarrot
      YummyCarrot 4 दिन पहले

      Hey Maria, just to clarify this: Typical and Atypical refers to constellation of symptoms that are more and less common respectively and has nothing to do with sex or race. To simplify it, typical = chest pain, atypical = stomach ache. The vast majority of women still present typically when they have a heart attack. Men can also present atypically i.e. theyre having a heart attack but they complain of stomach ache. However more women presents atypically than men. It has nothing to do with men being default or anything to do with gender/race and women still present typically in most situations. It's to do with how common something is. There are other uses of these said words in Medicine and differs depending on the condition you're talking about, but none of them are gendered at all.

  • Xan E
    Xan E 7 दिन पहले

    In my personal opinion, poorer and minority-dense neighborhoods have low-quality doctors that would never be employed in healthcare facilities in more affluent zipcodes. I myself travel an hour out of my way to hospitals in affluent white neighborhoods to get medical care-the difference is night and day. And my insurance is accepted at all these facilities.

  • WheelieWitch
    WheelieWitch 7 दिन पहले

    It's a huge problem. I have a family member who's assigned female at birth, who has a degenerative spine condition. The last few (YOUNG) doctors they've met were sure it was just 'anxiety'. It was adhesive arachnoiditis and ankylosing spondylitis.
    And as a trans person, it's even more of a nightmare. Many of us avoid doctors altogether because we're gaslit and abused constantly.

  • Sassy Stasha Speaks SSS
    Sassy Stasha Speaks SSS 7 दिन पहले +1

    Again, he keeps deflecting from bias so there is no way HIS discussion drives the change in the medical industry. This is a very typical stance that Non POC take when faced with any "accusation" of racism, or race related issues. As well as men when faced with gender issues. 15 years and yet here we are with a doctor saying "yes, but…not all doctors…not young doctors".

  • Mr. Josh
    Mr. Josh 7 दिन पहले

    Loving all the anecdotal evidence in the comments. 😎

  • circe delune
    circe delune 7 दिन पहले

    This is a mindset thing, imho. I’ve had doctors who were jerks. I didn’t assume it was because I was a woman. And, yes, black people may get poorer care, but not necessarily because they are black. People who have lower incomes tend to get poorer care, regardless of their color. Some doctors may be biased, but I don’t think the percentage is very high. I think most of these disparities have other causes.

  • Artemisa Tamez
    Artemisa Tamez 7 दिन पहले

    How can doctors be unaware of women’s biology? I hope this is a joke! Look Dr. I work in animal nutrition, I have a PhD in cell biology. I really know a lot about metabolism and understand pretty finely what the doctors could say to me. My son is Down syndrome and every single time, time and time again, the male doctors that we visit for (audiometries, vision test, allergy test, all sorts,) always talk to my husband never even look at me. And then, I start questioning and replying with my technical knowledge and every single time they get surprised, as if they would have never conceived that there could be talking to a female scientist. With true honest, I don’t think you can brush off toxic masculinity out of the equation. It is a think, and of course you have never experienced and never will.

  • Add E
    Add E 7 दिन पहले

    So, he left out a bit about the 'doctor' that said "it's my job to tell you what it's not." The guy needs to loose his job for so many reasons, but when you go to the ER, which is where that woman was, that is kind-of how it works. The ER goes down a comprehensive list of 'crap that will kill you' and if they eliminate everything, they send you home. You are then supposed to see your regular doctor or a specialist to get a diagnosis. It's called the Emergency department for a reason. If so many people didn't come for things that are CLEARLY not emergencies, they might be better able to diagnose people who are having more vague (female, whatever) symptoms, or who haven't been able to get an answer anywhere else.
    As for the socioeconomic disparity, they should really take a look at rural vs city. Another thing that factors in, and this is a rural-white-people observation that may apply to other people; is the Medicare/Medicaid/overly-insured population that will take an ambulance to the ER for constipation (real patient), or a cold, or chronic-non-worsening backache, or some other such nonsense. These people KNOW they don't need either resource, but it's free, so why wait until tomorrow to drive themselves to the doctor? Seriously, KNOCK IT OFF! This means a hospital with limited staffing and limited resources is wasting time with your drug-store problem, or your doctor's note.
    And DOCTOR's, listen up, especially you cardiologists, if your patient has been having a problem for two weeks and you only just found that it is a condition that has the potential to become life threatening, THEY DON'T NEED TO TAKE AN AMBULANCE TO THE ER either. They need to go to your office, today. Your office, or whatever floor of the hospital. The ER is busy. HOSPITALS stop telling your out-patients to call 911 if they have ANY problems. They don't need an ambulance because their bandage got wet, or their foley is leaking. Tell them what they should call an ambulance for and what they should call YOU for.
    And DAGNABIT insurance companies need to pay for stuff. All the real stuff. If breast reconstruction DURING a mastectomy isn't covered, prosthetic testicles shouldn't be EVER.

  • Bonnie A
    Bonnie A 7 दिन पहले

    Regarding the narrowing of the race mortality rate, isn't that due to the increased mortality of rate of white men due to opioid overdoses? So maybe it's not that fewer black men are dying than before, but that more white men are dying than before.

  • sevter
    sevter 7 दिन पहले +1

    Dr mike is getting more and more defensive as the video goes on

  • Heavenly BluE
    Heavenly BluE 7 दिन पहले

    The racial disparity between black and white trauma patients is as it should be. How can an inner city hospital that treats mostly black Medicaid patients be expected to offer the same quality care as a suburban Hospital that treats primarily whites with private insurance? Everyone deserves good care, but the people who can afford world-class care deserve the special treatment they pay for.

  • The man to scared to get a tattoo
    The man to scared to get a tattoo 7 दिन पहले

    I know people are so scared of racism that they are afraid to say that were different in any way... but that's honestly extremely stupid... before travel became so simple humans evolved on different places in the world with different things to over come, theres no reason we would all be the exact same just because were human that's not how we would have evolved. If you look at different species like bears, different bears from different parts of the world vary in many ways... you're not racist if you say a polar bears stronger then a black bear........ and its equally not racist to assume different races have different genetics that affect things medically.

  • zibbiez23
    zibbiez23 7 दिन पहले

    If anyone has watched ants Canada or any of his music videos I wanna see them together. I think they could be fun they could do a funny song :)
    in-plus.biz/cainala/peBjbIKQ7bo-vidiyo.html

  • Saanvi Sai
    Saanvi Sai 7 दिन पहले

    22:00 so you're saying that doctors are basically not giving meds to someone who actually needs it because of their worries/assumptions. You know, Benjamin Franklin said that, it's better to have 100 persons escape than one person suffer. And here, especially in the medical field, people are suffering worse than others.

  • Danielle Jaeger
    Danielle Jaeger 7 दिन पहले

    Yeah- these are retrospective studies. Of course there is no causal relationship

  • watery wanderer
    watery wanderer 7 दिन पहले +2

    “Women think I’ll call the doctor after I pick up the kids, or put the casserole in the oven” that’s so sexist.

  • Chosen Wisely
    Chosen Wisely 7 दिन पहले

    Typical John Oliver with his liberal, SJW propaganda.

  • ofeliaht
    ofeliaht 8 दिन पहले +2

    It was your first video that I didn't click as I liked it, and that's very sad because it is apparent that you are not happy with the criticism made, however your position do not need to be a rebut ... you at least could have it first reflected on and decided to perhaps ignore the appeal of the subscribers for their position if you were unable to conduct a critical and fair analysis.
    Because Dr. Mike, this is a reality of the medical community, not only in the USA but in many countries around the world because chauvinism and racism are real and make victims in all categories and social classes ... I could have been without this your positioning .. but thank you for sharing John Oliver's video, he did a great job, and you probably know, thanks! 👏👏

  • ofeliaht
    ofeliaht 8 दिन पहले

    But I have to call you out about your coment about the knowledg of medical students about the fisiological diferences bethwen people with a skin with more melanin than others with less, I think you know best (these so called diferences are myths, irrational enough to categorize one person to other... women vs man, there are diferences, but not enough to put one on top of the other... there is no such thing as race beyond human race, and the all north americans should know best)... and I'm watching this after your coments on the guy who "tried to destroy reliability of mamografics exams"... your coments about that were well placed
    But your critic about the data bringed on this analisys.... were often unecessary, proof of that, you prepared for the reaction, did you asked yourself the real reason why?

  • ofeliaht
    ofeliaht 8 दिन पहले

    I think this John Oliver bias in medicine it is more than necessary to be made an to be acknowledged for the medical community, I think you're doing your part as well Doctor Mike. 👍🖖

  • Kitty Kat
    Kitty Kat 8 दिन पहले

    I love how you disagree with him and explain why he's wrong on some aspects

  • WithMetta
    WithMetta 8 दिन पहले +1

    I'm sorry it hurts you to see this criticisms, but it kills women and people of colour, so I'm not feeling all that bad for you right now. And humour is not what's needed. It's infuriating to have a wise cracking doctor "defusing", aka trivializing, a serious situation. Stop patronizing people. It may make you feel better but you may be misinterpreting the looks on the patients' faces. I know I have composed my face in just that way to comfort a jokey dr. John Oliver is a comedian, you are a doctor, they are not the same thing. Ignoring the biases is not a way to unearth flaws which may not be caused by bias. Addressing bias will reveal those flaws. Women's symptoms and presentation, for instance, are not "atypical". They are entirely typical for 50% of the population. They only appear atypical when viewed through bias. Why did you make the choice to defend doctors on this topic, rather than do one of your "deep dives" into this ongoing problem? And the victim blaming was a an interesting touch. Perhaps if women, people of colour, and other marginalized groups were respected as good witnesses to their own experience, they would not delay seeking treatment. People are still suffering and dying, and will continue to do so while this improvement you're so proud of creeps into the practice of medicine, if it ever does. If doctors don't truly understand their privilege and bias, you'll just keep saying some version of Doctors' lives matter. And that dreadful story that you did not want to say was "the norm", is the norm. There is far too much ego in medicine. Bias and ego are a bad combination.

  • Danielle E.
    Danielle E. 9 दिन पहले +1

    Thank you Dr. Mike for being willing to have the hard conversations.

  • mimi lili
    mimi lili 9 दिन पहले

    his fake optimistic side is fkin bulshit WEAK PUSSY RACIST KIND that need to be exposed racist doctors like him use the excuse that socioecomics wasn't considered in these research that's been conducted by Harvard doctors and other doctors THAT are not white
    bye devil
    don't let it hit ya where the good lord split yah

    • YummyCarrot
      YummyCarrot 6 दिन पहले

      @mimi lili woooooow

    • mimi lili
      mimi lili 7 दिन पहले

      @YummyCarrot still standing on the bridge devil ?

    • YummyCarrot
      YummyCarrot 8 दिन पहले

      @mimi lili wow wow

    • mimi lili
      mimi lili 8 दिन पहले

      @YummyCarrot :D I hope your on a bridge :D
      now gkys byeee devil

    • YummyCarrot
      YummyCarrot 9 दिन पहले

      Wow

  • mimi lili
    mimi lili 9 दिन पहले +1

    to quote the racist doctors " theirs no FEELINGS of discrimination "
    yep I think John Oliver needs to make a segment on your racist ass!!

  • mimi lili
    mimi lili 9 दिन पहले +1

    also JUST look at the comments from white ppl in to prove THEY ARE ALL DEVILS IMO

  • mimi lili
    mimi lili 9 दिन पहले +1

    this is why no one should TRUST ANY DOCTORS
    and do not just take ANY meds suggested !!! QUESTION ALL VACCINES !!!! AND ALL MEDS
    ESPECIALLY IF ITS FROM A WHITE TRASH BAG!!!!

  • mimi lili
    mimi lili 9 दिन पहले +1

    YEP DR MIKE IS A FKING RACIST basically
    John Oliver : their is racist and sexist doctors
    dr mike : are their though !!!!
    HE JUST BASICALLY MADE EXCUSES FOR WHAT JOHN OLIVER JUST EXPOSED
    you are a sick disgusting RACIST
    you lot deserve the orange moron

    • Obesus
      Obesus 8 दिन पहले

      mimi lili you are a moron

  • Nasong Park
    Nasong Park 9 दिन पहले

    Definitely, hands down, my favourite video.
    Not only was this topic interesting but the way Dr Mike speaks about them is really attention catching. I wish he could make podcasts of similar kinds because I would listen to them everyday.
    Also, with regards to the sex bias that women are sometimes seen as 'overreacting' their symptoms - is this one of the fundamental reasons why endometriosis is detected late?

  • Rts
    Rts 9 दिन पहले

    No no no, you’re not allowed to look at progress, you have to constantly remember past mistakes, because, that’s what’s most important: mistakes other people made, and the harm it still inflicts upon unrelated parties. No need to reflect on lessons learned, just make sure to ingrain all the guilt of your sexist, racist colleagues/predecessors and you should be fine
    P.s. make sure to remind yourself there’s no biological difference between men and women, but, remember women and men can show symptoms slightly asymmetrically...don’t think too hard about it

  • ninasmolders
    ninasmolders 10 दिन पहले +1

    not to undermine any of the points made but male bias is a thing aswell, an ex of mine started looking for a new gp after he was told to "man up" after complaining about abdominal pains. since this is generaly a "female complaint" he was still treated like he was being a wuss so even just the connotation can influence how serious you will be taken

    • Reverse Flash
      Reverse Flash 9 दिन पहले

      Exactly! No one talks about this!

  • S De Witte
    S De Witte 10 दिन पहले

    For years I had doctors that acted like I was wasting their time. I learned to live with pain until the day I couldn't get up - turned out that back pain I had started with one herniated disc - untreated the damage spread to the point now I need a wheelchair. My current doctor (good one) ran a complete series of tests on me - turns out the fatigue was diabetes, the clumsiness was MS - he asked me why I hadn't this dx'd earlier...now together we manage my conditions.
    Even though I have a good doctor now, it's years of conditioning that I'm a waste of time I still find it difficult to go to him. My advice to all out there if you feel something is wrong or in pain and have a doctor that brushes you off if you can find another doctor - don't leave it until too late like me.

  • Aditya Sood
    Aditya Sood 10 दिन पहले

    john Oliver is a leftist twat

  • Rot Muscaria
    Rot Muscaria 10 दिन पहले

    While I don't agree with all of Dr. Mike's stances here, and think he got a little too defensive on some points, I'm happy that this is a subject he takes seriously. I'd recommend that, if this is a topic he decides to pursue more, he should do a little more research systemic issues here in the U.S. It's really complicated, as elements from seemingly unrelated subjects effect one anther in subtle insidious ways, but I think it sheds some light on the bias in the medicine.

    Good video though, I really appreciated the perspective of someone in the field!

  • Shelby Burton
    Shelby Burton 10 दिन पहले

    Dr. Mike, as a DO student, I would really love to hear the opinion of someone who's practicing on the topic of universal healthcare/ Medicare for All

  • Jenna White
    Jenna White 10 दिन पहले

    I am glad you did this, because even I have experienced medical bias, and not in a favorable light. I am a 33 y/o Caucasian woman, and in the last two years, have had over 20 ER visits, over 100 PCP/Specialist appointments, and in the last year, three major surgeries; all of this, for ONE chronic, incurable medical condition: Endometriosis with associated Adenomyosis.
    I have been a joke, told I am exaggerating my pain, I have been called a drug seeker by medical staff of all flavors, and I have been over-looked as “just being a girl” about my symptoms. The only person to treat me like a human being became my PCP, and my surgeon was the only one to honestly listen to me when I demanded a laparoscopic excision in May 2018, again Feb 2019, and when I demanded a radical hysterectomy, she gave me that in May 2019.
    This is an under-studied, often overlooked disease that affect 1 in 10 women. And it is often misdiagnosed for 10 years from onset of symptoms; it can ONLY be diagnosed through exploratory surgery. And having had a nearly 9 lb baby sans meds, I am here to tell you that I would do that ten more times than experience ONE more endometriosis flare-up. Just because I had a hysterectomy does not mean I am cured. Endometriosis can show up ANYWHERE in the body, from the pelvic cavity to the brain. And there is a very high probability that I have it on areas of my intestines. It just hasn’t made itself known yet. But it will, it is just a matter of when.
    If you, or someone you know has this disease, please feel free to reach out.

  • Shellie Haaland
    Shellie Haaland 10 दिन पहले

    Systemic misogyny and racism create the socioeconomic conditions you often rely on to counter that women and people of color get worse care because of misogyny and racism. We can and should do better, and we should all push for doing better sooner, rather than patting ourselves on the back for less misogynistic and racist than we were 50 years ago. Yes, there are other contributing factors, and yes we should look at those too. But until our past and present misogyny and racism is acknowledged and adequately addressed so that they are not contributing factors, you've missed the whole point.

    • YummyCarrot
      YummyCarrot 9 दिन पहले

      Well in turn you missed the whole point of what he was saying.
      The evidence shows there is no causation between these racial and sexual biases, and the evidence strongly points towards other factors which contribute far, far more to these disparities. And no one is talking about these issues because to even suggest racism isnt an issue in this disparity is a social sin. This is a huge disservice to all patients and Dr.Mike does a good job of explaining that point, while still aknowledging he can do better on the bias side.

  • James Moon
    James Moon 10 दिन पहले +2

    As a pre-dental student, I also feel attacked by negative patient comments, but feel ashamed that the very people who took the oath can't seem to uphold the oath. Horrible, nasty people should never be in the business of saving human lives.

  • Gabi Merlo
    Gabi Merlo 10 दिन पहले +2

    I'm so glad I finally took the time to watch this, you are so eloquent and obviously make sure to recognize your own privilege and do your research! I like how you look at all sides of the issues instead of hyperfocusing on one part

  • Maria G.
    Maria G. 10 दिन पहले

    Ok Mike, read the comments. Your defence of this disparity in outcomes for women and people of colour is just a sad refusal to admit that prejudice is real and is hurting people now. There’s no way to show causation in these areas because a true experiment always involves randomly assigning people to the different factors being studied, and race and gender come with the person, so harping in the fact that any one study didn’t show causation is specious. That doesn’t mean that data showing relationship between race and outcome should be ignored, especially when so many studies, conducted using many methods and in many contexts, show the same bottom line: women and people of colour get worse healthcare than white men.
    I could tell a lot of stories about my own experiences but that would be a narrative report and you suggest that this weird way women talk is a problem. I will point out that as you talked about women’s heart disease being under diagnosed and treated because the condition presents differently in men than women, you twice referred to the ‘atypical’ presentation in women. It’s not atypical, it’s normal - for women. What you’re saying is it’s atypical because it’s not like the presentation in men.

  • Mauricio Moreno-Zambrano
    Mauricio Moreno-Zambrano 10 दिन पहले

    if someone feels a woman but is a biological man and you threat her as such, you are a huge bigot... shame on you!

    • Obesus
      Obesus 8 दिन पहले

      Mauricio Moreno-Zambrano that’s not how biology works. Your feelings of being a woman, while you can change your social gender but not your biological gender. Difference between genders medically are real so you have to treat her as a man or you could easily damage their system, misdiagnose them or not see anything at all.

  • krash evens
    krash evens 11 दिन पहले

    sometimes bias in necessary take the example of breast cancer it is a disease that affects women more than men. just throwing that out there.

  • Dan
    Dan 11 दिन पहले

    In research, you can't be optimistic, you have to be objective. You can't go into a study trying to look for the answers you hope will be the cause of the issue. When the research is compensating for socioeconomic status, and still finding substantial gaps, you have to accept that other reasons can be just as likely as poverty.

    But I think the most important message I'd give to you, is that improvement is not a reason to lessen concern over an issue. If there is bias, we can never get to the point where it's "good enough", that we can pretend it never happened. The reasons why bias can happen in the first place are the exact reasons they can return if an issue is no longer taken seriously, or just viewed as "fixed".

  • Dan
    Dan 11 दिन पहले

    I generally watch to the end before commenting, but I really felt the need to pause and address an issue. You referred to the spike in pregnancy related mortalities as just a better representation of the true number. If the true number is 20 per 100k, then the sudden spike isn't the concern. The concern is why has it likely actually been 20 per 100k the entire time? You can't use the fact that you have artificially good numbers in the past, to take away from the worse data currently.

    • YummyCarrot
      YummyCarrot 9 दिन पहले

      @Dan No I'm not because since you have read the studies, you will know that it gives 7 possible reasons for those disparities, which one of them is sexual and racial discrimination but comparatively less of a factor than others, and we are disproportionately talking about biases. Furthermore you give no consideration to the fact that these biases may play no role in the disparities, which may be because you're uncomfortable with that fact.
      I never stated that additional studies into biases and looking into those are not warranted. But the WHO is tackling Obesity because this is the most likely cause of the higher maternal mortality rates. In fact my hospital has a mini WHO's "health goals for 2020", one of which is to reduction in maternal mortality rates. According to RCOG, who literally write the guidelines for Obs/Gynae specialty, the top priority is improvement in management of Pulmonary embolism and post partum suicide as the number one way to reduce maternal mortality. Our hospital has written up new guidelines for management of risk factors for PE, the biggest of which is Obesity. As a doctor you can only implement interventions that are likely to reduce the problem. I see people here talking about biases but not one mentions tackling the most likely and important factors such as obesity and improving disease management protocols to reduce maternal mortality. No one is suggesting we cannot improve in the area of racial or sexual biases, and neither did Dr.Mike imply that. But when the real contributing factors are being shunned to raise awareness of those that are playing a significantly smaller role in maternal mortality, it's frankly a disservice to the patients. Dr.Mike does a good job explaining this in the video.

    • Dan
      Dan 9 दिन पहले

      ​@YummyCarrot I "literally" have, and you're again trying to promote the idea that issues can be the result 1 cause. You're trying to disregard anything that might not be the primary cause, presumably because it makes you uncomfortable to think it true.
      An 'iduno, maybe' result out of a broad look study due to possible additional causes is not a rational to dismiss or dispute a hypothesis. It is a rational for additional study.
      > Studies are showing opposite of what you're saying.
      Please.... PLEASE read what I'm actually saying then. Because I am only speaking generally and not about specifics, despite you trying to bring the discussion back to that. You keep acting as if I am proposing these hypotheses, as if I am making claims here. I am not. I am criticising those who jump to conclusion that fit their narrative based on non-conclusive results.

    • YummyCarrot
      YummyCarrot 9 दिन पहले

      @Dan Yes, again I understand what you're trying to say, but the studies, or the statistics you're referring to doesn't support your point, it supports the opposite. The citation by John Oliver are public you can literally read those papers for yourself. No matter how much you argue about it, I'm not going to believe in something just because you said so. Studies have shown that bias may or may not play a role, and even so are far out-shadowed by other variables. When you say normalized for other factors, you're just making that up. Literally read the papers on screen. Studies are showing opposite of what you're saying.

    • Dan
      Dan 9 दिन पहले

      ​@YummyCarrot Telling you not to make assumptions is not in itself an assumption. Saying you cannot rule something out, is not at all the equivalent to confirming it. I am exclusively saying that you cannot predetermine results, or look for specific outcomes based on personal preference.
      Everything else you said is largely bullshit. You cannot discredit all statistics on the basis that you may sometimes get statistically significant data by chance. If you normalize for all other factors you can think relevant, and/or continually see consistent trends across different studies that lead to a conclusion, you must accept the validity of that result.

    • YummyCarrot
      YummyCarrot 9 दिन पहले

      @Dan Well it's very unscientific to assume that it does play a part though. The study clearly picks out only the factors that shows a significant differences. If you compare outcomes between any groups for any number of variables you will get a statistically significant disparity in multiple variates as an axiom. This means that I can divide any population by whatever margin I want, such as preference of Ketchup over Mayo or vice versa, and then analyze the health outcomes and pick out the areas in which disparities exist. However then, to conclude that the disparities show prejudice and bias against that group is a fallacy and almost always leads to confounding. This is the basics of the basics in statistics. The way you are viewing this issue is from the starting point that there is a bias and the chance of there not being a bias is 0%. This is not what the research did, and neither did it reach that conclusion. So other than your word, how is anyone allowed to conclude a causative relationship between these two factors. Your argument will hold no more power than anybody else's if you are basing your argument over he said she said.

  • Amy Banks
    Amy Banks 11 दिन पहले

    I have Ehler's Danlos Syndrome and Spastic Paraplegia. When I was first referred to Neurology my neurologist didn't believe my pain or that I was having more and more difficulties walking. Because I was a 16 year old female with past depression and anxiety after trauma my doctor thought I was lying/exaggerating for attention. He took me off amitriptyline because he thought that could be causing it but it just made things worse because my nerve pain was worse, my migraines came back and I started having suicidal thoughts. He didn't put me back on them or provide an alternative. The last appointment I had with him he asked how I was doing, I was honest about how much I was struggling and that I was worried that I wouldn't be able to go to university. He told me that there was nothing wrong with me, that it was all in my head, and he told me to get physio and to see him in a year. A few months later and I went from being in a wheelchair only on bad days to having to be in my wheelchair every time I went out. I was referred to a different neuro by my uni GP and they figured out that I had spastic paraplegia after seeing them over one appointment and a short admission for diagnostic testing. Recently I have started having narcoleptic episodes. I was admitted into the same hospital that I saw the bad neuro. A doctor had his first day as the new ward doctor, he looked at the bad doctor's notes and said that I didn't have spastic paraplegia (this guy isn't even a neurologist). I told him to look at my notes from the other hospitals that I'm under and contact the consultants if he needed to but he didn't bother. He discharged me without figuring out what was going on with my now diagnosed Narcolepsy (thanks to my good neurologist) and he referred me to another neurologist to figure out "why [I was] in pain" despite being under some of the best neurologists and neurosurgeons in the country. He just completely ignored the reason I was in hospital and didn't listen to me just because I was a young female. My good neurologist let's me have a very active role in my healthcare because he knows that I'm intelligent and know more about all my conditions put together than any one specialist on their own. Luckily there are more good doctors than bad but if you do get a biased sexist/ageist/racist doctor it can really really screw up your health

  • Kimberley Sharp
    Kimberley Sharp 11 दिन पहले

    Ok, if it’s doesn’t matter what county a person comes from how come someone going through immigration is expect to pay out of pocket for all medical care provided over a 1-1.5 year term?! I literally pay over 100 ever 3 months just for birth control with no legal access to medical care coming from a country where I use to get ambulance rides for free....

    • Obesus
      Obesus 8 दिन पहले

      Kimberley Sharp he has no control over that.

  • Caleb Smith
    Caleb Smith 11 दिन पहले

    Imagine listening to anything John Oliver says, lmao.

  • teresa vance
    teresa vance 11 दिन पहले

    I'm 6' tall and fit. But due to a lifetime of being a paramedic, my back is shot and I have serious PTSD. I've had years of therapy. And years of getting the run-around. A primary care who is too scared to write pain meds..delays and waits to get into a clinic...then gotta see a shrink for Ambien or Valium. Then I'm winding up with at least 3 or 4 appointments to be reevaluated! It's lost time, serious copays and major stress because I can never tell when someone's going to "get uncomfortable". I think my MRI's/x-rays/psych notes should do the talking. Whenever I see someone equivocating after years of being on the same dosage that allows me a quality of life, I have to draw their attention to the notes..and then they read that I was kidnapped, held as a hostage (bad things happened) and I jumped out of a moving vehicle rather than die horribly in the desert. I hate that I had to do that..every single time a new doc would cycle in. If one doc was covering, then they were "uncomfortable" and I would have to wait for 3 weeks for my doc to return. But now I have a primary care doctor who coordinates with pain mgt and everyone knows what the plan is. My primary handles everything except pain, which is fine because I'm complicated. But at least now after 20 years, I'm not being treated like a hot potato basket case. I understand trepidation, but hearing and seeing the patient in front of you, not the one that burned you last month is paramount. Build trust in each other. Give a small amount with a contract while finding the APPROPRIATE referrals. See them often but don't put them out to see pointless doctors who wonder why you're in their office, when it's a primaries job. Advocating for yourself as a woman, gets you labelled as demanding or too drug savvy... it's a fine line we have to walk. When they see me initially many only see the together person who looks like the last thing she needs is meds. Not someone who can barely walk and hasn't slept more than 2 hours a night for a month.

  • Emma English
    Emma English 11 दिन पहले +1

    I am a pre-PA student, and have wondered about this subject. As i have an 8 page research paper assigned I am incredibly thankful for this video and appreciate your point of view so much!! U da bomb Dr. Mike

  • Brando Calrissian
    Brando Calrissian 11 दिन पहले

    "why wasn't there a difference in non-opioid pain relievers?" Anecdotally, as a nurse, it's super easy to get a PO Tylenol/Ibuprofen order from a doctor. They don't even think about writing it (coming from a med/surg and ER perspective).

  • Cam Uribe R
    Cam Uribe R 11 दिन पहले +1

    you see, this is why i like your chanel so much, you are an investigator and you really make sure to be responsible about health because it is very important