Are doctors just overpaid mechanics?

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There is only one brand, two models and a small colour choice, most parts are the same, and some parts are interchangeable across the model line. The basic layout and operating principle hasn't changed for thousands of years.

The young guys at work find it hard to believe when I tell them I remember cars without waterpumps or oil pumps.
 
Originally Posted By: 01rangerxl
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X2. Some are IMO, like surgeons. Others "practice medicine" which means they have no idea but treat symptoms.
 
Originally Posted By: Reddy45

Why hire anyone for anything then? Just do it all yourself and don't put up with anyone ever again.


That won't always be practical, but a bit of DIY can save you a lot.

Case in point: A few years ago I started getting visual disturbances accompanied by episodes of severe dyslexia, (awkward when it happens while you're teaching an English class) and extreme (as in much much worse than boot camp) fatigue.

My best initial guess was a series of strokes, but I was diagnosed with polyneuropathy, a rather vague diagnosis involving slow death of nerve cells.

In detail I had 4 different neurologists telling me 3 different things, but the take-home message was that I had an incurable but slowly deteriorating condition.

In fact it now appears I had an easily curable but rapidly deteriorating condition, and the latter fact became obvious to me quite quickly.

If I hadn't spent a solid week researching it (mostly wasted on inconsistently applied and recorded nerve conduction test results, which were basically uninterpretable), while my brain still functioned, worked out my own program of diagnostic tests (which included vitamin levels, though that wasn't their focus) based on best practice from the literature, and insisted on them doing them, I'd probably be dead.

Blood tests showed very low levels of B12, which can be fatal.

Prior to its fatality, it can have severe and irreversible neurological effects, resulting in psychosis, dementia and paralysis.

As it was I almost certainly suffered some irreversible nerve damage before starting treatment (NCV results remain lower than normal several years later) but no one has been very keen on quantifying that.

Left to their own devices the medics were going to [censored] about with genetic testing, a completely pointless activity from my point of view, and quite expensive.

Perhaps this wouldn't happen in the US, but I wouldn't bet that it couldn't happen in the UK, where the health service was showing obvious signs of strain when I left.

The web makes it possible (though not easy) to research your symptoms and take an active role in your diagnosis and treatment. Could save your life.

(To be fair, I don't generally trust mechanics either.)
 
Originally Posted By: SonofJoe
I was an engineer (albeit a Chemical Engineer) and my son is a doctor with our marvellous NHS. I stand in absolute awe of him! I may have earned considerably more money than he does but in terms of skill, intellect and dedication, there's just no contest.

To the OP, could I say this. A while back, my son was part of a crash team that tried to revive a toddler that had fallen into a neighbour's fish pond. Two hours they battled to bring him back from the brink but in the end, the little boy died, leaving behind two bereft parents. Afterwards, my son took himself off somewhere quiet and cried his eyes out. Now you tell me what's the equivalent job on a car does that to you?


This thread was made in innocent & light-hearted jest.

Everyone here is aware of the downsides of your sons "chosen" occupation, and those of nurses, police officers, fireman/paramedics, etc.

As for the thread topic, I would add that the tools to practice medicine have developed in recent years and their design has occasionally been modeled on those of the "trades".
 
The old joke goes what do you call a person who graduates medical school with a C- and one who graduates with an A+? Answer - doctor. As with mechanics there are good and bad doctors and mistakes are made by both types. However, no way in the world to compare the work a mechanic does with that of a doctor. **Most** doctors dedicate their lives to their work and many are not multi-millionaires, but are regular guys and gals trying to make a living and help people along the way.

If you really want to "compare" something that would result in a lock of the thread, consider the difference in pay and responsibilities between a doctor (a good one) and a professional (and I use that term very loosely) athlete (a good one or a bad one).
 
Originally Posted By: 2015_PSD
The old joke goes what do you call a person who graduates medical school with a C- and one who graduates with an A+? Answer - doctor. As with mechanics there are good and bad doctors and mistakes are made by both types. However, no way in the world to compare the work a mechanic does with that of a doctor. **Most** doctors dedicate their lives to their work and many are not multi-millionaires, but are regular guys and gals trying to make a living and help people along the way.

If you really want to "compare" something that would result in a lock of the thread, consider the difference in pay and responsibilities between a doctor (a good one) and a professional (and I use that term very loosely) athlete (a good one or a bad one).


For that matter, a comparison between a pro athlete's salary against every occupation that actually makes a posotive contribution to a society...not the least of which teachers.
 
Originally Posted By: motor_oil_madman
Imo they aren't any different than somebody you hire to repair something. Not saying a mechanic is a bad thing since many are on this site, but I find they frequently do the same things that many mechanics do. IE Send you on a wild goose chase doing a bunch of tests, same as a mechanic throwing parts at a car until it fixes it. Or making a wrong diagnosis.

That's not what a good mechanic does. I suggest you watch some Youtube videos from South Main Auto, Pine Hollow Auto Diagnostics, and New Level Auto to show how a GOOD mechanic properly diagnoses a car without throwing parts at it.
 
Originally Posted By: motor_oil_madman
Originally Posted By: Reddy45
You guys have to learn to actually talk with your doctors. Call them out when you think they are wrong or aren't paying attention to certain details. Like anyone that works, doctors get fatigued and distracted too.. it's human.

Ultimately YOU know how your body works and what helps.. give your doctor that info and let them incorporate it into their diagnosis.



I told my doctor he was an idiot. lol


Irony at its best.
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Mechanics don't know much about biochemistry which is a very complex field, knowledge of which is required to treat many aliments.
 
Originally Posted By: buck91

...On a side note, and an inflammatory one at that, I am somewhere between mildly annoyed and...moderately annoyed... by people who come in and think they know more than those who have dedicated years of their life to the study and practice of medicine. Both the physicians/providers as well as the allied staff such as nurses.


While I might agree in general terms, there have been too many instances in my life ( especially concerning my parents ) where a well informed care giver can be more knowledgeable than a standard GP on specific issues or conditions. If you don't bring up issues with overdosing, their eligibility for stem cell advances or similar items, you typically won't get it out of GPs and sometimes specialists in terms of available options. My slogan is "factory medicine yields factory results" and that's for the most part true in my mind...you're the steward of your own health care first.
 
Originally Posted By: 2015_PSD
The old joke goes what do you call a person who graduates medical school with a C- and one who graduates with an A+? Answer - doctor. As with mechanics there are good and bad doctors and mistakes are made by both types. However, no way in the world to compare the work a mechanic does with that of a doctor. **Most** doctors dedicate their lives to their work and many are not multi-millionaires, but are regular guys and gals trying to make a living and help people along the way.

If you really want to "compare" something that would result in a lock of the thread, consider the difference in pay and responsibilities between a doctor (a good one) and a professional (and I use that term very loosely) athlete (a good one or a bad one).

Pro athlete wages are only the result of people willing to pay so much to watch pro sports! They are not overpaid, in fact they usually earn about what they are worth, given the rules of the games they play, and how much people are willing to spend to watch them. A top level player is a one in a million person, and can't be replaced by two almost as good players, a robot, outsourcing, or restructuring the organization, as the rules of the game don't allow that. A top level surgeon can get paid alot if they want, but many jobs like teachers don't get performance based pay.
If it bothers you, then don't pay into the pro sports industry. It's not the star athletes fault that they are actually worth millions to kick a ball around, its the fans that have decided that by paying what they do to watch.
 
Originally Posted By: SonofJoe
Originally Posted By: 02SE
Originally Posted By: SonofJoe
I was an engineer (albeit a Chemical Engineer) and my son is a doctor with our marvellous NHS. I stand in absolute awe of him! I may have earned considerably more money than he does but in terms of skill, intellect and dedication, there's just no contest.

To the OP, could I say this. A while back, my son was part of a crash team that tried to revive a toddler that had fallen into a neighbour's fish pond. Two hours they battled to bring him back from the brink but in the end, the little boy died, leaving behind two bereft parents. Afterwards, my son took himself off somewhere quiet and cried his eyes out. Now you tell me what's the equivalent job on a car does that to you?


That's a hard account to read. My condolences to the boys parents, and your son.

There's no question that generally, the Doctor is more important than the Mechanic.

A little side story: Years ago, a race team I'm currently consulting on, had a mechanical failure due to an error made by one of the Mechanics, and lack of sufficient oversight by his direct boss. A person was killed as a result. Those that made the ultimately fatal mistake, were well aware of their error, and there is no question it affected them deeply.

So, mistakes made by Mechanics can be life and death, too.



Not all of my lad's stories are so sad. Some of his stories about how 'foreign objects' have to be removed from the errr...(ahem) exhaust manifold...are hilarious! What I didn't appreciate until he explained it to me, is that the said 'objects' often get 'wedged' such that they cannot be extracted via the route they entered, no matter how much 'Mobil 1' is applied. It becomes necessary to errr...(ahem)...cut through the crackcase wall to remove 'that which blocks normal exhaust flow'. He even had one 'engine' which showed the telltale weld signs of previous such repairs!

Oh, and in case you're wondering, such work is done free, gratis and for nothing under the NHS.


I wasn't wondering. But I also know that all socialized medicine is never "free". It's always paid for through taxation, fees, etc. I have extended family in various countries with socialized medicine.

One of those family members lives in Norway. A few years ago it was determined that he needed a heart procedure. They put him on a schedule when they would perform the procedure. That is assuming he lived to the scheduled procedure date. Instead he came to the USA, and had the procedure performed immediately. Of course going the route he chose cost more money, but he's also alive today..
 
Originally Posted By: 02SE
Originally Posted By: SonofJoe
Originally Posted By: 02SE
Originally Posted By: SonofJoe
I was an engineer (albeit a Chemical Engineer) and my son is a doctor with our marvellous NHS. I stand in absolute awe of him! I may have earned considerably more money than he does but in terms of skill, intellect and dedication, there's just no contest.

To the OP, could I say this. A while back, my son was part of a crash team that tried to revive a toddler that had fallen into a neighbour's fish pond. Two hours they battled to bring him back from the brink but in the end, the little boy died, leaving behind two bereft parents. Afterwards, my son took himself off somewhere quiet and cried his eyes out. Now you tell me what's the equivalent job on a car does that to you?


That's a hard account to read. My condolences to the boys parents, and your son.

There's no question that generally, the Doctor is more important than the Mechanic.

A little side story: Years ago, a race team I'm currently consulting on, had a mechanical failure due to an error made by one of the Mechanics, and lack of sufficient oversight by his direct boss. A person was killed as a result. Those that made the ultimately fatal mistake, were well aware of their error, and there is no question it affected them deeply.

So, mistakes made by Mechanics can be life and death, too.



Not all of my lad's stories are so sad. Some of his stories about how 'foreign objects' have to be removed from the errr...(ahem) exhaust manifold...are hilarious! What I didn't appreciate until he explained it to me, is that the said 'objects' often get 'wedged' such that they cannot be extracted via the route they entered, no matter how much 'Mobil 1' is applied. It becomes necessary to errr...(ahem)...cut through the crackcase wall to remove 'that which blocks normal exhaust flow'. He even had one 'engine' which showed the telltale weld signs of previous such repairs!

Oh, and in case you're wondering, such work is done free, gratis and for nothing under the NHS.


I wasn't wondering. But I also know that all socialized medicine is never "free". It's always paid for through taxation, fees, etc. I have extended family in various countries with socialized medicine.

One of those family members lives in Norway. A few years ago it was determined that he needed a heart procedure. They put him on a schedule when they would perform the procedure. That is assuming he lived to the scheduled procedure date. Instead he came to the USA, and had the procedure performed immediately. Of course going the route he chose cost more money, but he's also alive today..


Agreed. It is not 'free' and everyone understands that. It's collectively paid for through direct taxation. It's just 'free' at the point of delivery, so no personalised bills, no restrictions for pre-existing conditions and rubbish like that. The point I was trying to make was that however bizarre, self-inflicted or morally dubious your medical problem is, you still get dealt with and fixed up.

Just to be clear, you can also 'go private' here if you have money. You're under no obligation to use the NHS (although, as it's paid for through taxation, you can't opt-out of paying for it). The private sector does a lot of routine stuff like hip replacements, etc. Most cosmetic stuff is done privately. However, it you've got something seriously wrong with you, then you're far better off with the NHS, not because of cost but because that's where all the true expertise resides. My ex had a huge cancer op a few years back. It was all done by the NHS and she's still alive and thriving.

I'm a big supporter of social medicine if only because it's massively cheaper than the US system which seems to me to be organised primarily for the benefit of health suppliers, insurance companies and Big Pharma, not the ordinary bloke in the street.
 
No question that medicine is a tough profession. The notion that you HAVE to be a genius or it's academically demanding is a myth. The market is in such dire need of doctors that second (and third and fourth) rate candidates can hack it at third world medical schools and then come here to practice. Sometimes the docs from the third world are better candidates than our home grown clowns.

Add into the mix hospitals and insurers that insist on practicing assembly line medicine which more or less any chimp can do. And increasingly they are, oftentimes you're getting an "assistant" doing doctor's work. Oftentimes poorly. Mistakes in dosing and missed diagnoses from rubber stamp medicine abound.

I can tell you stories of incompetence that'd make your head spin. And of a system that enables mediocrity and mistakes. When an engineer or mechanic fails the results are there for all too see. Failure in medicine can be interpreted away by any number of self interested colleagues.

So caveat emptor... A wise patient does their own due diligence, seeks multiple opinions and most importantly maintains their machine in such a manner as to not require an in situ rebuild. The results are rarely as good as nature provided.

Add that BTW is why lawyers are the worlds most hated profession.
grin.gif



PS
How do you give a hospital admin a heart attack?

Ask for an autopsy.
 
Originally Posted By: HerrStig
Mechanics don't know much about biochemistry which is a very complex field, knowledge of which is required to treat many aliments.


Neither do most doctors. They go on golf outings and let the pharma rep explain it all to them over drinks.
 
Originally Posted By: MotoTribologist
As the old joke goes; let's see the mechanic rebuild an engine while it is still running.



Open heart surgery, they stop the engine to repair it!
 
Originally Posted By: SonofJoe


Agreed. It is not 'free' and everyone understands that. It's collectively paid for through direct taxation. It's just 'free' at the point of delivery, so no personalised bills, no restrictions for pre-existing conditions and rubbish like that. The point I was trying to make was that however bizarre, self-inflicted or morally dubious your medical problem is, you still get dealt with and fixed up.

Just to be clear, you can also 'go private' here if you have money. You're under no obligation to use the NHS (although, as it's paid for through taxation, you can't opt-out of paying for it). The private sector does a lot of routine stuff like hip replacements, etc. Most cosmetic stuff is done privately. However, it you've got something seriously wrong with you, then you're far better off with the NHS, not because of cost but because that's where all the true expertise resides. My ex had a huge cancer op a few years back. It was all done by the NHS and she's still alive and thriving.

I'm a big supporter of social medicine if only because it's massively cheaper than the US system which seems to me to be organised primarily for the benefit of health suppliers, insurance companies and Big Pharma, not the ordinary bloke in the street.


I'm just pointing out that contrary to your claim: "such work is done free, gratis and for nothing under the NHS." that is in fact not correct, which you have now acknowledged.

Socialized medicine sounds just wonderful, unless you happen to have an ill Son by the name of Charlie Gard.

So what we know is that it is most certainly not "free" by any stretch, and in fact doesn't cover the most needy.
 
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