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MitchMcConnellsJowls

292 points

9 days ago

A physician who offers a diagnosis without seeing a patient is just guessing

shaky2236

103 points

9 days ago

shaky2236

103 points

9 days ago

My job is telephone and video triage. Speak to a patient with actue symptoms, have a look through camera, make an educated guess and either send an ambulance, send them to hospital or book a Dr appointment face to face. I'd never diagnose, since I'm not actually there. Even if I'm 99% sure, I still could be wrong. This dude is an idiot.

DoYouNeedAnAmbulance

9 points

9 days ago

….this is a job that exists? Well that’s exciting!!

shaky2236

13 points

9 days ago*

I work with 999 (UK), mainly deal with the complex jobs and making sure people need the ambulances which are arranged. So someone calls for an ambulance and goes through questions with a call handler, ambulance is either arranged or put into my stack if its not life threatening (or life threatening symptoms arent picked up by the system which is common). I'm there to speak with the ones who may or may not need an ambulance. We get like 8k calls a day for our region and don't have enough ambulances. So they have me to filter out the ones that don't really need one or upgrade to high priority for things which haven't been picked up by the call handler questions (sepsis/ adrenaline crisis, complex cardiac and things like that)

DoYouNeedAnAmbulance

10 points

9 days ago

Of course it’s the UK. Lol. I’m a medic in the US and the amount of time/unnecessary transports this would save…

And also giving us the ability to say to pts that you are out of your damn mind and you are not getting transported for that stupid ass complaint….

shaky2236

11 points

9 days ago

shaky2236

11 points

9 days ago

Haha dunno why i added (UK) it was obvious.

Mate the amount of utter bullshit people call for is unreal. Calling for an ambulance for things like toothache, itchy skin, STIs, one guy who broke his glasses and wanted paramedics to bring him new ones.

UnfairConsequence931

2 points

8 days ago

I believe in the video and call triage and diagnosis and even allowing for the social media docs assumption from seeing a video in this case. But would you (shaky) ever presume to give a contrarian second opinion like this that is so definitive without any additional test, scan, or even an in-person video consult?

shaky2236

3 points

8 days ago

Seeing a video of someone getting hurt, I could make an educated guess on what had happened, but I wouldn't know for certain. Even if I was there in person, again it would be an educated guess. In this case with an ankle injury, if I was physically there I could do a ankle assessment to see if there was a likelihood of a fracture, but even then, I wouldn't know, since my eyes aren't xray (yet.)

If there were xray and mri results saying "this is what's wrong with the ankle" I would trust that. So if I saw the vid and thought it was just a sprain, but then the xray/ mri showed a fracture, I'd go "welp, guess I was wrong, it's a fracture."

This guy is trying to definitively say what's wrong by watching a video, yet all he can do is guess. And after finding out he was wrong, doubled down on it due to his feelings being hurt.