Why You Can't Just Trust Your Doctor (w/Dr. Bill Rifkin) | Incident Report 191

[@FreeJulianAssange23]

I'd rather die alone, slowly, suffering in pain, than stuck in a hospital.

[@TiffanyWestNyc]

Sad but true

[@ideasmatter4737]

As I am heading back into nursing after a long absence, my husband reminded me that my job is to advocate for the patients and protect them from the doctors! This is why I am addicted to your channel!

[@glendanewell6076]

As a Senior I've noticed a hugh difference in Healthcare in the last 15 years!! When I had private insurance the care I received was great for the most part but when I became divorced and Medicare became my main form of health insurance my level of care changed drastically among SOME physicians!! I was treated with such indifference and much of the time with attitude!!! I was told by many that doctors don't like medicare!! Well, I'm not happy with it either but where does that leave the seniors!!! How do we get someone to care about our health without judging us all by a few

[@human47134]

I had a medical issue and asked my GP to look at it. She didn't know what it was and just shrugged it off. I went home and searched and read and through process of elimination, narrowed it down to 1 thing. I went again to my doctor and suggested it was this, she blew me off and said no way. I'm too young and it didn't look like that(I honestly don't think she knew what it looked like). So I went to another doctor of mine, said I'm certain it's this. He said I was a but young to have that, but for shits and giggles let's biopsy to rule it out. Biopsy came back, I was right! He said I was the youngest patient he's seen with that, but it does rarely happen. Went back to GP and showed her my labs and she just had nothing to say and just continued to work as if nothing happened. *sigh*.

[@SuperGuanine]

what ever happened to learning? that dr has a mind covered in cement.

[@susannahwhite7561]

Violet, get another PC!

[@Coneman3]

Many have the simplistic assumption that we should always defer to experts and that they must always make better decisions than us. Your story is one example of how any individual could gain more specialist insight than a GP. This is a key reason technocracies are dangerous. Too many important, simplistic assumptions. Life is complex and people and systems are flawed. There are plenty of examples of the chaos this has caused in the past. We have to make certain assumptions in life, but when it comes to our health, it massively behoves us to do our own research, which is made easy via the internet. Also note that doctors are influencing by bias via the drug companies who generally exist to make money over treating patients optimally.

[@puahsloveable]

As an NP but also as a parent and friend and family member to patients, I have often wondered if patients survive in spite of what we do to them rather than because of what we do to them. I applaud practice guidelines.

[@brianbell9678]

A similar sentiment is expressed in the semibiographical medical book House of God -- www.amazon.com/House-God-Samuel-Shem/dp/0425238091.

[@stevensasy12345]

Thank you for your honesty and bravery

[@vickypeters4500]

I’ve always wondered about that too.

[@marthagregory3852]

I've had a physician tell me that the way to get a dr to change is it attach money to it. I'm a critical care RN now and it's surprising the differences between docs. I really enjoyed this interview.

[@bewildernesssurgeon6083]

4:46...as a practicing general surgeon, could not agree more. What I see on a nearly daily basis from ED to internal medicine to surgery to radiology to you name it, is frightening

[@jeffworst9939]

This might be my favorite ZDogg video. Could not agree more with ZGuest Rivkin. This hit more than one of my hot buttons. I've also told the story of Ignaz Semmelweis in terms of how physicians, people of SCIENCE, can be completely resistant to overwhelming research results when it means a change in their behavior or thinking. Stay strong and press on.

[@davidludwig7286]

IMHO the #1 trait of a good physician is one the a will say one simple phrase when it is the truth "I don't know."

[@ameliasilkworth8833]

Fantastic video- I so appreciate Dr. Rifkins work and your embrace of improving outcomes. Sent it to my boss!

[@MCGHealth]

Excellent topic for discussion! Thank you so much for hosting Dr. Rifkin.

[@MrsBilla-nu8qb]

The centers of excellence for bariatric surgery, at least in some cases, is a misnomer. The surgeons may be great, but in my case, if you have any kind of issue afterwards, they don’t want to deal with you because it might interfere with their statistics.

[@TxNursePatti]

I COULD NOT AGREE MORE with what he said about nurses "click, click, click, document and call the Dr.". YES!! I am only 33, but I have been a nurse for almost 14 years. That isn't that long ago. But, as a nursing instructor, as well, we aren't always training nurses to be nurses...we are preparing these students to be advanced clinical data entry clerks. I HATE it! We give them all of the information in class, we PRAY they are exposed to something in the clinical setting...only for these students to come back to us later stating, "I don't know. We take vital signs, we click through the assessments, and the SBAR tells me whether or not the patient needs antibiotics." *Face palm* K. Rant over. Thanks.

[@marthagregory3852]

OMG yesssssss!!! I've only been a nurse for 5 years but I was an EMT for 12 years and I feel like that informed my practice more than nursing school.

[@AddMoreQuarters]

Don't worry I don't trust any other doctor anymore than I trust you.

[@TiffanyWestNyc]

Good luck cause it’s not gonna change

[@eldygirl0212]

ZDogg, you are a very good teacher. Thank you.

[@thomasburns2557]

No. The patient has to be an active participant. They must be the captain of the ship. If a patient participated in their care their care is better. When the patient does not care and wants only a pill... they do poorly. Yes we need to set standards and educate our hospital staff. I don’t think they are even thinking about this. It should be part of hospital care.

[@TimelessjewelbyDebra]

Great interview

[@macintoshimann9892]

My doctors told me there was nothing I could do for my movement disorder and left me choking on my own nervous system, barely able to breathe. I tried psychedelics thinking maybe I could get some relief from the pain and got so much more. In less than a year I’m over 75% recovered from the condition. I used to struggle to write ✍️, now there’s nothing I can’t do! I will never trust my health to a doctor again. They are not motivated to get you better but leave you suffering in the dark which is exactly what they did to me. Absolutely disgusting people

[@mariekatherine5238]

Yipes! One in 11 die after bariatric surgery?? I'll stay fat, thank you very much! BTW, my auto correct changes "bariatric" to "barbaric"!!!!

[@330MillionGods]

only in the case of non-expert dr. in bariatric surgery

[@luiscarlosdespradelperez9027]

Not quite, He is referring to the number needed to harm in the community surgeons vs "big hospital- guideline based". His wording is very specific, and it means that normally you would think 6 in 100 (over 5 years, and less beyond that) (jamanetwork.com/journals/jamasurgery/fullarticle/400707), but according to what he is saying in the community for every 11 (EXTRA people, meaning that if they see more people) they will get 1 extra bad outcome (meaning that in the study that i mentioned above the mortality would be 15 per 100 over the first 5 years). Hope it helps clear things out, and feel free to correct me if im wrong because that is what i understood from the very specific phrase he said.

[@RLybarger1986]

While Practice Guidelines are great and as a new nurse I love them. It is a reality that not all facilities have the capability to enact all new guidelines as they come out. There are limitations on practice that are not reflective of the staff or even the facility.

[@stevensasy12345]

Russell Well then the administration should be held responsible for making negligent staffing ratios

[@RLybarger1986]

I was thinking more not having the latest million dollar machine but whatever dude.

[@PIA-tj5hc]

Excellent interview

[@christinaflores9922]

Great information. I have been a nurse forever and an NP for 2 years. I have practiced now in two area one with a large hospital based clinic connected to a university and now I'm way out in rural health. I have found it difficult as where I am now practice is not what "best practice" is today and is so variable where there was more focus on guidelines where they exists. In my state NP's are be under a supervising physician so if our practice is different then the Supervising Physician can step in change the POC. I was trained to prescribed antibiotics when absolutely necessary, do watchful waiting where appropriate and treat virus through comfort care measures. Where I am now I feel forced by other providers mid-levels and Physicians plus the patient population to prescribe antibiotics to everybody! I know this is wrong but find myself making excuses as to why I just follow the yellow brick road! Talk about confusing! I would love one day to have the opportunity to follow you during one of your shifts! Thank you for your statement about new nurses no longer being able to critically think. It's very sad. As a former administrator I would try very hard to make my learn critical thinking skills. The younger my staff became the more I felt like I was starting with nursing education 101. Things do need to change in a manner that is respectful to everyone's ability so patient's are not injured or worse. I work hard to stay up-to-date on the newest guidelines but understand how some providers don't take the time to do so. I pray that if I ever am off course that I have a mentor willing to invest in straight forward feedback rather than label me a poor provider. Go New York, I can handle it.

[@pinkrox154]

What they're talking about sounds like NICE guidelines in place in the UK? Or is this more than that?

[@thomasgronek6469]

Wow, That's why my back is screwed up, it was the surgeon

[@xxdrleek10]

Interview would have been a lot better if Dr. Rifkin had avoided incessant use of letter abbreviations that are meaningless to non medically trained individuals.

[@janaburritt6939]

They can't help me and tell my husband it is all in my head. Bulling does not help

[@felipequinones3878]

Right if you don't know ask

[@felipequinones3878]

Better practice right

[@FlawlessNJ]

zdogg... you're the man, you need to come to israel and see how hospitals are run over here... I'll happily host you and introduce you to the big dogs, let me know

[@MarcRitzMD]

This wasn't easy to listen to.

[@peanut12345]

Follow the protocol, abuse the patient, call back to string him out, smile $$$ each month. Get another sucker $$$ nurse.

[@felipequinones3878]

Never lose cure's

[@marys2382]

So true. Nurses know. Lol