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Thanks SEAH and Shane01. Faith restored. This forum has been...

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  1. 7 Posts.
    Thanks SEAH and Shane01. Faith restored. This forum has been doing my head in the last couple of days. The nastiness, bickering and bullying at times has been astounding and has had me wanting to sign out for good, like I've noticed some other long term Rappers have. But I'm really glad I persevered, and got the opportunity to read your posts. I found them very insightful and really quite moving.

    Which brings me to the topic of cognitive bias - and the obvious bias shown by the doctor in Shane01's post. That particular doctor's inability to learn and subsequent failure to provide an appropriate level of care.

    As a Forensic Scientist of 11 years, the discussion about inability to learn, made me reflect on one of the topical issues in our profession of late - cognitive bias - and it made me contemplate the power of learning algorithm's such as ResApp to combat these biases. As a doctor, what is the minimum amount of information you need to do your job properly? To diagnose disease properly? How often do you think doctors let extraneous factors effect their diagnosis and course of treatment? How often are they influenced by irrelevant judgements of a particular patients character or believability? Or a case last week where the patient presented with some of the same symptoms and were diagnosed with this so I'm going to assume you have that too and treat you for it without ordering any diagnostic tests? - This happened to me two months ago - three times - three different GP's. I presented to the first GP with a specific set of respiratory symptoms and a history of post viral reactive asthma - based on my history I was prescribed Symbicort (asthma medication). I got worse. I went back to the doctor, the original GP wasn't working so I saw another one at the same practice. He listened to my symptoms and said "there's been a bit of Mycoplasma going around lately" so he prescribed a suitable course of antibiotics for this with no diagnostic tests performed. I got worse. After a Friday night of coughing until I vomited, I ended up at the after hours clinic on Saturday morning. This third GP decided it was most likely Pertussis (whooping cough) because of my symptoms (and because he himself had Pertussis once and my cough was similar to his). He ordered some tests (bloods, throat swab and chest X-ray) and changed the antibiotics the second doctor had prescribed to something more suitable for Pertussis along with a prescription for oral steroids to settle my lungs. The oral steroids finally offered me some relief. The blood test and throat swab were negative for Pertussis (the bloods showed elevated inflamation markers only) and my chest X-ray was clear - no pneumonia. I had three weeks off work all up over a four week period - that's a fair whack of lost productivity for my employer.

    It's a bit of a long winded example, but my point is - with ResApp, we could have ruled out the asthma and pneumonia at the initial consultation and had a better idea of what the true infection was and the appropriate course of treatment. I may not have gotten as sick as I did and had so much time off work. High fives all round.

    I'm truly excited by the potential for this product, at the same time as I am in awe of the great history that is the stethoscope.

    Lets no get bogged down in the minute by minute anticipation of announcement deadlines and trading halts. We have the big picture after all, a picture potentially bigger than the stethoscope.

    Cheers all,

    Live.Wire
 
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