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Bored Panda got in touch with Dave deBronkart, sometimes known as “e-Patient Dave,” an author, speaker, and participatory medicine and personal health data rights activist and he was kind enough to answer some of our questions. Despite it seemingly being common sense, we were curious to hear why he thought some people feel like they know better than a doctor.
“Because questioning authority is always a good idea. But questioning doesn't make you right - anyone who has an idiot relative knows that. Good questions make you think - but if you disbelieve, you take responsibility. (Remember that you might be wrong, too.) Doctors aren't perfect, and they're overloaded with a million new articles a year and constant time pressure. But they're trained on science, and science is good s**t: it's why you can read this on a phone, fly on planes, and can get medicines that usually work. I think of a doctor's visit as a talk with an expert friend, trying together to solve my problem,” Dave shared with us.
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I am female, in my 20’s went to a urologist and he wanted a list of the medications I was on.
When I got to Testosterone cream ( I had been tested due to a very low sex drive and my level was found to be low) he insisted that I meant Estrogen cream.
I told him no it’s Testosterone. He told me to go home and get the bottle. Then call him and spell out to him what was written on it.
This medical doctor treated me like a child wanting me to waste both of our time doing this because he did not know that women’s bodies make a small amount of Testosterone and it is needed.
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Setting aside that the average person often can’t tell the difference between the sternum and the sebaceous glands, we were curious about thinking for one’s self, so we asked Dave if there were cases a person should perhaps disregard a doctor's advice. “Certainly: when you've decided it's not what you want. It's always good to ask: Are there any other options? What are the risks? What if I do nothing?”
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As tempting as it can feel to just be a maverick and believe that your intuition knows better the years of medical training, Dave has better advice. “Be an e-patient: empowered, engaged, equipped, enabled! The best way to get started is to know what they wrote on the computer about you after every doctor visit. In the US, it's now Federal policy that they have to let you do that. And we're not just talking about lab tests - today you can ask to see the "visit notes" or "progress notes." It can remind you of who's doing what next, and sometimes you might even find a mistake! If you do, report it in writing - they have to fix it,” he shared. Constructive, not combative.
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Lastly, we wanted to know what is a common health-related misconception he has encountered. “These days the #1 mistake is to think that COVID is over. Be smart about this! I don't mask up anymore unless I'm going to be in tight quarters breathing unknown air, like an airplane or bus. Airlines are no longer circulating fresh air the way they used to, so if someone on the plane is infected, their "exhaust" can be sent right back to your face.”
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“That's what hit me last winter: I got my second COVID case, and it left me with lasting damage. The pandemic is over, but COVID is NOT. Protect yourself.” Dave also suggests looking into having a good CO2 meter to determine air quality. You can find some of his writing about it here. And if you are interested to hear more about participatory medicine and personal health data rights, you can find his website here.
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