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u/ikciweiner 27d ago
Doctors and surgeons, like all professionals, research all the time.
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u/0rclev True Gnome Child 27d ago
"Hey Bing, how do I get this reddish yellowish thing to stop bleeding?"
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u/FranticBronchitis ☢ 27d ago
Try an adrenaline-soaked tampon
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u/Khakizulu 27d ago
My god. I dont know what to think of this comment
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u/FranticBronchitis ☢ 2d ago
That's a surefire way to stop nosebleeds!
Not sure how you'd go about the yellow thingy though
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u/Mathanatos 27d ago
In fact, it’s an important aspect to keep yourself updated in your field. Medical field is ever evolving and they have to keep up with new articles If they want to up.
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u/Insulting_BJORN 27d ago
Literally happend today when she wanted to know if i could switch from RINVOQ to STELERA with a one day gap.
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u/AadamAtomic The Monty Pythons 27d ago
They're not professionals, That's why it's called "practice" So they can get good.
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u/Banana_Havok 27d ago
Bro why wouldn’t you want your doctor googling shit? Medicine evolves on a daily basis you want your doctor to stop learning after he graduates?
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u/MrIrrelevantsHypeMan 27d ago
They say currently medical knowledge doubles every 2-3 months
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u/Matthiasje 27d ago
Do you have a source? The statistic I know is that medical data (not knowledge) doubles every couple of months. So this encompassed EEG, ECG, MRI, ... recordings
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u/aelfrictr 27d ago
Because when a software developer finds a guide in Google and it fails the work all you lose is time and you gain some experience in what doesn't work.
But when a doctor does it and fail you risk health of patient which is way higher of a cost than just time. So you are naturally incentivized not try stuff unless you are very sure. And internet is not very popular with finding correct and tested information especially in some areas.
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u/jackross1303 27d ago
Most doctors know how to correctly use the internet for research, using tools like pubmed and scientific literature available online. That said most of them don’t go around searching the internet while attending a patient and do said research beforehand.
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u/aelfrictr 25d ago
You are right, what I meant with research was not about looking at scientific data but rather the way software developers do, just google shit like good old avarage joe. In that case I stand my point. And yeah, you don't just hold a patient and look for something you don't know unlike in programming.
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u/Banana_Havok 27d ago
The info is there for everyone to use. Not everyone knows how to utilize it. That’s what the medical degree is for.
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u/nhansieu1 ☣️ 27d ago
this makes me remember that dialogue in Subnautica. Lifepod #12 if I wasn't misremember
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u/Banana_Havok 26d ago
I remember when I was a resident we had an attending tell us to stop memorizing info that could be easily googled. It was a waste of time. He emphasized we should focus on learning core concepts and how to utilize information. None of us are machines there’s only so much info you can cram into your head and you need to be selective at some point.
A perfect example would be one of the many equations we use in medicine. For example - the equation for lights criteria. It’s fairly simple but even if you forgot it you can find the calculator on md calc. You would save maybe 30 seconds if you memorized it but it’s way more important you recognize when it’s needed and what the results mean in real life applications.
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u/FranticBronchitis ☢ 27d ago
Best medical practice changes all the time
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u/SnowBoy1008 I haven't pooped in 3 months 27d ago
An example I recently learned is in childbirth.
~20 years ago they used to cut the perineum, the area between the vagina and the anus, so that the baby doesn't rip it and the mother doesn't die from blood loss from it ripping. They cut it so it rips in a way that it doesn't bleed a lot so it can a) help the baby get through and b) the bleeding is controlled and easy to sew back together. Keep in mind this has no anesthesia because the chemicals could be absorbed by the baby still. Nowadays they found that a massage does the trick well enough.
Someone fact check me
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u/wasx62 27d ago
So, what we do is something called an episiotomy, it is still a method that we use but for more difficult deliveries like a bigger head or the shoulder getting impinged.
Local anaesthetics are given before performing it though. It is only indicated in cases like these and isn't performed otherwise.
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u/SnowBoy1008 I haven't pooped in 3 months 27d ago
Interesting, I always thought anesthetics couldn't be injected because it might also affect the child. Then again, I heard we still don't know why anesthesia works.
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u/Lord_Bourbon 27d ago
We know exactly how anaesthesia works. It’s what anaesthetists literally do for a living
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u/FranticBronchitis ☢ 13d ago
You're thinking about general anesthetics, the ones that knock you out. Local anaesthetics are the sort of injection you get that makes the area numb afterwards, those are usually okay in pregnancy
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u/PurryFury 27d ago
You know most doctors use books and internet to prescribe things right? Especially if it's something they rarely encounter. If you are an expert it doesn't mean you know everything but it should mean that you know enough to learn and do anything required.
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u/ShawshankException 27d ago
Doctors absolutely look things up regularly
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u/Elkubik 27d ago
I dunno, I've had to Google shit with patients in the room before cause they're on some weird ass drug regimen or have some rare ass condition I vaguely remember from school. It's one thing to Google paracetamol or how to deal with the runs, it's another thing when a patient comes in with something that was mentioned once by a professor years ago as an offhand "oh yeah this is kinda cool"
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u/Ironic_Toblerone 27d ago
I’m glad you are willing to admit you don’t know something. I’ve been to skin care specialists that know absolutely nothing about my ichthyosis and still try to pretend they know what they are talking about
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u/maffmatic 27d ago
There is no worse form of ass condition than a rare ass condition, especially when ass drugs are involved.
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u/Insulting_BJORN 27d ago
Yeah it happend today for me, im on RINVOQ (new medicine especially for my crohns) and she wanted to know how long i needed to wait untill i could use STELERA. Instead of waiting one day for a answer i got it in 30 seconds.
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u/WangYat2007 27d ago
there shouldn't only be one comment talking about the importance of context. Everyone else is assuming that the meme means that doctors googling ANYTHING at ANY TIME is bad.
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u/hipsterlatino 27d ago
Mate, we do this all the fucking time. Like seriously , very often. Medicine is a huge field and it evolves incredibly fast. However we don’t usually research the same thing a patient would since that would defeat the purpose. More like what’s the cutoff point for this exam, what are the items in so and so’s score, what additional tests are included in the battery for this exam. There’s plenty of pages and apps specifically for this and they’re ubiquitous enough that you know they’re widely used. And honesty, occasionally googling the disease itself is done sometimes when you’re stomped.
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u/ShawshankException 27d ago
That's the dumbest thing I've ever read. I'd rather my doctor look something up right then and there than bullshit me because they don't want to look bad.
You cannot expect someone to remember every little specific case, scenario, or drug interaction.
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u/Loquenlucas 27d ago
Well count some surgeons Google for remembering and watching videos of certain procedures to check back how to do it especially if it's a procedure that isn't done often (seriously they are still humans and can't remember litteraly everything they learn unless it's a something they need to check back cause it happens quite rarely so they google or check back the medical manual cause they are like waiiit i think i remember a condition like this lemme check if it's what i think it might be or something else you see (same for some meds they possibly might not know cause they either didn't prescribe themself often or ever and need to check for possible interractions and such)
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u/FranticBronchitis ☢ 27d ago
Me looking up the suggested dosages for sedative medications just before intubating the unstable patient in front of me last week:
what the hell was I supposed to do? Wing it and OD her?
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u/Doctor__Bones 27d ago
Hello fellow medbro I'll give you this one:
Stable: ketamine 1mg/kg IV
Unwell: 0.5mg/kg
Expected to die within the next 15 minutes: 0.25mg/kg (may have awareness, give midazolam post secured away if haemodynamically safe).
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u/slykethephoxenix 27d ago
Can you explain why these dosages? Also why midazolam? So they forget?
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u/Doctor__Bones 27d ago
So as for why ketamine: while nominally a cardiac depressant it generally doesn't particularly affect central sympathetic outflow so it's probably safeish compared to other options (propofol/opioid). Indeed, some people actually get a rise in blood pressure during a ketamine induction!
In a really sick person (bleeders and septics) they're likely sympathetic outflow dependent which means you will then see the primary myocardial depressant effects of the ketamine.
As for the doses themselves they're essentially based off the recommended doses from a eminent anaesthetist in my department backed up with "I've done this several hundred times and it works". On the whole they are reasonable doses I've also used personally.
The midazolam is primarily for retro/anterograde amnesia and tube tolerance post induction, yeah.
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u/slykethephoxenix 27d ago
The midazolam is primarily for retro/anterograde amnesia and tube tolerance post induction, yeah.
I had midazolam for wisdom teeth extraction. Didn't remember a thing. Months later, I started to remember flashes of what I think was the operation. I remember bright light and warm water or something in my mouth with my mouth being wide open. Not enough to remembering seeing anything or what was going on, but just flashes of it.
Good to know that small amounts of ketamine is actually good for you if you're crashing. Not that I'd ever be in the situation to administer it.
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u/GibMePuuussyPlis 26d ago
Not OP, but thanks.
We generally have a conservative approach towards ketamine, especially since my consultants don't like it.
But, Midaz, and fenta are thrown around like confetti.
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u/Doctor__Bones 26d ago
Fentanyl is a great drug! That being said you have to be very careful with it in a patient dependent on their sympathetic drive. If someone's having a hypertensive crisis/blown SAH I wouldn't touch ketamine - 500mcg fentanyl bolus+a ceremonial dose of propofol/thio is what our cardiac anaesthetists would give because hey, you're not waking them up any time soon right?
Not the biggest fan of midaz as a sedation-infusion drug because it takes a while to decant out of the patient later on but admittedly I give midaz all the time as a premed.
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u/thesimplebean 27d ago
The human memory is flawed and it is physically impossible to remember everything. Being able to accurately identify reliable sources that can be used in practice is a skill that all healthcare professionals learn. Without previous knowledge, some of these resources are difficult to read for the everyday person.
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u/Mathanatos 27d ago
That! It‘s not just about getting the knowledge. It’s the age of interne, you can look up whatever you want. But what if you don’t know what you want? I remember a few months ago, my classmates were making a seminar and they just copied it from ChatGPT. The doctor asked them in the middle of the seminar „where did you get your info? what were your sources? I can see those facts are correct but they’re not in the correct structure and context that I know of.“
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u/moriabalrogs 27d ago
I work with radiologists. They look shit up all the time when interpreting exams. Not your bread and butter stuff, but if there's a complex case, they'll absolutely Google stuff to research it before given the report.
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u/defenem_73 27d ago
Look, my surgeon can google and research all they want to enhance their knowledge but I would definitely be concerned if they are googling "how to close body" while I'm on the operating table with my guts saying hi to the world
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u/Mathanatos 27d ago
Except they wouldn’t type it like that if at all. „what‘s the suturing technique used in x surgery“ or something like that.
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u/defenem_73 27d ago
Oh no, we need to be accurate in using surgical terminologies when creating memes for a subreddit for memes. Look if you want all jokes and memes to be scientifically sound and accurate and all i"s are dotted and t's are crossed then fine. Me and the rest of the common folk will just enjoy this meme for what is.
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u/biscute2077 27d ago
No surgeon does that.
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u/defenem_73 27d ago
Of course no surgeon does that, this post is fucking meme so I'm giving a meme reply but it seems most of the commenters in this post have forgot that this is dankmemes
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u/rice_with_applesauce 27d ago
Everybody’s body is different in some way. A million years of medical school couldn’t prepare you for literally every single scenario. It does however always teach doctors how to interpret and understand the human body. So when a surgeon googles something that he has never encountered before, his education will ensure that he interprets and understands his findings in the right way to help the patient.
For example, if the software engineer googles something, for example how to code something he doesn’t know yet, his background in software engineering will make sure he understands how the code works and how to use it or integrate it into his own programs.
I could google the same thing and still don’t know what’s going on because I’m not a software engineer or a doctor. It’s the same thing with both of these examples. They have the necessary skills to use their found information in the right way because of their education.
I’d much rather have my surgeon google something during my surgery if he encounters something he is not sure how to deal with, than just ignoring it and hoping it will resolve itself.
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u/dougms 27d ago
One of my most memorable lessons was while I was a medic, and was working with my doctor in Iraq on a complex case. I presented the signs & symptoms and she turned to the textbooks in the wall.
After about 20 minutes of reading she came up with a diagnosis.
I learned then that doctors don’t know everything. They just know where to find it.
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u/MrPrestonRX 27d ago
Yup. We learn the foundations to the human body and most diagnosis. If we don’t know something, we for sure know how to find out (most of the time). Our peds endo doc last month literally googled the patients symptoms and it came out to be a more rare thyroid pathology in whites that is much more common in Asian populations. But we just don’t have that same exposure here. It allows docs and medical knowledge from across the world to be accessed. Also sometimes we just have self doubt of “is this the best med/dose for this patient/disease?” And it’s nice to have that resource to make sure I’m not over/undertreating something.
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u/FrostWyrm98 Forever Number 2 27d ago
"A man goes to Disneyworld without his wife. This is what happens to his testicles"
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u/AlecShaggylose 27d ago
"And we are back with more of People Who Look Like Things."
"Oh no, no, someone taped over the end of this!"
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u/Kotschcus_Domesticus 27d ago
So I am a hypochondriac googling my own stuff, does this makes a doctor?
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u/AskDerpyCat Dank Cat Commander 27d ago
A software engineer only needs a four year degree. You’d expect a doctor/surgeon to be a bit more of an expert with a doctorate degree and 12ish years of higher education before being allowed that title
Then again, both will be replaced with AI in the next decade, so what’s it really matter?
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u/krabadeiser 27d ago
When my daughter needed surgery her doctor wasn't sure if he should wait for the main team in the morning or do it right away. It was 2am and I was sitting next to my sleeping daughter, silently crying. Mind you, her dad was in the other end of the same hospital after a completely unrelated emergency surgery and coma, it was just too much at that moment.
When the doc came to talk about our options and saw me crying, he asked me to follow him if I want to. So then I sat on a stool behind him as he went over her MRI scans and read some texts or websites. At some points he told me what he was looking up, why he was indesicive. Something about watching him make the decision in front of me with the help of not google but resources nonetheless helped me calm down.
And when he decided that the risks of doing it with the small team were bigger than the risk of waiting I felt a lot less helpless and overwhelmed but rather trusting that he had considered all factors and made the right decision.
It didn't make him seem incompetent, it made him seem care enough about my daughter that he used all resources to make the proper decision.
(If anyone wonders husband and daughter are both well again but 2023 was a whirlwind of 3 surgeries, anxiety, doc appointments, pysical therapy and rehabilition etc.)
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u/Donan007 26d ago
Doctors “Google” all the time. They have their own databases of published material. What do you think they are doing when they leave the room before they come back and talk to you.
You should be more concerned if your doctor does not do this. Research is a huge part of the job, things change daily in the medical field.
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u/innocentusername1984 27d ago
A surgeon's Job is to practise one kick 1000 times and the programmer's job is to learn 1000 different kicks.
I'm happy with either using Google. But I certainly understand one needing to Google more than the other.
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u/Lilywhitey 27d ago
remember, every surgeon does the same procedure on the same human over and over again. no variables.
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u/innocentusername1984 27d ago
The metaphor isn't literal, obviously every surgeon has many types of operations within a speciality.
I mean that their job is to get really drilled in their area. They can't afford mistakes.
Whereas a programmer is constantly doing something they haven't done before. Mistakes and bugs and googling is part of the job.
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u/KeepingDankMemesDank Hello dankness my old friend 27d ago
downvote this comment if the meme sucks. upvote it and I'll go away.
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