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How good are doctors at diagnosis?
This is the most relevant paper I have written. Not perfect but addresses a huge issue I think could change medicine if acknowledged
…it has changed how I think about diagnosis
ja.ma/3rQNtjv
@JAMAInternalMed
@drjohnm
1/n
This is the most relevant paper I have written. Not perfect but addresses a huge issue I think could change medicine if acknowledged
…it has changed how I think about diagnosis
ja.ma/3rQNtjv
@JAMAInternalMed
@drjohnm
1/n
summary:
Clinicians widely overestimated chance of disease especially after testing
Cardiac ischemia after + ECG—EBM 2-11%, median answer 70%
UTI after + urine cx—EBM 0-8.3%, answer 80%
Breast CA after + mammo—EBM 3-9%, answer 50%
Pneumonia after + CXR EBM 46-65%, answer 95%
Clinicians widely overestimated chance of disease especially after testing
Cardiac ischemia after + ECG—EBM 2-11%, median answer 70%
UTI after + urine cx—EBM 0-8.3%, answer 80%
Breast CA after + mammo—EBM 3-9%, answer 50%
Pneumonia after + CXR EBM 46-65%, answer 95%
Gerd Gigerenzer, David Eddy, @StevenWoloshin @arjunmanrai & others asked how well doctors do at the math of understanding diagnosis, and found they aren’t great.
Many of issues w/ real life tests covered by @deeksj @d_spiegel @dan_diekema
Many of issues w/ real life tests covered by @deeksj @d_spiegel @dan_diekema
nkvssp.smackjeeves.com/comics/2654826…
Due to #overuse (read, #trying to be what i #usedtobe, and #computing every day)
I must stop the majority of my right arm usage for a week. Maybe 2.
#OnWithTheShow!
#NKVSSP #webcomics #webcomicchat #comicbookhour #Disability #kitteh #puppy #lefty #ouch
Due to #overuse (read, #trying to be what i #usedtobe, and #computing every day)
I must stop the majority of my right arm usage for a week. Maybe 2.
#OnWithTheShow!
#NKVSSP #webcomics #webcomicchat #comicbookhour #Disability #kitteh #puppy #lefty #ouch
I've been a bit #reluctant to talk about #issues
My #health is up & down, and I'm used to it.
I get around, or I lay down (laying down while typing right now)
&now that my forearm is burnin, I'll be doing this a little less as previously stated.
fine enough, but lets talk bout-
My #health is up & down, and I'm used to it.
I get around, or I lay down (laying down while typing right now)
&now that my forearm is burnin, I'll be doing this a little less as previously stated.
fine enough, but lets talk bout-
-internalized disabili-phobia. (gimmee a break,& gimmee the word if it exists)
it kinda works like internalized homophobia really. I pulled inside all of the shit I've heard for years. all of the hate, all of the "there's no place for you, so go and die already". all inside-
it kinda works like internalized homophobia really. I pulled inside all of the shit I've heard for years. all of the hate, all of the "there's no place for you, so go and die already". all inside-
