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monkburger | 1 year ago

Being 'bad statistics is malpractice' is just wrong on so many levels.

Medical malpractice requires a deviation from evidence-based practice that results in harm.. hEDS is diagnosed based on guidelines, not just "obvious statistical patterns.".. If diagnostic criteria exclude certain patients, that reflects the current medical consensus, not physician incompetence. Med schools teach Bayesian reasoning and differential diagnoses, not just pattern matching.

If I incorrectly diagnosed a patient with hEDS without ruling out vascular EDS (vEDS) and the patient suffered an undiagnosed arterial rupture, that would be actual malpractice.

If a subgroup of less hypermobile hEDS patients exists, the solution is research, not accusing physicians of malpractice for following evidence-based guidelines.

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cjbgkagh|1 year ago

'Medical malpractice' is different to 'malpractice' in general. The first is deviations from standard care the second is a dereliction of duty. I think it is every doctors duty to get good at statistics. Clearly the Bayesian statistics classes have not been sufficient.

If you consider the role of doctors to be finite state automata that execute instructions handed to them from standards bodies then we wouldn't need anything nearly as sophisticated as a LLM to replace them, a collection of decision trees would be sufficient.

Your input on the topic has not dissuaded me from my belief that doctors in general are bad at stats and therefore bad at their jobs.

monkburger|1 year ago

I don't care to dissuade you from anything - you are flat-out wrong on things.

In my opinion, hEDS is a real condition, but sick-tok is causing patients to demand from physicians a dx - regardless if they meet the clinical criteria for it or not.

Stick to your lane.