I'm going to tell you about an interesting and instructive experience from a while back. The lesson I take away from this experience is - always do your own research. Be careful about trusting authority, no matter how confident and sure of themselves they are.
My family and I were in a new apartment, and were fixing it up. There were some issues with the shower curtain, it was allowing water to drain out onto the floor. So, we purchased some of those really powerful tiny neodymium magnets to attach to the shower curtain, to make it adhere to the metal of the tub better. Bottom line, we had some neodymium magnets around the house.
My son came up to me, abashed, late one Saturday evening. He said, "I accidentally got something stuck in my nose".
What had happened? He was playing around with the magnets that we had laying about, wanting to pretend he had a nose ring. He ended up putting one on the outside of his nostril, and one on the inside. And there they stayed, he couldn't figure out how to remove them.
We fussed with the magnets for a little while. I did a little bit of research online, and found nothing useful. I touched the metal end of a screwdriver to the magnet, and it didn't come off.
And then I thought - well, they'll know how to handle this at the hospital. So, we went off to the local children's hospital.
They had never seen anything like this. Three doctors tried for a little while to remove it, but had no luck. So they told me and my son to go to the adult emergency room, where there was supposedly also an ear, nose and throat specialist.
It was a Saturday night, with all that a Saturday night at the emergency room means in a big city, rough looking characters and blood on the floor. Anyway, they were able to get my son in pretty quickly, and started trying to remove the magnets.
How did they try to remove them? Well, the doctor tried with some instruments to pry the magnets apart, while he had a nurse holding my son down. And then another nurse. And then another, as my son continued struggling. Finally there were all the spare nurses - 5 of them - trying to hold down my struggling, crying son, with blood dripping off his nose.
The doctor gave up then, and told me that my son would need to undergo general anesthesia, so that he wouldn't be struggling and the doctor could get a good grip on the magnets, to remove them.
And then my son and I were left alone, to wait for surgery. I was shocked that - really? - they would have my son undergo general anesthesia for something like this. I had my phone with, and started doing more research. And instead of searching for "magnet stuck in nose", I included the word "septum", which is a more medical-y word.
And lo and behold, I found a treasure. An emergency room doctor had written a case study of this type of situation. Apparently multiple kids had undergone surgery for this, completely unnecessarily, because...all you need is to touch a heavy metal tool to the magnet. The article mentioned specifically a type of medical tool that would work, I think he recommended using the handle of a forceps or something like that.
I ran over to the doctor, and showed him the article. He immediately went over, grabbed the forceps, touched the magnets on my son's nose with the handle, and the magnets jumped apart.
The ordeal was over.
My son and I walked out of the hospital. The nurse at the reception desk (who had been part of the group that was holding down my son, just moments earlier) was confused, and asked where we were going. I told her we're all done, we're going home.
Thank goodness that was over.
But here's something interesting. My son had been playing with the magnets for a while before sticking them on his nose. When he came to me, for help getting them off, he actually said to me, before we went off to the emergency room, "But can't we use some other magnets to get these ones off?"
Unfortunately, that comment just kind of skated on the top of my consciousness, without really penetrating. In thinking back...of COURSE you could use other magnets, or a big piece of metal. And when I touched the tip of the screwdriver to the magnet on his nose, before we went to the hospital - I actually felt the attraction to the magnet. I just didn't think of experimenting any more, with a larger piece of metal.
Obviously, there were a lot of other people around - the total was about 9, between the 2 hospitals - that also didn't think of this. So I didn't feel that bad about having dragged him to the hospital. And I did eventually find the key to getting him out of this situation, without anything like general anesthesia (which is a lot more damaging than people think).
But I always try to remember in situations like this - think things through. Research. Try to find alternative ideas.
that's a win, great story
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My whole life is a collection of solving issues by just thinking simple and having great results. At first I was still sometimes influenced by eXpErTs, but that quickly wore off. The thing is, people love to make things complicated, they want to look and feel buisy, writing plans, evaluations, at least they're DOING something. Take a step back, breath and it will come to you.
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Here are Robert Hutchinson's tips that every doctor should put into practice
Don't be too clever
Don't diagnose something unusual
Don't be in a hurry
Don't lose interest in diagnosis
Don't confuse a label with a diagnosis
Don't diagnose two diseases simultaneously in the same patient
Don't be too sure of your diagnosis
Don't be partial or biased in your diagnosis
Don't hesitate to review your diagnosis from time to time in a chronic case
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That's a nice list for problem solving in general 👍
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It's good to remember the Gnosis and Diagnosis are two different things!
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Sometimes you just need to take a step back, relax, and think.
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77 sats \ 4 replies \ @OT 29 Sep
Glad he's ok.
Our mind often does not function properly when under pressure. As for the doctors.... I can't say.
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44 sats \ 3 replies \ @gmd 30 Sep
Magnets in noses is not something anyone trains for despite ENT training being 5 years before fellowships, 100 hour workweeks.
Bread and butter is emergency surgical airways, tumor resection, etc.
These sorts of things just take creative McGyvering
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Actually I think they should do basic research, before the creative McGyvering.
As a matter of fact I was just looking up this topic again. And the original article I found, within seconds, years ago, with the correct solution that did NOT involve anesthesia and surgery, is not to be found.
Instead, this "surgeons as heros" article pops up, about how a kid with the same exact issue was put under general anesthesia, and two surgeons had to use clamps to slide the magnets apart. They're portrayed as heros.
I think it's shameful.
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44 sats \ 1 reply \ @gmd 30 Sep
I'm glad your kid is ok.
I think it is always easy to Monday morning quarterback in situations like this, but there are a ton of outside pressures that make these situations especially difficult. Your family member is not the only patient they're stressed about, they are often called out in the middle of a difficult surgery, where another patient is still under anesthesia. There can be a list of sick inpatients admitted to the hospital for which they might have 5 unanswered pages waiting for them, or another surgeon paging them for an airway emergency. If they were called in on "home call", this often means they are getting woken up throughout the night to answer pages after a full day of work, and still have to be in the hospital at 5am the next day.
The truth is if they have ~10 minutes to try to McGyver the situation before they have to move on to triage other issues, and if they have not figured it out in that time then the best course of action is to schedule surgery to definitively remove in a more controlled situation. There isn't time to sit down and do research, you have to fall back on your training or you'll never get through the day.
It worked out in your case, but waiting too long to act could quickly lead to pressure and ischemic injury that can easily snowball into severe infections and a series of far more dangerous surgeries down the road. Then the doctor gets dragged in front of a jury and dinged with a malpractice lawsuit for not acting soon enough.
Medicine would be easy if you didn't have to see 20-50 patients a day. Maybe in the future AI advisors will help with these "out of the box" situations.
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I appreciate your comments. And my story is not meant to blame or accuse individual doctors - most of them (not all) are doing the best they can in a bad system.
However, in my opinion the medical/pharma system as a whole is rotten to the core. Much of what you wrote above is a symptom of the rottenness. I think it's prudent to avoid medical treatment as much as possible, and treat the whole system with suspicion and distrust. The covid disaster introduced and solidified these opinions for me.
And for SURE do your own research, and actively search for alternative opinions.
My experiences with the system have, with some exceptions, been just awful. I look forward to alternative medical systems coming into existence, with doctors that aren't beholden to the pharmaceutical complex, and who are true patient advocates.
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I have to understand things for myself. I never trust western medicine. The only time I had general anesthesia, I had a seizure the next day. It was terrifying. Never again.
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Do your own research wins every time!
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Especially when you sign a whole lot of documents that you will never read in the hospital regarding your acceptance and liability. Ultimately it is your, mine and our own decision what happens and we can be grateful that we have a good doctor to facilitate this.
Before the Affordable Healthcare Act I trusted medical doctors, but then things went very south and in 2020 I just gave up and I haven't been to a doctor since. I have spent time with a couple of doctors but they had nothing to do with with treatment. I helped one with a jet ski dock and I have another that is a friend who we do things with.
Some doctor perception is that doing your own research is insulting, but if you are honest about your health and you give a physician exact information diagnosis is possible without blind guessing.
But I circle back to the fact that I haven't been to a doctor since 2020 and I don't intend on ever seeing one again for medical treatment unless I need a medicine that I know will help me and even then I'm skeptical.
But if my son or daughter or grandson had a similar experience I would probably do the same thing. And hopefully I would have arrived at a similar conclusion but it stinks that later research on the subject has changed the organic solution to the convoluted.
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Likewise, on the not seeing a doctor in the past...maybe 4 years.
Actually I did go direct to an eye doctor once recently, because I had a piece of sand in my eye that just wouldn't come out on its own. The doc did his thing, I was out in 15 minutes without that piece of sand in my eye.
That was a very well spent chunk of money.
But other than that, nothing. No regular checks, I don't take any medications. Zero trust in doctors.
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And it's not just that I think they are corrupt but that the majority complied with the nonsense and pretend it is normal.
The docs I know don't qualify as collaborators.
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You are a very good non-fiction story teller hands down you are very very good. What happened to your son is an example of how ignorant people are nowadays. The so called experts could not do anything but a very careful search yielded a life saving solution. The search engine we have nowadays is practically useless unless you really know what you are doing. Good for you. You figured it out yourself.
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Thank you for the kind words.
I strongly agree that search engines nowadays in many situations are almost useless. I did a quick search the same way I would have done had I been faced with this situation nowadays, and the results were crap, and did NOT offer the solution I came up with many years ago.
I'm planning on another article on this. Really, searching nowadays can be abysmal.
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Maybe a good measure would be to document organic medical solutions. As in Occam's razor :
In philosophy, Occam's razor (also spelled Ockham's razor or Ocham's razor; Latin: novacula Occami) is the problem-solving principle that recommends searching for explanations constructed with the smallest possible set of elements. It is also known as the principle of parsimony or the law of parsimony (Latin: lex parsimoniae). Attributed to William of Ockham, a 14th-century English philosopher and theologian, it is frequently cited as Entia non sunt multiplicanda praeter necessitatem, which translates as "Entities must not be multiplied beyond necessity", although Occam never used these exact words. Popularly, the principle is sometimes paraphrased as "The simplest explanation is usually the best one."
Maybe it's not common sense but upon understanding what exactly is involved, maybe it is better common sense.
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Thanks! This is truly inspirational.
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I thought immediately of a Degausser.
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