> The lesson for me is that you must advocate for yourself and your loved ones in the medical system, because doctors will not do it for you; they may not even perform the most basic risk assessments. And you have to try to quantify risk yourself, because doctors will refuse to give you the slightest hint of any number attached to risk (I know, I've tried many times).

Doctors vary wildly, and that's part of the issue. For instance, my oncologist had zero problem rattling off mortality statistics. I've personally had doctors try to sell me surgery before identifying the issue, but I've also had doctors successfully talk me out of what would have been useful procedures by offering their risk/benefit assessment unprompted.

It's like any other field. If there are 10x and 0.1x engineers, you bet there are 10x and 0.1x doctors. A 1hr intake appointment isn't anywhere near enough time to judge even for folks in the field.

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thruway515 an hour ago | parent | next [-]

No it's not like any other field. There's no such thing as a 10x doctor. A '10x' doctor is just as likely to kill you as any other especially when it comes to experimental never before done procedure. In fact a 10x doctor like Qiu is more likely to take risks. This is medicine not a software shop where we measure productivity by number of commits or number of surgeries per hour except by 10x you mean 10times more likely to be careful and ethical

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exmadscientist 13 minutes ago | parent | next [-]

I think there absolutely are 10x doctors! When every doctor or specialist you meet in a field says "yeah, Dr X is a massive asshole and I kind of hate him personally but if I ever need [not-particularly-rare procedure Y], I want him to be the one to do it", I think Dr X counts.

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itishappy 41 minutes ago | parent | prev | next [-]

Yeah, I don't mean it literally, nor do I necessarily agree with the concept of 10x engineers in general, but it's a useful shorthand. I would bet doctors vary somewhat less than other fields, but my family has been surprised and burnt by the variance still there, and I'm the only non-doctor!

On the topic of 10x surgeries per hour, the 1800s were an interesting time! This guy in particular:

https://en.wikipedia.org/wiki/Robert_Liston

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nickff an hour ago | parent | prev | next [-]

What exactly do you mean by "10x doctor"?

Some surgeons have a 10x higher 'revision rate' than others, and from what I understand, that may be an understatement. Many of the statistics which would indicate the ones to avoid are not tracked, precisely because the doctors do not want them tracked.

	▲	thruway515 40 minutes ago \| parent [-]
		You'll have to ask the OP what they meant by 10x. I assume they meant it in the programmer/hacker sense of producing more work in the same amount of time than their peers or being a 'rockstar'

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foco_tubi 39 minutes ago | parent | prev [-]

The point is, there are excellent doctors, good doctors, bad doctors, and awful doctors who should probably have their licensure revoked; just like engineers, or any other profession, there is a spectrum to the quality of service/talent/care.

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ButlerianJihad an hour ago | parent | prev [-]

https://youtu.be/6h6dhevlb0w?is=t-cLAwe5vBuKx_fZ

Your Coworker Who's a 10× Engineer