[url=http://meincmagazine.com/civis/viewtopic.php?p=31000901#p31000901:3scj4h7t said:Wyokin[/url]":3scj4h7t]What is the problem with public hospitals? I have a relative that is a nurse and she seem to have no problem with any race. I mean that I find it very concerning that people still have segregation and disrespect for one another. I have many different raced friends and I can't fathom that our public still allows this kind of behavior. I just have to say I'm lost in puzzlement and don't want to start an argument.
Exactly what I was thinking. There's this tendency to believe doctors know everything about biology (which I guess implies to many that they are much more intelligent.) Maybe that's why they seem to have so much sway with the general public on other topics where they are even less qualified to speak. In any case, I've worked in healthcare for over a decade, and it's amazing how many nurses and doctors both adhere to dogmatic and incorrect beliefs. It's like they don't realize that the medical field and our knowledge is progressing and what they may have heard during their training is often no longer the scientifically accepted truth. And it's worse with nursing where standards are lower and instructors teach things that are blatantly misleading and even outright false - all due to political biases.[url=http://meincmagazine.com/civis/viewtopic.php?p=31000867#p31000867:xrnsiuva said:Blue Adept[/url]":xrnsiuva]You know, if you start of with a pool of medical professionals who are known to have incorrect understandings of biology, is it all that surprising that they do incorrect treatment?
[url=http://meincmagazine.com/civis/viewtopic.php?p=31000913#p31000913:ejy9jnef said:Coriolanus[/url]":ejy9jnef][url=http://meincmagazine.com/civis/viewtopic.php?p=31000901#p31000901:ejy9jnef said:Wyokin[/url]":ejy9jnef]What is the problem with public hospitals? I have a relative that is a nurse and she seem to have no problem with any race. I mean that I find it very concerning that people still have segregation and disrespect for one another. I have many different raced friends and I can't fathom that our public still allows this kind of behavior. I just have to say I'm lost in puzzlement and don't want to start an argument.
I doubt that the disparity is the result of a conscious decision to discriminate, but something unconscious that the doctor is probably not aware of affecting behaviors subtly.
No, think of it in terms of sports where many Americans don't believe that white people can compete and believe that black people are inherently better athletes. I'm sure some of that does come from slavery where I'm sure they were marketed as superior to white laborers. I think that also plays into the idea that some people have of the less evolved an animal, the more inherent strength they have - that somehow intelligence and strength are inversely proportional.[url=http://meincmagazine.com/civis/viewtopic.php?p=31000899#p31000899:29k19yfh said:Hicham[/url]":29k19yfh]Is this something American? I have never heard the believe that black people feel less pain or that white people are more delicate then other etnicities?
This makes little sense to me. What would be the reason for this? Thicker skinn? Less sensitive nerves? Or do people believe it is upbringing somehow? Black parents are tougher with their kids?
Very weird if you ask me. Is this some cultural left over from the slavery days when whites had to justify whipping their slaves?
Well, that would be the largest part of the bell curve when it comes to provider performance in my experience. You would not believe how many think that they do much better than the population-based treatment protocols. It's always the other person doing the wrong thing with their patients and ruining it for the geniuses.[url=http://meincmagazine.com/civis/viewtopic.php?p=31000965#p31000965:2lmes198 said:Ben G[/url]":2lmes198]Isn't the basic conclusion from this study that "bad doctors are bad at their jobs"? That doesn't seem to be a terribly surprising finding.
[url=http://meincmagazine.com/civis/viewtopic.php?p=31000901#p31000901:1ffo6t0f said:Wyokin[/url]":1ffo6t0f]What is the problem with public hospitals? I have a relative that is a nurse and she seem to have no problem with any race. I mean that I find it very concerning that people still have segregation and disrespect for one another. I have many different raced friends and I can't fathom that our public still allows this kind of behavior. I just have to say I'm lost in puzzlement and don't want to start an argument.
[url=http://meincmagazine.com/civis/viewtopic.php?p=31000899#p31000899:3qo1z07l said:Hicham[/url]":3qo1z07l]Is this something American? I have never heard the believe that black people feel less pain or that white people are somehow more delicate then other etnicities?
This makes little sense to me. What could possible be the reason for this? Thicker skin? Less sensitive nerves? Or do people believe it is upbringing somehow? Black parents being tougher on their kids?
Very weird if you ask me. Is this some cultural left over from the slavery days when whites had to justify whipping their slaves?
[url=http://meincmagazine.com/civis/viewtopic.php?p=31000955#p31000955:245vaui7 said:superchkn[/url]":245vaui7]No, think of it in terms of sports where many Americans don't believe that white people can compete and believe that black people are inherently better athletes. I'm sure some of that does come from slavery where I'm sure they were marketed as superior to white laborers. I think that also plays into the idea that some people have of the less evolved an animal, the more inherent strength they have - that somehow intelligence and strength are inversely proportional.[url=http://meincmagazine.com/civis/viewtopic.php?p=31000899#p31000899:245vaui7 said:Hicham[/url]":245vaui7]Is this something American? I have never heard the believe that black people feel less pain or that white people are more delicate then other etnicities?
This makes little sense to me. What would be the reason for this? Thicker skinn? Less sensitive nerves? Or do people believe it is upbringing somehow? Black parents are tougher with their kids?
Very weird if you ask me. Is this some cultural left over from the slavery days when whites had to justify whipping their slaves?
Edit: Which is to say that black people were once considered to be less evolved and intelligent. I re-read that and I can see where someone might get the idea that I'm saying that when I'm not.
You seem to be missing the issue that it's not about doctors intentionally making the decisions. They don't sit down and say "well, this guy's black, time for the Standard Black Guy Pain Treatment". It's just that whether or not they're aware of it, doctors are just as human and just as prone to having biases they may not even know that they have influence their decisions as the rest of us.[url=http://meincmagazine.com/civis/viewtopic.php?p=31001053#p31001053:12o3en6f said:ConLawHero[/url]":12o3en6f]Talk to actual physicians and realize the vast an overwhelming majority don't care who you are, what color you are, what sex you are, or literally anything else [I mean, they will care about relevant physical traits, i.e., if you're a man, no cervical cancer, if you're black then sickle cell, that kind of thing]. Physicians in hospitals are so incredibly overworked that their main goal is to solve one patient's problem then move on to the next.
Moreover, many, many physicians are beginning to hold back on prescribing pain killers because they are over-prescribed right now. When you combine that with iSTOP laws (in NY, but apparently may become nationwide very soon), you have patients complaining that doctors won't prescribe drugs when a) the patient has already gone to 5 different doctors to try to get a script and/or b) the doctor does not feel an opiate is the appropriate treatment.
When my wife does prescribe opiates, is because it's the best course of treatment; not because it's the best course of treatment for white people or black people.
Many patients do not need opiates, and long term use of opiates should be avoided in favor of anti-depressants (which have analgesic properties) or something like tramadol or gabapentin.
The big offenders of over prescribing opiates, primary care physicians. Doctors in hospitals try to avoid prescribing opiates when there are better alternatives. Medical resident scripts for controlled substances are reviewed by attendings and medical students can't prescribe.
[url=http://meincmagazine.com/civis/viewtopic.php?p=31001039#p31001039:2cm8ns68 said:Einbrecher[/url]":2cm8ns68][url=http://meincmagazine.com/civis/viewtopic.php?p=31000901#p31000901:2cm8ns68 said:Wyokin[/url]":2cm8ns68]What is the problem with public hospitals? I have a relative that is a nurse and she seem to have no problem with any race. I mean that I find it very concerning that people still have segregation and disrespect for one another. I have many different raced friends and I can't fathom that our public still allows this kind of behavior. I just have to say I'm lost in puzzlement and don't want to start an argument.
Did you read the article, or did you jump to a default, racially-charged response? I didn't see anywhere in it about disrespect or segregation.
All it says is that they found there existed in misinformed doctors the perception that black patients were more pain tolerant than white ones. There's no agenda or malicious intent here - just bad doctors being, well, bad.
[url=http://meincmagazine.com/civis/viewtopic.php?p=31000955#p31000955:vsugs3xg said:superchkn[/url]":vsugs3xg]No, think of it in terms of sports where many Americans don't believe that white people can compete and believe that black people are inherently better athletes. I'm sure some of that does come from slavery where I'm sure they were marketed as superior to white laborers. I think that also plays into the idea that some people have of the less evolved an animal, the more inherent strength they have - that somehow intelligence and strength are inversely proportional.[url=http://meincmagazine.com/civis/viewtopic.php?p=31000899#p31000899:vsugs3xg said:Hicham[/url]":vsugs3xg]Is this something American? I have never heard the believe that black people feel less pain or that white people are more delicate then other etnicities?
This makes little sense to me. What would be the reason for this? Thicker skinn? Less sensitive nerves? Or do people believe it is upbringing somehow? Black parents are tougher with their kids?
Very weird if you ask me. Is this some cultural left over from the slavery days when whites had to justify whipping their slaves?
Edit: Which is to say that black people were once considered to be less evolved and intelligent. I re-read that and I can see where someone might get the idea that I'm saying that when I'm not.
...and full circle back to not having much choice! This would be funny if it weren't true (and that there are so many negative repercussions of the cycle.) <sigh>[url=http://meincmagazine.com/civis/viewtopic.php?p=31001187#p31001187:206hf4cw said:enduzzer[/url]":206hf4cw]Many if not most athletes are black. Not that they are superior but they have less choice to climb the social ladder so they pick jobs where they can take advantage of this deeply rooted belief that a black body is made for running and boxing and stamina. So they themselves seem to unwittingly perpetuate this categorizing.
It would be interesting if someone had the time to go back through the genealogy and see if that were true. On the one hand I wouldn't think it would have much effect across the number of generations we're talking about, and yet, animal studies have demonstrated surprising changes in short generational time frames. Nonetheless, I'm dubious on that one without seeing the evidence. I suspect it's just a larger relative population competing, which naturally results in more competitive athletes rising to the top.[url=http://meincmagazine.com/civis/viewtopic.php?p=31001215#p31001215:2gqdnbji said:iPirateEverything[/url]":2gqdnbji][url=http://meincmagazine.com/civis/viewtopic.php?p=31000955#p31000955:2gqdnbji said:superchkn[/url]":2gqdnbji]No, think of it in terms of sports where many Americans don't believe that white people can compete and believe that black people are inherently better athletes. I'm sure some of that does come from slavery where I'm sure they were marketed as superior to white laborers. I think that also plays into the idea that some people have of the less evolved an animal, the more inherent strength they have - that somehow intelligence and strength are inversely proportional.[url=http://meincmagazine.com/civis/viewtopic.php?p=31000899#p31000899:2gqdnbji said:Hicham[/url]":2gqdnbji]Is this something American? I have never heard the believe that black people feel less pain or that white people are more delicate then other etnicities?
This makes little sense to me. What would be the reason for this? Thicker skinn? Less sensitive nerves? Or do people believe it is upbringing somehow? Black parents are tougher with their kids?
Very weird if you ask me. Is this some cultural left over from the slavery days when whites had to justify whipping their slaves?
Edit: Which is to say that black people were once considered to be less evolved and intelligent. I re-read that and I can see where someone might get the idea that I'm saying that when I'm not.
Also keep in mind that blacks _were_ considered animals (in a way) and I remember reading somewhere that they were sometimes "bred" (and we wonder why aliens want nothing to do with us) exactly how we breed dogs/cats to bring out certain traits like intelligence, strength etc
If true, like it or not, from that horrible history it could be some black descendants might be stronger than folks who didn't have to go through that hell.
Just to avoid any mistaken impressions by the readers: Tramadol is an opioid. Its a mu-receptor agonist and thus fits the same receptors in the pain centers as morphine et al. It does not have the intrinsic activity level though and so is only effective for pain to a certain level. It is also an SRNI (serotonin norepinephrine reuptake inhibitor) which makes it especially useful for chronic pain as it has antidepressant activity.[url=http://meincmagazine.com/civis/viewtopic.php?p=31001053#p31001053:1s33xixl said:ConLawHero[/url]":1s33xixl]Talk to actual physicians and realize the vast an overwhelming majority don't care who you are, what color you are, what sex you are, or literally anything else [I mean, they will care about relevant physical traits, i.e., if you're a man, no cervical cancer, if you're black then sickle cell, that kind of thing]. Physicians in hospitals are so incredibly overworked that their main goal is to solve one patient's problem then move on to the next.
Moreover, many, many physicians are beginning to hold back on prescribing pain killers because they are over-prescribed right now. When you combine that with iSTOP laws (in NY, but apparently may become nationwide very soon), you have patients complaining that doctors won't prescribe drugs when a) the patient has already gone to 5 different doctors to try to get a script and/or b) the doctor does not feel an opiate is the appropriate treatment.
When my wife does prescribe opiates, is because it's the best course of treatment; not because it's the best course of treatment for white people or black people.
Many patients do not need opiates, and long term use of opiates should be avoided in favor of anti-depressants (which have analgesic properties) or something like tramadol or gabapentin.
The big offenders of over prescribing opiates, primary care physicians. Doctors in hospitals try to avoid prescribing opiates when there are better alternatives. Medical resident scripts for controlled substances are reviewed by attendings and medical students can't prescribe.
[url=http://meincmagazine.com/civis/viewtopic.php?p=31001187#p31001187:1v478e42 said:enduzzer[/url]":1v478e42]Many if not most athletes are black. Not that they are superior but they have less choice to climb the social ladder so they pick jobs where they can take advantage of this deeply rooted belief that a black body is made for running and boxing and stamina. So they themselves seem to unwittingly perpetuate this categorizing.
That's a pretty ridiculous criticism. You're claiming that they didn't do due diligence on a paper effectively studying psychology because they didn't assume that the existing body of literature on physical differences between races is a complete lie and start performing a medical study to start over from scratch? Should they question the chemical effects of pain drugs and the validity of the nervous system as well?[url=http://meincmagazine.com/civis/viewtopic.php?p=31001281#p31001281:3ewvzqbu said:daropi[/url]":3ewvzqbu]This smacks me a bit of a study that heard a stereotype, automatically concluded its complete BS, and then went about to try to show how it's bad and impacts things. They seem overconfident in their assumptions - what if there is a difference? Did they actually try to prove there wasn't? Nothing in this article talks about it.
Or maybe the study found that doctors make prescriptions that match their biases even when there's no medical reason to do so, something that's been pretty well-established by many, many studies.Stereotypes aren't always born out of a random mix, often times there's some truth to it. Maybe there is a difference. For example, its well known that skin barrier function and thickness IS different between different races. East asians tend to have significantly measurable thinner skin and more poor barrier functionality. That could conceivably translate to things like skin bruising or injuries.
Who knows, maybe there's more to it than just a simple assumption everyone is completely equal.
Although sadly, it has the same drying effect that the more well known opioids do. So if you have something like Meniere's, you end up facing the same choice of being in pain or enduring vomit-inducing vertigo for days on end (even after you've stopped taking it.) No thanks, I'll take the pain every single time. I hope they come up with better pain medications by the time I'm facing something more than the elbow surgery I had to pin my bones back together. That was surprisingly not as painful as I'd have thought, but I can imagine more widespread and severe injuries that would have me confronting an ugly choice.[url=http://meincmagazine.com/civis/viewtopic.php?p=31001339#p31001339:2dwyyj8j said:Veritas super omens[/url]":2dwyyj8j]
Just to avoid any mistaken impressions by the readers: Tramadol is an opioid. Its a mu-receptor agonist and thus fits the same receptors in the pain centers as morphine et al. It does not have the intrinsic activity level though and so is only effective for pain to a certain level. It is also an SRNI (serotonin norepinephrine reuptake inhibitor) which makes it especially useful for chronic pain as it has antidepressant activity.
[url=http://meincmagazine.com/civis/viewtopic.php?p=31001293#p31001293:2jimp06b said:superchkn[/url]":2jimp06b]It would be interesting if someone had the time to go back through the genealogy and see if that were true.[url=http://meincmagazine.com/civis/viewtopic.php?p=31001215#p31001215:2jimp06b said:iPirateEverything[/url]":2jimp06b][url=http://meincmagazine.com/civis/viewtopic.php?p=31000955#p31000955:2jimp06b said:superchkn[/url]":2jimp06b]No, think of it in terms of sports where many Americans don't believe that white people can compete and believe that black people are inherently better athletes. I'm sure some of that does come from slavery where I'm sure they were marketed as superior to white laborers. I think that also plays into the idea that some people have of the less evolved an animal, the more inherent strength they have - that somehow intelligence and strength are inversely proportional.[url=http://meincmagazine.com/civis/viewtopic.php?p=31000899#p31000899:2jimp06b said:Hicham[/url]":2jimp06b]Is this something American? I have never heard the believe that black people feel less pain or that white people are more delicate then other etnicities?
This makes little sense to me. What would be the reason for this? Thicker skinn? Less sensitive nerves? Or do people believe it is upbringing somehow? Black parents are tougher with their kids?
Very weird if you ask me. Is this some cultural left over from the slavery days when whites had to justify whipping their slaves?
Edit: Which is to say that black people were once considered to be less evolved and intelligent. I re-read that and I can see where someone might get the idea that I'm saying that when I'm not.
Also keep in mind that blacks _were_ considered animals (in a way) and I remember reading somewhere that they were sometimes "bred" (and we wonder why aliens want nothing to do with us) exactly how we breed dogs/cats to bring out certain traits like intelligence, strength etc
If true, like it or not, from that horrible history it could be some black descendants might be stronger than folks who didn't have to go through that hell.
Eh, it's only the one downvote. As a general rule, if your post opens with something that might offend people then at least someone out there will just mash that down arrow rather than reading the rest.[url=http://meincmagazine.com/civis/viewtopic.php?p=31001577#p31001577:3ixsrc22 said:iPirateEverything[/url]":3ixsrc22][url=http://meincmagazine.com/civis/viewtopic.php?p=31001293#p31001293:3ixsrc22 said:superchkn[/url]":3ixsrc22]It would be interesting if someone had the time to go back through the genealogy and see if that were true.[url=http://meincmagazine.com/civis/viewtopic.php?p=31001215#p31001215:3ixsrc22 said:iPirateEverything[/url]":3ixsrc22][url=http://meincmagazine.com/civis/viewtopic.php?p=31000955#p31000955:3ixsrc22 said:superchkn[/url]":3ixsrc22]No, think of it in terms of sports where many Americans don't believe that white people can compete and believe that black people are inherently better athletes. I'm sure some of that does come from slavery where I'm sure they were marketed as superior to white laborers. I think that also plays into the idea that some people have of the less evolved an animal, the more inherent strength they have - that somehow intelligence and strength are inversely proportional.[url=http://meincmagazine.com/civis/viewtopic.php?p=31000899#p31000899:3ixsrc22 said:Hicham[/url]":3ixsrc22]Is this something American? I have never heard the believe that black people feel less pain or that white people are more delicate then other etnicities?
This makes little sense to me. What would be the reason for this? Thicker skinn? Less sensitive nerves? Or do people believe it is upbringing somehow? Black parents are tougher with their kids?
Very weird if you ask me. Is this some cultural left over from the slavery days when whites had to justify whipping their slaves?
Edit: Which is to say that black people were once considered to be less evolved and intelligent. I re-read that and I can see where someone might get the idea that I'm saying that when I'm not.
Also keep in mind that blacks _were_ considered animals (in a way) and I remember reading somewhere that they were sometimes "bred" (and we wonder why aliens want nothing to do with us) exactly how we breed dogs/cats to bring out certain traits like intelligence, strength etc
If true, like it or not, from that horrible history it could be some black descendants might be stronger than folks who didn't have to go through that hell.
I agree.
I really don't have a horse in this race and what I wrote above is something I read somewhere else, I have no idea of the validity of it being true/false.
I don't get why that's being downvoted though... oh well.
[url=http://meincmagazine.com/civis/viewtopic.php?p=31000899#p31000899:16eyaf62 said:Hicham[/url]":16eyaf62]Is this something American? I have never heard the believe that black people feel less pain or that white people are somehow more delicate then other etnicities?
This makes little sense to me. What could possible be the reason for this? Thicker skin? Less sensitive nerves? Or do people believe it is upbringing somehow? Black parents being tougher on their kids?
Very weird if you ask me. Is this some cultural left over from the slavery days when whites had to justify whipping their slaves?
[url=http://meincmagazine.com/civis/viewtopic.php?p=31001187#p31001187:18rzpq8k said:enduzzer[/url]":18rzpq8k]Many if not most athletes are black. Not that they are superior but they have less choice to climb the social ladder so they pick jobs where they can take advantage of this deeply rooted belief that a black body is made for running and boxing and stamina. So they themselves seem to unwittingly perpetuate this categorizing.
[url=http://meincmagazine.com/civis/viewtopic.php?p=31000899#p31000899:1rs5dkbo said:Hicham[/url]":1rs5dkbo]Is this something American? I have never heard the believe that black people feel less pain or that white people are somehow more delicate then other etnicities?
[url=http://meincmagazine.com/civis/viewtopic.php?p=31000899#p31000899:3kfvne2a said:Hicham[/url]":3kfvne2a]Is this something American? I have never heard the believe that black people feel less pain or that white people are somehow more delicate then other etnicities?
This makes little sense to me. What could possible be the reason for this? Thicker skin? Less sensitive nerves? Or do people believe it is upbringing somehow? Black parents being tougher on their kids?
Very weird if you ask me. Is this some cultural left over from the slavery days when whites had to justify whipping their slaves?