Doctor Reacts to John Oliver | Last Week Tonight: Bias in Medicine

21.08.2019
2 569 463 Näkymät

John Oliver discussed medical bias on his latest episode and you requested that I react to it. This episode is slightly different than most of my other reaction videos as I gave a watch before doing the reaction video in order to vet the research discussed on the program. If you'd like for me to cover this topic in more detail please do comment below.
Original Video: fistream.info/work/videot/iqKMjKKtfny1yWg
Diversity Video: fistream.info/work/videot/gbijf5OzaHOpt3E
If you have an idea of something you want me to cover in-depth, please let me know because I take your requests seriously. We will be back with more Doctor Reacts Series, Memes, & Responding to Comments so please submit more names of shows/episodes & questions you'd like for me to watch. Love you all!
- Doctor Mike Varshavski
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** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional professional **

Kommentteja
  • The fact alone that the symptoms that are common in women are called "atypical presentation" reveals the ingrained bias, "Men are _normal._ When women are different, that makes them _abnormal."_ Therefore male symptoms are "typical" and what doctors are trained to recognise, and female symptoms are "atypical" and more likely to be misdiagnosed.

    Sebastian WeinbergSebastian Weinberg22 tuntia sitten
  • Um hold on a sec if a doctor is unaware of female biology they shouldn't be doctors in the first place I think if any doctor has a clear bias against women and people of color they should not be allowed to practice medicine anymore , Or atleast make them take bias training to make them realize they are not doing the patient any good And It's wild to me that doctors treat women and people of color like this

    Draco_boiDraco_boiPäivä sitten
  • My 3rd scheduled c-section, I knew what to expect which meant severe nausea from the anesthesia. I was proactive about it. I told my doctor. I told the nurses. I told the anesthesiologist. All assured me that they would give me anti nausea medication right away. Once I was in the ER everything changed. No more talk of preventative meds. As my nausea increased, I continued to request anti nausea meds. I was reassured that everything was going well, then offered anxiety medications. "I'm not anxious, I'm nauseated." Nope. Didn't get nausea medications until I threw up.

    Cordelia RothCordelia Roth2 päivää sitten
  • This is the first video I've seen if yours because I was binge watching John Oliver, but subbed because of the wholesome truth

    Lonely TylenolLonely Tylenol2 päivää sitten
  • I appreciated this vid! Dr. Mike I thank you for your sincerity, honesty and optimism juxtaposed with JO's sincerity, anger, and pessimism. I agree that this dialogue is disturbing but necessary. As a black woman, I truly have an inherent fear of meeting bias in medicine due to this country's history of treating black bodies more harshly because of the stubborn belief that "we can take it". I witnessed a doctor being visibly annoyed when asked to run a battery of tests to determine the cause of abdominal pain in a black woman's body. A team of doctors ran the bare minimum of tests, not sighting a growing mass, and ended up prescribing maalox. You mention the doctors' perspective of reluctance in treatment that may not be attributable to race, but bad experiences with patients, and I respect that. On the other hand, imagine patients who experience biased, weak treatment, then struggle to trust the next doctor's opinion because the doctor's race or ethnicity resembles the doctors that hurt or embarrassed them. This becomes a cycle of mistreatment based on historic mistrust, but the work must be done to address it.

    LynettraLynettra3 päivää sitten
  • How many doctors tell you it's old age, my wife got told this in her forties and while I'm now in my 60s, it isn't like a light switch clicks. I presented with covid type long term after symptoms and was labeled as old.

    tlaktlak3 päivää sitten
  • 0:01 CHANDLER IS THAT U

    POP DATAPOP DATA5 päivää sitten
  • Doctor Mike if I ever move to New York or New Jersey I want you to be my primary physician😉

    lunna_bluulunna_bluu5 päivää sitten
  • As someone from the UK, where we have universal healthcare for all (those who want to go private can), you get the same quality of care whether you are rich or poor, black or white. This is the problem between the US and here in the UK. Unless you have health insurance in the US you'll only go to a healthcare professional when a problem has gotten to a point where it's chronic and maybe even life threatening. In the UK we pay for our health service, the NHS (National Health Service) through or taxes, something people in the US don't want to. The problem in the US is that healthcare is a business run to make profits for its shareholders and not purely for the health of the public. I'm not saying that doctors like you Doctor Mike, you're obviously very committed to helping people, but if there isn't a free yearly checkup for those in certain age groups or with high risk groups, maybe everyone, then you'll end up spending more money in the long term when they have to go into hospital with severe conditions.

    Matt PotterMatt Potter5 päivää sitten
  • Dr. Mike needs to look up the definition of bias.

    adiraisifyadiraisify6 päivää sitten
  • You are so generous, thank you. ❤

    Monnie NanMonnie Nan7 päivää sitten
  • I feel like, in this video, you are being a little over optimistic.

    Tammi BolenderTammi Bolender7 päivää sitten
  • Love the real look at this!

    ashley Phillipsashley Phillips7 päivää sitten
  • It's descriptions like "present atypically" that do damage. These are not atypical symptoms- they are typical in women.

    Stephanie MitchellStephanie Mitchell7 päivää sitten
  • Understand how you all feel, issue with my male doctor right now. Am overweight and diabetic, I know my issues of Astio-arthritis are aggravated by my diabetes. But I need help with the pain of arthritis. He’s so fixated on my weight loss, we never get to discuss the pain he just shrugs it off and tells me you just have to loose weight. My hands and wrists hurt sooo bad sometimes and I think if I lost 100lbs would that stop my hands from hurting. Men Drs don’t believe in women’s pain.

    Cats CabooseCats Caboose8 päivää sitten
  • John Oliver is another in a long line of television personalities that cherry pick singular statements from a broad amount of works to string together a piece that fits a narrative. I don’t watch his content bc it’s garbage

    M RM R8 päivää sitten
  • This was so disheartening to watch. especially since I really enjoy your content. I feel like throughout the video, you were just ignoring the fact that there’s clearly a racial bias in all of these problems.

    riri hatakeriri hatake8 päivää sitten
  • This Guy: I’m not excusing the fact that doctors treat black patients differently. Also This Guy: *spends 25 minutes excusing why black patients are treated differently* Doctors like THIS guy are why my hypothyroidism went untreated. I went from having 7 allergies to 23 and developed three chronic illnesses. My sister almost died in childbirth because her doctor thought her LITERAL INTERNAL BLEEDING was anxiety. The doctor punctured my sister’s ovary during the tubal ligation and my was drowning internally. She lost four pints of blood and almost died. But thanks for explaining why that’s okay because, “maybe doctors have bad experiences with drug seeking patients”. Dismissive attitudes like his are so much of what’s wrong with healthcare.

    Monique BousquinMonique Bousquin9 päivää sitten
  • Everything about his analysis is why I am so so particular about choosing my doctors. No matter what he says, this IS the norm. He’s being so defensive and it’s cringey af. Even the idea that women aren’t paying attention to their bodies because they’re too busy with the kids. What kind of heteronormative bs is that?! First of all, not everyone has access to healthcare. Secondly, even when women DO decide to advocate for their own health, too often they’re not believed. This entire reaction to John Oliver is basically this doctor gaslighting his viewers and speaking over the actual LIVED EXPERIENCES of those who have had these issues.

    Monique BousquinMonique Bousquin9 päivää sitten
  • Women are not getting different outcomes just because of physiological differences. We are treated as panicky hypochondriacs. It's a societal perception issue concerning "emotional women". I have had to bring in photographs from previous surgeries to make doctors believe I didn't get a severe endometriosis diagnosis from web MD. I've had eurologists who didn't feel like pulling my medical records to see that my repeated kidney infections led to sepsis and nearly killed me send me packing with samples boxes of anti-inflammatory meds and not so much as a urinalysis. I drive over an hour to see my doctor because he's the only one I have found in nearly 15 years that I know will hear me and take it seriously. I believe doctors are wonderful, but they are as human and biased as everyone else. We all need to be more mindful. As yourself if you are allowing preconceptions to color your judgment. If you are, back up and take a better path.

    Susan JohnsonSusan Johnson9 päivää sitten
  • Heyyyy, a guy who doesn't understand scientific rigor, but who is an MD. I've met a couple of those before!

    The MartianThe Martian10 päivää sitten
  • We also need people with darker skin to be represented in all aspects of medicine. For example, my relative who is a child injured their ankle and the information the parents received was strictly saying the ankle should be pink. His skin is dark so it wasn't helpful to him or his parents. Same with how skin symptoms are represented.

    Heather MHeather M10 päivää sitten
  • The sad fact is this kind of treatment doesn't stop at the hospital. I was a pharmacy tech for 2 years and witnessed a overtly religious pharmacist not only take plan b off the shelf but refuse to re-order refills on birth control. I also had a much older pharmacist tell me flat out that if he were a doctor he would give his geriatric patients all the pain killers they needed and tell the younger patients that they would have to "deal with it". No matter if they had the exact same issue. Thank God 🙏 they were just substitutes and not the store's regular pharmacists. Needless to say I told BOTH of them that their personal and religious beliefs didn't belong in health care services.

    Becca WolfBecca Wolf11 päivää sitten
  • I don't think can ever really be proved as a cause. At least not in a study. For one, most folks aren't aware of their biases, they aren't doing this intentionally, so there isn't going to be a self report of it. This is not an experiment, so these situations aren't set up to show bias. I think the lack of other causes is how you infer bias and bias can exist within systems. If a system or a way of teaching that disregards how 50% of people describe pain, that system is biased. That bias is hurting patients.

    JessieBananaJessieBanana11 päivää sitten
  • Not sure if I am correct, but could one of the reasons for the gender disparity in prescription of pain meds could be due to the fact that women naturally have a higher pain threshold than men? Also, could the fact that black woman are more obese likely be the cause for higher maternal mortality amongst them? At 14:50, Mike, I think you have confused two different things. 'Excess deaths' or 'mortality' is not the same as 'life expectancy.' Other than this, I think you did a great job of giving us more insight into the points that John Oliver could 'obviously' :) only briefly touch upon. I saw that you also did a 'responding to the critique' video as well. Enjoyed that too.

    AnioneAnione11 päivää sitten
  • its a fact that asian and black people have thicker skin than Caucasian, that is why they seem like they dont age as fast

    joan baczekjoan baczek12 päivää sitten
  • Im not really into the whole patriarchy ideology, but i think the 1 thing that everyone can agree on is that its more common for women to not be taken seriously by a medical professional. I can't even count how many times ive had a dr tell me that what im going through isnt real or an issue. I get period cramps so bad that all i can do is sit in bed and cry. Theyve made me suicidal sometimes and im extremely grateful that they havent been that bad in a long time, but they routinely get bad enough that ghe strongest otc pain killers like naproxen dont even take off the edge. I told my dr about it and asked if i could get prescribed pain killers specifically for that cause theyre so bad and she said she'd look into it. That was a year ago and i still havent heard anything from her about it

    Brooke LambertonBrooke Lamberton12 päivää sitten
  • My grandmother has repeatedly been told she was fine while actively having a heart attack. On my way to being a doctor so I can personally change these things, at least for my patients.

    larhonda41larhonda4112 päivää sitten
  • Kidney stone? No pain meds Hernia? No pain meds Fell in bathtub on my underboobs? No pain meds Bleach in eyes? No pain meds Broken tooth? No pain meds Stitches after meat slicer accident? No pain meds Teapot of boiling water dropped in lap? No pain meds. I’ve lived in four different states. I’m female. All these things occurred over 30 years of living, Say what again? It’s not a modern attitude towards women’s pain. Oh and my aunt died of a heart attack at 38. Emergency Room doc told her she was just emotional. She was dead before daybreak.

    Wonder LadyWonder Lady12 päivää sitten
  • I know I am commenting late, but I definitely had an experience with having pain dismissed. I was having vaginal pain during intercourse, and it was progressively worse. I got checked for STDs, vaginal dryness and everything looked ok- but I was having pain still. I told my Dr that from what I had seen about my birth control method (The patch at that time) there were cases of women having vaginal pain, and wanted to switch to another to try. She kept insisting it wasn't my birth control. Long story short- I changed to the IUD, and the pain IMMEDIATELY subsided!

    Coach BeverlyCoach Beverly13 päivää sitten
  • Not only are doctors biased against women and minorities they are also biased and judgmental against people who struggle with drug addiction. As an addict in recovery I still get treated like a junkie trying to get drugs every time I go to the doctor or hospital. The way I'm treated by the nurses and doctors before I tell them that I'm in recovery is so so different than how they treat me after. A lot of people I know refuse to go get medical treatment because they know that they will not be taken seriously or will be treated badly because of their addiction issues.

    xxlamortebellaxxxxlamortebellaxx13 päivää sitten
    • @Coach Beverly Thank you. I appreciate you saying that. 😊

      xxlamortebellaxxxxlamortebellaxx11 päivää sitten
    • @xxlamortebellaxx Yes!!! Medicine is a field you can NOT be biased in!!! People can literally die!!! Im sorry you had do experience being judged girl. Your life is valuable compared to everyone else's, no matter what your past has been!

      Coach BeverlyCoach Beverly11 päivää sitten
    • @Coach Beverly And that is unacceptable. Doctors swear oaths to first do no harm and to do everything in their capabilities to treat each and every patient and give them the best standard of care. It shouldn't matter if the patient is a drug addict, black, white, gay, woman, man, already sick, mentally disabled or anything else and if they can't do that then they should find a new job. And do some serious soul searching. I'm sorry you have to feel that way and fear for yourself and your unborn child. Humans disgust me and I am ashamed to be one.

      xxlamortebellaxxxxlamortebellaxx12 päivää sitten
    • @xxlamortebellaxx Oh wow, they literally would have been responsible for her death! Its so sad that she almost died because of someone's opinion... but im glad she's ok!!!! I have to say as a Black woman, I am also scared. I don't have kids, but I am scared to give birth in a hospital. Black women have higher mortality rates and post birth complications...

      Coach BeverlyCoach Beverly12 päivää sitten
    • @Coach Beverly It is. I had a friend who almost died because the doctor she went too assumed she was a junkie and that her problem was from injecting when it actually was a blood infection around a plate she had in her chest from a car accident. Missed a stroke, sepsis and endocarditis. All because they knew she had a addiction problem and assumed things about her. Thankfully I convinced her to go to a different hospital and they found and treated what was going on.

      xxlamortebellaxxxxlamortebellaxx12 päivää sitten
  • I'm a white woman who lives in England. My cancer was constantly misdiagnosed, when I told them all my symptoms (textbook to the actual symptoms of the cancer) they told me it was all in my head. I constantly told them I was in pain. No pain meds offered. I told them I had facial numbness, they told me I was making it up. I begged and begged them to remove my "lump" in my neck. Boom, adenoid cystic carcinoma. A rare and aggressive cancer. I now have zero trust in doctors.

    Victoria Taylor-BrooksVictoria Taylor-Brooks13 päivää sitten
    • @Victoria Taylor-Brooks The real plague of humanity is the lack of morals and compassion This is incompetence/negligence on part of the doctors, and separately/independently it was malice I'm very sorry for you, of all professions, I expect medical staff to be the best example of what good will service, compassion and humility in human society should be England is notorious for having bad healthcare, I remember watching a french documentary on that generation of children who were taken away from their biological parents because there was suspicion of abuse raised from observation of wounds on infants. The woman in the documentary has a hereditary disease that her youngest baby suffered from that made her extremely vulnerable, her skin would swell up easily and social services and other institutions believed that the scars were due to parental abuse. So the three children weren taken away and put for adoption. A decade and more years passed until they discovered/identified the hereditary condition the mother had But by law, and by design, she couldn't trace her other three children to have them back. The parents had another child though. I can't imagine what it's like to have your children taken away for a disease that is no fault of your own, and that you're powerless to fight it or powerless to get/bring your children where they belong, back to you. It's horrible. I can understand that the medical staff makes mistake. But I can't excuse nor forgive their malice and their deliberate negligence E