rexxit
@rexxit@lemmy.world
- Comment on 📡📡📡 4 hours ago:
- Comment on Why exactly are nursing aids paid so poorly? 1 week ago:
Keep pushing to advertise it and I’ll have more work, thanks.
- Comment on Why exactly are nursing aids paid so poorly? 1 week ago:
For a layperson, you are unbelievably, stubbornly confident in your incorrectness. I am an expert, and I will continue fixing the problems caused by bad international dentistry for a healthy fee. You don’t need to believe it for it to be true, and your denial does nothing to change my daily reality in practice. Good luck.
- Comment on Why exactly are nursing aids paid so poorly? 2 weeks ago:
With all due respect, you don’t know what you don’t know. In case you missed it, I am a US dentist. I spend every working day dispelling laypeople’s misconceptions about dental work. What work they have, what work they need, benefits and drawbacks, etc. Your post hits on some of the many very common misconceptions.
Fortunately, there are plenty of ways to check the efficacy of medical procedures.
You can get x-rays, MRIs and all sorts of after-care examinations performed by your choice of trusted doctors and dentists if you are unsure of the quality of care you received.
MRI is wildly irrelevant for dental, which is a clue that you don’t understand. Not all work can be evaluated, even with x-rays, as crown materials often hide the most important details. Bacterial ingress and leakage is, for all intents and purposes, invisible. Most docs (in both medicine and dental) are exceptionally reluctant to disparage another’s work.
A strong indicator will be how you feel after the procedure, which is why I include patient surveys in all of my posts about medical care abroad. Very importantly, other than the higher-rated equipment, expertise and report accuracy, patient satisfaction regarding care quality in Thailand is rated higher than in the US, for example.
This could not be further from the truth. Discomfort and success are completely different things. Some extremely high quality treatments will make you feel like shit afterwards. Often, post op symptoms are more closely a matter of chance than they are of quality. Patient satisfaction and surveys are complete worthless bullshit, as evidenced by hospitals, Press Ganey scores, etc. Docs hate chasing patient satisfaction because it is so poorly correlated with actual quality care. See Goodhart’s law. Telling the patient “no, this will have a poor outcome” gets you bad reviews, while doing a slipshod job that looks superficially good gets you patient satisfaction. I see it CONSTANTLY. Smooth-talking, kind-seeming, gentle dentists whose skills and ethics are complete trash. Patients can’t tell the difference.
You have taken your subjective experience and tried to use that to say the work is objectively good. That’s not how any of this works.
Now could that work actually be good? It could be. This is not to say that all foreign dentistry is bad, but SO MUCH OF IT IS. I know because I see it. The fact of the matter is, patients generally don’t know the difference between good and bad work. I see patients all the time who said some absolute basement-tier-garbage work was done by their previous dentist, who they adored.
Incorrect. This applies to most medical care destinations outside of the US; follow-up care is essential abroad and is usually presented in a contract and verbally confirmed with you before any diagnosis even takes place, let alone a procedure. You have access to all the documents and files your hospital abroad does and are also free to share those or ask your hospital to share the documents with other doctors and clinics of your choice.
Ask any orthopedic surgeon what they think of offloading post-op care to an unfamiliar doc in the country the patient is visiting from. This is a huge issue docs discuss in private - patients flying to wherever for cheap, substandard treatment and leaving them to manage the complications. It’s a big issue in places like FL and NY, but also broadly everywhere.
Many treatments, you get essentially one chance to get it right, and fixing it is either impossible or 10x as much difficulty. Getting it right the first time is priceless. You can fuck up a tooth in an instant. Destroyed. Cannot be fixed. Some errors are invisible and don’t hurt right away. Many infections are painless or hard to diagnose from typical x-rays. Many compromised teeth spend a few years feeling normal before they fall apart.
As a practicing professional who spent the majority of my training seeing a high % of international dentistry, it’s hard to watch.
- Comment on Why exactly are nursing aids paid so poorly? 2 weeks ago:
Dental work is my most common healthcare experience abroad. I cannot recommend Thailand enough, especially for dental work, nothing but 5 out of 5 dentistry for me so far.
What it all boils down to is: how can you know the work done was good? You can’t. You can know it looks good superficially. You can know the dentist was nice, or that their office was clean, and that the bill was low. You can’t know if the work is actually good. You don’t know if the materials or techniques would be considered substandard in the US. Yes, other countries often have a different “standard of care”. I have seen ABYSMAL work from Asia and the Middle East. I have seen appalling work from Mexico and Central America. Yes I also see bad work done by local US dentists - primarily those who advertise themselves as being some kind of affordable, emergency, or discount office.
Dental tourism scares the hell out of me as a dentist in the US, but I understand why it appeals to people when quality care here is expensive. I have seen abysmal work from every country in the world, including the US, but the trend is you largely get what you pay for.
Why is it often worse? With dental tourism you get no follow-up care. You also have no recourse if they fuck up your mouth.
- Comment on Why exactly are nursing aids paid so poorly? 2 weeks ago:
All this boils down to is that there is nothing more expensive than first-world human labor. Without a doubt, nursing homes are increasingly run by sleazy profiteers, but the reason you can’t easily do better (i.e. find a high-quality nursing home) is because it’s simply expensive to employ enough people, who have sufficient skill and work ethic, to give the elderly care.
Yes, PE in healthcare is destroying the country in every imaginable way. The answer in this case is more complicated than get the for profit companies out of nursing homes, which is necessary but not sufficient to solve the problem. The scariest thought is that there may be no good solution.
- Comment on New cars are great... 2 years ago:
- Comment on Upvoting a factually incorrect comment because it sounds nice, and downvoting a factually correct comment because it sounds bad. 2 years ago:
Maybe you happen to be on a route that runs well from home to work without lots of stops and no need to change lines. Can you find a destination in your city that would require a change of bus or train and incur a larger time penalty? What if your job was located there instead?
I think most people buy sensible vehicles but there are certainly people who have a truck fetish that is not justified. Unfortunately it creates an arms race where all cars get larger because there are very real risks of a collision with a larger vehicle.
- Comment on Upvoting a factually incorrect comment because it sounds nice, and downvoting a factually correct comment because it sounds bad. 2 years ago:
It’s hard to tell the intent of any poster, and there is a vehement anti-car movement here (and on Reddit) that allows for no exceptions to the idea that living should be done at high density, and without personal vehicles. It’s hard to read your intent and beliefs because the things you said before are very similar to what I’ve heard from the zealots.
I’m trying to make the point that public transit easily misses on serving every origin, destination, and timing efficiently. Usually it misses badly, and my average experience with specific commutes is a 3x time penalty for transit vs driving. The penalty gets worse if done at especially early or late hours. Maybe this is exacerbated by car infrastructure and lower density, but the anti car crowd would have you believe it’s intrinsic and not a function of history and preference. At any rate I usually disagree with them on almost every premise.
- Comment on Upvoting a factually incorrect comment because it sounds nice, and downvoting a factually correct comment because it sounds bad. 2 years ago:
Are you going to be first in line to give up your computer? Your phone? Antibiotics? Vaccines? Electricity?
Innovation is real, even if you don’t personally like it. Motor vehicles are a legitimately good invention, arguably only becoming problematic due to increasing population and urbanization.
- Comment on Upvoting a factually incorrect comment because it sounds nice, and downvoting a factually correct comment because it sounds bad. 2 years ago:
We’re very quickly moving to a place where the QUANTITY of people is so high, the QUALITY of their lifestyles have to be sacrificed to cut down on human impact. The impoverished/developing world has very low impact, at huge cost to their quality of life. Who wants to volunteer to live like sub-saharan Africans, or Indians in abject poverty to cut down on human impact? I’m calling this eco-austerity. Instead of publicizing overpopulation and promoting low birth rates, we’re expected to belt tighten and give up on quality of life. It’s bullshit. We should have <1B people living like kings, not 10B people living like peasants.
- Comment on Upvoting a factually incorrect comment because it sounds nice, and downvoting a factually correct comment because it sounds bad. 2 years ago:
This is exactly the point I’ve been making to them. I think it’s a bunch of people who have never lived outside of a major city, or grew up in new-construction actual suburban hell like Phoenix, DFW, Vegas, etc.
They probably couldn’t afford a car after used car prices spiked sometime between 2000-2010, and never experienced the freedom and autonomy. They can’t imagine not being into a downtown club scene - it hasn’t dawned on them that they will probably grow up and hate living in a congested apartment world and might want to stretch out in a bigger house in a quiet neighborhood. It’s never occurred to them that not everyone works from home and their spouse may need to take a job 20 miles in the opposite direction. Public transit is more inconvenient than convenient even if you give it a maximum advantage in density and stipulate that the trains will run 24/7 and frequently (NYC).
It’s just inexperience with life or being an urban loving weirdo who can’t imagine that other perspectives exist. I want to spend all of my free time in places you couldn’t service with transit. They can’t even imagine it.
