18 votes

Golden age of medicine

12 comments

  1. [4]
    arch
    Link
    I'm someone who has suffered from multiple misdiagnosises over 3.5 years, for what ended up being an autoimmune disease. I've undergone batteries of inconclusive tests, and doctors not believing...

    I'm someone who has suffered from multiple misdiagnosises over 3.5 years, for what ended up being an autoimmune disease. I've undergone batteries of inconclusive tests, and doctors not believing symptoms that a test can't confirm. I can uniquivicolly say that I both hope what we're in today isn't the "golden age" but also that I sincerely hope it is going to get better. For our children, for ourselves, and for our neighbors, we can do so much better in health care.

    10 votes
    1. [2]
      tealblue
      Link Parent
      The biggest improvements that could be made in medicine today, in terms of long term health outcomes for the most number of people, probably have little to do with science and more to do with...

      The biggest improvements that could be made in medicine today, in terms of long term health outcomes for the most number of people, probably have little to do with science and more to do with training and realigning of incentives.

      3 votes
      1. supergauntlet
        Link Parent
        absolutely. Golden age of medicine coinciding with the opioid epidemic, the failure of everyone's covid response, veteran suicides, the ease by which mental illness results in homelessness which...

        absolutely. Golden age of medicine coinciding with the opioid epidemic, the failure of everyone's covid response, veteran suicides, the ease by which mental illness results in homelessness which reinforces itself?

        Seems a bit masturbatory. Would be better to say "these are good things that are happening" in a way that doesn't come off so tone deaf.

    2. randomguy
      Link Parent
      My whole body was hurting randomly and I was diagnosed with multiple sclerosis, lupus and fibromyalgia over the course of last few years. Doctors haven't helped me at all but after I changed my...

      My whole body was hurting randomly and I was diagnosed with multiple sclerosis, lupus and fibromyalgia over the course of last few years. Doctors haven't helped me at all but after I changed my job to a way better one and started using medical marijuana I only feel this pain when I am really stressed hence I suppose it was always stress related.

      2 votes
  2. Bluebonnets
    Link
    I worked in oncology research for a few years, and I do think we are in a golden age of treatment innovation, at least since targeted therapies started popping up. With genetic testing we can...

    I worked in oncology research for a few years, and I do think we are in a golden age of treatment innovation, at least since targeted therapies started popping up. With genetic testing we can offer much more tailored treatments with drugs that target specific biomarkers in tumors. You can have metastatic disease and survive much longer than we ever thought possible with traditional chemo. All of this is aside from the mRNA potential that came out of the COVID vaccine research.

    7 votes
  3. [4]
    Earthboom
    Link
    I guess this is a good thread to add something I've been discussing with others. This is a nice hopeful article and we truly have come a long way with our ability to crush up plants and mushrooms...

    I guess this is a good thread to add something I've been discussing with others.

    This is a nice hopeful article and we truly have come a long way with our ability to crush up plants and mushrooms and apply it to our wounds. Genetic research is incredible, physics in medicine has allowed us to scan our bodies better than before and technology has allowed us to further rule out human error in surgery, with diagnoses, and more.

    Our health is looking good overall and mortality rates are down as a result. Great.

    But there is one other, teeny tiny, super near insignificant portion of our bodies we're not doing hot in at all. Our brains. Neuroscience is making headway, sure. We've mapped a cubic inch of brain matter, sure. We've identified proteins and can do surgery on blood clots, sure. Despite this, I can almost hear a collective groan when I bring up the dreaded topic of mental health and the collosal failure it is as a near pseudoscience.

    Cognitive behavioral health medicine is almost none existent. We have a few medicines that pacify us and go to help correct some chemical imbalances but almost all of them are lifelong commitments and all of them don't get rid of anything. This field is stuck on just treating symptoms with not a single cure for anything. You have one side of this issue fueled by pharmacology and neuroscience insisting everything in the mind is one pill away from being cured and then you have those pesky therapists, and psychologists saying that's absolutely ridiculous because it's the mind that needs to be treated with help from medicine.

    Crazy isn't it? We're all trying to treat something about us that is ailing, but we can't even agree on how to treat it. We even have evidence that throwing pills at it is innefectual with data going back decades to the 50s and 60s when Freud got thrown out and the pill fixed it all to the onset of cognitive therapy and it's rocky start as an extra curricular activity in a basement of a university.

    Science as a collective is reluctant to acknowledge behavioral health as a relevant field because math can't be done on the mind and experiments rely on subjectivity which is a massive no no. Any abstract conversation about phemenological objects gets met with bewilderment and confusion and any talk of consciousness gets met with dismissal and counter arguments of materialists and emergence eventually without a need to understand the mind.

    Psychiatrists walking around with lab coats confident the molecule they helped uncover will prevent schizophrenia from ever existing down the road while millions suffer today with no hope of relief, no pill that will actually fix them, no surgery to correct them, because no one wants to work actually work on that outside of social workers and bachelor level psych students.

    A huge portion of our very existence as human is treated like an afterthought in a world where the soul is dead in favor of capital. Humanity is clearly missing something when the majority of us are depressed, bipolar, and anxious messes barely getting by.

    But now we get to live longer.

    2 votes
    1. [3]
      Adys
      Link Parent
      Sorry, but … what? You're writing fiction. We're nearing on 8bn people on earth so it's easy to find examples of whatever you want, including "psychiatrists walking around in lab coats confident...

      Sorry, but … what? You're writing fiction.

      We're nearing on 8bn people on earth so it's easy to find examples of whatever you want, including "psychiatrists walking around in lab coats confident of whatever". But today mental health is being treated far more seriously than it ever has in the past. Progress on Alzheimer's and dementia has been staggering in my lifetime. Not just symptoms but indeed in uncovering root causes.

      And let's not forget that treating symptoms is important. We work on this first because it has the most immediate effect on patients. What good is uncovering root causes if you can't fix the root cause?

      I don't know the word for it, but there's something in your way of writing that is distinctively… "matter of factly" on invented nonsense. The system is not perfect, but it's also as a whole not ignoring mental health. I think you might be living in a bubble; because it's also not the case that the majority of us are "depressed, bipolar, and anxious messes".

      7 votes
      1. [2]
        Earthboom
        Link Parent
        As we learn more about mental health we start to see that yes there's a large amount of us that have some form of bipolar because depression as a whole is a symptom of bipolar disorder. Anxiety is...

        As we learn more about mental health we start to see that yes there's a large amount of us that have some form of bipolar because depression as a whole is a symptom of bipolar disorder. Anxiety is also incredibly common with panic and anxiety attacks being extremely common.

        Dimentia and alzheimers is important to be treated but the fact you brought up two things that happen to be rooted in chemicals and not things like borderline personality disorder, obsessive compulsive disorder, psychopathy and so forth adds to my point.

        We just started to learn about these things. Few decades ago we were lobotomizing people.

        Saying "it's not perfect" is a gross understatement. It's a field that has barely gotten off the ground, it's underfunded, not taken seriously and riddled with techniques that range from well studied to just spitballing.

        Maybe you can make a point to say it's better and more legitimate in certain countries, sure, but certainly not in the United States.

        The bottom line is just about everybody needs therapy. An incredibly small fraction of people will ever get it.

        1. Adys
          Link Parent
          ... but this was not always believed to be the case. We're learning the root causes of these things, and as we learn them they tend to move from a "iunno it's prolly in the head, try retiring...

          the fact you brought up two things that happen to be rooted in chemicals and not things like borderline personality disorder, obsessive compulsive disorder, psychopathy and so forth adds to my point.

          ... but this was not always believed to be the case. We're learning the root causes of these things, and as we learn them they tend to move from a "iunno it's prolly in the head, try retiring later and doing more sudoku" to "we know what causes it, what facilitates it, and through which channels".

          You mention OCD for example and yeah, we don't know what causes it. For all we know, it could be chemical imbalances or a molecule we have yet to find. I'm not sure what point you're trying to make beyond speaking grandiosely. And absolutisms like "the majority of us are depressed ..." or "just about everybody needs therapy" do not help.

          I'm sure generic statements such as "we should care more about mental health" can get someone elected, but if you want action, then what exactly do you suggest? Because putting everyone in therapy will cause exactly one thing: therapy will become utterly useless as the better doctors become busier than ever, and poorly-trained juniors flood a market that is now overcrowded and has weeks of wait time before you can get anywhere, so that poor bloke with suicidal thoughts who is actively seeking help is now unable to find it at all.

          a large amount of us that have some form of bipolar

          Regardless of your point (which is still completely unsourced; we have some standards here when it comes to such claims), when "disorder" is the "new normal", it's not useful to refer to it as a disorder. With that said, having known and interacted with bipolar people, this "everybody's bipolar" nonsense would be extremely harmful to them if normalized. It's like starting to refer to anyone even slightly overweight as "obese and in dire need of bariatric surgery". For the same reason as people frown upon random twitter teens claiming "i'm so ocd i always keep my phone charged" or some such, because it's harmful to excessively normalize medical conditions. It makes doctors (as well as the general public) less likely to take people seriously. It slows the system down.

          IDK, I'm worried this line of comment is just extremely ... troll-like. I'm trying to assume as much good faith as possible here, but you're grandstanding, not linking to any sources, making impossible claims, and it's all just super unhealthy.

          1 vote
  4. MsPiggleWiggle
    Link
    Thanks for sharing this article with us. It really is amazing that we will conquer so many diseases in the very near future. Kinda hard to imagine, even.

    Thanks for sharing this article with us. It really is amazing that we will conquer so many diseases in the very near future. Kinda hard to imagine, even.

    1 vote
  5. the_man
    Link
    I remember a professor who in 1982 told us his story of using penicillin for the first time in a patient with a severe pneumonia in the late 1940s. The patient received a cumulative dose of a...

    I remember a professor who in 1982 told us his story of using penicillin for the first time in a patient with a severe pneumonia in the late 1940s. The patient received a cumulative dose of a million units after four days of treatment and the patient was clearly recovering with no side effects. It made the local (small city) news and there were "celebrations" at the hospitals. Huge hope that became reality. A serious infectious disease was not longer a death penalty. A million units at once was the standard dose for strept. throat in 1982.
    The banality of sustained progress "dented" that huge step forward. Now we are battling other death penalties and surely will be conquered. Each age has its own wonders and I am glad that such tradition continues.

  6. Orion
    Link
    Will CRISPR allow us to regenerate tissue in the next few years?

    Will CRISPR allow us to regenerate tissue in the next few years?