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gwillen comments on The Danger of Invisible Problems - Less Wrong
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Your second paragraph seems like a pretty uncharitable hypothetical, and I'm doing my best to read your second person as generic, and not directed at me personally.
Generic is how I meant it to be. Sorry for the ambiquity. I'll edit it.
I once had a patient who was severely obese, had congestive heart failure, asthma, COPD and her most acute problem was pneumonia with exacerbated asthma/COPD. She still tried to smoke through a window while having oxygen tubes in her nose and thought her biggest problem was that she had to take too many pills every day. Needless to say she didn't survive. I hope this perspective helps to deal with your frustration if you encounter sceptical doctors. They've seen it all.