Manfred comments on Open Thread, Jun. 22 - Jun. 28, 2015 - Less Wrong
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I went to the dermatologist and today and I have some sort of cyst on my ear. He said it was nothing. He said the options are to remove it surgically, to use some sort of cream to remove it over time, or to do nothing.
I asked about the benefits of removing it. He said that they'd be able to biopsy it and be 100% sure that it's nothing. I asked "as opposed to... how confident are you now?" He said 99.5 or 99.95% sure.
It seems clear to me that the costs of money, time and pain are easily worth the 5/1000(0) chance that I detect something dangerous earlier and correspondingly reduce the chances that I die. Like, really really really really really clear to me. Death is really bad. I'm horrified that doctors (and others) don't see this. He was very ready to just send me home with his diagnosis of "it's nothing". I'm trying to argue against myself and account for biases and all that, but given the badness of death, I still feel extremely strongly that the surgery+biopsy is the clear choice. Is there something I'm missing?
Also, the idea of Prediction Book for Doctors occurred to me. There could be a nice UI with graphs and stuff to help doctors keep track of the predictions they've made. Maybe it could evolve into a resource that helps doctors make predictions by providing medical info and perhaps sprinkling in a little bit of AI or something. I don't really know though, the idea is extremely raw at this point. Thoughts?
I think you should use the cream for a week, to start with.
Also, thought experiment: Suppose a person is going to live another 70 years. If undergoing some oversimplified miracle-cure treatment will cost, one way or another, 1 week of their life, what chance of "it's just a cyst" will they accept? 99.97%. So from the doctor's perspective (neglecting other risks or resources used, taking their '99.95%' probability estimate at face value, and assuming that a biopsy is some irreplaceable road to health), your condition is so likely to be benign that the procedure to surgically check spends your life at about the same rate as it saves it.