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I usually override non-specialists with ChatGPT plus my access to physicians in other countries (Canada, UK, India). Even specialists I always double-check with other countries' specialists I know.

There's a wide variation in doctor skill and they don't have interview systems like we do in tech. You need to be ready to override them.

I always wondered why other people talk about "needing to advocate" and so on until I realized I'm just a really pushy patient. "would you mind prescribing this anyway?" And "Could you order an MRI just to confirm anyway?"

They'll do it with some warning that insurance may not cover it and then you can choose to pay or not. And you have to push repeatedly (not forcefully, just repeatedly) to get your imaging and all that.

Except for some paediatric infection for my daughter and the ob/gyn care for my wife, this is mostly for me: I've been in hospitals many time because of trauma (Motorcycle accident, stuff like that) and so long as I'm lucid I assume control.

This is necessary in the US because there's no quarterback for your care here. There are people who do things but an overall CEO of Me does not exist. You have to play that role yourself or find an authority who can.



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