physical exam or to confirm/validate history collected by someone else--instead jumping to order bloodwork, scans, and other expensive diagnostics that can quite easily be totally misdirected--missing the most readily identified issues upon which to focus. Newly "minted" physicians especially over the past decade or more are especially problematic in this respect. Many physicians (and PAs) have lost the ability to even auscult (listen by stethoscope) the chest, detect even basic murmurs or differentiate serious lung or thoracic issues. Both are the most offensive aspects of medicine to me and many today. And because they don't talk to the damned patient the focus of someone else may be totally missing the most important or emergent issue, exposure, or factor that increases probability of diagnosis or at least the area to be targeted. Patients presenting with pain are an immense problem because there are some in medicine who assume those "magic words" AUTOMATICALLY signal the patient is drug-seeking--especially women. That can and has been deadly in terms of missed diagnoses and failure to focus on what should before a physician who cared to actually LOOK.
So, yeah. There are a lot of armchair physicians offering their opinions and picking their favored "rule-out." If they are cardiologists they want to assume all is primary cardiac. If they are neurologists, they see venous insufficiency, yes, but they will (rightfully imo) look at the obvious neuro deficits, which YES can be seen on the thousands of videos available over the past days, months, years, and decades.
If that annoys you, I say this phenomenon is not providing an ACTIONABLE diagnosis but merely informing the public that "WE HAVE A PROBLEM HERE." And.. WE CERTAINLY DO!
So, some perspective, please.
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