It’s not that they have no idea what what they’re doing, it’s that they typically are mapping patient problems to a set of scripts. I’m analogizing shell scripts, not using shorthand for prescriptions.
In nearly all cases this works out pretty well, most people will have some improvement when the right script is applied, and doctors are pretty good at mapping problems to scripts.
But for edge cases, that approach is not going to work. Human propensities to slack notwithstanding, the business model discourages doctors from spending all day debugging one patient that isn’t responsive to their scripts.
We do this in software, too. “Really rare race condition, one in a million chance, not going to rathole, deprioritized.”
In nearly all cases this works out pretty well, most people will have some improvement when the right script is applied, and doctors are pretty good at mapping problems to scripts.
But for edge cases, that approach is not going to work. Human propensities to slack notwithstanding, the business model discourages doctors from spending all day debugging one patient that isn’t responsive to their scripts.
We do this in software, too. “Really rare race condition, one in a million chance, not going to rathole, deprioritized.”