Doctor Reacts to John Oliver | Last Week Tonight: Bias in Medicine

John Oliver discussed medical bias on his latest episode and you requested that I react to it. This episode is slightly different than most of my other reaction videos as I gave a watch before doing the reaction video in order to vet the research discussed on the program. If you'd like for me to cover this topic in more detail please do comment below.
Original Video:
Diversity Video:
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- Doctor Mike Varshavski
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  • Thank you for actually doing research and being open-minded to all causes of medical inequality. Just yelling “racism” and “sexism” at everything is useless.

    Becca ABecca ASaatler önce
  • Women cab't feel pain.

    CrazmussCrazmuss12 saatler önce
  • I think it is great that a Jester can provoke a response like this and it is also great that a Doctor responds like this. Let's hope something changes.

    Ian BorlandIan Borland19 saatler önce
  • When people of color go to neighborhood ERS they are more likely to spoken rudely. Some ER doctors in these areas are tired and their bias makes them assume you are drug seeking.

    pamela nicholspamela nichols22 saatler önce
  • I wish my doctor was like doctor Mike. Instead, my therapist or doctor dont respond to my emails for at least 2-3 weeks, I cant make an appointment for almost just as long, and my therapist refused to let me off of one medication because I hadn't seen him enough times. I told him the medication made me irritable and worse, and he said I haven't seen you in a couple weeks so I'm not changing your meds. I've been seeing him for almost a year. I haven't filled a new prescription for my mental issues because I feel uncomfortable seeing him in almost 7 months. I cant ever talk to him directly because I feel like he's judging me. I cant talk to him because it feels uncomfortable for me to sit in his office. I told him about hearing voices and often times seeing things that are t there and hes like oh dont worry about that. It's just stress and it's like I'm not even stressed. I bake cakes for a living. Why are you ignoring me and the things I say? Do I need to scream it at you for you to listen? I dont want to be ignorant and shouty but you're leaving me no option. It's either I sit unmedicated for years and slowly get worse or I see a man who makes me feel like I'm less than a human, and sorry to say sir, but no thanks. I'd rather stay at home in the comfort of my own home than be made to feel like I'm less than human

    Skylar AdlerSkylar AdlerGün önce
    • @Skylar Adler You can change your physician anytime you want. Walk into any family physician's office, anywhere, anytime, and a new person will see you. Explain to your new doctor, if you like him/her, that you'd like to transfer to him/her because you didn't feel good with the old. It's really that simple.

      YummyCarrotYummyCarrot10 saatler önce
    • @YummyCarrot I want to change my physician, but he wont do what needs to be done for that to happen

      Skylar AdlerSkylar Adler11 saatler önce
    • Taking patients off medication is difficult especially depending on the context of your diagnosis so I'm on the doctors side for this one. However, there is no way a doctor should be making you feel the way you are. You should never feel scared to talk to your doctor about any problem you have no matter what it is about. I'd change my physician and I hope you have a much better experience because that's no way for a doctor to treat a patient.

      YummyCarrotYummyCarrot17 saatler önce
  • I really enjoy watching your take on the matter, since medicine is your area of expertise, I find your analysis to be much more accurate. Thing is with John Oliver is that he frames certain subjects in a way that is somewhat misleading, he implies racism and sexism are the causes of these discrepancies, however correlation does not equal causation. Yes, racism and sexism are indeed factors, but not the only ones. Watching Dr. Mike and his method of framing is much better, and doesn’t determine the cause of these things.

    Ulquiorra CiferUlquiorra CiferGün önce
  • I told my dentist I wanted a tooth removed because I couldn't afford a root canal. No insurance... The doctor refused to do that, and said I was too young to have a tooth removed. I was 23.. He was an old, old white man. I told him I couldn't afford it, he didn't listen and said they couldn't do a root canal, but he was going to start it. I never was able to afford to see a dentist again before it shattered in my mouth. I refuse to see male doctors because they never listen to me. As for the mortality rate of women in childbirth... I don't know why you brought up the increase that may not have been an increase... John Oliver said that the rate of death in the US was the highest in the DEVELOPED WORLD, not that it increased recently... So the better stat just shows how much farther behind we have always been to other countries.

    Kittiri SiebertKittiri SiebertGün önce
  • no pee whoops? :(

    Kelp JuiceKelp JuiceGün önce
  • While you where trying "not to make excuses", you totally forgot the fact, that we use the medical knowledge we have now, based on studies which do not at all reflect both sexes. Of course it's discrimination. Female bodies aren't as well "tested" as male bodies. No one says, it's the doctors fault, but this system doesn't work for a big part of our population and everybody should acknowledge that. One example, I experienced myself: if you do not describe symptoms in a factual short summary manner, but with more explanation and emotion, male doctors tend to get impatient and stop listening. Me, as a nurse, I than always tried to give them a short summary, they could understand - that's pitiful.

    Birdy MillerBirdy MillerGün önce
    • "Testing" on humans isn't a good thing just to clarify Birdy. Just because less things were tested on women doesn't make it bad. I would rather not be tested on with 1980s medical knowledge than be tested. And women's bodies are more complicated, and there are other ethical issues to consider, Vitamin A derivatives, ACE inhibitors, Thalidomide, NNRTIs etc. etc. It's so easy just to say it's sexism because it panders to your own biases. Breast cancer and Prostate cancer is the most common cancer for both sexes. Breast cancer gets so much more attention and more than double the funding. Yes. Because society doesn't care about women's health.

      YummyCarrotYummyCarrot17 saatler önce
  • I don't know how to feel about this video or John Oliver's Medical Bias show--and I just started watching your videos. For someone who used to collect tons of data (working in HC quality), there is a reason why some research are addressed behind closed doors and filtered when shared in public. A lot of hospital administration do address these things to make policies unless the hospital is in a situation where they can't, which you have mentioned already. However, claiming things from research without sharing the rest of the information without an expert weighing on things at a widely-watched public talk show feels almost misleading. Who among the million viewers would look up those research papers that were mentioned? Who has the time and willing to discuss these things? Oh, yes...Dr. Mike. Unfortunately, John Oliver doesn't mention follow-ups nor those research, right? Is the show supposed to be informative, entertaining or just calling for awareness? A lot of patients don't know what goes behind Hospital administration. Maybe it's good to share some insight on that, as well.

    She LaShe LaGün önce
  • Worked pretty damn hard to avoid confirming any bias...basically found any reason he could to excuse it. I appreciate a good debate but damn...the white male doctor reacts to a segment addressing female and race-based bias.... works very hard to try reason with it... Damn people...this 'doctor' also chooses to react to HOUSE and Scrubs

    Lachlan BaileyLachlan BaileyGün önce
    • Since Dr.Mike is so wrong about what he said in the video, and you're so correct. I think you missed a good chance to state an actual point on where he is wrong so we could all learn from it. Instead you just called him white and male. Unlucky no one learned anything, and none of the points made in Dr.Mike's video has been refuted. Very unfortunate.

      YummyCarrotYummyCarrot17 saatler önce
  • you keep bringing up "quality of hospitals", but what about the quality of education?? seeing how you attended a school that isn't even ranked among forbes' top 650 "quality" institutions in america... so does this mean that your perspective is of low quality? if there's high & low quality hospitals then there are certainly high & low quality schools right? the bottom line is this, the concept of high & low quality hospitals is just as bs as someone trying to discredit your medical degree arguing that your school is inadequate. bc you ALL are SUPPOSED to be taught the SAME exact information & abide by the SAME exact laws no matter what school, zip code, city, or any other bs defense you're proposing.

    KnecoKnecoGün önce
    • I think that we are all taught the same things. But we aren't robots. Some people get 50% in their tests some get 90%. I'm sure it was the same in your class in whatever degree and at whatever level of education.

      YummyCarrotYummyCarrot17 saatler önce
  • Watch the ‘white males are better’ thing turn in to ‘colored women are better’

    Natalie PumpellyNatalie Pumpelly2 gün önce
  • Ur the best person ever

    Marinannn PratannnMarinannn Pratannn2 gün önce
  • Oh by far my favorite is how easy it is for men to be able to get the...ahem...wires cut, but if I go an ask my doctor about getting something done to my own personal reproductive organs; you’d think I was dooming the human race to extinction.

    S TS T2 gün önce
    • Vasectomy is not even close in terms of risks and side effects compared to tubal ligation or salpingooophrectomy.

      YummyCarrotYummyCarrotGün önce
  • What "hurts" is getting crap care due to bias. Also, your surprise at John Oliver being correct is -at best- silly. You are surprised they did their homework? As for "non-opiod medications" that is because these are over the counter like Ibuprofen, Tylenol or Aleve. Fine for minor short term aches, pains or fevers but useless when given for anything more serious than minor aches and pains or the occasional fever. Most people have these meds at home. There is no difference in access because there is no difference in the ability to walk across the street from the hospital to Walgreens and picking them up. This is the modern version of "Take two aspirin and call me in the morning." As for biological differences.. to hear a doctor use the word "races" is worrying. There are no "races" in any physical way. People may have individual differences but there is only one human race left on this planet, and we are all it. As for why do people in poorer clinics and hospitals have worse outcomes: because they aren't taken as seriously as they might in better facilities. My husband has memory issues, and got laughed at by a nurse while in the hospital. In a hospital that tends to better off people she would have been fired, maybe sued. Full stop.

    A DiamondA Diamond2 gün önce
    • Prescribing ibuprofen IS the guideline for managing most pains though. And it's unlikely that Ibuprofen would be prescribed for chronic pain. There are so many other non opioid analgesics that is not aspirin or ibuprofen. Stronger NSAIDs are prescribed much more often and include those like naproxen and diclofenac. Calcium channel blocker analgesics and GABA modulators are used for chronic pain. And if you actually read the study, they talk about prescription of non opioid medication, so walking across to the pharmacy has absolutely nothing to do with it, because those who bought the medication on their own aren't included in the study... A doctor using the word "race" isn't worrying. There are many differences between races/ethnic groups and it vastly changes guidelines for medication. Black people are given Calcium channel blocker anti-hypertensives as opposed to ACE inhibitors for white male age under 55. Doesn't matter that he's using the word race. Doesn't matter what you colloquially call it. He's making a youtube video for people to understand, not writing a research paper.

      YummyCarrotYummyCarrotGün önce
  • 19:00 I had a biology teacher tell me that black people are less adapted to cold climates than white people. Their brains don't cycle the blood as many times as whites and they end up getting frostbite more quickly. That isn't racist, it's different. I think black people are great. But they ARE different in some ways than white people.

    woodworker Royerwoodworker Royer2 gün önce
  • Is the racial mortality gap closing because black people are living longer or because of the opioid crisis, white people are dying earlier? If it's the second, then it's not progress.

    Carla LopesCarla Lopes2 gün önce
  • I had find a female doctor jus to be heard. I mental health was so bad and the Dr. I was seeing was really bad. He told me that my period should be painful because they are a punishment for not being pregnant(I was 19 at the time) and that my depression was just because I wasn’t fulfilling gods duty. He also said that I was making up my knee pain because women don’t experience pain like that. I have a not only a waaaayyyyy better doctor now, but a female one.

    HappygetsfitHappygetsfit2 gün önce
  • Why did i get a mcdonalds ad before this video...

    Charles CattCharles Catt2 gün önce
  • Sex is not assigned at birth, its OBSERVED.

    Spidergirl79Spidergirl793 gün önce
  • Love your vids, Dr. Mike! some decent fitting shirts! I get that you're nicely buff... but sleeves that cut into you because they're too tight & buttons that threaten to pop are quite distracting while watching, let alone in person at clinic/hospital. It's just gauche to brag/advertise your great physical condition by wearing clothes that are too tight...not professional. Keep up the great videos... Seriously appreciate your common sense approach to medicine!

    Gail CraigGail Craig3 gün önce
  • I couldn’t help my self, your couch looks really comfortable.

    alhanoof abdulrahmanalhanoof abdulrahman3 gün önce
  • It is even more of a struggle for women to get good healthcare when you go to doctors and tell them you have extreme pain and heavy bleeding and they don't believe you and throw ibuprofen at you to shut you up like that's gonna fix the issue. Or when they look at your record and see you've been in the hospital 3 times this month for excruciating pain and think you're just there for pain meds and ignore your complaints.

    Katelyn BallKatelyn Ball3 gün önce
    • @Katelyn Ball Sorry you had this experience really. I didn't know it took 14 years. I was just trying to explain it in simple terms the management of period cramps because I thought you would be interested to know, but it's definitely unacceptable that it took so long to find a diagnosis. However, the treatment for endometriosis is still NSAIDs analgesics first line followed by contraception. Many people have endometriosis and if the first and second line treatment adequately controls pain, then you just closely monitor for any changes and continue as it is. The fact that you were hospitalised three times for this makes it extremely unlikely that the doctors didn't take you seriously. They must have done pelvic imaging and blood tests. Depending on the size of the ectopic endometrial tissue, sometimes it is not possible to pick up on the imaging and the diagnosis has to come from history only which is difficult, and in cases where treatment doesn't change regardless of the diagnosis, it is often redundant to pursue that diagnosis as extra tests carry it's own risks. This is quaternary prevention, and it is really important when doctors treat patients because one of the pillars of practicing medicine is first do no harm. I do hope that there was a good resolution of your condition and that you're satisfied with your care under the current doctor. Very unfortunate you had so much trouble with this.

      YummyCarrotYummyCarrot2 gün önce
    • @YummyCarrot I was mainly referencing the fact that it takes a woman with endometriosis close to 14 years to be taken seriously but k

      Katelyn BallKatelyn Ball2 gün önce
    • Sorry you feel mistreated. But the treatment for period pain is NSAIDs which includes things like Ibuprofen. A stronger pain killer is in no circumstance indicated for period pains. No good doctor will ever prescribe you other analgesics because it's against all guidelines. The reason Ibuprofen is prescribed is because Ibuprofen specifically targets the source of menstrual pain. So while it is used as an over the counter drug for pain and inflammation in general, it's actually a specialized and targeted therapy for menstrual pain. Menorrhagia and dysmenrrhoea (Heavy flow and painful period respectively) may be a symptom of some other condition, and should be investigated further. Perhaps your doctor already did this, but in more than 90% of the time, it is a normal variant to have comparatively heavy and painful periods, especially if you don't have other accompanying symptoms that points towards another diagnosis. The doctor is right in prescribing Ibuprofen because that is the drug in the first line treatment for your condition, and is the best analgesic for that condition shown in every meta analysis. If NSAIDs fail to control the pain, the doctor will or should give you the option of using contraceptives. This prevents ovulation better than ibuprofen, and lessens the production of the endometrial lining. The oral combined pill works well for most people, but the coil is becoming more and more popular as it is once off procedure and it lasts 5 years. If you feel that your concerns aren't being taken seriously, I suggest switching doctors. I hope things go well.

      YummyCarrotYummyCarrot2 gün önce
  • The thing about maternal mortality though, while I understand this point of view, the way things are done in US are brutal. I’ve seen all kinds risk pregnancies being forced into natural deliveries, when the safest option would be a C-section. I’ve seen babies and mothers dying because of that, and I simply don’t understand why US loves forcing natural deliveries so much.

    Natalia AntunesNatalia Antunes3 gün önce
  • So basically John Oliver is really terrible at reading the original documents. Quoting correlation like it is causation. And secondly the USA should really fix their health care. "Developed" country 🤣

    tomjanbarttomjanbart3 gün önce
  • This is true about treating women differently than men. I went to the doctor for swelling in my hands and feet...after a ton of tests they said I had "inflammation" and they didn't know why... no treatments, nothing... Just "drink more water" and "maybe it will go away"... I can barely walk now because my ankles hurt so bad, but when I talk about it with the PA, I get "oh it's inflammation, just drink water." Somehow I think it's more than "just inflammation." I ended up giving up...

    Diana HickmanDiana Hickman3 gün önce
    • Don't give up Diana. Sorry if you felt mistreated by doctors, and I'm not going to make a guess since I don't know your situation. But please also understand that medicine isn't easy. Doctors can get it wrong, and sometimes they just genuinely don't know what is going on. If it is indeed causing you that much pain, I suggest going to a specialist. There is also no way a doctor sent you away with just drink water if you have such terrible pain. they would do lab tests to look for a cause, because so many things can cause inflammation. Find a new Family doctor and tell them your worries. Hope you get it sorted out, best of luck.

      YummyCarrotYummyCarrot3 gün önce
  • I hate that I am ALWAYS TOLD to bring a man with me because then i will be taken more seriously (i have chronic illnesses where i am undiagnosed right now and am being shuffled around from dr to dr) *also..I'm trans and that just throws a whole other wrench into things (no I'm not taking hormones or having surgery for anything to have changed or affected any of my symptoms)

    ra1nb0wb00tayra1nb0wb00tay3 gün önce
  • I love and trust John Oliver's videos, so watching this was really interesting! I think you really did your research well and made some good points!

    Yuu ChangYuu Chang3 gün önce
  • 20:20 So what? I'm homeless so I can't get an opioid to treat my pain? That's some socioeconomic bias right there.

    Jj SmithJj Smith3 gün önce
  • My friend last year had a stroke and had to fight to get the police and EMT to check her for a stroke. They wanted to arrest her for suspected drug use after she called 911 shortly after backing out of her driveway and into her mailbox. She told them she thought she was having a stroke. They wasted precious time arguing that her slurred speech and other symptoms were drug related while she demanded they test her for a stroke.

    Christine ShellChristine Shell4 gün önce
  • Read this article. Bias against women is life- threatening.

    Christine ShellChristine Shell4 gün önce
  • I appreciate you doing the research and defending your profession, but some of the things you said just sounded like another white male going "well actually..."

    t tempt temp4 gün önce
  • Just a moment of silence for all the woman with endomtrioses

    Heleen WolfHeleen Wolf5 gün önce
  • I just want to know why this was ever happening in the first place? 🤔 Like, if doctors are supposed to be so educated and unbiased - why did discrepancies like this EVER happen? 🤷🏽‍♀️ Shouldn’t they have been treating everyone perfectly equally?? I don’t know, I think when an absolutely unacceptable incident like the one with that woman who was experiencing unbearable pain and the moronic “doctor” wouldn’t take her seriously, he should be fired immediately. He doesn’t deserve to work in medicine.

    Samantha Murphy-KellerSamantha Murphy-Keller5 gün önce
  • I'd love it if you could talk about the issues with a past (and sometimes present) lack of research in female predominant conditions like fibromyalgia!

    Kira BrightonKira Brighton5 gün önce
  • You say you wanna talk about why these biases exist within healthcare, but you do in a way excuse the racism and sexism by only concluding it's because of socioeconomic differences. These differences are merely a symptom of the racism and sexism ingrained in society.

    Ischys SyrraIschys Syrra5 gün önce
  • It's easy for a white male to say "remember, we're making progress" when the healthcare system and it's biased people has ruined so many lives. Mine included. Remember that.

    Ischys SyrraIschys Syrra5 gün önce
  • If research is not powered to have a balanced population ( meaning similar amounts of male and females), it is not a good enough research publication in general. That would be a weakness of at least a cancer drug study in the current era (unless we are talking obviously about prostate or penile cancer, or uterine, vulvar, cervix and ovarian cancer respectively in men or women). I am a cancer doctor and most of the current studies or for the past 2 decades, balancing the populations is paramount to get results that can be apply to more people in diseases that affect both genders, however the incidence of certain groups of diseases vary sometimes between male and female or even between races. Also, in certain diseases are simply hard to enroll patients, example, men can have breast cancer too but is about a 1% of the patients for obvious reasons and we have to extrapolate all the results from all the breast cancer studies to men because otherwise the studies could not be done or ever published. I agree with Dr. Mike that we are trained to not make recommendation or decide on what our patients get based on their race or gender, but based on their symptoms and objective data and the uniqueness of each patient. We are trained to treat without bias, and with respect and compassion. I believe that every doctor should do the same.

    Dr. JeangoDr. Jeango6 gün önce
  • I would argue that some of the highest rated, quality hospitals in the country are located in low income, urban centers with a high proportion of patients of color. Take a look at Johns Hopkins in Baltimore and Tulane in New Orleans as examples.

    Sam SilenoSam Sileno6 gün önce
  • No one should go into medicine to make money. A person should have a love of healing & humanity. That is my opinion

    Julien KurtisJulien Kurtis6 gün önce
  • I'd be curious to see how a country with universal health care like Canada compares. Because the government pays for everything (or almost everything), hospitals can treat patients without worrying as much about their income. I wonder if that changes things?

    Lupinequeen13Lupinequeen136 gün önce
  • When you say; because women are experiencing these atypical symptoms, that's the part that's attributing bias. - the moment we state that the symptoms of half the population are atypical you're already establishing with the way you think about this topic that women have unusual symptoms and that's why doctors don't register it often enough. Just thinking atypical vs typical for women is generating subconcious bias that affects how doctors look at patients and think about treatment. You're absolutely right that more awareness needs to be raised about the differences in how women and men present symptoms differently to close the gap. But subconcious bias, isn't about active discrimination its about missing how we think about things. And thinking about women's symptoms as atypical vs men's is the part of the bias' . This isn't an attack, but food for thought - the way we think about innocuous words like atypical as it relates to sex, when atypical is more often than not typical for 50% of your patients.

    woo wooowoo wooo6 gün önce
    • Just to clarify this: Typical and Atypical refers to constellation of symptoms that are more and less common respectively and has nothing to do with sex or race. To simplify it, typical = chest pain, atypical = stomach ache. The vast majority of women still present typically when they have a heart attack. Men can also present atypically i.e. theyre having a heart attack but they complain of stomach ache. However more women presents atypically than men. It has nothing to do with men being default or anything to do with gender/race and women still present typically in most situations. It's to do with how common something is. There are other uses of these said words in Medicine and differs depending on the condition you're talking about, but none of them are gendered at all.

      YummyCarrotYummyCarrot3 gün önce
  • so wait who are the not assigned male at birth, are women? if not assigned male at birth how should a doctor treat them, like a man? even with different genes organs hormones etc. this is was peak gender confusion looks like on john oliver part. and yes when he is talking aboout study design it has gotten better, but not only in the 20 years this has started mostly after wii and slowly the better studies have come, futhermore computer have made it possible to handle the massiv amount of data if you wanna control so much. so its not doctors have been shitty in the 80 but it was oft not possible to handle so many variants. good studies in the 80/90 had 1000 patients. average cancer studies today have 20.000 in multiple hospitals.

    Alexander SchmoldtAlexander Schmoldt6 gün önce
  • 18 female 3 male, this is good diversity? is it though? would it be good diversity with 3 females on 18 males? in a 50/50 society?

    Alexander SchmoldtAlexander Schmoldt6 gün önce
    • @Butcher Pete XD 2+2=5 Yeah, they have mostly lost the plot. They want to fumble equality of out come when we haven't figured out equality of chance yet. And they hope they can do in reverse. Don't know which country you are from. But alone in socioeconomic education and health. (which are the 3 biggest factors many are fucked an left behind) This lead to now where cause a black poor child is as fucked as a white poor child. And I don't really care if there are disproportionate more poc children. And even if there would be a systemic problem like the gender pay gap. Let's just for 1 second think it's real. If we just pay every women 20% more. Would it solve anything? Would it make anything fairer or better? Than the male nurse gets 20% less than the female nurse, but that nurses are under payed and some bankers quite overplayed wouldn't solve anything.

      Alexander SchmoldtAlexander Schmoldt5 gün önce
    • I'm glad someone said it. The modern idea of "diversity" is wrapped in political double-think. Diversity means privledge against white men, it has nothing to do with actually making anything "diverse." 2+2=5

      Butcher PeteButcher Pete6 gün önce
  • This is a really long way of saying #notallmen 🙄

    Christina SchmidtChristina Schmidt6 gün önce
    • YummyCarrot A black woman doctor is so much less likely to argue against the sexism and racism in the medical world. Show me a black woman doctor making these points and we’ll talk.

      Christina SchmidtChristina Schmidt3 gün önce
    • Well technically not since there are also women doctors, infact in larger numbers. If someone transcribed what he said into paper and got a black woman to say it, would you believe it more, and would it have more weight?

      YummyCarrotYummyCarrot3 gün önce
    • Yes!

      coffeyaumcoffeyaum3 gün önce
  • Learning about this now, i can't help but think what would these studies show if done in my homecountry Egypt. Would their be disparities between copts, nubians, arabs, amazigh? I bet there would.

    Zexo ManZexo Man6 gün önce
  • 6:25 "Sex has been found to influence the expression, progression and outcome of many common medical conditions and can influence pharmacokinetics and responses to therapy". And yet a big part of the problem is that most drugs have not been and still are not tested on women. Specifically, because the results might be different!

    J NoJ No7 gün önce
  • "If I was male I would've been treated differently" Mothetfucker, at this point you're batshit insane

    Daniel de AndradeDaniel de Andrade7 gün önce
  • About the clip at 11:11 I don't remember if we are told what type of doctor this woman went to, but I (a male) have personally had this experience where I went to the ER - for chest pain, as it so happens. They ran tests, and I was stuck in the waiting room for 5 hours. I couldn't leave to get food (I hadn't eaten anything that day, nor had dinner the night before), and by the time I left my hunger pains were worse than my chest pain. The doctor who spoke with me said almost exactly the same thing "well, we don't know what's wrong with you, but it's not one of these things that we were looking out for." When I expressed concern, the doctor responded somewhat callously "It's not our job to figure out what's wrong with you, just to tell you it's not life threatening. You need to schedule an appointment with your physician if you want more." ... and then when I went to the physician, they basically said the same thing. They scheduled a different set of tests, none of which showed anything definitive or worrying, I guess. The physician told me that even if the pain persisted indefinitely, it wasn't a problem and they wouldn't do anything more about it unless it got worse. As long as it wasn't getting worse, "try not to worry about it".

    El ReyEl Rey7 gün önce
  • Now this should be interesting

    Timo KampwerthTimo Kampwerth7 gün önce
  • Sex bias is very real in psychology, especially for diagnosis for Autism. When I was 3, I was originally diagnosed with Autism, but the diagnosis was thrown out because “girls can’t get autism.” I was 22 when when I was correctly diagnosed with Autism, after being misdiagnosed with bipolar, OCD, and even borderline personality. It took me 8 years to be diagnosed with Lupus. Why? “Well, are you sure you’re not making up your pain?” “Well, it’s not arthritis but you need some anti-anxiety meds.” Needless to say I cried when I was diagnosed because I was validated. I wasn’t nuts!

    KateandZenaKateandZena7 gün önce
  • Sometimes patients are drama queens regardless of sex. The female patient telling the doctor thought her to be a drama queen reminded me so much of a patient of ours who is a total drama queen. She shows up 6 times a month with absolutely nothing she should bother a doctor with. 5 of this 6 times she doesn‘t have a date scheduled with us even though she asks for treatment that should be scheduled and every damn time she had a scheduled date she showed up at least 20minutes late and our average waiting time for scheduled patients is 4minutes so she delays the whole process because patients who are scheduled after her learned that we are pretty quick and thus absolutely noone shows up an hour early and very few people arrive half an hour early. Most patients arrive 5 minutes before their scheduled date and get their names called on time in most cases. This patient annoys me so much and we know that she complained to other doctors and other patients that we are unfriendly towards her without reason. It‘s not said that the woman in the clip is just like our patient but everything about this woman reminds me of our patient and after some time you start developing a skill to spot difficult patients. Patients are in no way always the good people those clips are trying to label them as.

    Martin LeipoldMartin Leipold7 gün önce
  • The more and more I watch Dr Mike, the more and more I realize that he's actually trying to make a difference, and give hope and information about the medical world with an open heart. Good on you brother! Keep it going ! If all doctors were like you... We'd be MILES further 🤘

    Brad FloresBrad Flores7 gün önce
  • It has been the norm in my experience. Both for myself and other female family members and friends. We've had conversations about it many times.

    RachelRachel8 gün önce
  • Bias can be introduced systematically. It’s still bias. It’s still real.

    TherernoThererno8 gün önce
  • Each time you describe women's/non-white patients symptoms "atypical", you are reinforcing the idea that white men are typical ("normal"?) .

    Bill CarmichaelBill Carmichael8 gün önce
    • Hey Bill, just to clarify this: Typical and Atypical refers to constellation of symptoms that are more and less common respectively and has nothing to do with sex or race. To simplify it, typical = chest pain, atypical = stomach ache. The vast majority of women still present typically when they have a heart attack. Men can also present atypically i.e. theyre having a heart attack but they complain of stomach ache. However more women presents atypically than men. It has nothing to do with men being default or anything to do with gender/race and women still present typically in most situations. It's to do with how common something is. There are other uses of these said words in Medicine and differs depending on the condition you're talking about, but none of them are gendered at all.

      YummyCarrotYummyCarrot7 gün önce
  • Doctor Mike- this is an interesting bit of info "Women weren’t included in clinical trials until the 1990s. " from this article:

    Thomai HatsiosThomai Hatsios8 gün önce
  • Speaking as a young woman with too much experience with pain and surgeries for both reproductive organs and a hip, I am consistently told by doctors (but not all doctors) that I cannot possibly be able to differentiate between specific pains. E.g., there is no way that I can know when a pain is or is not an ovarian cyst. I had PCOS and was extremely familiar with cyst pain. But even during my pregnancy when we had already established that I had a hyper -stimulated ovary from fertility treatments and we were monitoring its growth to 15 cm with three 8 cm cysts, when I went into the ER at 32 weeks for an extremely acute increase in that specific pain, and even I could clearly see the ultrasound show a lack of blood flow to that ovary, I had a team of doctors spend 24 hours looking for kidney stones and trying to convince me that that was more likely the issue. It wasn't until a hospital rotation that I got a doctor almost sprinting into my room saying he was taking me back to the OR NOW because my ovary had completely torsed in the imaging 24 hours before! Super dangerous. A miserable 8 surgeries in 8 years now (by no means a good thing), and a lot of instances in between, it turns out that Every Single Time I have told doctors that a pain was ovarian or uterine or my hip joint or something altogether different - every single time - I have correctly identified the source of my pain. But I have to fight tooth and nail to get the doctors to listen to me and do the work to get on the same page. It took 2 YEARS to get surgery to repair a badly torn hip labrum because they just refused to look in the right place. Over and over I was told it was pelvic pain and that I couldn't tell the difference. Unfortunately, in my experience, doctors have been extremely quick to dismiss my own experiences in my own body because THEY cannot differentiate between the pains a woman can feel, and because they want to tell me I am exaggerating.

    Hannah T.Hannah T.8 gün önce
  • I’m an early 30 year old Caucasian woman. An example of a bias is when I was experiencing pain in my abdomen and chest. When I went to my local ER, I was sent home telling me to take acid reflux OTC meds. I then returned a few days later when I developed severe pain and severe throwing up. When I returned to the ER I needed an emergency gallbladder removal!!

    singingfansingingfan8 gün önce
  • Oliver is a comedian, not accountable for opinions like a Doctor is. His inaccuracies are not killing people. Why be apolgetic (an apologist) for bad medical care?

    Bahb WoolleyBahb Woolley8 gün önce
    • In my opinion, from what I've heard throughout Dr.Mike's video, he never excuses any bad behaviour for even a second. I think he put it best in his response and update video, that he's just trying to highlight other issues and factors that play a role in the disparity which are not being talked about. Which I think is a very good point.

      YummyCarrotYummyCarrot7 gün önce
  • I love your break down so much better than John Olivers. He always slants thing to the left like its men trying to oppress women when there is so much more nuance to the situation. Not acknowledging differences between men and women that go into the differing outcomes. The same thing with actual differences between races.

    looneyflightlooneyflight9 gün önce
  • I love you doctor Mike but a lot of time especially during the parts of the video talking about people of color your explanation seemed a bit dismissive. I personally felt like you were unwilling to just except the facts but looking for any reason that it could be anything but racism or discrimination of black people that lead to these studies.

    hamdi hassanhamdi hassan9 gün önce
  • Dr Mike - I know it’s a tough question, but I’d be interested in your thoughts... Some social commentary points to the idea that there is “no difference between men and women”. Has this impacted the practical application of medicine?

    archangeldad2007archangeldad20079 gün önce
  • 12:12 Yes we are doing better but in your own language you perpetuate the issue. You say that women present with ATYPICAL symptom. These symptoms are not atypical for women. They are atypical for men. So even someone with your level of awareness still has the unconscious bias in the language you use to communicate the very issue at hand. I loved John Oliver's segment and I loved your discussion. I have already changed two of my doctors after his episode. Not only am I female but I'm morbidly obese with chronic pain issues. A doctor who doesn't look beyond these factors is not in my best interest.

    Maria RibMaria Rib9 gün önce
    • Hey Maria, just to clarify this: Typical and Atypical refers to constellation of symptoms that are more and less common respectively and has nothing to do with sex or race. To simplify it, typical = chest pain, atypical = stomach ache. The vast majority of women still present typically when they have a heart attack. Men can also present atypically i.e. theyre having a heart attack but they complain of stomach ache. However more women presents atypically than men. It has nothing to do with men being default or anything to do with gender/race and women still present typically in most situations. It's to do with how common something is. There are other uses of these said words in Medicine and differs depending on the condition you're talking about, but none of them are gendered at all.

      YummyCarrotYummyCarrot7 gün önce
  • In my personal opinion, poorer and minority-dense neighborhoods have low-quality doctors that would never be employed in healthcare facilities in more affluent zipcodes. I myself travel an hour out of my way to hospitals in affluent white neighborhoods to get medical care-the difference is night and day. And my insurance is accepted at all these facilities.

    Xan EXan E9 gün önce
  • It's a huge problem. I have a family member who's assigned female at birth, who has a degenerative spine condition. The last few (YOUNG) doctors they've met were sure it was just 'anxiety'. It was adhesive arachnoiditis and ankylosing spondylitis. And as a trans person, it's even more of a nightmare. Many of us avoid doctors altogether because we're gaslit and abused constantly.

    WheelieWitchWheelieWitch9 gün önce
  • Again, he keeps deflecting from bias so there is no way HIS discussion drives the change in the medical industry. This is a very typical stance that Non POC take when faced with any "accusation" of racism, or race related issues. As well as men when faced with gender issues. 15 years and yet here we are with a doctor saying "yes, but…not all doctors…not young doctors".

    Sassy Stasha Speaks SSSSassy Stasha Speaks SSS9 gün önce
  • Loving all the anecdotal evidence in the comments. 😎

    Mr. JoshMr. Josh9 gün önce
  • This is a mindset thing, imho. I’ve had doctors who were jerks. I didn’t assume it was because I was a woman. And, yes, black people may get poorer care, but not necessarily because they are black. People who have lower incomes tend to get poorer care, regardless of their color. Some doctors may be biased, but I don’t think the percentage is very high. I think most of these disparities have other causes.

    circe delunecirce delune9 gün önce
Doctor Reacts to John Oliver | Last Week Tonight: Bias in Medicine