Medical Consult for Bitcoins

[DrG]

You're funny.  I've popped into your silver threads several times and never accused you of selling impure silver (although others have).

Trauma surgeon huh?  That should be easy to test - would you give FFP to a person in active DIC that has blunt chest wall trauma with no active bleeding but a INR of 8?  If a nurse, PA, student or anybody memorizing Grey's Anatomy can answer that question I'll eat the shirt I'm wearing in a youtube video.  BTW in the US we predominantly use Netters, Grey's, but you knew that right?  [....]

I think he meant the TV show "Grey's Anatomy" not the anatomy text. I watched that show - er one time - and I can orthopaedic it up with the best of them now.

Eh, if you're going to watch TV and learn medicine and least watch ER instead of Grey's Anatomy.  The first 5 years of ER weren't too bad... after that it turned into a weekly soap opera with all the hottie docs.  I think I saw 30 min of Grey's before and it was about as superficial as 6.0 vicryl (that's a suture used for skin repair meaning the show is fluff).

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[organofcorti]

You're funny.  I've popped into your silver threads several times and never accused you of selling impure silver (although others have).

Trauma surgeon huh?  That should be easy to test - would you give FFP to a person in active DIC that has blunt chest wall trauma with no active bleeding but a INR of 8?  If a nurse, PA, student or anybody memorizing Grey's Anatomy can answer that question I'll eat the shirt I'm wearing in a youtube video.  BTW in the US we predominantly use Netters, Grey's, but you knew that right?  [....]

I think he meant the TV show "Grey's Anatomy" not the anatomy text. I watched that show - er one time - and I can orthopaedic it up with the best of them now.

Eh, if you're going to watch TV and learn medicine and least watch ER instead of Grey's Anatomy.  The first 5 years of ER weren't too bad... after that it turned into a weekly soap opera with all the hottie docs.  I think I saw 30 min of Grey's before and it was about as superficial as 6.0 vicryl (that's a suture used for skin repair meaning the show is fluff).

I just watch in jealousy. Do US hospitals really have that many beds in them? Do interns really have that much sex in them? Our hospitals seem bereft of non ward beds, and certainly do not smell of sex.

[DrG]

You're funny.  I've popped into your silver threads several times and never accused you of selling impure silver (although others have).

Trauma surgeon huh?  That should be easy to test - would you give FFP to a person in active DIC that has blunt chest wall trauma with no active bleeding but a INR of 8?  If a nurse, PA, student or anybody memorizing Grey's Anatomy can answer that question I'll eat the shirt I'm wearing in a youtube video.  BTW in the US we predominantly use Netters, Grey's, but you knew that right?  [....]

I think he meant the TV show "Grey's Anatomy" not the anatomy text. I watched that show - er one time - and I can orthopaedic it up with the best of them now.

Eh, if you're going to watch TV and learn medicine and least watch ER instead of Grey's Anatomy.  The first 5 years of ER weren't too bad... after that it turned into a weekly soap opera with all the hottie docs.  I think I saw 30 min of Grey's before and it was about as superficial as 6.0 vicryl (that's a suture used for skin repair meaning the show is fluff).

I just watch in jealousy. Do US hospitals really have that many beds in them? Do interns really have that much sex in them? Our hospitals seem bereft of non ward beds, and certainly do not smell of sex.

Well my residency program was small (about 30) and the hancky pancky we had was one of the recently married female interns was having conjugal visits from her hubby - that ended quickly.  Yes there is stuff going on between docs/nurses/PA/RNs/RT/PT/etc but not so much the residents.  Hard to have energy for that during a 36 hour shift.

[kano]

House FTW

[enquirer]

What about anonymous telemedicine, using tor+bitcoin. Good for doctors - no fear of lawsuits. Reputation can be gained in ripple-style. Good for patient - privacy, lower cost, no insurance records. Many illnesses can be diagnosed using just chat and a webcam. People can do many basic tests themselves. Throw in a medical equipment rental shop.

[Matthew N. Wright]

Truth be told, medical advice is hard to give without inspecting a patient, and no amount of online (or even webcam) advice will be as thorough as an x-ray, catscan, blood samples, etc. When those things can all be done from your home, this will be a much bigger market. Until then, the advice is going to be more akin to the kind of thing people usually post on message boards like Yahoo Answer and such (which is fine).

Personally, I would have paid a bitcoin to find out why my Huskey's eyes were swollen. That didn't take 2 seconds for the vet to figure out was an allergic reaction to pork and could easily have been suggested (if not completely diagnosed through conversation) online. Myself though? I'm not sure if I'd want to go into personal details of my own health with an anonymous stranger on a forum of trolls.

This leads to the major issue with this service-- a lack of platform. You really can't expect the forum to be useful for this, you need some kind of anonymous chat system set up (similar to IRC) that would allow people to create unique anonymous IDs each time they come on, fund a wallet in order to activate and open the channel, then allow them to ask you (also anonymous) anything they want with a countdown before funds begin to be taken out of the wallet. Think of it like a 900 number for medical suggestions.

[organofcorti]

Personally, I would have paid a bitcoin to find out why my Huskey's eyes were swollen.

When my huskey's "eye" was swollen a doctor shoved a cotton bud in my  huskey's "eye", and I had to take antibiotics for a month. An internet diagnosis would have been much less painful.

That didn't take 2 seconds for the vet to figure out was an allergic reaction to pork and could easily have been suggested (if not completely diagnosed through conversation) online.

Huh. Never thought of seeing a vet. And allergic to pork? Christ, can use use your huskey at all?

[Matthew N. Wright]

allergic to pork? Christ, can use use your huskey at all?

He's still 7 months old so he's at that age where he acts like me on the forums. It'll be a while before he'll be "useful" I suppose. Right now I'm happy to keep him from eating garbage, spreading feces everywhere and basically waking up the neighborhood.

[DrG]

allergic to pork? Christ, can use use your huskey at all?

He's still 7 months old so he's at that age where he acts like me on the forums. It'll be a while before he'll be "useful" I suppose. Right now I'm happy to keep him from eating garbage, spreading feces everywhere and basically waking up the neighborhood.

So just like my 2 year old son

[bg002h]

Unless I missed it, I can't believe I am the first person asking this-do you have any credentials to show?
Yes, you have answered people's questions, but that does not mean 100% that you are a doctor. You could be a nurse, physicians assistant, student, or maybe even just have memorized Grey's Anatomy (not quite serious on that last one).
Whenever I am going to see a Dr, I look up their history and use a service to verify that they received their degree where they say they did, did their residency where they say they did, have had no malpractice suits against them, etc.-and that is among people I know for certain are licensed physicians.
I really don't mean to discredit you if you are in-fact a doctor, but I am amazed that no one has even thought to verify your credentials. A few posts above me I see another guy saying he is an Orthopedic Surgeon. Well, I am a Trauma Surgeon. See what I mean-I can be ANYTHING I want online. Before I take your advice (and I suggest before anyone else does, too) I would have to see verification that you are in-fact a licensed doctor. Don't call it "trolling", call it due-diligence, which, when it comes to health, really shouldn't have any boundaries.

This is a very important point.  Anyone can pretend to be anyone online, and there are plenty of stories of some doctors practicing well outside the scope of their training.  Even more confusing, since most specialists have to do at least one year in basic medicine or surgery, we get double listed as specialists and generalists as well. 

Anyhow, here's me (I'm in the US):
Brian Goss
NPI: 1427284033
https://npiregistry.cms.hhs.gov/NPPESRegistry/NPIRegistrySearch.do?subAction=reset&searchType=ind

my email address is my last name, period, first name @ a very large non-profit multi-specialty group practice located in south eastern minnesota (PM me if you can't figure this clue out, but, there are very few world famous clinics with names that might be confused with condiments).

[bg002h]

What about anonymous telemedicine, using tor+bitcoin. Good for doctors - no fear of lawsuits. Reputation can be gained in ripple-style. Good for patient - privacy, lower cost, no insurance records. Many illnesses can be diagnosed using just chat and a webcam. People can do many basic tests themselves. Throw in a medical equipment rental shop.

Doctors are already very public.  The place they practice is public knowledge by law.  Privacy on this issue is taken away from the physician as a service to the public.  There's just too much fraud going on...I'm not comfortable being anonymous in medicine.

[arashd]

Unless I missed it, I can't believe I am the first person asking this-do you have any credentials to show?
Yes, you have answered people's questions, but that does not mean 100% that you are a doctor. You could be a nurse, physicians assistant, student, or maybe even just have memorized Grey's Anatomy (not quite serious on that last one).
Whenever I am going to see a Dr, I look up their history and use a service to verify that they received their degree where they say they did, did their residency where they say they did, have had no malpractice suits against them, etc.-and that is among people I know for certain are licensed physicians.
I really don't mean to discredit you if you are in-fact a doctor, but I am amazed that no one has even thought to verify your credentials. A few posts above me I see another guy saying he is an Orthopedic Surgeon. Well, I am a Trauma Surgeon. See what I mean-I can be ANYTHING I want online. Before I take your advice (and I suggest before anyone else does, too) I would have to see verification that you are in-fact a licensed doctor. Don't call it "trolling", call it due-diligence, which, when it comes to health, really shouldn't have any boundaries.

Not only am I an orthopaedic surgeon, I am also a dealer in shiny novelty physical bitcoins that you recently bought from me but you do bring a good point. If people are to pay for consultation, than credentials and liability are at issue. The credentials part doesn't bother me - easy enough to look me up - the liability issue however is bothersome, which is why I would prefer to offer free medical advice with disclaimer

[bg002h]

Unless I missed it, I can't believe I am the first person asking this-do you have any credentials to show?
Yes, you have answered people's questions, but that does not mean 100% that you are a doctor. You could be a nurse, physicians assistant, student, or maybe even just have memorized Grey's Anatomy (not quite serious on that last one).
Whenever I am going to see a Dr, I look up their history and use a service to verify that they received their degree where they say they did, did their residency where they say they did, have had no malpractice suits against them, etc.-and that is among people I know for certain are licensed physicians.
I really don't mean to discredit you if you are in-fact a doctor, but I am amazed that no one has even thought to verify your credentials. A few posts above me I see another guy saying he is an Orthopedic Surgeon. Well, I am a Trauma Surgeon. See what I mean-I can be ANYTHING I want online. Before I take your advice (and I suggest before anyone else does, too) I would have to see verification that you are in-fact a licensed doctor. Don't call it "trolling", call it due-diligence, which, when it comes to health, really shouldn't have any boundaries.

Not only am I an orthopaedic surgeon, I am also a dealer in shiny novelty physical bitcoins that you recently bought from me but you do bring a good point. If people are to pay for consultation, than credentials and liability are at issue. The credentials part doesn't bother me - easy enough to look me up - the liability issue however is bothersome, which is why I would prefer to offer free medical advice with disclaimer

Tulane?

[arashd]

Unless I missed it, I can't believe I am the first person asking this-do you have any credentials to show?
Yes, you have answered people's questions, but that does not mean 100% that you are a doctor. You could be a nurse, physicians assistant, student, or maybe even just have memorized Grey's Anatomy (not quite serious on that last one).
Whenever I am going to see a Dr, I look up their history and use a service to verify that they received their degree where they say they did, did their residency where they say they did, have had no malpractice suits against them, etc.-and that is among people I know for certain are licensed physicians.
I really don't mean to discredit you if you are in-fact a doctor, but I am amazed that no one has even thought to verify your credentials. A few posts above me I see another guy saying he is an Orthopedic Surgeon. Well, I am a Trauma Surgeon. See what I mean-I can be ANYTHING I want online. Before I take your advice (and I suggest before anyone else does, too) I would have to see verification that you are in-fact a licensed doctor. Don't call it "trolling", call it due-diligence, which, when it comes to health, really shouldn't have any boundaries.

Not only am I an orthopaedic surgeon, I am also a dealer in shiny novelty physical bitcoins that you recently bought from me but you do bring a good point. If people are to pay for consultation, than credentials and liability are at issue. The credentials part doesn't bother me - easy enough to look me up - the liability issue however is bothersome, which is why I would prefer to offer free medical advice with disclaimer

Tulane?

And you sir from the big O?

[ixne]

The credentials part doesn't bother me - easy enough to look me up - the liability issue however is bothersome, which is why I would prefer to offer free medical advice with disclaimer

Absolutely, if you take explicit payment from someone in exchange for medical advice you are now their physician.  That's a role that most doctors (and most courtrooms) take pretty seriously.  Although most small things are just that, almost every "simple" diagnosis has a few red-flag/serious differentials to rule out - that's the difference between getting your medical advice from google vs a doctor.

That said, even if you have an established face-to-face relationship with a doctor, if you call him/her with anything remotely worrying he/she will tell you to pop in to the office or to the ED, because the phone (or internet) is just a starting point in all but the most benign situations.

Just my 2 cents (training in General Surgery in the Northeast ATM).

[bg002h]

Unless I missed it, I can't believe I am the first person asking this-do you have any credentials to show?
Yes, you have answered people's questions, but that does not mean 100% that you are a doctor. You could be a nurse, physicians assistant, student, or maybe even just have memorized Grey's Anatomy (not quite serious on that last one).
Whenever I am going to see a Dr, I look up their history and use a service to verify that they received their degree where they say they did, did their residency where they say they did, have had no malpractice suits against them, etc.-and that is among people I know for certain are licensed physicians.
I really don't mean to discredit you if you are in-fact a doctor, but I am amazed that no one has even thought to verify your credentials. A few posts above me I see another guy saying he is an Orthopedic Surgeon. Well, I am a Trauma Surgeon. See what I mean-I can be ANYTHING I want online. Before I take your advice (and I suggest before anyone else does, too) I would have to see verification that you are in-fact a licensed doctor. Don't call it "trolling", call it due-diligence, which, when it comes to health, really shouldn't have any boundaries.

Not only am I an orthopaedic surgeon, I am also a dealer in shiny novelty physical bitcoins that you recently bought from me but you do bring a good point. If people are to pay for consultation, than credentials and liability are at issue. The credentials part doesn't bother me - easy enough to look me up - the liability issue however is bothersome, which is why I would prefer to offer free medical advice with disclaimer

Tulane?

And you sir from the big O?

If it rhymes with the month of May, oh, then yes. It's a great place for radiology residency. I did med school in Chicago.

[btcdocs]

I have a contact who is a dermatology resident that can reply here or via email/PM to any derm/skin/rash/lesion questions.

Also, I can help anyone with connecting with tor/tails/pseudo-anonymously.

cheers,
btcdocs

[r.freeman]

Would you guys(the doctors here) be interested in a website for your consultation only?
Like pay some bitcoins/bitcents to unlock your answers type of thing? Or maybe run on donations only?

I can say - as a customer - I would like such thing to exist

[xris]

Somewhat related: do you think getting some free clinics to accept btc might help supplement their income from the btc community? I'm a 3rd year med student and was thinking of contacting some of the free clinics I've worked at.

[bg002h]

anybody know a pathologist?  I need help identifying the types of tissues present on a histopathology slide:


This is a sacrococcygeal teratoma and should have two or three embryonic layers present.  The slides are ultra-low resolution (but it's what I got), and I can't for the life of me identify any of the tissues (I need to annotate the slides). 

Med students, you're closer to this stuff than I...BTC0.2 bounty if you beat me to it (I'm gonna keep working on it as I presume it is hopeless).