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


Comments • 12 236

  • Beliar
    Beliar  2 minutes back

    You all are just a bunch white hating libtard cu c k s!

    • Jordan Newman
      Jordan Newman  3 hours back

      I'm sorry but you can't say "if this was true then why doesn't it hold up with non-opioid medication"

      Opioid medication is effective for pain. Maybe Gabapentin is as effective for some nerve stuff, maybe it isn't, but you can't equate acetaminophen and ibuprofen to opioids. I'm not sure anything compares for extreme pain, and if there is some things that do, it's important to recognize that the most widely used non-opioid pain meds are FAR LESS EFFECTIVE than opioids.

      I know there's a high potential for abuse and I respect doctors who don't want to give them out too frivolously, but pain is pain, and excruciating pain is horrible to suffer through unnecessarily. If there's gender discrimination for pain relief, that's terrible. Opioid prescription is a great barometer for this.

      • patrick F.
        patrick F.  3 hours back

        So John is right.

        • David nonya
          David nonya  4 hours back

          Everything is racist except the nba.

          • David nonya
            David nonya  4 hours back

            The reason why they don't prescribe blacks more opioids is because the pharmaceutical industry will have competition.

            • David nonya
              David nonya  4 hours back

              guys have shorter lifespans than women thats why we get better healthcare.

              • Michael Timothy
                Michael Timothy  6 hours back

                About the opioid disparity study, there are a couple common attitudes in our culture that could be causal:
                - Male disposability. Society does not care about male lives as much as female. Here in Canada, we have a crisis of missing and murdered Native women that we hear about a lot. Thousands of women and children have gone missing or been murdered in Native communities. But women and children only make up 40% of the total missing & murdered native people. Who the other 60% are is still a mystery to this day because they have never been mentioned. When men are hurt or killed, we have very little sympathy for them. Because of this, the dangers of opioids to the life & health of men may not be a large concern when the Doctor is weighing the risks and rewards.
                - Male ruggedness/female fragility. This is a "two heads of the same coin" bias. Men are supposed to be tough and able to withstand dangerous situations, while women are seen as weak and needing protection. Opioids can be dangerous, so Doctors may be more inclined to prescribe them to men. Equally because it could be "too risky" for a "fragile" female, but also because if it hurts a man, then he needs to just "tough it out".
                - Lastly, directness. Men are simply more direct and confrontational. Testosterone is a hell of a drug. They are probably more likely to tell the Doctor directly and insistently that they NEED stronger meds.

                • Narrative Knight
                  Narrative Knight  7 hours back

                  Okay, just stop!! There is no difference between men and women. Gender is fluid and sex is how you identify yourself and not what you think of a person just because of their anatomy and appearance. You are simply evil for this men are this and women are that bull$hit. How can you be this hateful and narrow minded? If you just treated people the way they describe themselves you would be a much better doctor!!!!

                  • chusty93
                    chusty93  7 hours back

                    6:56 those biological differences are part of the bias that john oliver addresses. it is not only a matter of discrimination, but the fact that historically the default studied body was the man's, and that was extrapolated to women. that is a bias: assuming that women's body behaves as men's

                    • Ali Stevens
                      Ali Stevens  9 hours back

                      I went to the ER for an extreme pain in my side and the male ER doctor didnt let me have pain medication until several hours later. For my spinal fusion surgery I had a leak in my durma causing nausea and migraines but the male doctors insisted nothing was wrong. The surgeon who performed my surgery wont believe me that I have pain every day in my back. Almost every interaction I have with a doctor is him ignoring what I'm telling him. Its refreshing to see a doctor acknowledge this. As a disabled person AFAB I sincerely hope the issue gets addressed more.

                      • Michael Long
                        Michael Long  18 hours back

                        Back in 1993, I had a ruptured appendix. It took several weeks to get over and I'm told there were "complications" but everything was fine now. I was about 240 lbs at the time but within months I started gaining weight and within a year I was 430 lbs. At the time I attributed it to depression of being out of work and a recent breakup. No matter what I tried, I couldn't lose weight. Doctors always put it off to over eating, never listening to me. Fast forward to 2010, still 430 lbs, now a former college instructor in computer science and working as a software engineer. My boss recommended I check for Cushings. It was negative but got me to thinking about mimics. I asked my endocrinologist to run an IGF-1 test for growth hormone. She balked at it, saying that it was a very rare condition. I explained the test was free for me through insurance and to just run the test. She finally agreed. Yep, low growth hormone. When she read the results, she was shocked and kept saying that it was so rare. My response was to ask her if she knew why it was so rare. She said no, and I told her, because doctors don't ever test for it because it is so rare.
                        My suspicion is that when I had the appendectomy, something happened that damaged my pituitary. Can't prove it but that is my working theory.

                        Now I understand that doctors work for me, not the other way around. Nothing gets done to me until I completely understand it. I don't take any drug until I've fully researched it. If I want a test, I'll have the test. If the doctor doesn't want to prescribe it, I'll find one that will. I use doctors as an educated resource. As Henry Ford said, I may not know the answer to a question, but I can hire someone who does.

                        • Jelle D van Rinsum
                          Jelle D van Rinsum  18 hours back

                          Important context, I think. Still lots of work to be done though.

                          • Tomás Kroth
                            Tomás Kroth  20 hours back

                            I think in the end you ended up masking a lot of racism through socioeconomics. Yes, black people go to worse hospital, but that in itself is a consequence of black people on average being poorer which is itself caused by systemic racism. So the problem is really not what kind of hospitals they go, although that's the point where it hits doctors, the problem is the systemic differences applied to black people.

                            • Jared MacDonald
                              Jared MacDonald  23 hours back

                              Really well done Mike, I came in skeptical of what you might say and left feeling like you addressed all the issues in a thoughtful, respectful and intelligent way.

                              • Scott Wilson
                                Scott Wilson  1 days back

                                Isn’t white male mortality declining due to the opioid epidemic?

                                • gssbcvegancat
                                  gssbcvegancat  1 days back

                                  I love how the White Male is on there telling everyone how bad it is to not be a white male. I want to slap the glasses off him.

                                  • Lulu’s Vegan Meal-Planning

                                    When it comes to bias, I notice something. There’s a bias towards young people. (-18) as a minor myself, I must speak out on this.

                                    I did not receive proper education on sex. I didn’t know what condoms were till 13, and I was told about sex at 10. There should be a law that all health programs should provide American Board of Obstetrics and Gynecology approved sex all states. I now know about sex, but I found through googling, not from my mom or teachers. I didn’t know what the clitoris was till about a year ago. I didn’t anything at all. That’s no ok. We need to fix this. This is bias against the up and coming generation. We deserve to have sex education. This bias has been around for..well...forever! No one really gets good sexual education. Some do, but not all. This is a sexual health right as well as a education right.

                                    • Elphaba Richardson
                                      Elphaba Richardson  1 days back

                                      In 2010, my ex-husband violently attacked me, causing me to end up in urgent care for a massively swollen, bright red leg that hurt to be touched. I tried explaining to the doctor that I have a very high tolerance for pain and with that much pain it had to be something serious. He diagnosed me with a sprain. The physical therapist all but called me a cry baby because he did not think a sprain should hurt as much as I was claiming and kept trying to force me to walk. A month after the injury, they finally did a CAT scan. My femur had a spiral fracture almost the length of it, and my rectus femoris, patella tendon, ACL, PCL, sartorius, and plantaris were torn. (My patella tendon was severed, technically.) My patella and fibula were fractured, my meniscus was irreparably torn, and there was extensive nerve and vascular damage. Sure the three fractures were hairline spiral fractures, but they were visible on the original Xrays: They were just ignored. They also did not Xray my head until after the CAT scan. I had hairline fractures at the base of my skull that had begun to heal. The strongest medication I took was Motrin 800, and the pain was horrific. I now live in constant pain and rely on a cane or a wheelchair to get around. The physical therapist at least apologized for his treatment of me

                                      • empressmarowynn
                                        empressmarowynn  1 days back

                                        I've had a lot of weird medical things happen to me and often times been ignored by doctors. I had an undiagnosed pulmonary embolism for 3 weeks because the doctors and nurses wouldn't listen when I explained my symptoms. I had to travel 3 hours back to my hometown to see my childhood PCP to finally get someone to take me seriously and run some actual tests. Another time a doctor who was temporarily filling in for my new regular PCP randomly decided to only half fill my medication because she thought I didn't need it anymore, despite not seeing me in person or even talking to me on the phone. I just called in for a refill as usual and she decided I suddenly only needed half, of a medication that I had been taking for several years and my regular PCP very much thought I needed. And if it weren't for my good friend being one of the nurses there and demanding I get my full refill I would have had some very serious medical complications. My PCP was not happy when she returned. And all this has happened when I've had really amazing health insurance and live in a city that is a major medical center so there is no excuse.

                                        • Chris Haugh
                                          Chris Haugh  1 days back

                                          Oliver is a moron. He panders, that's all he does. Just virtue signaling nonsense from a liberal.

                                          • Sam Covington
                                            Sam Covington  1 days back

                                            What your saying is black people and poor people are drug seekers are difficult homeless wtf are you talking about it’s what’s wrong with America

                                            • Sam Covington
                                              Sam Covington  1 days back

                                              Ur racist wow screw thi idiot

                                              • Sam Covington
                                                Sam Covington  1 days back

                                                I’ve actually heard more than one doctor make comments about women with bracken bones before an x ray “there fine she’s being dramatic want attention and are just complaining” no doc she got a broken arm and just waited three hour before she got an ibuprofen

                                                • Sam Covington
                                                  Sam Covington  1 days back

                                                  I feel like u are defending doctors to much it’s because doctors think women are dramatic and the give non opiate meds to anyone that complains

                                                  • Sam Covington
                                                    Sam Covington  1 days back

                                                    Yea they don’t know their bias cuz of white privilege and impact it has on everyone no matter their race some more than others but it happens all the time I’m a cna and I see it on the reg most doctors are out of touch

                                                    • Danni Masters Studio
                                                      Danni Masters Studio  1 days back

                                                      I learned the truth about heart attacks in women first hand. My co-worker was having a lot of back pain for a long time. Over almost a week, her pain doubled but she didn't know why. She was picked up in an ambulance 3 times from work and they never discussed this with her. Finally, one person tested her heart and found she had been having small heart attacks all week that presented as back pain but it was too late. She died before she was treated for it. If they had tested her the first time, she'd still be here.

                                                      *RIP Kim. You are missed*

                                                      • Danni Masters Studio
                                                        Danni Masters Studio  1 days back

                                                        I didnt know it could present as jaw or tooth pain though. For a week, I've been having tooth pain that seems to jump back and forth between the tooth on the top of my mouth and the tooth directly below, on bottom of my mouth. Now I'm worried...

                                                        • Danni Masters Studio
                                                          Danni Masters Studio  1 days back

                                                          I learned the truth about heartattacks in women first hand. My co-worker was having a lot of back pain for a long time. Over almost a week, her pain doubled but she didn't know why. She was picked up in an ambulance 3 times from work and they never discussed this with her. Finally, one person tested her heart and found she had been having small heart attacks all week that presented as back pain but it was too late. She died before she was treated for it. If they had tested her the first time, she'd still be here.

                                                          I didnt know it could present as jaw or tooth pain though. For a week, I've been having tooth pain that seems to jump back and forth between the tooth on the top of my mouth and the tooth directly below, on bottom of my mouth. Now I'm worried...

                                                          • maya afik
                                                            maya afik  2 days back

                                                            "There were 3 male doctors and 18 female doctors"
                                                            "That type of diversity is really good in medicine"
                                                            *confused screaming*

                                                            • BlinkinFirefly
                                                              BlinkinFirefly  2 days back

                                                              Really love the work you've done with this Doctor Mike. HERE'S TO AWARENESS AND DISCUSSING THESE IMPORTANT TOPICS!

                                                              • Quentin Styger
                                                                Quentin Styger  2 days back

                                                                "I want to treat everyone the same regardless of gender or race"
                                                                White male: I have stomach pain
                                                                Doctor: Could be lupus or pregnancy

                                                                • Amy C.
                                                                  Amy C.  2 days back

                                                                  I’ve worked in high volume ER and a high volume clinic as a patient representative I have seen it all, and have experienced it all. There are wonderful doctors out there and difficult doctors out there. The best thing that I could offer my patients was any time you feel your doctor is not listening, do not feel bad to ask for another doctor or speak to the nursing sup or manager. I think it’s sad that because they’re doctors some worry about offending or questioning them. We wouldn’t do that with a mechanic, contractor or teacher. They are humans with training from different schools, times, and life experiences. You’re not going to get one that’s the best. I myself had had doctors treat me like I was a drug seeker when after seeing my Caspar realizing I’ve never taken medicine for anything. So thinking ok, I’ll give you an opioid I tell them no I don’t take opioids i just would like to know why I’m having this pain, they then treat me like I slapped them in the face. However I’ve had wonderful doctors who address the symptoms and not mask them and those are the ones you need to find amongst the weeds. Advocate, remain calm and respectful. If you feel you need help take someone along who knows your concerns and can help you. Assure your doctor of your knowledge of his concerns and yours. Good communication goes a long way and most of the time it’s just a failure to communicate properly.

                                                                  • always_b_natural
                                                                    always_b_natural  2 days back

                                                                    12 minute mark - Nice going Dr. Mark. 'Women present with atypical symptoms'
                                                                    No they don't. They can present with DIFFERENT symptoms than men. Yes, the men, who are considered the 'standard'.

                                                                    • TakeMetoW0nderland
                                                                      TakeMetoW0nderland  2 days back

                                                                      Until the bigger issue of the cost of health care is addressed in this country, people are always going to put off going to the doctor regardless of whether they are men or women. That being said, I would love to see a video done about the disparity of ADD and ADHD being diagnosed in women and girls.

                                                                      • Shay C.
                                                                        Shay C.  2 days back

                                                                        "only 3 guys.... THAT TYPE OF DIVERSITY"
                                                                        Allright then.

                                                                        • Tbone603
                                                                          Tbone603  2 days back

                                                                          This is amazing! Consider me subbed!

                                                                          • Jennifer Lewis
                                                                            Jennifer Lewis  3 days back

                                                                            I don't know if there's bias regarding severely disabled people or not, but I know in my case, I have had ER physicians assume my symptoms are the result of my condition (e.g. bad gall bladder misdiagnosed as muscular-skeletal pain and sent home). Most recently (July 2019), I had an ER charge nurse leave me alone in a bay, knowing I couldn't press the call button, because she said I was refusing care. Her reason? I asked her to get my Dad to help maneuver me... I even said please. In my non-medically-trained opinion, I NEVER should be left alone with no means of communication. By the way, I did complain in hopes someone of authority would explain to her the error of her ways. Also, I had fallen out of my wheelchair and was ultimately diagnosed with a broken hip/femur and tibia, which is what I said was wrong when I got there. The GOOD NEWS... the doctor assigned to me recognized his knowledge limitations and had me sent from a Level 3 trauma center to a Level 1.

                                                                            • Sergio Hernandez
                                                                              Sergio Hernandez  3 days back

                                                                              In principle, traditional medicine has not changed in recent centuries, it has only had technological improvements. Molecular genetics, artificial intelligence, machine learning and quantum computing will totally change the system towards a preventive medicine where the health of the individual is continuously monitored and preventive measures are taken to avoid the disease.

                                                                              • Christie Bavelaar
                                                                                Christie Bavelaar  3 days back

                                                                                I love that you took the time to check the studies John Oliver referenced.

                                                                                • Sam S
                                                                                  Sam S  3 days back

                                                                                  You know a really good way to solve the problem with quality of treatment depending on the patient's socioeconomic status? It's this neat little thing I've heard about that some countries have. It's called free healthcare.

                                                                                  • emmettvictor
                                                                                    emmettvictor  3 days back

                                                                                    Can we PLZ stop referring to the way that women experience symptoms as “atypical” when we literally make up half of the population 🙄

                                                                                    • L Z
                                                                                      L Z  2 days back

                                                                                      The term ‘atypical’ in this context means ‘not generally associated with a heart attack’. It is a medical term, not an insult. Geez.

                                                                                  • Christine Cecilia Mahirwe

                                                                                    Wow, despite watching this a little bit too late I can see at the end even during the video that it wasn't only hard to have to talk about this for doctor Mike as a part of the health care sector but also he put on full doctor's mood, sorta like the one he probably puts on when he's about to get serious with his patients family and discussing some real business with them. Nevertheless I was amazed about how realistic he was throughout this video and how he wasn't trying to mask the whole situation with "see I am not racist and I'm about feminism" lies that most people like to hide and cower behind just to buy them more time with the public and for doing it in such a respectful way, much respect to you for that DOC. It's better to be more realistic about painful or unbearable facts and things that happen in life than just creating void promises and taking the poddium to use that as an opportunity to write out a fancy peom to the public, because in reality fancy peoms are not what's gonna save lives. It's the work put in that's gonna save lives. Once again much respect for your input Doctor.

                                                                                    • Gabriel LaVedier
                                                                                      Gabriel LaVedier  3 days back

                                                                                      This segment will in no way end up on an HBD website as justification for relabeling of humans as separate species.

                                                                                      • saltypork101
                                                                                        saltypork101  3 days back

                                                                                        It's going to take more than 10-20 years to fix this. The problems are still there. It's great that we're spending money on bias training and such, but we cannot allow ourselves to believe that the work is done. Stop reassuring people. We need stark painful truth, not comforting platitudes.

                                                                                        • Pramod Herath
                                                                                          Pramod Herath  4 days back

                                                                                          "18 were female 3 were male. That type of diversity is really good for medicine". Well doctor Mike, that's not called "diversity". Diversity would be if it's 11 female and 10 male :D :D :D

                                                                                          • Panos Triantaphillou
                                                                                            Panos Triantaphillou  4 days back

                                                                                            In conclusion it was a good segment.

                                                                                            • Caleb Rohrer
                                                                                              Caleb Rohrer  4 days back

                                                                                              Dr. Mike, you talked a little bit around the 15min mark about the effect financial disparities can cause on quality of healthcare and the factors that play into healthcare provided. Would you be willing to do a video explaining the pros and cons of the proposed Medicare for All propositions and how that could positively or negatively impact the current healthcare system, and/or the theoretical way in which healthcare would be dispensed following that kind of a model?

                                                                                              • GloomyRain
                                                                                                GloomyRain  4 days back

                                                                                                I had gone to the doctor several times for abdominal pain and they would always blame it on my period. When I moved back to MA I went once again and I was so desperate the pain was so bad I was shaking and crying. My doctor set up a biopsy and it turned out I had endometrial cancer after an MRI and CT scan my oncologist thought it would be better to do a hysterectomy (it was 7cm). I felt instantly better I could feel the difference the next day. I was told to take it easy for a month but after the first week I felt so great I just wanted to be out and about. I didn't even need any of the pain medication they had given me. I have a high pain tolerance and I know my body something was wrong I was just happy that someone finally listened to me. I always tell people trust your body if one doctor won't listen go to another.