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Thanks for this perspective! It's challenging for me to describe something that has been responsible for a lot of suffering, substance use disorder, and death as "wonderful." I tell my students, patients and colleagues that there is certainly a time and place for OxyContin and other opioids, since they can be a good last resort strategy to support someone's pain control, function, and quality of life. OxyContin and other opioids can be considered possible options in a long list or menu of options that someone in pain could pick from. People should get good advice on the risks and benefits of any strategy they're considering, and opioids are usually a last resort because oftentimes the benefits do not outweigh the risks long term.

Since I work in medicine as a physician, I feel most comfortable speaking to my own experienced in the healthcare workforce. I absolutely agree ableism is pervasive throughout work culture across all types of professions, careers, specialties, etc. Thanks for your comment!

Thanks so much for your comment! I agree this series does a great job of telling the story of how scary easy it can be for the pharmaceutical industry to influence healthcare providers. Back then, it would seem a lot of doctors really didn't know better, or were fooled by the harmful false advertising. Dopesick holds us accountable to the mistakes of the past, let's hope they don't get repeated in the future. 🤟🏼

Agreed, it's ironic that a system that is intended to CARE for people is actually so poorly designed that it ends up being responsible for the abuse and mistreatment of the people it supposedly serves and the people who operate within it. The easy explanation is to blame capitalism and ableism. The reason this has gone on for so long is that the more abuse and harm come to people, the more they NEED healthcare, and the more we feed the monster. Let's break this vicious cycle!

she could absolutely say that it impacts folks with disabilities in a more damaging way, but in itself, the issue is a problem for everyone as a whole, not targeted towards disabled folks.

Ableism can refer to the harmful misinformed practice of valuing people over others based on their perceived abilities or disabilities. Someone who can work longer shifts while sleep deprived is valued more than someone who can't work longer shifts while sleep deprived, whether they're disabled or not. Of course ableism impacts disabled people primarily, but really it impacts all of us since it is pervasive throughout our culture and society. Everyone should care about curing ableism, it's not just a problem that impacts only disabled people.

Since I work in medicine as a physician, I feel most comfortable speaking to my own experienced in the healthcare workforce. I absolutely agree ableism is pervasive throughout work culture across all types of professions, careers, specialties, etc. Thanks for your comment!

I don’t think they gave it the nuance needed to make the claim it is ableist, however, because of my disability, not getting enough sleep impacts me far greater than my able bodied peers, and I know this is the case for many conditions (POTS, epilepsy, diabetes just to name a few). I can’t pursue a career that requires 24 hour shifts as my body would fall apart within a week

@@artie.makes7 oh I 100% agree that issues like long shifts impact folks with disabilities at a far more damaging rate than others, I just think that the system itself is an issue to all. if it was an issue JUST targeting folks with disabilities, then yes, I'd absolutely say it was ableism.

I appreciate the discussion! Ableism at the surface is oppression against people based on their presumed disability or disabilities. Ableism also refers to the misinformed practice of valuing someone over others due to presumed abilities or disabilities. Like paying someone more because they're able to work more hours while being sleep deprived. Or offering someone admission into a prestigious program because of their ability to get high test scores. If you've ever felt de-valued or even de-humanized because a peer out-performed you, that is a manifestation of ableism. Ableism impacts all of us, whether we're currently disabled, intermittently disabled, non-disabled, or, as I like to say, pre-disabled. 🤟🏼

Thank you so much for sharing. Ableism can have a broader definition that refers to the misinformed practice of valuing someone over others due to presumed abilities or disabilities. Which means it can definitely impact people even if they don't identify as disabled. I agree that sleep deprivation can impact someone with disabilities more than someone who is non-disabled. I am very encouraged by the fact that I've encountered more and more medical students, residents, fellows, and physicians with disabilities who are paving the way for future generations of healthcare providers who are confronting ableism and challenging the status quo to make healthcare professions more inclusive and accessible. 🤟🏼

these doctors and nurses are in charge of keeping us alive, so no

Fair point. Since I work in medicine as a physician, I feel most comfortable speaking to my own experienced in the healthcare workforce. I absolutely agree ableism is pervasive throughout work culture across all types of professions, careers, specialties, etc. Thanks for your comment!

True, the stakes are higher when people's' lives are on the line. But I would agree ableism could impact any employee in any profession.

doubt tgose other systms runs better....eg communism, socialism.... have yet to have a better systm to study and adopt. 1. tou need to pay qualified workers adequetly. 2. affordable for patients. 3. funds to maintain ovetal facilities.

100% agree. The healthcare system prioritizing profit over outcomes like well-being, quality of life, utilization of preventive strategies etc. definitely leads to more morbidity and mortality. And what do people need when they get sicker and sicker? More healthcare. The healthcare system has a lot of healing to do, but it starts with comments like this!

Strong summary. Even though there isn't really a "perfect" healthcare system out there in the world, the US definitely can learn a LOT from healthcare systems in Canada and Europe, where rates of preventable illness are lower and the costs of care are lower. Safety should be the bottom line, not money. 🤟🏼

Thank you for sharing! It's so strange how our society just imposes the baseline expectation of an 8-hour work day on every single person despite the huge variety and diversity of our species! People run on all different kinds of sleep schedules at different hours of the day. One day, I hope there's more flexibility with employers and available positions where it's culturally acceptable and encouraged to work the length of shift that is the SAFEST for you. Dream big, right? 🤟🏼

Hah, of course. Unionizing is great in theory and may help individuals at one institution or group of institutions. Personally, I feel the bigger, more important mission is to heal what's broken about the healthcare system, and that's not simply a one-word solution of "unionize." It's more like a two-word solution: "cure ableism." 🤟🏼

Right??! Scary.

Thank you so much for your comment! I wish the powers that govern healthcare (the powers that control the money in healthcare) understood things the way that you do. We SHOULD be investing in the well-being of our healthcare providers so that they can best protect the well-being of their patients. But it's hard for the powers that be to see that strategy as profitable, because it's a longer-term investment. Those in power would much rather drain their workers of as many billable hours as possible, and when people inevitably burn out, they're easily replaced by a younger generation of providers who are increasingly in-debt and who need as many work hours as they can get. And the vicious cycle starts again. That's why the healthcare system is so broken right now. We have to break the wheel. And it starts with comments like this! 🤟🏼

people with disabilities may need more rest, and despite the disability people become increasingly tired, sick, and “disabled” for lack of a better word and the fact the job does not take their health into consideration is ableism

ur right - it's not ableism, as every single human being needs sleep in order to survive. a problem? absolutely. screwed up, esp considering how large corporations see human life as incredibly expendable / replaceable, but ableism isn't the word to use 🙃

@@bentobaby3016 ok but the fact that literally nobody should be working 24hr shifts, or back to back shifts, or many other shifts that various employers force upon workers isn't ableism, because nobody would be able to manage it - not just folks with disabilities, but anyone. ableism would be something that TARGETS folks with disabilities, this targets all walks of life including those with disabilities.

Good question. Ableism at the surface is oppression against people based on their presumed disability or disabilities. Ableism also refers to the misinformed practice of valuing someone over others due to presume abilities or disabilities. Like the ability to work despite being sleep deprived. Or the ability to get high scores on tests compared to everyone else in their class even if their bedside manner is severely lacking. Ableism impacts all of us, whether we're currently disabled, intermittently disabled, or pre-disabled. Thanks for your question 🤟🏼

Thank you for your comment! I would agree that sleep deprivation is disabling, and I would take it even further and say sleep deprivation is disabling Regardless of whether or not at baseline someone identifies as having a disability or not. It's not necessarily true that all people who identify as disabled need more rest than people who are not disabled.

This is an important question. Situations of injustice and harm are horrible, inexcusable, and unfair. The reality is, healthcare is already life or death by definition, and bad and sad things happen, but some errors and mistakes are catchable and avoidable. The current healthcare work culture is toxic and de-prioritizes safety for patients and providers, which is horrible, inexcusable, and unfair. We have to help those working within healthcare and the powers that govern healthcare to be accountable for minimizing mistakes, and improving awareness of ableism and its negative impact on healthcare culture. This is the only way healthcare culture can change for the better, for the sake of everyone's safety and well-being. It starts with silly shorts like this post on channels like mine. Thanks for watching, listening, and learning. 🤟🏼

Hopefully one day this WON'T be true! 🤟🏼

Good point. Since I work in medicine as a physician, I feel most comfortable speaking to my own lived experienced in the healthcare workforce. I absolutely agree ableism is pervasive throughout work culture across all types of professions, careers, specialties, etc. Thanks for your comment!

Thanks for your comment. I'm working with a production team that represents disabled filmmakers and we are doing our best with our thumbnails! We are proud of how our viewership is growing. Any support or advice you have to improve our thumbnails is very welcome and greatly appreciated! 🤟🏼

Good point. If anything, true equity means seeing disability represented across the whole spectrum of good and evil. 🤟🏼

OMG thank you so much for sharing this information!!! I definitely want to credit Tharries in the video description, I'll link their channel! 🤟🏼

@@ThisAbilityClinic you're welcome.

That's FANTASTIC. Starting with Nine is how I always recommend people dive in. Thank you for watching, and enjoy the journey!!! 🤟🏼

Shaun of the Dead is one of my comfort films 😂

LOL nice pick up, I am always in the mood to watch Shaun of the Dead 😂

@@ThisAbilityClinic It's definitely on or near the top of my comfort films ☺️. Glad to know others are on the same page.

Thank you so much for watching the video and sharing your experience! Sitting with that icky discomfort of the mistakes of the past is the important work that leads to practicing accountability moving forward. 🤟🏼

I know ::facepalm:: this happens too often

Thanks for your comment!

Thanks for checking out the video! Woo hoo FWD DOC!!! 🥳

100% agree! Thank you so much for the support, appreciate you watching, listening, and learning! ❤

Agreed! Thank you so much for your comment! You won’t have to wait long, Part 2 may drop as soon as next week! 🤟🏼

Thank you so much for sharing your experience and perspective. You're right, we've come a long way but that doesn't excuse the injustices that have happened and keep happening to people seeking healthcare and being dismissed, misunderstood, and/or mistreated. Something I remember being taught in med school has always stuck with me: the PATIENT will tell you their diagnosis in one way or another, so it's important we listen more than we judge.

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Yes they should treat their patients more than just a collection of symptoms. I've never experienced that with civilian doctors but in the military, mainly the national guard it feels so robotic and less personal when I go in for required yearly physicals.

@@SoulTouchathePoetthanks so much for sharing! Glad to hear you’ve had some positive experiences at least on the civilian side. Wish there was a way to get the healthcare experience more uniform (pun intended) across both sectors!

Appreciate the comment, thank you!

You're right that becoming a healthcare professional is a choice while being or becoming disabled is not. We can all be patients at any time, and some of us just happen to also take care of patients. Our entire culture is biased, placing value on people based on their apparent abilities - that's ableism in a nutshell. Doctors need help finding common ground with people with disabilities so they stop perpetuating ableism. The more doctors who become disability advocates, the more hope there is that healthcare can become more accessible and inclusive.

Doctors can be patients too. Doctors work in a broken system and they can choose to back out, sure. I’m choosing to do the hard uncomfortable thing and call for accountability because we should be doing better. There’s enough harm and judgement and toxicity. I’m searching for understanding and common ground, we need more of that. 🤟🏼

I know doctors have perpetuated a lot of oppression against disabled people. It can be baffling to consider that doctors can be patients too, and doctors can be allies too. Everyone deserves to be welcomed to the disability advocacy movement if they’re willing to hold themselves accountable and learn to do better. 🤟🏼

We have to confront hard truths first before we have any hope of changing our reality for the better!

What a small world! I work closely with Orthopedic surgeons but I haven't met Dr. Aiyer, perhaps because I work closer to the DC area and most Hopkins folks are based up in Baltimore. It's hard NOT to like Taylor swift haha. So glad you found my channel, thank you for watching!

You're right. Healthcare providers Should have known better. Safety Should have been the bottom line, and it wasn't, and millions of people have and are still suffering because of these mistakes. But we have to do more than just criticize. The best we can do is learn from these mistakes, call for accountability, make better choices moving forward, and prioritize the safety and well being of our patients. The way it Should be. 🤘

I'm still baffled at how a Shorts about Girl Math got so many views and boosted our Subscribers way more than pretty much any other video we've posted has. That math is hard for me to comprehend lol

@@ThisAbilityClinic that is crazy

Agreed, it is amazing how so many layers of nuance can be communicated through facial expression and body language without sound. I'm learning ASL via Lingvano, an app that has made it really accessible!🤘

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🎉🎉 The hiatus is over. I enhjoyed part 2 of this conversation. I’ve never felt I was being labeled as an unreasonable patient, but at the same time there are very few healthcare providers that I’ve really bonded with. Dr. Steph, I can honestly say you speak honestly to how you interact with your patients. You and my dentist of almost 30 years spend a good amount of time having small talk about things other than healthcare which I am truly greatfiul for. Looking forward to the next video.

good point, well made

That is eerie! Thank you for sharing your perspective on the show. "Dopesick" did a good job of representing the reality of the US opioid crisis and humanizing the stories of the millions of people affected.