Alexa Miller
speaker
294 appearances
3 recordings
1 series
first heard Apr 2025
last heard Jun 2025
Alexa Miller’s voice in public audio — every appearance, attributed to the second.
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Appearances
So like there's a 20% probability of benefit from this treatment, but there's also comorbidities and there's, you know, a bunch of other factors making the situation complex.
A big one, for example, is decreased clinical times.
If clinical times are so short that the doctor does not have time to do a physical exam, there's undue uncertainty as a result of that time.
It's a really simple model for clinicians in moments of uncertainty to counteract some of these forces that can lead to harm.
So it just begins with actually believing patients, believing that their story is legitimate.
I mean, so many cases of harm
don't even progress beyond believing the patient.
Like, you know, you look at something like endometriosis that impacts almost 10% of women.
And right now the diagnostic interval, like the time it takes to get diagnosed in endometriosis is like, I thought it was four years and I thought that was bad.
And I just learned it the other day in a research study, it's six to 11.
And it's so painful.
And so those delays are a result of women not being believed.
Simply believing the patient is a first step, right?
Then the second being observe.
To look really unflinchingly at what's there, to look holistically, and to look through and with the perspectives of others.
I have another little cadence that I teach about kind of related to that, which is to look fresh and
look with, and then look for.
And that actually comes from observing some really masterful radiologists over the years, Dr. Kit Schaefer in Boston and Dr. Vicki Feldstein at UCSF.
These are radiologists who I've heard sort of teach the same cadence to their learner, which is like before you
Even go to the chart and know what you're supposed to be looking for.
Showing 121–140 of 294 · page 7 of 15
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