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When a person goes to a medical institution, they expect to be treated equally as others, they expect to be heard and provided a solution. Unfortunately, that’s not how it works all the time and patients get disappointed with their healthcare providers.

The reasons can vary: it could be that the healthcare worker has a personal problem with a patient, maybe they worked 24 hours in a row and just want to be finished with their shift, or they don’t devote themselves to their job as much anymore because they’re burnt out.

There are obviously a lot of issues in the medical field that both patients and healthcare professionals have to deal with. And Twitter user @DrBryanLeyva wanted to know what people feel is the problem that is the worst in their eyes. Bryan asked, “What should we denormalize in healthcare?” and people had so much to say.

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Image credits: DrBryanLeyva

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Image credits: Department of Foreign Affairs and Trade

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#1

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Jenn Ryan
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

It took me until my early 30's to find an OB/GYN who would sterilize me. I have known since I was a kid that I don't want children. I have horrible side affects from birth control, so that wasn't an option. It is absolutely ridiculous.

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Bryan Leyva is a Doctor of Medicine who went to Warren Alpert Medical School of Brown University and now he is a public health researcher at the University of Minnesota. Bryan focuses his research on “the behavioral and social determinants of health; b) racial and socioeconomic health disparities; c) models, measures, and strategies to improve quality and equity in health care.”

#2

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Dave P
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

It would cost the US 3.2 trillion dollars a year. Total assets of all billionaires is 4.4 trillion. Just think about it. The solution is simpler. It is estimated that between 70%-80% of all costs in US Health Care are around complying with govt regulations that have nothing to do with patient care or privacy. We can literally slash of heathcare in the US to super cheap anytime we want. But when will a politican ever give up their power.

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Got Myself 4 Dwarves
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

This isn't normal. It doesn't happen in most countries. Stop believing this s**t is normal and demand change

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Vicky Z
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I wonder if there are any researches or statistics about how many deaths would have been prevented in the USA if Healthcare was free!

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Vicky Zar
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Not only deaths. Mental health, bankruptcies, homelessness, .... all resulting from the poor healthcare system

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DKS 001
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

last month I spent 4 hrs in ER with a broken big toe that also tore across the top. They just taped it up and sent me home. The bill? $1,100 for sitting 3.5 hrs in a lobby and 30 minutes of actual care.

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Iggy
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

We have to pay per night in Ireland if we don't have a medical card or insurance. It's capped at 10 nights per 12 month period and costs €80 per night. That's for everything. €800 is still a lot of money but when you consider what Americans would have to pay for the same duration, it's an absolute bargain!

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Calypso poet
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

My copay for my colonoscopy was $750 because I'm not 50 so it's not covered under preventative like my husbands was. Oh, and I had a $60 specialist co-pay for my first consultation visit. My Dr. and the facility was fantastic so at least I had decent coverage.

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Tobias Rieper
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

i think this is an American problem I cant even imagine having to think about how am i going to afford this before deciding to call an ambulance

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Joanna Werman
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

With my insurance if I take an ambulance to the hospital and I'm admitted it's free. But if I take it and I'm discharged I have to pay.

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Chris Mbuff
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Europeans dont have that problem and our poverty levels aren't as dreadful as they are in the US. USA needs to shift to the left and look after the workers

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Alicia Miller
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2 years ago

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David Roquemore
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Free Healthcare never has nor would affect the Gov't's pay. What it does do is lowers the quality of the healthcare and put the onerous burden of payment on the backs of the taxpayers, most of whom are middle-class.

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julien
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

free Healthcare doesn't exist : in Europe we pay for it thru taxation ! you don't mind paying taxes for building an army, do you ? if free healthcare lowers the quality of the healthcare then how come USA has a poor life expectancy compared to Europe ?? life expectancy List by the World Health Organization (2019) USA ranks 40 ( behind most european countries.)

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Metallic Geisha
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

USA will never have free health care bc Americans will never be ok with their pay being affected.

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Mystery Egg
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2 years ago

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Limey
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Well, we are asking a group of people who HAVE free healthcare for life to see the problems that not having it causes for everyone else…

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KT
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

if its an emergency you go, you can always make more money IF you're alive

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KimB
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I can't upvote this enough! Big pharmer and private insurance has to stop! They've made enough money off of innocent sick people!!! Public service announcement for anyone here in the USA over 65 years old or on Medicare for disability ..contact Medicare if you have it and ask about low income subsidy if you qualify (it's free to see if you do) then you get extra benefits available in your state and more importantly those expensive branded drugs will cost you $9 a month...please try it's worth it!

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Isaac Harvey
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I’m a college freshman, and a friend was having a seizure in the evening. We considered calling an ambulance, but decided against it because we didn’t want to deal with a bill we weren’t sure we could pay. (She’s better now.)

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Riley Quinn
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Yeah, we really need to stop falsely promoting the USA as #1 when we have so many residents suffering and dying because of their inability to pay for medical necessities. One medical catastrophe can wipe out a family's assets for generations.

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smugdruggler
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Coming from the UK, this is just a bizarre concept. I've seen medical bills posted on here and they are ridiculous. I'm so grateful for the NHS.

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survivalrhino
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

It's gonna be high-- even volunteer departments have expenses to be covered-- insurance, fuel , maintenance etc on and on-- none the less, call us-- we 'll work out the monetary crap--have the equipment, training and ability which is far better than taking a cab

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Alex Travous
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I found out that you can just tell them you can't pay it or say I can only pay so much. That's what their financial grants are for. I had a $2,000 ambulance bill and I told them "I can only pay $200" and they said "okay that'll do" and then cleared the rest.

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Tenacious Squirrel
Community Member
2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Unfortunately this isn’t just the US. Australia charges for ambulances too, depending on your state. My partner needed an ambulance a few months ago, we then got a bill for $1000 (AUD) which is approx $734 USD or €635.

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Roe Rainrunner
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

"Depending on your state"? Is that supposed to mean your financial situation or your health situation?

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#3

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Nikki Sevven
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

"Psychosomatic" isn't an insult. It means "(of a physical illness or other condition) caused or aggravated by a mental factor such as internal conflict or stress." Anxiety and depression can cause physical symptoms to worsen, and it's necessary to point that out clinically in order to properly treat a patient.

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He wanted to hear the vox populi and asked “What should we denormalize in healthcare?” which essentially means, what are the biggest problems in the healthcare system that bother people the most.

Both people who were patients and medical professionals joined the conversation and a lot of issues surfaced. Some pointed out that racial and sexual discrimination or applying stereotypes still are existing problems that prevent doctors from giving quality service.

#4

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Robert T
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2 years ago (edited) DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

This is no joke. When I was on chemo, they used start it of an evening, and well 4 or 5 bags of fluid has to go somewhere, so I was up all night peeing. You can therefore imagine my delight when someone comes round offering you breakfast at 7.30 in the morning! I won't complain too much though, as I owe my life to them and the care they gave me.

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Vicky Z
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Exactly!!! When a 15 year old is telling you while crying that her quality of life is so bad that she prefers to get rid of everything inside her or to die you don't f*****g tell her that it's normal and you better get used to it cause it's going to be like that for the next 30-40 years!!! (Real dialogue with my first ob!)

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J Rob
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I was at university and broke my pinky finger during the night. I went to Student health first thing in the morning when they opened. They put me in an exam room to wait for next available. I sat in the room for four hours. I thought things were getting very quite. I walked down hallway and everyone had gone to lunch except one attendant at the front desk. He asked me what I was doing! Not a happy day.

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Vicky Z
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

What's interesting is that noone is asking a pregnant woman if she is sure she wants to keep it cause she might regret it later! It's very possible that there is regret in both situations!

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Others were pointing to the absurd amounts of money they have to pay in order to get the help they need. There were a quite significant number of people who thought that doctors will not believe how much pain patients, especially women, are in.

Miscommunication was also brought up as doctors will not try to explain conditions and illnesses to their patients in a language they would understand.

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Robert T
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2 years ago (edited) DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

This is sadly one of the drawbacks of the NHS. The healthcare might be free, but it often involves a fair bit of waiting around, meaning more time off work, and if you have driven the to the hospital it can also mean increased parking charges if they are running late. I think we need to start an awareness campaign with fake invoices "if this had been America, this is what you would'be been charged". People might appreciate them more.

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Medical professionals themselves were mentioning burnout and long shifts as well as disrespect among colleagues. So both sides see problems that need to be fixed and every issue that has been mentioned has to be dealt with individually as there is no one solution that would fit all challenges, so maybe that is why it is so difficult to change the situation. 

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#11

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Caro Caro
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

My mum was discharged from hospital with meds and wound care supplies. A specialist comes every other day to take care of her wound.

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Zozo🤟
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I got really tired of being called a healthy young woman until I realized that they were saying that I wasn’t fat or underweight.

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Vicky Z
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Or normal because you are a woman and you are supposed to feel like s**t all the time

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Medical professionals are a crucial part of our society as they contain the knowledge of how to heal and survive when you are literally in the process of stepping into a coffin. But if they can't provide the care people need, it is really concerning and admitting that there are problems is already progress towards finding a solution.

So what would you answer to Bryan’s question? Let us know in the comments and also show us what tweets you agree with the most by upvoting them!

#15

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Jo Johannsen
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

When you can hear the nursing staff making jokes about you from outside your room in the emergency department. Guys, I am fat, not stupid and deaf.

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#17

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Robert T
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Stop pussy footing around. Make healthcase a universal right which is free to everyone.

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Lauren Caswell
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Ding ding Ding! Anxiety disorder, female, told my crippling pain must be stomach bug, twice turned away from hospital. Third time I went back i was really bad, and it caused a huge amount of surgeries that may have been avoided. I mean jeez if I'm saying it's only one notch below childbirth, pls listen. Anxious doesn't always mean wrong.

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Marie
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

As a person with several conditions that CAUSE weight gain as a side effect, I'm still classified as obese even as I know that if I wasn't watching every carb (dibeties 2) every cup of water or how much iron I eat(PCOS)(anemia) , or keep up with daily walks (arthritis), I could easily be 300lbs. So being 40lb overweight is NOT the issue.

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Joanna
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

YES! I'm always wary of a workplace that encourages self-care - they're basically setting themselves up to blame you when they work you to death.

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Pille P
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Or especially due to corona not letting the parents accompany a baby to hospital. Or the opposite, not letting a breastfed baby accompany mom to hospital and telling moms to stop breastfeeding.

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Kookamunga
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Well, I believe it depends on what kind of doctor you are there to see and what your medical issue is. I was told at the Ophthalmologist to put my clothes back on. The mammogram lady said I could've kept my pants on. It's very confusing.

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BluEyedSeoulite
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Over specialization is an issue for us in Korea. It seems like each specialist only knows about their specialty and nothing about general health or anything related to their field. My husband has bad allergies and weird sinus structure. Not one sinus doctor has offered allergy meds, they just want to do surgery. Finally saw an allergist, still no meds but wants to do expensive immunotherapy to "cure" his moderate allergies for the low cost of $800/year AND getting rid of our pets. Seems like a daily pill would be a lot cheaper...

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Kookamunga
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Gina seems misinformed. Kidneys? Nephrology. Brain issues? Neurology. Cancer? Oncology, etc. There's not exactly a Geriatric One-Stop-Shopping Center for specialists. It would be great if there was, though.

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Robert T
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

Clinical language is used because it is unambiguous, but it really doesn't help the patient. Good doctors will take the time to explain things to the patient (I appreciate that they may not always have time for this).

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Riley Quinn
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

This attitude probably has its roots in some toxic masculinity initiation thing. Rarely do I hear women bragging about their burnout schedule, but it's bragging rights for some men. Very dangerous bragging rights.

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White Paper Tsuru
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2 years ago DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

My hospital calls it "failure to thrive". I like that better. Means, might be surviving, but quality of life could be improved if we can find the source of what's slowing you down/troubling you. And maybe we can help you be more you with some supports.

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Vicky Z
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2 years ago (edited) DotsCreated by potrace 1.15, written by Peter Selinger 2001-2017

I don't get what he means.... the term is quite specific in med books and it's a phrase that is used a lot when you are studying the patient's everyday life! Does he mean they use it wrong?

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