Topic: Medical Consult for Bitcoins - page 2. (Read 13282 times)

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

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.

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).

So just like my 2 year old son

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.

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.


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

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.

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.

House FTW

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.

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.

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 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.

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? Jeebus man I've posted enough on these boards anybody looking for me can find my medical license number and see pics of me.

If you're looking for a doc that has no malpractice suits you're an fooling yourself.  My IM attending where I did my clinic taught me if you don't get sued in 10 years you either quit medicine or not seeing enough patients.  I've been subpoenaed over 5 times but fortunately haven't been named in a single suit.  It's pretty clear to me and other physicians here you don't know what you're looking for when judging a physician.  If you really want to know if an IM doc is good you ask the nurses where he/she is on staff.

Most questions asked of me are sent through PMs.  I only answered those questions posted out in the open here in this thread.

Fadisaaida- where you doing your residency (I'm assuming US)? I matched for anesthesia actually in 2003 but ended up sticking with FP/IM (probably not the best move on my part).  I still know a lot of anesthesia program directors on the US west coast.

You can add Anesthesiology resident to the list.
I can't answer GP question, but if you got some specific questions related to anesthesia field, i can help. my references are (personal experience + barash and miller for anestheisa+latest medical articles).

This is an absolutely wrong question to ask on an open forum. You certainly do not know anything about medical practice and its bounds. It's your choice:

1. Either trust and take advise
2. Move on

Thank you for your understanding.

Hey johnniewalker If you want i can give you free medical consults and im not a doctor. Im a web designer. I can google your problems. and diagnose you so you can go to your pain doc. Lol jk.  someone should try that sometime. Diagnose themselves and give the diagnosis to the doc

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.

lol free bump for niche ;P

Nice work Doc! Glad I found this thread. Assuring to know I can consult a fellow forum member if/when needed. Keep up the good work. Thanks.