Iatrogenic: Difference between revisions

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{{g}}A side-effect. An [[iatrogenic]] illness is not one that the cure is worse than, but that the cure actually ''causes''. Popularised by {{author|Nassim Nicholas Taleb}} in {{br|Antifragile: Things that Gain from Disorder}}, one can gleefully extrapolate it to many other walks of life, and service industries. So Night Nurse  may causes drowsiness and you shouldn’t drive tractors or operate photocopiers when dosed up, but at least it doesn’t make the head cold you are trying to alleviate ''worse''. Many forms of medical procedure can do this: antibiotics, for example, encourage bacteria to develop resistance to the antibiotics making your original problem harder to solve.  
{{g}}A side-effect. An [[iatrogenic]] illness is not one that the cure is worse than, but that the cure actually ''causes''. Popularised by {{author|Nassim Nicholas Taleb}} in {{br|Antifragile: Things that Gain from Disorder}}, one can gleefully extrapolate it to many other walks of life, and service industries. So Night Nurse  may causes drowsiness and you shouldn’t drive tractors or operate photocopiers when dosed up, but at least it doesn’t make the head cold you are trying to alleviate ''worse''. Many forms of medical procedure can do this: antibiotics, for example, encourage bacteria to develop resistance to the antibiotics making your original problem harder to solve.  


There is a peculiar form of [[iatrogenic]], where, without the (mis)diagnosis, the body would recover and there would be no illness at all. This is why the “six second rule” isn’t quite the careless outrage the helicopter mums of North London imagine. It may be false, but ingesting constant amounts of bacteria - rather than sterilising the whole environment with antibiotics, the body develops its own immunities to the bacteria, so you don’t ''need'' antibiotics.
There is a peculiar form of [[iatrogenic]]s, where, without the (mis)diagnosis, the body would recover and there would be no illness at all. This is why the “six second rule” isn’t quite the careless outrage the helicopter mums of North London imagine. It may be ''false'', but ingesting constant, small, amounts of bacteria rather than sterilising the whole environment with antibiotics — encourages the antifragile body to develop its own immunities to the bacteria, so you don’t ''need'' antibiotics.
 
===Insurance===
This is rather like [[insurance]]. For most purposes, [[insurance]] is a waste of money — realistically you are never going to claim on your extended warranty if your toaster breaks down after 18 months because (a) you can’t find it and (b) ''the damn thing only cost twenty five quid'' — the bother of having to find the stupid warranty, read it — there is guaranteed to be some exclusion — and actually claim on it is more bother than just shelling out twenty five more quid on a ''new'' toaster — of a different brand: screw you, Morphy Richards — and being done with it.
This is rather like [[insurance]]. For most purposes, [[insurance]] is a waste of money — realistically you are never going to claim on your extended warranty if your toaster breaks down after 18 months because (a) you can’t find it and (b) ''the damn thing only cost twenty five quid'' — the bother of having to find the stupid warranty, read it — there is guaranteed to be some exclusion — and actually claim on it is more bother than just shelling out twenty five more quid on a ''new'' toaster — of a different brand: screw you, Morphy Richards — and being done with it.