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This is the crux of the issue imo. Interpreting real peoples' medical situations is HARD. So the patient has a history of COPD in the chart. Who entered it? Did they have the right testing done to confirm it? Have they been taking their inhalers and prophylactic antibiotics? The patient says yes but their outpatient pharmacy fill history says otherwise (or even the opposite lol) Who do we believe, how do we find out what most likely happened? Also their home bipap machine is missing a part so better find somebody to fix that, or get a new machine.
Everyone wants to believe that medicine is as simple as "patient has x y z symptom, so statistics say they've got x y z condition," when in reality everything is intense shades of grey and difficult to parse, overlapping problems.
That's exactly right... I've been working IT in healthcare for over 20 years and seen this over and over
Even IT stuff, which is 1000 times closer to binary compared to the human body, is very hard to troubleshoot when humans are involved