Epistemology of a Doctor

[integral]

Quote

A truly exceptional doctor operates as a relentless problem‑solver and lifelong learner. They begin every patient interaction by suspending assumptions—questioning which guidelines apply, why they might fail, and what biases could be at play. By conducting deep root‑cause analyses, they map inflammation, toxin burdens, and hormonal imbalances through bespoke labs and patient‑driven symptom diaries. They view the body as an interconnected system—balancing nutrition, exercise, microbiome health, stress management, and environmental exposures in a coordinated treatment plan. Every protocol becomes a hypothesis to be tested: small‑n “self‑experiments,” wearable data, and serial follow‑up labs fuel continuous refinement. In partnership with their patients, they co‑design therapies, listen to lived experiences, and adapt when outcomes diverge from expectations. Their practice blends evidence‑based guidelines with meta‑epistemic awareness—habitually reflecting on their own reasoning, conflicts of interest, and the limits of current science—so that care remains both safe and innovatively personalized.

Quote

In contrast, the archetypal Western doctor is trapped in a rigid, incentive‑driven loop of “if A then B” protocols. Having memorized flowcharts and textbook algorithms, they rely on authority—clinical guidelines, peer‑reviewed trials, and institutional approvals—without ever testing applicability to the individual sitting before them. When a case exceeds routine parameters, they shuffle patients off to specialists or dismiss symptoms as “all in your head,” rather than probing deeper. Nutritional counseling, exercise prescription, gut‑health optimization, and lifestyle medicine are outsourced to other practitioners, fragmenting care into silos. Follow‑up is cursory: a prescription is written, the next appointment is scheduled, and failed treatments are rarely revisited. Under the guise of false humility, they preach “this is the best we can do,” oblivious to the ways even well‑meaning interventions can inflict harm—just as lobotomies once masqueraded as cutting‑edge science. Locked into a paradigm of data‑first thinking and liability avoidance, they fail to cultivate the curiosity, holistic integration, and patient‑partnership that define genuine medical wisdom.

--Ai assisted (Integrating my insights)

I asked a doctor to do a heavy metal scan and help my grandmother remove heavy metals from her body because that might be causing her Fibromyalgia.

Response: We don't do that here.

They have no concept of the bigger picture

They exist in a smaller corrupt Healthcare bubble inside the larger corrupt scientific bubble.

Edited April 22 by integral

[integral]

https://youtu.be/hBCOh1SYQYA?si=T38omvUTvdf3FZzR
people think things like this aren’t happening today

[PsychedelicEagle]

42 minutes ago, integral said:

https://youtu.be/hBCOh1SYQYA?si=T38omvUTvdf3FZzR
people think things like this aren’t happening today

Great video!

[Aaron p]

My friend is a doctor I was actually hanging out with him today, it's kind of interesting because having a friend who's a doctor familiarizes me with the fact that a high-level doctor that he is is generally more intelligent than average people but what's interesting is he doesn't necessarily have a particularly high degree of epistemic consciousness or compassion. I mean I know for a fact that he probably has heightened forms of these things as contrasted against the average Joe but not heightened significantly. 

It's interesting to me that somebody can be very intelligent but not very conscious

[Carl-Richard]

3 hours ago, Aaron p said:

It's interesting to me that somebody can be very intelligent but not very conscious

And some even think this about themselves:

4:29

 

[integral]

3 hours ago, Aaron p said:

My friend is a doctor I was actually hanging out with him today, it's kind of interesting because having a friend who's a doctor familiarizes me with the fact that a high-level doctor that he is is generally more intelligent than average people but what's interesting is he doesn't necessarily have a particularly high degree of epistemic consciousness or compassion. I mean I know for a fact that he probably has heightened forms of these things as contrasted against the average Joe but not heightened significantly. 

It's interesting to me that somebody can be very intelligent but not very conscious

Academic intelligence is child’s play, a monkey could memorize whatever they’re told without questioning anything.

The mark of stupidity is that they think rogue memorization is intelligence, and that because society has validated them as being at the pinnacle of something very important they must be intelligent.

Yet none of them have questioned what intelligence is, revealing the lack of it

Edited May 3 by integral

[zurew]

what a real doctor should look like - runs experiments,  does research, treats patients, has expert level knowledge in 20 different medical fields, good at playing and occupying 20 different roles (psychologist, gym coach, nutritionist , friend etc)  , reads all the literature on philosophy of science especially on philosophy of medicine, has to know everything about the occult and non-western medicine , has to validate all experiments and all medical claims alone by himself, cause cant take anything for granted like other unconscious tier 1 guys ( " a monkey could memorize whatever they're told without questioning anything"), meditate 24 hours a day, do yoga 24 hours a day, also of course being enligthened is also a prerequisite.

Each doctor should also have at least 200IQ and they should score high on all  these metrics (insert your random set of intelligence metrics).

If you have all those things checked for you, integral might consider you to be a real doctor.

Edited May 3 by zurew

[Nilsi]

11 hours ago, integral said:

Academic intelligence is child’s play, a monkey could memorize whatever they’re told without questioning anything.

The mark of stupidity is that they think rogue memorization is intelligence, and that because society has validated them as being at the pinnacle of something very important they must be intelligent.

Yet none of them have questioned what intelligence is, revealing the lack of it

The moderator Integral’s intelligence is child’s play, a monkey could mimic whatever his cult leader tells him without questioning anything.

The mark of stupidity is that he thinks blind following is originality, and that because the echo chamber that is this forum has validated him as being at the pinnacle of something very important, he must be intelligent.

Yet Integral has never questioned what originality or individuality is, revealing the lack of both - coming, predictably, from someone who can’t even write his own posts and has to rely on AI to do it for him.

Edited May 3 by Nilsi

[integral]

@Nilsi @zurew 2 young 20-year-olds that think they have it alllll figured out. 

A sleep specialist has no knowledge of the digestion system, has no knowledge of allergies, has no knowledge of psychology, no knowledge of nutrition…. And so on.

A arbitrary line has been drawn around the topic of sleep specialist creating fractured epistemology, so now they have no capacity to actually help the vast majority of people.

Not that you would know because you never been to a sleep specialist or had any significant health problems.

 

People with no experience at all with health issues are the most opinionated people here. And regurgitate the status quo of their culture unknowingly.

You both have not demonstrated yet that you understand the problem. Or have addressed any of the points I made in later comments.

—-

When you go to an engineer, or an architect, or a theoretical physicist, or rocket scientist. These people receive a problem and then they work on that problem for weeks, months or years until they find a solution. The healthcare industry specifically does not work like engineering. Its job is to process a large number of people as quickly as possible without solving problems like an engineer. This lack of problem-solving skills is why doctors are lost in rogue memorization. And if you ever interacted with a doctor, you would know how prideful they are about their diploma, their intelligence and their opinions about everything. If you interact with an engineer, they approach every topic with an open mind and immediately engaging a deep part of their brain into problem solving and genuine interest in understanding the topic at a deeper level.

I am the most capable sleep specialist on planet earth and that’s only the case because the competition is so incredibly fractured and broken in it’s capacity to do any actual problem-solving. 

Edited May 3 by integral

[integral]

@Nilsi in university, I got 100% in calculus 1,2,3,4… all of the advanced physics, all the advanced chemistry…

Any imbecile can do this. It’s because you didn’t pursue the sciences that you then place these other people on a pedestal.

Academic achievement is child play.

And doctors placed themselves on a pedestal and all of society and culture places them on a pedestal…

Edited May 3 by integral

[Nilsi]

12 minutes ago, integral said:

@Nilsi @zurew 2 young 20-year-olds that think they have it alllll figured out. 

 

I am the most capable sleep specialist on planet earth and that’s only the case because the competition is so incredibly fractured and broken in it’s capacity to do any actual problem-solving. 

This has to be a parody, right?

[Nilsi]

7 minutes ago, integral said:

@Nilsi And doctors placed themselves on a pedestal and all of society and culture places them on a pedestal…

The only one putting themselves on a pedestal here is you.

Really copying Leo all the way, huh?

[integral]

4 minutes ago, Nilsi said:

This has to be a parody, right?

How would you know? Did you interact with 20+ sleep specialist? Did you spend 10+ years solving your own sleeping problems?  What is your epistemology?

2 minutes ago, Nilsi said:

The only one putting themselves on a pedestal here is you.

Really copying Leo all the way, huh?

Leo’s opinion on these topics have nothing to do in my position.

[integral]

5 minutes ago, Nilsi said:

The only one putting themselves on a pedestal here is you.

So are you saying you’re unaware of how culture places doctors and lawyers on pedestals?

[integral]

This is the last time I’m gonna engage with anyone that doesn’t specifically address the points that I made. 

[Nilsi]

7 minutes ago, integral said:

What is your epistemology?

My epistemology is that some broke-ass programmer, oozing resentment toward any resemblance of success and actively accelerating his own inevitable replacement by AI - by turning even his private life into AI-powered cheerleading for his narcissistic cult leader - is definitely not a credible source on anything, let alone the „most capable sleep specialist on planet earth“.

Edited May 3 by Nilsi

[Carl-Richard]

4 hours ago, integral said:

A sleep specialist has no knowledge of the digestion system, has no knowledge of allergies, has no knowledge of psychology, no knowledge of nutrition…. And so on.

Are you insane? When we had somnologist (and professor of biological psychology) Janne Grønli lecture us about sleep, she talked about how essentially everything under the sun (pun intended) is connected to sleep. She also wrote her PhD on the effects of chronic stress on sleep. Her research group is called the Stress and Sleep Group, and is a part of the Department of Biological and Medical Psychology. And the course we had her in (biological psychology) felt specifically aimed at showing how everything in the body and brain and mind is interconnected, everything from digestion, to the immune system, to hormones, to nutrition. I learned the word "psychoneuroendocrinoimmunology" there. We also had to sit through a lecture by a dude who wrote a PhD on diarrhea and learned about different gastric diseases and related psychological conditions (and read articles on things like Giardia duodenalis, a stomach parasite, and the effects of dietary gluten on things like serotonin synthesis in the gut).

Edited May 3 by Carl-Richard

[integral]

1 hour ago, Carl-Richard said:

Are you insane? When we had somnologist (and professor of biological psychology) Janne Grønli lecture us about sleep, she talked about how essentially everything under the sun (pun intended) is connected to sleep. She also wrote her PhD on the effects of chronic stress on sleep. Her research group is called the Stress and Sleep Group, and is a part of the department of biological and medical psychology. And the course we had her in (biological psychology) felt specifically aimed at showing how everything in the body and brain and mind is interconnected, everything from digestion, to the immune system, to hormones, to nutrition. I learned the word "psychoneuroendocrinoimmunology" there. We also had to sit through a lecture by a dude who wrote a PhD on diarrhea and learned about different gastric diseases and related psychological conditions (and read articles on things like Giardia duodenalis, a stomach parasite, and the effects of dietary gluten on things like serotonin synthesis in the gut).

That’s not how it works in practice. Your confusing the map for the territory. In practice, they only have a finite set of treatments that are strongly incentivize by pharmaceuticals and western culture. The testing that they do is very limited, the avenues that they explore is very limit. They expect you to do most of the work yourself while never giving you a diagnosis into the nature of your own problems. Most diagnoses are wrong. And your left running in circles.

if you have narcolepsy, they’re just gonna give you a drug and send you home telling you that your disease is permanent and you have to take this drug for rest of your life. This is not actual holistic understanding,  were they identify a gut Microbiome problem is giving you narcolepsy, so they intelligently figure out that your gut was the problem and then they help you solve that indirectly fixing your narcolepsy. They are not solving problems in this holistic way, they instead just give you a drug and think it’s permanent which is unholistic. Can you understand why based on the explanation I just gave?

They cannot identify indirect reasons to a problem, they only see what’s right in front of them and address the spot problem in front of them. If you have narcolepsy, then that is your diagnosis and they are incapable of seeing any indirect reasons why this would be happening. That you could have an allergy to something causing your narcolepsy that you’re chronically exposed to. This is outside of their scope. Because they cannot interconnect everything.

Knowing everything is interconnected doesn’t mean they have the strategy to solve it or the problem-solving skills to solve it. They regurgitating this stuff that they’re told without working ability to think through it.

They’re not thinking holistically they are just told that it’s holistic. It’s a parrot.

Most sleep specialists are random people with bachelors degrees that are doing a repetitive job that they do not improve at. They are not PHDs giving lectures and running a company pioneering the industry. A guy giving a lecture is not on the field, diagnosing people with parasites in their guts causing autism. Never will a doctor diagnose, autism through parasite infection…. This is an indirect thinking process that doctors do not have or do not do. 

 

Edited May 3 by integral

[integral]

47 minutes ago, Nilsi said:

My epistemology is that some broke-ass programmer, oozing resentment toward any resemblance of success and actively accelerating his own inevitable replacement by AI - by turning even his private life into AI-powered cheerleading for his narcissistic cult leader - is definitely not a credible source on anything, let alone the „most capable sleep specialist on planet earth“.

The person speaking is irrelevant, you should’ve addressed my ideas, nothing else

[integral]

If doctors could think indirectly to solve diseases and find root problems of a disease and solve them, we wouldn’t be having this conversation.

If there’s 100 different research papers with unique reasons causing a sleeping problem. Your doctor will use none of them to diagnose you… they don’t even know it exists because they didn’t learn that in school. Their education is finite. They only have a certain amount of time to learn the basics. And then they’re pushed into a chaotic job situation where they have to process hundreds of people a day. They cannot apply the bulk of science to help anyone.

And the problem is worse than this, when you bring them research papers, they will say “ we don’t do that here” 

Edited May 3 by integral