When sleep deprived, the brain enters REM sleep even while awake. That's what those hallucinations are.
I have had the misfortune of experiencing this twice in my life so far; the first on a month-long car trip with my buddy and the second while i was the caregiver/caretaker for my Mother. In both cases it was my lack of sleep which made me very difficult to be around.
1) Sleep Deprivation - https://en.wikipedia.org/wiki/Sleep_deprivation
2) Also Related; The medications that change who we are - https://www.bbc.com/future/article/20200108-the-medications-...
So whenever you note that somebody's behaviour has abruptly changed, always ask two questions; a) Are you sleeping well? b) What medications are you taking and what diet are you on?
Disconnected? Probably. But I think that's intended and part of the current medical model. It's not necessarily a bad thing when focusing on long term positive outcomes in aggregate. But it certainly feels inhumane at times to the individual and their loved ones.
But lack of sleep can impair immunity and disturb blood pressure and heart rhythm. Keeping someone with major trauma under stress (like being constantly awake) can make them more likely to die.
The fact that med school + residency means you basically have to put your life on hold throughout all of your 20s while other people are figuring out the whole “being a young adult in the world” thing leads to very… particular emotional development.
Medical school doesn’t particularly encourage questioning the status quo or established practices.
Some of them can recalibrate after a few years in the real world, but many never really escape that bubble. It’s hard to radically change your outlook on life in your 30s (let alone when you now have to repay huge debt, in the case of many American doctors)
Many of premed kids I knew in undergrad (or the high schoolers aspiring to premed) weren’t motivated by scientific pursuits or an altruistic desires - they just had to be the best. They needed to ace every test (and would argue incessantly with the teachers about it), they had to be in the hardest classes, etc. they became doctors because somebody told them it was hard and well respected.
I imagine that those people become doctors that are disconnected from their patients.
- Rich and respected -> doctor
- Rich but not respected -> lawyer, software
- Not rich but respected -> professor
A lot of people are going to be disappointed. Truth is medicine is a decadent profession, worldwide. In some countries, it's in free fall and accelerating to terminal velocity. In some parts of the world, doctors are hated to the point they routinely suffer physical violence.
The US manages to keep it relevant by restricting supply and maintaining its elite status but I'm not sure doctors are still respected there. Plenty of hackers who think they can do it better than the doctors right here on HN. I'm a programmer myself and I know for a fact a computer could do significant parts of the job. Even psychiatry is in danger due to LLMs.
A computer does a massive part of almost any job today, so I’m not sure what exactly this is trying to say about the profession. Wait until you hear that pilots can’t even fly without an airplane. Total conmen.
> Plenty of hackers who think they can do it better than the doctors right here on HN
Of course they would, it's easy to come up with solutions that are simple and wrong, when one has no point of reference. Hackers understand balancing trade-offs in programming languages or architectures, but can't imagine other fields being nuanced or even more complex. If an LLM cant tell you when to use a monorepo, then it far from telling you when a specific drug dosage is right for a patients set of circumstances.
1. I can use that word, I am one too.
It's hard to describe the effect years of this can have on the mind. Things can get so distorted you feel guilty for eating, for going to the bathroom, sleeping, resting. Normal people things like a weekend or a good night's sleep become luxuries to you. You come home and everyone's already asleep. People start out all starry eyed and thinking about making a successful career out of helping people, but as it nears its end people can't wait to just start making fat stacks already.
It functions as a sociopath breeding ground. Basically weeds out your humanity by punching you until you like it, hammering you until you get good at it so that you fit into the system. Some people just quit when faced with that, others try to take it and end up committing suicide. One of the most haunting stories I've ever heard was about young woman asking her attendings about suicide methods after a patient killed himself. They thought she was an interested student who was trying to learn about stuff so they happily dispensed all the information they knew. She efficiently and painlessly killed herself not even a day later.
People who make it out of this process might enjoy good pay and lifestyle depending on the country and the specialty they chose. It definitely costs them, though.
The power to repair people, fend off suffering and death. That's religion level power. It's bound to warp everything around it like a black hole.
It would take a society of exceptional sanity to handle it right.
When someone dies in the hospital what happens in the inquiry? Examine the symptoms of the person who died and how to detect them. Add another check.
If they left someone alone for 2 hours or 4 hours and they passed away during that time, what would the headlines read? "General Healthcare left the patient alone for X hours and didn't even bother to check on their well being."