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daveguyyesterday at 6:05 PM1 replyview on HN

I expect GP mistook metformin-associated lactic acidosis in a patient with kidney disease as something metformin-caused. A separate but coincident IV misadministration could be an exacerbating factor. It would have been a rare case, but a plausible explanation for the misunderstanding.

Metformin is relatively kidney safe and not administered by IV. Thank you for clarifying that for anyone that may currently on or considering Metformin. It would be great if medical professionals were infallible communicators and had time to verify understanding, but they are human and we need more doctors and less time-pressure by profit extracting private equity.

Disclaimer: I am not a doctor.


Replies

BobaFloutistyesterday at 7:23 PM

Also even when medical professionals communicate flawlessly, they're communicating to non-professionals who will necessarily encode their understanding in an imperfect mental model that will likely degrade over time.