Originally Posted by
Pluripotent
I suppose it's a fair question. But if you look more closely, you'll find this type of stuff in all fields. We've talked about some of them concerning medicine. Hypertension is a good example. It's extremely common, easy to understand, simple to treat, yet virtually everyone is doing a really terrible job when everyone should really be nailing this one. Cholesterol is not as great of an example. It's similar, but the information is new enough that it's more understandable that people fuck it up so badly. Still shouldn't happen, but when you have major guidelines saying the things that are exactly what you shouldn't do (ATP4), it gets complicated.
Also, not all patients are going to go for strength training. I personally think they should know what they should be doing to get better, and then if they decide not to, OK. It's on them. Most patients won't even go to regular rehab unless it's covered by insurance. If they have to pay for it, forget it. Doesn't matter if they will lose function. It's not an argument you're going to win.
Why do people still smoke? You can't get them to stop no matter what you tell them and no matter what happens to them. I see people all the time who have finally stopped smoking...after they have no lung tissue left, have metastatic cancer or a major stroke or heart attack. Then they start again a little while later. Who cares at that point? I'm like, "why quit now?!" Knock yourself out. I just discharged a youngish guy who told me he finally quit smoking. You put a stethoscope on his back and you hear nothing. Virtually no air movement at all and he's tripoding and guppy breathing. He has maybe 5% lung tissue remaining. He's on 6L O2 and PRN trilogy unit at home. All he can do without getting winded is watch TV. Why bother stopping now?
Also: Smart people learn from their mistakes. Really smart people learn from the mistakes of others.
If you can't set an example, at least your life can serve as a warning to others.