this post was submitted on 09 Oct 2024
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[–] renzev 100 points 6 days ago* (last edited 6 days ago) (5 children)

So...

  • normal people are scared because they fall for the gambler's fallacy,
  • mathematician is feeling fine because a 50% chance is a 50% chance,
  • and the scientist is feeling extra fine because the experimental data shows that the surgery is actually safer than 50%

Did I get it right?

[–] DillyDaily 57 points 6 days ago (3 children)

Depending on what you're treating, 50% sounds pretty good.

I remember when I went for my last surgery and I was signing all the consent forms, my doctor was emphasising the 17% chance of this known lifelong complication, and the increased 4% chance of general anaesthesia fatality (compared to 1 in 10,000 for general public).

My mum was freaking out because when she had the same surgery she'd been seen much earlier in the disease process, she wasn't expecting such a "high" risk of complications in my care.

But all I was hearing is that there's an over 80% chance it will be a success. Considering how limited and painful my life was by the thing we were treating, it was all no brainier, I liked those odds. Plus my condition is diagnosed 1 in 100,000 people, so how much data could my surgeon really have on the rate of risk, the sample size would be laughable.

Still the best decision of my life, my surgeon rolled his skilled dice, I had zero complications (other than slow wound healing but we expected and prepared for that). I threw my crutches in the trash 2 years later, and ran for the first time in my life at 27 years old after being told at 6 years old that I'd be a full time wheelchair user by 30.

[–] [email protected] 13 points 6 days ago (1 children)

That's awesome. I'm glad everything went so well. Here's to a healthy and long life! Even the idea of going under is terrifying to me. You definitely had some courage with that attitude and that's really admirable.

[–] DillyDaily 1 points 5 days ago

It helps that I'd had several previous surgeries, so I'd had practice at keeping my cool. Plus my surgeon was in discussion with me for months with multiple consultations to really understand the issue, I don't think I could have possibly been in safer hands.

[–] [email protected] 4 points 6 days ago* (last edited 6 days ago)

the gambler's fallacy is the opposite of what applies to #1

"is the belief that, if an event (whose occurrences are independent and identically distributed) has occurred less frequently than expected, it is more likely to happen again in the future (or vice versa)." -per wikipedia

#2 is an optimist? A glass half full type of guy maybe.

#3 i'd guess is inferring that the statistics are based on an even distribution where the failures are disproportionately made up of by the same select few surgeons. or maybe that's #2 and the scientist actually know the theory of how the procedure works in addition to what #2 knows about statistics and distributions.

[–] [email protected] 3 points 6 days ago (1 children)

1 in 100,000 not 10,000 (anaesthesia deaths)

[–] DillyDaily 1 points 5 days ago (1 children)

Well either it's 1 in 10,0000 in my country, or the department of health, my surgeon and GP are all missing a zero... which isn't more likely because there's no way our risk would be that much higher than the UK, and the NHS public health resources is 100,000.

[–] [email protected] 1 points 4 days ago

I can't load that page so assuming it just says 1 in 10,000. That does seem like an insane difference and actually quite a high risk imo given how many people undergo surgery.

[–] [email protected] 18 points 6 days ago (1 children)
[–] renzev 2 points 6 days ago
[–] iAvicenna 3 points 5 days ago

The mathematician is probably feeling fine because he is computing the conditional probability of survival (otherwise fuck no I am not taking a surgery that has a %50 chance of killing me, that is way too much).

[–] brlemworld 1 points 6 days ago (1 children)

Gamblers fallacy or law of large numbers...

[–] rain_worl 0 points 5 days ago

law of large numbers does not imply gambler's fallacy

[–] Aceticon 9 points 6 days ago

Being taught Statistics at University was a real eye opener on this...

[–] [email protected] 223 points 1 week ago (6 children)

"You should know that 9 out of 10 people who undergo this surgery will die. But don't worry, the last 9 people who took this surgery all died, so you're in the clear!"

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[–] [email protected] 115 points 1 week ago (19 children)

Does the surgary have personal success rate of 50% or is the number from all the surgeries practiced by all the doctors?

[–] [email protected] 78 points 1 week ago

Doctor stabs you. "Oh no! Questioning the surgery claims another..."

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[–] [email protected] 80 points 1 week ago (2 children)

First 20 patients died until the surgeon learned how to do it, next 20 survived. Technically it's 50% survival rate

[–] [email protected] 3 points 5 days ago

Yeah that's how "normal people" thinks here

[–] [email protected] 5 points 6 days ago

Depends on the sample size.

If it's just this guy doing it, then yeah.

If it's this guy who has done the procedure 20 times with 20 successes, and another doctor who sucks, who performed the procedure 20 times with 20 fatalities, that's different.

It's likely that the sample size is much larger than one or two doctors.

[–] [email protected] 49 points 1 week ago (2 children)

Can somebody explain the difference between the mathematician and the scientist parts of this?

[–] [email protected] 206 points 1 week ago* (last edited 1 week ago) (2 children)

The normal person thinks that because the last 20 people survived, the next patient is very likely to die.

The mathematician considers that the probability of success for each surgery is independent, so in the mathematician’s eyes the next patient has a 50% chance of survival.

The scientist thinks that the statistic is probably gathered across a large number of different hospitals. They see that this particular surgeon has an unusually high success rate, so they conclude that their own surgery has a >50% chance of success.

[–] [email protected] 59 points 1 week ago (8 children)

Thanks. I suspect a mathematician would consider the latter point too though.

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[–] HexesofVexes 41 points 1 week ago (2 children)

Assuming X~B(20,0.5), that gives us a p-value of...

0.00000095367431640625

Time to reject H0!

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