So I'm on the Facebook, where I can frequently be found hiding between patients. My lovely and talented wife messages me the following:
"I thought you'd be interested to know that AOL is running an article called, "7 Women's Autoimmune Problems that Doctors Miss." It will make you feel warm and fuzzy all over.
1.PCOS
2.Fibromyalgia
3. Chronic Fatigue Syndrome
4. Lupus
5. MS
6. RA
7. IBS
I'm sure you are glad this is in the news"
Oh yes, I'm glad articles like that are out there. And while I'm sure that the person that wrote that article is as sweet as they are insightful, it does not make me happy to see.
I ask you, what are you supposed to take away from this article? I would guess that the desired effect is to make you consider that your physician is incompetent and that you "know better what's wrong with [your] body" than your doctor does. While I seriously doubt that statement is true in most cases, I get to hear it at least once per week.
I think it misses a key element in the nature of the physician's role in patient care. When a patient comes to me, they are coming to ask my opinion and advice regarding their health or any ailments they may be having. The above "article" would suggest that if you're having vague symptoms, then your physician is CLEARLY missing a vague or rare diagnosis. More often than not, your physician is considering one or all of the above diagnoses (as appropriate), but you may not have anything like that.
Allow me to give you more common alternate diagnoses that can mask the above:
1.PCOS - You have diabetes (I'm not aware that PCOS is an autoimmune disorder).
2.Fibromyalgia - You are depressed and crave narcotics.
3. Chronic Fatigue Syndrome - You are depressed.
4. Lupus - You read too much on the internet and you crave narcotics.
5. MS - I can't think of anything sarcastic to say here.
6. RA - You have osteoarthritis and crave narcotics.
7. IBS - You are depressed and you channel your underlying issues into abdominal complaints (wait, that is the definition of IBS).
No, I don't mean all that literally. But, thank you AOL for bringing down this wrath upon me from my patients!
Helpful Halloween goodness
I love the Onion. Kirk Saucier showed me this yesterday and I felt it was too good not to post on ye olde blog.
How To Find A Masculine Halloween Costume For Your Effeminate Son
Back tomorrow with actual content!
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