‘I can assure you, there is nothing wrong with your kidney’, Keith, 2021

[Andy]

Normal baseline investigation results in a patient with common symptoms is often labelled as being due to a functional disorder, with all the pejorative connotations that go along with that term. When given the opportunity to see a patient for a second opinion, it is important to retain an open mind rather than assuming previous assessments are correct. Such an attitude helps with both attaining the definitive diagnosis but is also crucial to helping give hope to the patient. Understanding the patient's concerns about the meaning of their symptoms is critical in finding the balance between advanced investigation to identify a putative cause versus a decision to proceed with symptomatic control.

https://www.rcpjournals.org/content/clinmedicine/21/1/4

 

[MEMarge]

Wow, great that this doctor has written about this.

 

[Andy]

Wow, great that this doctor has written about this.

That it's part of the "themed edition" on managing functional disorders seems somewhat incongruous though.

 

[Sly Saint]

https://www.rcpjournals.org/content/clinmedicine/21/1/4

Definite diagnosis of nutcracker syndrome was confirmed 6 years after presentation

found this paper
A Tough Nut to Crack: Chronic Fatigue Syndrome and Abdominal Pain Attributed to Nutcracker Syndrome

Abstract
Nutcracker phenomenon refers to entrapment of the left renal vein between the superior mesenteric artery and aorta. This can result in elevated left renal vein pressure and reduced renal perfusion. Nutcracker syndrome, which refers to symptoms associated with the above phenomenon, usually presents with acute onset hematuria and abdominal pain, but more rarely, may present as chronic fatigue syndrome. Here, we present a case of a 24-year-old male with a seven-year history of chronic fatigue syndrome, which was subsequently found to have imaging characteristics consistent with nutcracker phenomenon. His fatigue markedly improved after insertion of a left renal vein stent.

https://www.oatext.com/A-Tough-Nut-...tributed-to-Nutcracker-Syndrome.php#gsc.tab=0

 

[Barry]

What was notable, however, was those who had labelled me knew very little about me, had mostly not met nor examined me. They were consultants, distant from the patient, simply treating numbers. A critical lesson from this case is to meet the patient and listen to the history, don't just hear the story; listen.

 

[shak8]

Incredible in that the medical profession usually takes extra good care of its own.

 

[NelliePledge]

That it's part of the "themed edition" on managing functional disorders seems somewhat incongruous though.

Hopefully some of the ‘function specialists’ will read it and their bubble will be pierced

 

[alktipping]

i thought it was common practice in the medical system to question whether the previous doctor actually came to the right diagnosis ego is after all a very big problem .

 

[Arnie Pye]

Incredible in that the medical profession usually takes extra good care of its own.

I don't think that can be relied on by anyone in the medical profession. I wonder if the fact that the sufferer in the following link and in the link in post #1 were both female has anything to do with it.

Lisa Steen: The wilderness of the medically unexplained

i thought it was common practice in the medical system to question whether the previous doctor actually came to the right diagnosis ego is after all a very big problem .

I think it probably depends on what labels and previous diagnoses are on the patient's notes.