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I'm a Neurologist, Hear Me Roar — If I wasn't believed when seeking care, what chance do non-physicians have?

Discussion in 'Other psychosomatic news and research' started by SNT Gatchaman, Dec 7, 2022.

  1. SNT Gatchaman

    SNT Gatchaman Senior Member (Voting Rights)

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    By Ilene S. Ruhoy, MD, PhD, neurologist and medical director for the EDS/Chiari Center at Mount Sinai South Nassau in New York.

    ME/CFS and long COVID advocate on Twitter.

    https://www.medpagetoday.com/opinion/second-opinions/102084

    Note that she later expands on the so-called "normal" neurological examination. She actually had papilloedema, but no-one had looked in her eyes. This is bad medicine, but ironically moreso, given that the patient herself is a neurologist.

    Personally, I'd reword that to "The diagnosis of a functional disorder, a conversion disorder, or a psychosomatic illness should never be made in the first visit."
     
    SNT Gatchaman, Dec 7, 2022
    #1
    Jaybee00, FMMM1, livinglighter and 23 others like this.
  2. shak8

    shak8 Senior Member (Voting Rights)

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    Not doing an MRI on a colleague, can you believe it. Beyond the pale.

    i think that rational thought is missing most of the time in our species, and doctors are not 'special people' over-endowed with superior brains.
     
    shak8, Dec 7, 2022
    #2
    FMMM1, Arnie Pye, zzz and 4 others like this.
  3. RedFox

    RedFox Senior Member (Voting Rights)

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    I used to think of doctors as especially competent because of their rigorous training and role in protecting people's lives. I've seen many other professionals mess things up. Software developers building entire systems out of cheap hacks, electricians doing work that isn't up to code, useless customer service people, etc. And chronic illness made me discover....doctors are just as human and just as fallible as everyone else.
     
    RedFox, Dec 8, 2022
    #3
    FMMM1, Subtropical Island, rvallee and 8 others like this.
  4. Sean

    Sean Moderator Staff Member

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    One thing I have seen in practice is that patients become so used to not being believed that they feign, though not necessarily intentionally, certain symptoms on exam in hopes of trying to convince a doctor something is really, truly wrong.

    You can see how that could play in the minds of those who already see us as malingering, attention-seeking, etc.

    And usually they are when applying known knowledge to known problems. Which is almost all clinical medicine.

    Got a clean simple fracture of the arm? Piece of cake. Everybody goes home happy, with the minimum amount of fuss.

    Difficulties start when they try to use that method on unexplained problems with no effective treatment. Clearly it doesn't work. Wrong tool for the job.
     
    Sean, Dec 8, 2022
    #4
    FMMM1, ukxmrv, Subtropical Island and 6 others like this.
  5. ToneAl

    ToneAl Senior Member (Voting Rights)

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    Adelaide Australia
    So the whole fnd ideology is useless and very harmful when missed conditions are present. The obvious logical explanation is fnd is not a proper condition at all but in the minds of the doctor. So the whole core of medicine is stinking from the inside out.
    We need a revolution from education to the colleges
     
    ToneAl, Dec 10, 2022
    #5
    rvallee, FMMM1, EzzieD and 3 others like this.
  6. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    If I remember rightly the same Dr Ruhoy made some pretty strange interventions in the dialogue about craniotomy-cervical instability in relation to ME.

    If it turns out she had a brain tumour various thoughts pass through the mind. I hope she recovers well from her bad experiences. I learnt this lesson first hand long ago but it keeps happening and it needs highlighting.
     
    Jonathan Edwards, Dec 10, 2022
    #6
    ToneAl, FMMM1, Trish and 6 others like this.
  7. Hutan

    Hutan Moderator Staff Member

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    Hutan, Dec 10, 2022
    #7
    Trish and Peter Trewhitt like this.

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