Ever since Vanessa had developed her health issues, with abdominal pain, shifting diagnoses that have all so far turned out to not quite be right, and thoughts of the upcoming endoscopies... I still see the effects of these events changing the way I practice medicine. Many patients are dismissed as malingerers or psycho-somaticizers, however I see them as patients potentially suffering from a uncommon condition. I find myself holding patients a day longer, running an extra $4000 of tests. So far, nearly everyone whom I suspected to be psychosomatic have all been psychosomatic. Am I wasting money? perhaps. But psychosomatic pain, etc. is truly a diagnosis of exclusion... and I wonder if I wasn't Vanessa's husband... would doctors have just dismissed her as "crazy"?? I admit, I did fear that this was all in her head. In hind sight I know without doubt it is clearly not. There are still items on the differential which haven't been ruled out. There are still disorders so poorly defined they barely have names. I am thankful that I have found a physician for her that practices medicine on the fringe of clinical knowledge who takes her serious and has experience with people just like her. So bring on the endoscopies, the lab, and anything else. Thank you for the prayers... and I will continue to be a little extra thorough in my work up, hopefully sparing someone from a life of pain and disability simply because they didn't get the full work up.
David
David
Comments
Post a Comment