5 ms·

It is astounding that someone with the resources to pay for the best medical care was unable to arrive at the correct diagnosis. As we move towards AI assisted

It is astounding that someone with the resources to pay for the best medical care was unable to arrive at the correct diagnosis. As we move towards AI assisted diagnoses, hopefully such suffering can be mitigated. Do neurologists follow checklists when diagnosing symptoms? Will this case change their procedures going forward?

bigtunacan 10y ago
Speaking from personal experience (I suffer from a rare neuro-muscular) disease. If you have a very common disease it is often somewhat quickly diagnosed and treated. The less common the disease the longer it takes and the more likelihood of early misdiagnosis. Often times there are symptoms overlap. A patient may not display or disclose the symptoms that makes it stand out from the others. Many diseases are diagnosed by physical examination only as lab results can't pinpoint many diseases. This makes it difficult as the doctors you are seeing may not have any/enough experience with the disease to properly diagnose. In my case it took over six years to get a correct diagnosis and treatment. My doctor is quite humble which served me well as other doctors might have misdiagnosed and treated me incorrectly. In my case the doctor said to me after several months of testing and examinations, "There is clearly something serious wrong with you, but I'm not smart enough to figure out what." After that he became more of a puppet master sending me to different specialists until finally, after 6 years I found one who was familiar with my illness.
- zhs 10y ago
  Sorry to pry, but may I ask which neuro-muscular disease you're referring to? A bit fascinated by the inability of many doctors to make proper diagnoses when dealing with neurological issues.
  - bigtunacan 10y ago
    Stiff Person Syndrome. It is extremely rare and occurs in only about 1 in 1 million people. https://en.m.wikipedia.org/wiki/Stiff_person_syndrome https://en.m.wikipedia.org/wiki/Stiff_person_syndrome For this particular illness, 6 years is the average amount of time it takes to diagnose. Just to help put it in perspective.
    - zhs 10y ago
      Thanks for indulging my curiosity, have heard of it believe it or not.
      - bigtunacan 10y ago
        No worries. It's no big secret for me. Most people don't know what it is; I even got a blank stare from an ER doctor once when I was taken in during an extremely bad episode.
Pokepokalypse 10y ago
LBD can only be diagnosed through microscopic analysis of brain tissue. Though symptom-checklists work, LBD patients are frequently misdiagnosed as PD or Alzheimer's. Some of the meds for those diseases make LBD symptoms much worse, so that is another way LBD can be identified. Happened with my mom.

bigtunacan 10y ago

Speaking from personal experience (I suffer from a rare neuro-muscular) disease. If you have a very common disease it is often somewhat quickly diagnosed and treated. The less common the disease the longer it takes and the more likelihood of early misdiagnosis. Often times there are symptoms overlap. A patient may not display or disclose the symptoms that makes it stand out from the others. Many diseases are diagnosed by physical examination only as lab results can't pinpoint many diseases. This makes it difficult as the doctors you are seeing may not have any/enough experience with the disease to properly diagnose. In my case it took over six years to get a correct diagnosis and treatment. My doctor is quite humble which served me well as other doctors might have misdiagnosed and treated me incorrectly. In my case the doctor said to me after several months of testing and examinations, "There is clearly something serious wrong with you, but I'm not smart enough to figure out what." After that he became more of a puppet master sending me to different specialists until finally, after 6 years I found one who was familiar with my illness.

zhs 10y ago
Sorry to pry, but may I ask which neuro-muscular disease you're referring to? A bit fascinated by the inability of many doctors to make proper diagnoses when dealing with neurological issues.
- bigtunacan 10y ago
  Stiff Person Syndrome. It is extremely rare and occurs in only about 1 in 1 million people. https://en.m.wikipedia.org/wiki/Stiff_person_syndrome https://en.m.wikipedia.org/wiki/Stiff_person_syndrome For this particular illness, 6 years is the average amount of time it takes to diagnose. Just to help put it in perspective.
  - zhs 10y ago
    Thanks for indulging my curiosity, have heard of it believe it or not.
    - bigtunacan 10y ago
      No worries. It's no big secret for me. Most people don't know what it is; I even got a blank stare from an ER doctor once when I was taken in during an extremely bad episode.

Pokepokalypse 10y ago

LBD can only be diagnosed through microscopic analysis of brain tissue. Though symptom-checklists work, LBD patients are frequently misdiagnosed as PD or Alzheimer's. Some of the meds for those diseases make LBD symptoms much worse, so that is another way LBD can be identified. Happened with my mom.