I am not sure but it seems to me like: -Medical establishment shrugs shoulders "Dunno. [Description-of-symptoms] Syndrome?" then later: -Medical establishmen

I am not sure but it seems to me like: -Medical establishment shrugs shoulders "Dunno. [Description-of-symptoms] Syndrome?" then later: -Medical establishment knowing look "Yeah we know that one. It is Name-of-cause/discoverer-of-cause disease." Is this how it works?