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The difficulty is most clinical diagnoses (and some with specific criteria) will be a heterogenous group of diseases. Some patients with the label CFS may well
by Engineering-MD 3y ago
The difficulty is most clinical diagnoses (and some with specific criteria) will be a heterogenous group of diseases. Some patients with the label CFS may well have real pathology which can be treated, but some will be mostly psychological in nature, and some will be malingerers. Of course diseases without a proper diagnostic test will attract malingerers and then make people question those with a real diagnosis. Part of the problem of uncertainty in medicine.
- pygy_ 3y agoDefinitely, and dealing with malingerers is infuriating. That being said, when in doubt, I thin that doctors should trust patients (defendants are presumed innocent, patients should be presumed to be sick). Stiffing the ill to spite possible asshats is a bad societal bargain.
- dahfizz 3y agoEven if a doctor believes a patient, what are they supposed to do against a disease with no tests and no treatment?
- abecedarius 3y agoIndeed, why expect any difference between a human doctor and an old-fashioned GOFAI expert system?
- pygy_ 3y agoSocial recognition is better than the gaslighting folks with ME/CFS and other so-called "functional" diseases (with the scare quotes read "we really think you're nuts but won't say it out loud") often have to endure.