4 ms·
Diagnoses are driven by treatments and not by patient health. I approached my PCP with a genuine complaint in the category of intermittent "medical emergency".
by AStonesThrow 2y ago
Diagnoses are driven by treatments and not by patient health.
I approached my PCP with a genuine complaint in the category of intermittent "medical emergency". The PCP diagnosed an organ and prescribed a targeted medication without even asking me clarifying questions, much less screening or imaging (except to rule out cancer as a cause, because that would've been more profitable.)
Later I returned to the PCP with questions. How did you diagnose this organ pathology without imaging? Even if you imaged it now, you have no baseline image to compare. Did you rule out other causes? Did you even evaluate my experiences, or review the history of incidents that would definitely be germane to the case? I collected a lot of evidence that the diagnosis was wrong, but I eventually hit a brick wall when trying to secure a referral and visit with a specialist.
Nope, it was "take two of these and call me in the morning". Due to the prescription's targeted nature, the next time I reported taking it, the corresponding diagnosis was duly entered in the chart! Post hoc ergo propter hoc???