Discussion in 'Health News and Research unrelated to ME/CFS' started by Andy, Jul 7, 2018.
Paywalled at https://link.springer.com/article/10.1007/s00192-018-3709-0
It's such a shame that Gynaecology Outpatient Clinics have to treat women, there would be far fewer problems if they were dealing with men.
But here's a solution. Label your patients with the equivalent of hypochondria, then when they complain that your treatment hasn't helped, you can rest easy knowing that it's not your fault. The more they complain, the less at fault you are.
Since the average gynaecological examination (in my experience) was to look at the patient's belly, prod it a few times, and possibly feel around in the vagina, gynaecology itself is not a highly specialised or scientific medical discipline. If the GP who referred the patient has mentioned depression and other phrases of dismissal in their referral letter then patients are never going to get a fair hearing, and doctors won't bother actually eliciting any "pathology".
One examination of this type was done on me by a GP when I was roughly 30. He then screamed at me that there was nothing wrong with me and "GET OUT OF MY OFFICE!". About 6 months later I was being seen by an IVF clinic for the first time. When they scanned me they found 5 or 6 ovarian cysts, most of which were huge, and further examination and testing showed that they had existed for a very long time. This was what passed for gynaecological care throughout much of my life.
Oh - and gynaecological surgeons can't accurately elicit how many ovaries a woman has, which is a little bit of a problem.
I took a look at Appendix 1 Central Sensitization Inventory on the link in the OP and realised that I have had many of those symptoms throughout life. I've managed to eliminate quite a few of them by :
a) Improving my iron levels
b) Supplementing magnesium
I had a go at filling in the Central Sensitization Inventory this morning. Score 40 or above indicates Central Sensitization Syndrome.
I did it once, as carefully and honestly as I could.
I scored 47.
Oh dear, I suffer from CSS.
I thought about it a bit for about 5 minutes. I decided I'd made too much of some things where my symptoms are slight or no different from healthy people my age. I filled it in again.
I scored 33.
I no longer have CSS.
I've magically cured myself with 5 minutes positive thinking.
I can work miracles!
I think I'll set up a pyramid selling scheme to spread the good word, and charge people £1000 a time to come to my miracle workshops.
The more I look at that questionnaire the more I realise it is is utter BS. I've tried to think of common physical conditions that might lead to a positive diagnosis of CSS and so far I've come up with :
Having a severe cold, flu, or a respiratory infection; iron deficiency; vitamin B12 deficiency or pernicious anaemia; hypothyroidism; hyperthyroidism; ME/CFS; Alzheimer's Disease or other form of dementia; normal ageing; urinary and kidney infections; MS; endometriosis; GERD; gastritis; IBS; IBD; Crohn's Disease; Ulcerative Colitis; Coeliac Disease; lung diseases of various kinds e.g. COPD;
It makes healthcare so much easier and cheaper when you can deny the patient is sick at all.
I suspect that under it all, besides the usual egos and careers and incomes, etc, this is the big driver in the establishment resistance to dealing with PACE and similar nonsense. So much of government and private insurance industry policy rests on these claims being true.
They are too critical to be allowed to fail.
And then there is this issue as well :
“Is curing patients a sustainable business model?” Goldman Sachs analysts ask
@Graham s training videos clearly worked very well @Trish
blimey ars technica not a very credible name for an organisation in my neck of the woods
Yes. Although not quite as unfortunate as the name of the organisation that markets a very effective treatment/cure for Hepatitis C - as discussed in the article posted by @Arnie Pye above. Gilead Sciences.
No but it is rude so worse/funnier
central sensitisation another meaningless word with no scientific evidence to back it up . make you think that if you could temporarily inflict all your symptoms on these idiots the world could become a much better place for everyone .
Separate names with a comma.