It’s Not All in My Head

I’m sorry but I must disagree with your assessment of the visit. I took a full history, reviewed available records and did a complete rheumatologic physical exam (which I know is more detailed than most). I ordered appropriate labs and all they are returning normal and negative for rheumatic disease. I am aware that you have musculoskeletal pain and I acknowledged that but I have no treatment for chronic undifferentiated pain syndrome. I have been practicing for > 30yrs and this has allowed me to be more efficient in my evaluations that most. Again , I would recommend that your MD have you evaluated by a pain specialist.

The exam wasn’t complete. Going through the motions isn’t a complete exam. The appropriate labs probably wouldn’t be back by now, since it generally takes more than 36 hours to get lab results back on anything other than simple tests. Pain is not the same as inflammation and it isn’t the same as all of the dryness going on everywhere. The syndrome that he mentioned in the email, which wasn’t mentioned at the appointment, is (from what I can tell) a somatoform diagnosis–meaning that it’s all in my head. So basically, I hurt, feel like crap, etc. because I’m a nutter.

The last time that a doctor diagnosed me with a somatoform illness and stuck with that diagnosis was when I was 13 and I was having problems with my gallbladder. That doctor thought that I was just really anxious and causing the stomach pain. She continued that stance after the surgery to remove the gallbladder. So, I don’t really take stock in doctors who outright say that it is all in my head. And if it were a somatoform issue, then you know what the treatment is? Therapy and anti-depressants. What have I been going through on near-constant basis since I was 16 and off-and-on since I was 13. Yeah, those two things.

Now, it could be that I’m just crazy, but I really don’t think so. (I know that’s supposed to be part of the whole diagnosis with the problem.) I just don’t think it’s possible for me to fake this much stuff. I think it’s more likely that the doctor is just an arrogant ass who didn’t care to look into what might be going on.

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Janet Morris

I'm from Huntsville, Alabama. I've got as many college credits as a doctorate candidate, and the GPA of some of them, too. I have a boss by the name of Amy Pond. She's a dachshund. My parents both grew up in Alabama.

5 thoughts on “It’s Not All in My Head”

  1. I worked as a receptionist at a local doctor’s office and it shocked me just how many doctors dismissed what the patient had to say. Many doctors seem to feel that since they went to medical school they are “better” than their patients are and have the right to decide what is important and what is not. What these doctors fail to realize is that if they do not listen to what their patients have to say then they will continue to misdiagnose and fail miserably at what they are trained to do essentially wasting that expensive education that they like to toss around.
    Valentine’s Day Recap was the last thing I wrote

    1. I think that some doctors have totally lost sight of why they are (or, at least, should be) in the field of medicine.

    1. Definitely. I don’t get the superiority thing that some doctors seem to have–whether its because they’re doctors or because they’ve been in practice for a long time. It doesn’t make sense why any care provider would be dismissive towards those they’re supposed to help. If they wanted to go into a dismissive profession, maybe they should’ve become bill collectors.

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