MD here. I agree with this completely. I will also add that Chronic Fatigue Syndrome is unlikely one disease although we are not smart enough yet to know to divide them more specifically.
I've "fixed" cases like this by diagnosing and treating rare rheumatological and sleep disorders. However, most patients clearly have psych or personality disorders. Is the mental illness a cause or effect?
It's my job not to give up and blow off patients. Just realize that there is a ton about medicine that is unknown still--we are scientists searching for answers too.
Sleep disorders are notorious for bringing on mental problems as well, including (but not limited to) severe depression. Meanwhile depression can cause sleep issues all by itself.
Teasing out cause and effect for patients like this must be a nightmare.
Comments
MD here. I agree with this completely. I will also add that Chronic Fatigue Syndrome is unlikely one disease although we are not smart enough yet to know to divide them more specifically.
I've "fixed" cases like this by diagnosing and treating rare rheumatological and sleep disorders. However, most patients clearly have psych or personality disorders. Is the mental illness a cause or effect?
It's my job not to give up and blow off patients. Just realize that there is a ton about medicine that is unknown still--we are scientists searching for answers too.
Sleep disorders are notorious for bringing on mental problems as well, including (but not limited to) severe depression. Meanwhile depression can cause sleep issues all by itself.
Teasing out cause and effect for patients like this must be a nightmare.