Thursday, May 14, 2009

Why Doctors Dismiss Your Symptoms

It's funny how there are some things that doctors jump to treat, but others that they ignore. For example, if I came in with high blood pressure, high BMI, and high cholesterol, you can bet I'd get some sort of drug for it (if I were a few decades older).

As another example, if I came in and said I had depression, you can bet I'd get an antidepressant. In my experience, depression is one of the easiest things to get a prescription for. In fact, sometimes a prescription will be pushed upon you even when you don't describe any diagnosis-worthy symptoms of depression (e.g. doctors recommended antidepressants for me when I described the symptoms of refractory Lyme and coinfections).

In contrast, there are other conditions that most doctors simply brush away.

For example, every time I go to the doctor, my temperature is between 96 F and 96.5 F. This is out of the normal range of 97.5 to 98.8 F. Moreover, I don't feel good at this temperature. I don't have enough energy, I get chills, I have night sweats, and I have Raynaud's phenomenon.

However, when I tell my doctors I think I might have effective hypothyroidism (perhaps something downstream of the TSH is not working right), they say that many of their patients have low body temperature and not to worry about it.

Can you imagine a doctor saying that about other conditions? "Well, your cholesterol is high, but we see that in a lot of patients, so don't worry about it," or "Well, you're probably depressed, but a lot of people are like that, so it's nothing to worry about."

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