This document from the Fibromyalgia Network gives an excellent template for the diagnosis:
This document produced by:
Fibromyalgia Network | www.fmnetnews.com | (800) 853-2929
This document from the Fibromyalgia Network gives an excellent template for the diagnosis:
This document produced by:
Fibromyalgia Network | www.fmnetnews.com | (800) 853-2929
How is one supposed to score by excluding pain caused by other conditions that are often comorbid? Even doctors have trouble with that.
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Yes, this is a BIG problem, especially with a condition as vague and ill defined like fibromyalgia.
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this seems an improvement over the old “whap on the 11 (or 18, or whatever) points & decide if they’re ‘unusually’ tender” method, but still…what if you happen to have had an unusually good week the previous 7 days, after months of hell? I hate that the medical profession is so obsessed with absolutes that the whole concept of the “art of medicine” is gone. Like the Hippocratic oath (far as I know, they don’t take it any more in med school, haven’t for a while –& it shows). I mean, I love data but for many conditions you just cannot create them out of fog.
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The intermittent and fluctuating nature of chronic pain makes any momentary measure useless. But these days, when medicine is so obsessed with any and all possible measurements, an invalid measurement is even preferred to a lengthy (and far more accurate) description.
That’s because descriptions cannot be converted into a metric that can be used to manipulate behavior. Most work is now ruled by metrics, forcing workers into narrowly defined “behaviors” rather than general “productivity” and sadly, this is becoming the case for the medical field as well.
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Dreadfully true down the line, unfortunately.
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Exclude your pain or other symptoms from other known illnesses… what kind of fool thinks that such things can be untangled? OMG I have multiple systemic conditions with overlapping pain and other symptoms. Or maybe they tossed this in there to exclude other conditions in the analysis?
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It’s all part of the trend towards considering only discrete, measurable factors.
I think its disastrous for medical care, but what do I know? I’m not a management “expert” who is creative enough to come up with this nonsense (and gets paid far more than any of the people actually doing “work”).
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Reblogged this on Flutterby's Rantings and Ravings.
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