Tag: diagnosis

Mast cells

Mast Cell Activation Disorder – Yes, It’s Real

Mast Cell Activation Disorder is real, but there are a large number of fake diagnoses out there. How do you tell the difference?

/ May 31, 2017
Siddhartha Mukherjee - PopTech 2010 - Camden, Maine _ Flickr

How Do Doctors Learn to Diagnose, and Can Machines Learn to Do It Too?

Siddhartha Mukherjee weighs in on how doctors arrive at a diagnosis and how computers can assist but not replace them.

/ April 11, 2017
Proposed_Symptoms_of_ADHD

The ADHD Controversy

ADHD was already a controversial diagnosis; are Jerome Kagan's recent criticisms of it warranted?

/ March 1, 2017

Uncertainty in Medicine

Medicine is an uncertain business. It is an applied science, applying the results of basic science knowledge and clinical studies to patients who are individuals with differing heredity, environment, and history. It is commonly assumed that modern science-based doctors know what they are doing, but quite often they don’t know for certain. Different doctors interpret the same evidence differently; there is uncertainty...

/ May 24, 2016

The Fog of Medicine

I often get called on to be a diagnostician. The referring doctor is uncertain what is going on in the patient, often a fever of unknown origin, and they call me to help figure it out. Sometimes I do, sometimes I don’t. Making the correct diagnosis is not easy, even after 35 years. The classic phrase is the fog of war, but...

/ January 22, 2016
HelenCarte fatigue 1885

IOM Recommends Replacing CFS with SEID

Chronic fatigue syndrome (CFS) is a controversial diagnosis that has also been called myalgic encephalomyelitis (ME or ME/CFS), post-viral fatigue syndrome (PVS), chronic fatigue immune dysfunction syndrome (CFIDS), Iceland disease, “yuppie flu,” and many other names. A new report from the Institute of Medicine (IOM) says that none of those names really fit the disease and recommends it be re-named systemic exertion...

/ March 3, 2015

Diagnosis, Therapy and Evidence

When Dr. Novella recently wrote about plausibility in science-based medicine, one of our most assiduous commenters, Daedalus2u, added a very important point. The data are always right, but the explanations may be wrong. The idea of treating ulcers with antibiotics was not incompatible with any of the data about ulcers; it was only incompatible with the idea that ulcers were caused by...

/ March 16, 2010

Diagnostic Dilemmas

Sometimes diagnosis is straightforward. If a woman has missed several periods and has a big belly with a fetal heartbeat, it’s pretty easy to diagnose pregnancy. But most of the time diagnosis is much more difficult. Alzheimer’s can’t be diagnosed for sure until the patient dies and you do an autopsy. If only we had one of those Star Trek gadgets to...

/ June 3, 2008