Monday, 18 Feb 2019

You are here

QD Video - Bug Bite Arthralgias

QD Videos from RheumNow.Live . "What do I have doc"? from a man with post bug bite oligoarthralgias. "Not all symptoms merit a diagnosis; some are just evidence of human imperfection".

Rheumatologists' Comments

I suspect that unrealistic expectations on the part of the patient and/or rheumatologist regarding diagnosis and/or treatment of real but nebulous symptoms in the setting of uncertainty often results in "attributional bias" and a diagnostic "label" that satisfies all parties involved (I borrow this term from Dr. Norman Hadler who uses the terminology "attributional ideation" in his writings.) Your thoughts are well taken that in the face of uncertainty, as time and circumstances allow, watchful waiting, conservative or symptomatic treatment, and appropriate diagnostic efforts are options often overlooked in an effort to placate the "customer" as well as meet the the coding demands of the EHR and payor. Worse yet are the demands we place on ourselves for perfection, efficiency and time constraints. Uncertainty is inherent in Rheumatology (up to a point). Just make sure the patient is included in any watchful waiting so they will return for followup and not get misdiagnosed prematurely by a differet provider with "tunnel vision" (as in neuropathy, Lyme disease, SLE, carpal tunnel syndrome, MS, FMS,etc!)
MORE VIDEOS

The RheumNow Week in Review –...

08 Jun 2018

Dr. Jonathan Kay: Dominant B Cell...

22 Oct 2018

The RheumNow Week in Review - 26 May...

26 May 2017

Week in Review - 20 Feb 2016

24 Feb 2016

The RheumNow Week in Review - 5 January...

05 Jan 2018

Dr. Philip Robinson: Fatigue and...

07 Nov 2017

Dr. Olga Petryna: Cardiovascular risk...

12 Jun 2017

Dr. Arthur Kavanaugh Discusses RheumNow

08 Nov 2015

QD6 - RA and Thrombocytopenia

10 Jan 2019

Dr. Eric Ruderman: Current Data in...

11 Feb 2018

QD: I want to get pregnant

23 Jan 2019

Dr. Brittany Ahmed: Rheumatology...

23 Oct 2018