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  • Originally posted by rasb
    Not very difficult to diagnose, with or without an MD. What a joke !
    Listen, I am not saying a flu shot is causing this woman's condition. I am not certain her condition is genuine. But you are manifesting ignorance with your above comment.

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    • Originally posted by 2 cents
      But you are manifesting ignorance with your above comment.
      Is that a lot like being a delusional lunatic that insists he sees things that aren't actually there?

      Comment


      • Originally posted by 2 cents
        Originally posted by DrJay
        You know who she looks like.....Joe Cocker on stage!
        Do you actually practice medicine? Or do you simply play a doctor on message boards? Do you really think you can diagnose this woman from your laptop?
        I have studied and practiced the craft of neurology including movement disorder in excess of 40 years. I think, I can offer a pretty decent guess.
        "A beautiful theory killed by an ugly fact."
        by Thomas Henry Huxley

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        • Well, guess away, Pego, guess away....I guess this is multiple choice...

          Comment


          • Originally posted by 2 cents
            Well, guess away, Pego, guess away....I guess this is multiple choice...
            Precisely. Three options in differential diagnosis. Organic dystonia is not among them.
            "A beautiful theory killed by an ugly fact."
            by Thomas Henry Huxley

            Comment


            • Originally posted by 2 cents
              Originally posted by DrJay
              You know who she looks like.....Joe Cocker on stage!
              Do you actually practice medicine? Or do you simply play a doctor on message boards? Do you really think you can diagnose this woman from your laptop?
              I'm a general internist, in real life. I am not a neurologist--pego is, read his brief comments--but I've seen enough neurologic illness in my 18 years since completing my residency to view that video with a whopping big dose of skepticism. I don't think it is possible to have those movements as an involuntary part of a neurologic illness (as opposed to a psychiatric illness, such as a conversion disorder:

              http://en.wikipedia.org/wiki/Conversion_disorder)

              yet have very close to normal motor function simply by changing to a trot or backwards walking. Like I said, her movements look volitional to me. If she came to me as a patient, I would send her to a good neurologist. I suspect he/she would say this is not any form of dystonia, or any other neurologic disease.

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              • If you suspect she may have a psychiatric disorder, or a psychogenic disorder, would that be a good reason to mock her?

                Comment


                • I've seen patients who claimed one entire side of their body was numb, from crown of the head to tips of the toes, right up to their midline, with absolutely no other neurologic symptoms whatsoever....not possible, there is no neurologic lesion that can do that. A friend who worked for the Public Health Service in the hills of eastern Kentucky had a few patients come in, proclaiming in a preacherly sort of dramatic voice, "Doctah! Doctah! Ahm BLAHND! Ah kint SEE! Jesus strook me BLAHND!" and they could see, they had no illness making them blind. We can't always find a precise explanation for some symptoms, but we can often say "X" is definitely NOT due to "Y" and I'm pretty sure this lady's movements are not due to a neurologic movement disorder. Again, I'll defer to a neurologist.

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                  • Originally posted by 2 cents
                    If you suspect she may have a psychiatric disorder, or a psychogenic disorder, would that be a good reason to mock her?
                    Point well taken. It may not be fair, but in the world of publicity-seeking balloon boy fathers and ambulance-chasing lawyers, it's hard for me not to look at this in a negative way. She didn't come in to my office seeking help, she came via youtube and Channel 16, with a claim that the flu shot "did this" to her. One would hope Channel 16 would have a physician-consultant they would check with before airing such a story. But no. This is precisely the sort of mindset that leads to multi-billion dollar settlements between Dow Corning and women who claim their silicone breast implants caused their rheumatoid arthritis, or lupus, or fibromyalgia, even though such a connection has been proven in valid scientific studies NOT to exist. Why do we ignore rational science in this country, in favor of sound bites, snake oil, and hysteria?

                    Comment


                    • Originally posted by 2 cents
                      Originally posted by rasb
                      Not very difficult to diagnose, with or without an MD. What a joke !
                      Listen, I am not saying a flu shot is causing this woman's condition. I am not certain her condition is genuine. But you are manifesting ignorance with your above comment.
                      Really ? How incredibly clever of you, to notice my ignorance... We are blessed by your genius, and I, for one, can't wait to get your 3 cents worth.

                      Comment


                      • Originally posted by DrJay
                        It may not be fair, but in the world of . . . ambulance-chasing lawyers, it's hard for me not to look at this in a negative way.
                        Especially if your a doctor, right Jay?

                        (where is that smiley thingy?)

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                        • Originally posted by rasb
                          Really ? How incredibly clever of you, to notice my ignorance..
                          Yes, I would concur that you can call me Captain Obvious for ascertaining your ignorance...

                          Comment


                          • Originally posted by 2 cents
                            If you suspect she may have a psychiatric disorder, or a psychogenic disorder, would that be a good reason to mock her?
                            Let's assume she has a conversion disorder, because if this is simply an attempt to build a lawsuit, a la the finger-in-the-chili at Wendy's, then she should just be jailed.

                            In my experience, when you try to work with these folks (speaking as if this is a conversion disorder), in a rational and compassionate manner (yes, believe it or not, I have some compassion for people), they, and particulary their spouse and other family members, treat you as if you are the Devil incarnate, as if you are a complete idiot, as if you never went to medical school. They get nasty, tell you to your face that what you are saying is wrong and "unacceptable". "You need to do more tests," they say. "You're jumping to conclusions," they proclaim. Then, "We want to see a specialist." "Well, Mrs. Smith, you already saw a very good neurologist, the best in town, and he agreed that this is not a neurologic disorder such as dystonia. He also felt you have a conversion disorder, like we discussed." "Well, he doesn't know what he's talking about." They make threats. Then, fortunately, they move on to another physician and repeat the same.

                            Sound familiar, pego???

                            Comment


                            • Originally posted by bad hammy
                              Originally posted by DrJay
                              It may not be fair, but in the world of . . . ambulance-chasing lawyers, it's hard for me not to look at this in a negative way.
                              Especially if your a doctor, right Jay?

                              (where is that smiley thingy?)
                              Oh yeah....and people who come in complaing of bad hammys are the WORST!!

                              Comment


                              • Originally posted by DrJay
                                Originally posted by 2 cents
                                If you suspect she may have a psychiatric disorder, or a psychogenic disorder, would that be a good reason to mock her?
                                Let's assume she has a conversion disorder, because if this is simply an attempt to build a lawsuit, a la the finger-in-the-chili at Wendy's, then she should just be jailed.

                                In my experience, when you try to work with these folks (speaking as if this is a conversion disorder), in a rational and compassionate manner (yes, believe it or not, I have some compassion for people), they treat you as if you are the Devil incarnate, as if you are a complete idiot. They get nasty, tell you to your face that what you are saying is wrong and "unacceptable". "You're jumping to conclusions," they proclaim. "Well, he doesn't know what he's talking about." They make threats.
                                It sounds like you're describing what happens on this board when most of these jokers start discussing politics...

                                Comment

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