NYTimes: Why Are We Still Dismissing Girls=?utf-8?Q?=E2=80=99_?=Pain?

Mark Gusack gusackm at COMCAST.NET
Mon Feb 18 23:20:13 UTC 2019


Good Evening Everyone:

 

I want to thank Ruth for raising this issue.

 

I first encountered this and other prejudices during medical school.  One egregious case occurred in the spring of 1980.  It was 4 PM on a Friday.  A heavyset Black woman showed up at the clinic I was assigned to.  The clinic physician told me she was “crazy and a hypochondriac”; that they had thrown her out of the ER the night before.  He told me to go in, spend a few minutes with her and then “get rid of her.”

 

So, I went in and discovered she was a highly educated professor at a nearby university.  She had an adolescent son in the Boy Scouts who, a week earlier, had come home from a camping trip…Yup.  She had found a tick on his head and had cleaned out his back pack herself.  She had every sign and symptom of Rocky Mountain Spotted Fever including a tick on her scalp.  The diagnosis was confirmed after we admitted her to the hospital.  The clinic physician never forgave me for that.

 

In particular, I’m pleased that Ruth brought up the false claims regarding statins.  What she doesn’t realize is that, up to recently, the statins were being pushed very hard by highly paid physicians recommending that the dosage be raised until the patient’s lipids were well below the reference range for their sex and age group.  I personally attended two dinner conferences on statins and found many of my colleagues who were already on them rushing to raise their own dosages.  The result?  Most suffered significant musculoskeletal pain, neuralgias, and, in one case, loss of cognitive capabilities.  That last person was a woman who was forced to retire from her job for ‘psychiatric reasons’.  Several years later I ran into her.  She had dropped her statin dosage.  She was just fine and re-employed…thankfully.

 

Mark Gusack, M.D.

President

MANX Enterprises, Ltd.

304 521-1980

www.manxenterprises.com <http://www.manxenterprises.com> 

 

From: Ruth Ryan <ruth at RYAN-GRAHAM.COM> 
Sent: Monday, February 18, 2019 1:58 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] NYTimes: Why Are We Still Dismissing Girls’ Pain?

 

Yes, and 

 

Black people’s pain (Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. https://journalofethics.ama-assn.org/article/pain-and-ethnicity/2013-05 ; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843483/ and many more)

 

Children’s pain: (Hospitalized children continue to report undertreated and preventable pain. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4158935/;  Pain in Children: Neglected, Unaddressed and Mismanaged https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140088/)

 

Old people’s pain: (Undertreatment of pain in older adults: an application of beneficence. https://www.ncbi.nlm.nih.gov/pubmed/22772893 ;

Undertreating Pain http://www.todaysgeriatricmedicine.com/archive/032414p8.shtml)

 

And sometimes, everybody’s pain.  I was outraged to see the false claim by the AHA/Am College of Cardiology in their latest guideline that under 1% of people prescribed statins report muscle pain. (https://doi.org/10.1016/j.jacc.2018.11.003 JAMA. Published online February 6, 2019. doi:10.1001/jama.2018.21019).  

 

I have read this previously and also heard it said by physicians that muscle pain can be caused by many things, so patients’ many complaints about leg pain, cramps and muscle pain are dismissed as not real and/or not related to statins, despite the pain beginning and ending with statin dosing.  The better to achieve more patient “compliance” with statins and sell more statins.

 

Ruth Ryan RN

 

From: David Meyers <dm0015 at COMCAST.NET <mailto:dm0015 at COMCAST.NET> > 
Sent: Monday, February 18, 2019 1:34 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG> 
Subject: [IMPROVEDX] NYTimes: Why Are We Still Dismissing Girls’ Pain?

 



People continue to struggle with the idea that women are the authorities on their own bodies.

Read More... <https://nyti.ms/2V046sQ?smid=nytcore-ios-share> 

Get The New York Times on your mobile device <https://www.nytimes.com/services/mobile/apps/> 

 

Sent from my iPhone

 

David

David L Meyers, MD  FACEP 

SIDM Board member & listserv moderator

 

  _____  


Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG> 

To unsubscribe from IMPROVEDX: click the following link:
http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX <http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1> &A=1 

or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG <mailto:IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG> 

Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX


Moderator:David Meyers, Board Member, Society for Improving Diagnosis in Medicine

To learn more about SIDM visit:
http://www.improvediagnosis.org/

 

  _____  


Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG> 

To unsubscribe from IMPROVEDX: click the following link:
http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX <http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1> &A=1 

or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG <mailto:IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG> 

Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX


Moderator:David Meyers, Board Member, Society for Improving Diagnosis in Medicine

To learn more about SIDM visit:
http://www.improvediagnosis.org/







Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


HTML Version:
URL: <../attachments/20190218/3cf818ed/attachment.html>


More information about the Test mailing list