Fwd: In men, it's Parkinson's. In women, it's hysteria.

HM Epstein hmepstein at GMAIL.COM
Sat Aug 24 20:48:43 UTC 2019


Diane and Sherrill,

I agree. We referred to the medical education component of this issue in the column I wrote for SIDM a few months ago. Here’s the link to the article. https://www.improvediagnosis.org/dxiq-column/medicines-biggest-blind-spot-womens-bodies/


In it, Dr. Mark Graber refers to the issues surrounding training and gender gaps in the knowledge. Here’s a pull out from the article:

Graber agrees. “The Knowledge Gap is very real,” he says. “It’s definitely true that the vast majority of studies in medicine were done on men and usually pretty healthy men…So, there are built-in biases to the knowledge that we’ve been given.”

When he was in medical school and during his residency, Graber says that his training consisted of “facts” that applied primarily to men. “We were taught that the classic symptoms of heart attack are X Y & Z but those are all studies done in men. You weren’t taught that there are different presentations for women.”

SIDM has been working on a medical education component that is the first step toward improving diagnostic training in medical schools. Mark can speak more knowledgeably on this topic.

Best,
Helene
       
Website Twitter LinkedIn​ Facebook

On Aug 24, 2019, at 12:37 PM, Sherrill Franklin <sfranklin131 at gmail.com> wrote:

Diane, 

What an interesting and worthwhile solution.  This is such an important discussion.

Related to difficulties in diagnosis in general, is that women suffer disproportionately from autoimmune diseases, specifically.  Autoimmune diseases, with their vague and widespread symptom presentation often are undiagnosed.  There is no specialty called “autoimmunologist” so patients journey from one subspecialist to another where physicians are familiar with only a small piece of the diagnostic picture.  

Could the gender bias in diagnostic directives exist because of the prevalence of autoimmune diseases in women?  In other words, women don’t suffer from psychosomatic illnesses more than men, instead they may be suffering from undiagnosed autoimmune disorders. 

This may be one area where diagnostic directives should be rewritten to remove bias from diagnostic directives while encouraging physicians to consider over 100 autoimmune diseases and conditions that do disproportionately affect women. 



Kind regards, 

Sherrill Franklin
129 E. Harmony Road
West Grove, PA 19390

EMAIL: sfranklin131 at gmail.com
PHONE:  (610) 869-4234

> On Aug 24, 2019, at 10:37 AM, Diane O'Leary <doleary8 at UWO.CA> wrote:
> 
> Thank you Helene for this terrific article on gender in functional or psychosomatic diagnosis.  I find it baffling that the article concludes the problem is doctors’ personal biases.  The most basic form of psychosomatic diagnosis now is somatic symptom disorder, and if you look that up you’ll find the gender directive is actually explicit, suggesting a female-to-male ratio of 10:1.  
>  
> The reason doctors leap to functional diagnosis in women is because diagnostic directives explicitly tell them to.  So improving diagnostic safety for women is not about the formidable challenge of improving personal biases.  It’s about the far simpler task of removing gender from diagnostic directives.
> 
> Science does not support those directives.  Studies establish only that doctors do, as a matter of fact, diagnose women's symptoms as psychosomatic far more often than men's - that is, they do what they're trained to do.  There are no studies that show this is actually a good idea.
> 
> We’d make massive strides in reducing diagnostic error if we eliminated gender in diagnostic directives for psychosomatic disorders.
> 
> All the best -
> Diane
> 
> Diane O'Leary, PhD
> Visiting Fellow, Rotman Institute of Philosophy
> London, ON Canada
> (518) 275-5843
> (226) 215-4198
> doleary8 at uwo.ca
> 
> https://www.dianeoleary.com
>  
> Adjunct Full Professor and Course Chair in Philosophy
> University of Maryland University College
> Adelphi MD
> diane.oleary at faculty.umuc.edu
> From: HM Epstein <hmepstein at GMAIL.COM>
> Sent: August 23, 2019 12:15:41 PM
> To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
> Subject: [IMPROVEDX] Fwd: In men, it's Parkinson's. In women, it's hysteria.
>  
> When men and women have similar symptoms, why are men given a physiological diagnosis and women a psychological one? Neurologist Laura S. Boylan was dismissed and overlooked for years, suffering from the confusion between true medical gender differences and gender bias.
> https://www.propublica.org/article/in-men-its-parkinsons-in-women-its-hysteria? 
> Best,
> Helene 
> 
>        
> Website Twitter  LinkedIn ​  Facebook
> 
> Begin forwarded message:
> 
> From: ProPublica’s Big Story <donotreply at lists.propublica.net>
> Date: August 23, 2019 at 7:13:30 AM EDT
> To: hmepstein at gmail.com
> Subject: In men, it's Parkinson's. In women, it's hysteria.
> Reply-To: getinvolved at propublica.org
> 
> 	
> The Big Story
> FRI. AUG 23, 2019
> 
> In Men, It’s Parkinson’s. In Women, It’s Hysteria.
> Neurologist Laura Boylan suffered from tremors and loss of balance that she attributed to a cyst in her brain. Why didn’t her doctors believe her?
> by David Armstrong
> View Story
> Support independent nonprofit news.
> 
>  						 
> Was this email forwarded to you from a friend? Subscribe.
> 
> This email was sent to hmepstein at gmail.com. Update your email preferences or unsubscribe to stop receiving this newsletter. Email not displaying correctly? View it in your browser.
> 
> ProPublica • 155 Ave of the Americas, 13th Floor • New York, NY 10013
> 
> 
> 
> 
> 
> 
> To unsubscribe from IMPROVEDX: click the following link:
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
> or send email to: 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/
> 
> 
> 
> To unsubscribe from IMPROVEDX: click the following link:
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
> or send email to: 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/




To unsubscribe from IMPROVEDX: click the following link:
http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
or send email to: 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/20190824/afac4bac/attachment.html> ATTACHMENT:
Name: image1.jpeg Type: image/jpeg Size: 351891 bytes Desc: not available URL: <../attachments/20190824/afac4bac/attachment.jpeg>


More information about the Test mailing list