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

ROBERT M BELL rmsbell200 at YAHOO.COM
Sun Aug 25 03:41:34 UTC 2019


Is there any relationship between allergy/allergic reactions and autoimmune diseases?

Rob Bell

> On Aug 24, 2019, at 9:37 AM, 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 <mailto:sfranklin131 at gmail.com>
> PHONE:  (610) 869-4234
> 
>> On Aug 24, 2019, at 10:37 AM, Diane O'Leary <doleary8 at UWO.CA <mailto: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 <mailto:doleary8 at uwo.ca>
>> 
>> https://www.dianeoleary.com <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 <mailto:diane.oleary at faculty.umuc.edu>
>> From: HM Epstein <hmepstein at GMAIL.COM <mailto:hmepstein at GMAIL.COM>>
>> Sent: August 23, 2019 12:15:41 PM
>> To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG> <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG <mailto: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? <https://www.propublica.org/article/in-men-its-parkinsons-in-women-its-hysteria?> 
>> Best,
>> Helene 
>> 
>>        
>> Website <http://hmepstein.com/> Twitter <https://twitter.com/hmepstein>  LinkedIn <https://www.linkedin.com/in/helenekepstein/> ​  Facebook <https://www.facebook.com/HeleneEpsteinAuthor>
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>> Begin forwarded message:
>> 
>> From: ProPublica’s Big Story <donotreply at lists.propublica.net <mailto:donotreply at lists.propublica.net>>
>> Date: August 23, 2019 at 7:13:30 AM EDT
>> To: hmepstein at gmail.com <mailto:hmepstein at gmail.com>
>> Subject: In men, it's Parkinson's. In women, it's hysteria.
>> Reply-To: getinvolved at propublica.org <mailto:getinvolved at propublica.org>
>> 
>> 	 <https://go.propublica.org/e/125411/gations-utm-content-top-button/6yqxbn/411185877?h=nq368N8UEtcc1RIoWZyikXeMNFUbeyl3qOcoGIgW0cM>
>> The Big Story
>> FRI. AUG 23, 2019
>>  <https://go.propublica.org/e/125411/m-campaign-majorinvestigations/6yqxbq/411185877?h=nq368N8UEtcc1RIoWZyikXeMNFUbeyl3qOcoGIgW0cM>
>> In Men, It’s Parkinson’s. In Women, It’s Hysteria. <https://go.propublica.org/e/125411/m-campaign-majorinvestigations/6yqxbq/411185877?h=nq368N8UEtcc1RIoWZyikXeMNFUbeyl3qOcoGIgW0cM>
>> 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 <https://go.propublica.org/e/125411/m-campaign-majorinvestigations/6yqxbq/411185877?h=nq368N8UEtcc1RIoWZyikXeMNFUbeyl3qOcoGIgW0cM>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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