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

Tom Benzoni benzonit at GMAIL.COM
Sun Aug 25 22:45:54 UTC 2019


Might I suggest a counter question.
Are men under-diagnosed with auto-immune disorders?
Tom

On Sun, Aug 25, 2019, 11:00 ROBERT M BELL <
0000000296e45ec4-dmarc-request at list.improvediagnosis.org> wrote:

> 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 <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 <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 <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 <http://hmepstein.com/> Twitter <https://twitter.com/hmepstein>
> LinkedIn <https://www.linkedin.com/in/helenekepstein/>
>
>>  Facebook <https://www.facebook.com/HeleneEpsteinAuthor>
>
> 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
>
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> 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
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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