This is a big topic on these boards.
I dont think there is much of a question when diagnostic test results all come back positive and can pinpoint to where the root of the problem is. Then, the medical field can start the wheels in motion on how to correct that.
But, there are so many patients that are having pain, go to see one or more doctors, have tests done and everything comes back negative.
In simple terms, that would mean, No Trouble, Patient should not have pain
But we know that is not always the case. There are patients who have real problems but for whatever reason the standard set of diagnostic tests do not reveal anything. No herniation, no spurs, no inflammation, no nerve damage, all blood work normal, etc What then?
Some doctors may dismiss the notion that there is a real problem and communicate that to the patient. Its in your head What to do?
I think there are a number of options here
- Understand that there is nothing physical wrong that should be causing pain, so start to look elsewhere
- Continue to find other diagnostic tests to prove or disprove your condition.
- Dismiss your doctor and find another one
- Blame your doctor
- Look at alternative options
- The patient wants to have pain
- The patient refuses to accept the findings
I dont think I could comply a list that has everything.Who's wrong or right here?
I dont think its a wrong/right situation, but more of a diagnosis based on facts at hand. The doctor has run all the tests that they can justify to the insurance companies, so now they have exhausted their means. Diagnostic tests are very important, but I think most of us would agree that they may not always be 100% accurate. There is a combination of diagnostic tests results and excellent doctor diagnostic clinical skills that can make a difference. You want a 'hands on' doctor, someone who will touch you, see yo move, feel your bones, test your strength, etc. There are times when test results show nothing, but clinical examinations indicate something.
Then we also have the situation where the patient just wont accept anything except bad news. They hurt and they want to be told that there is a problem and this is what is going to be done to fix them. They want every diagnostic test done, if not once, 2 or 3 times. This is where insurance costs can raise IF these additional tests are approved. Ok, the patient hurts, nothing, no matter what tests, examinations, etc are done indicates that there is any problem. In those situations, I do believe we have to look to the patient as being part of the problem. Perhaps they want to hurt, they want to feel pain. Why I have no idea.
But, I think this scenario can make things frustrating for everyone. The doctors want to address problems, they want to make people better, The patient hurts and wants to not hurt.
Are they doctors who do not take the next step in finding answers? I am sure they are
Are they patients who refuse to hear that there is no problem? Again, I am sure they are.
We have chemical medicines to help people in chronic pain, why not accept the emotional medicines (ie counselor) to help people understand their condition.