{"id":31193,"date":"2023-11-27T13:46:06","date_gmt":"2023-11-27T19:46:06","guid":{"rendered":"https:\/\/wholehealthchicago.com\/blog\/?p=31193"},"modified":"2023-11-27T18:50:01","modified_gmt":"2023-11-28T00:50:01","slug":"controversial-diagnosis","status":"publish","type":"post","link":"https:\/\/wholehealthchicago.com\/blog\/2023\/11\/27\/controversial-diagnosis","title":{"rendered":"\u201cYour Tests Are Negative. There\u2019s Nothing Wrong. I Think You Need A Psychiatrist.\u201d"},"content":{"rendered":"\n<p>I hope you never have to hear these words from any doctor. Dismissive and ending anything useful you hoped from a consultation. You scheduled this appointment months earlier. You wanted help for longstanding and unexplained symptoms. But you\u2019re also not stupid. You actually have an idea what might be wrong. You\u2019ve read a book or two or three, or found something online, and you might be on to something. Wanting to make the most of your visit, you\u2019ve brought a book or an internet printout with you. You might be carrying lab test results from other physicians either unable to help you, or simply didn\u2019t know what to do with the results.<\/p>\n\n\n\n<p>Now, armed with evidence, your appointment has arrived. Then, your appointment is over. At check out, forking over a small fortune for the visit (the doctor doesn\u2019t take your insurance), \u201cit\u2019s all in your head\u201d ringing in your ears, you can barely restrain bursting into tears of anger and frustration.<\/p>\n\n\n\n<p>Just so you don\u2019t feel isolated as you descend the elevator to your car, thousands of patients have had this experience of conventional medicine every year. It\u2019s \u201cBlame the Patient\u201d, describing the doctor incapable of making a diagnosis, and unable to confront his lack of knowledge, turns the tables and blames her. \u201cIt\u2019s all in your head\u2026see a psychiatrist.\u201d<\/p>\n\n\n\n<p>Sometimes the diagnosis termed \u201ccontroversial\u201d, although it\u2019s mainly controversial to herds of doctors who haven\u2019t bothered to learn anything about it. I\u2019ve listed the commonest controversial diagnoses below. An interesting corollary is the anger of the herd against the outlier physicians, the alternative practitioner (M.D., chiropractor, naturopath, nutritionist, etc.) who goes against the grain. It\u2019s very Frederich Nietzsche-ish, \u201cWhoever deviates from public opinion will stand apart and have the whole herd against him.\u201d \u201cLet\u2019s call any doctor who treats either a quack, deluded, or incompetent. Let\u2019s dismiss as the latest \u2018fad diagnosis&#8217;.\u201d And, of course, let\u2019s send to psychiatrists all the patients who have deluded themselves into thinking they\u2019re victims of it. I well remember when I opened WholeHealth Chicago almost thirty years ago, the Chief of Medicine of the long gone Columbus Hospital pointing a threatening finger in my face with a, \u201cAre you going to be one of those \u2018Candida Quacks\u2019?\u201d<\/p>\n\n\n\n<p>I liked the title: David Edelberg, M.D., C.Q.<\/p>\n\n\n\n<p>Although seemingly and completely unrelated to each other, these controversial diagnoses have more in common than you might think.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/wholehealthchicago.com\/blog\/2022\/02\/14\/root-causes-of-chronic-fatigue-part-14-sugar-yep-sugar\" target=\"_blank\" rel=\"noreferrer noopener\">Hypoglycemia<\/a> (low blood sugar)<\/li>\n\n\n\n<li><a href=\"https:\/\/wholehealthchicago.com\/blog\/2022\/01\/24\/root-causes-of-chronic-fatigue-part-12-candida-yeast-overgrowth\" target=\"_blank\" rel=\"noreferrer noopener\">Candida (yeast) overgrowth<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/wholehealthchicago.com\/blog\/2018\/05\/07\/controversial-diagnosis-1-fibromyalgia\" target=\"_blank\" rel=\"noreferrer noopener\">Fibromyalgia<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/wholehealthchicago.com\/blog\/2021\/10\/25\/root-causes-of-chronic-fatigue-syndrome-part-1-chronic-mono-epstein-barr-infection\" target=\"_blank\" rel=\"noreferrer noopener\">Chronic fatigue syndrome<\/a> (including adrenal and thyroid \u201cfatigue\u201d)<\/li>\n\n\n\n<li><a href=\"https:\/\/wholehealthchicago.com\/blog\/2013\/07\/19\/hidden-food-sensitivities\" target=\"_blank\" rel=\"noreferrer noopener\">Food sensitivities<\/a> (especially non-celiac gluten sensitivity)<\/li>\n\n\n\n<li><a href=\"https:\/\/wholehealthchicago.com\/blog\/2023\/11\/13\/leaky-gut-syndrome-at-long-last-an-accepted-diagnosis\" target=\"_blank\" rel=\"noreferrer noopener\">Leaky gut syndrome<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/wholehealthchicago.com\/blog\/2019\/08\/12\/chronic-lyme-disease-best-testing-best-treatment\" target=\"_blank\" rel=\"noreferrer noopener\">Chronic Lyme Disease<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/wholehealthchicago.com\/blog\/2020\/12\/20\/get-the-lead-out-and-other-toxic-metals-too\" target=\"_blank\" rel=\"noreferrer noopener\">Heavy metal poisoning<\/a> (especially mercury)<\/li>\n\n\n\n<li><a href=\"https:\/\/wholehealthchicago.com\/blog\/2022\/01\/31\/root-causes-of-chronic-fatigue-part-13-multiple-chemical-sensitivity\" target=\"_blank\" rel=\"noreferrer noopener\">Multiple chemical sensitivity<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/wholehealthchicago.com\/blog\/2023\/02\/06\/controversial-diagnosis-7-mast-cell-activation-syndrome\" target=\"_blank\" rel=\"noreferrer noopener\">Toxic mold syndrome<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/wholehealthchicago.com\/blog\/2021\/10\/25\/root-causes-of-chronic-fatigue-syndrome-part-1-chronic-mono-epstein-barr-infection\">Chronic Epstein-Barr Syndr<\/a><a href=\"https:\/\/wholehealthchicago.com\/blog\/2021\/10\/25\/root-causes-of-chronic-fatigue-syndrome-part-1-chronic-mono-epstein-barr-infection\" target=\"_blank\" rel=\"noreferrer noopener\">o<\/a><a href=\"https:\/\/wholehealthchicago.com\/blog\/2021\/10\/25\/root-causes-of-chronic-fatigue-syndrome-part-1-chronic-mono-epstein-barr-infection\">me (\u201cmono\u201d)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/wholehealthchicago.com\/blog\/2021\/03\/22\/commonly-missed-diagnoses-parasites\">Parasites<\/a> (including intestinal parasites and Morgellon\u2019s Disease)<\/li>\n\n\n\n<li>And most recently <a href=\"https:\/\/wholehealthchicago.com\/blog\/2023\/07\/17\/long-covid-our-most-troubling-epidemic\" target=\"_blank\" rel=\"noreferrer noopener\">Long COVID<\/a> (especially among patients who barely remember having COVID and didn\u2019t bother to test themselves).<\/li>\n<\/ul>\n\n\n\n<p><strong>Here\u2019s what they all have in common:<\/strong><\/p>\n\n\n\n<p>Symptoms are chronic, coming and going, first for weeks and months, then for years.<br>Although symptoms can be disabling, there are virtually no diagnostic tests accepted by conventional physicians that either confirm these diagnoses or verify a physical basis for these symptoms.<br>Not a single one of these conditions is mentioned in medical school or during residency training. If a student or resident dares ask a question, the professor will dismiss the question with withering sarcasm.<br>All of these conditions have generated books or online articles that conventional physicians adamantly refuse to read. Occasionally these books are the first means of disseminating information about the condition itself. (Hypoglycemia: \u201cSugar Blues\u201d, Candida: \u201cThe Yeast Connection\u201d, Fibromyalgia: \u201cFrom Fatigued to Fantastic\u201d, Non-celiac gluten sensitivity: \u201cDangerous Grains\u201d).<\/p>\n\n\n\n<p>To conventional physicians, that these books preceded any medical journal articles is proof that the diagnosis is simply a fad, and the knowledge gleaned from the book is worthless.<\/p>\n\n\n\n<p>Patients encounter the group-think of conventionally trained physicians, as, \u201cIf I didn\u2019t learn about it in medical school, it doesn\u2019t exist.\u201d<\/p>\n\n\n\n<p>And the group-think corollary: \u201cIf there are no tests (tests that I consider valid) to prove your condition, it doesn\u2019t exist.\u201d<\/p>\n\n\n\n<p>And lastly, \u201cIf all the tests I order are \u2018negative\u2019, then you are physically well and if you don\u2019t believe me you need psychiatric help.\u201d<\/p>\n\n\n\n<p>What a mess. I mean this sincerely: what a mess!<\/p>\n\n\n\n<p><strong>Here\u2019s what should be occurring:<\/strong><\/p>\n\n\n\n<p>The medical profession really needs to stop dismissing their patients as being victims of the latest fad diagnoses. Instead, they need to open their minds, educate themselves, fund research, and follow new developments in the diagnosis and treatment of these conditions.<\/p>\n\n\n\n<p>Medical journals need to open their editorial doors to papers from chiropractors, naturopaths, clinical nutritionists, and the physicians they dismiss as outliers.<\/p>\n\n\n\n<p>Conventional doctors should also appreciate that the treatments of these \u201cfad diagnoses\u201d are usually very safe, generally much safer than the Big Pharma drugs they prescribe on a daily basis.<\/p>\n\n\n\n<p>Patients, yes, you, should simply walk out of an office when you hear, \u201cThere\u2019s no such condition\u201d or \u201cSee a psychiatrist.\u201d<\/p>\n\n\n\n<p>But there is some light at the end of the tunnel. In the past there was not only no light, but no tunnel. It\u2019s a slow process but\u2026<\/p>\n\n\n\n<p>These \u201ccontroversial diagnoses\u201d are not, strictly speaking, \u201cdiseases\u201d, but rather triggers of \u201cdysfunctions\u201d in the body. Conventional physicians are trained to look for \u201cdisease\u201d and patients with these symptoms need \u201cfunctional medicine practitioners\u201d, which (unfortunately) is an unrecognized specialty by the AMA.<\/p>\n\n\n\n<p>However, practitioners can receive extensive training in <a href=\"https:\/\/www.ifm.org\/?hsa_kw=institute%20of%20functional%20medicine&amp;hsa_net=adwords&amp;hsa_grp=79398164764&amp;hsa_cam=6479100630&amp;hsa_acc=4746158419&amp;hsa_tgt=kwd-328757858827&amp;hsa_ver=3&amp;hsa_ad=434238175600&amp;hsa_mt=b&amp;hsa_src=g&amp;gad_source=1&amp;gclid=CjwKCAiA9ourBhAVEiwA3L5RFqhj9C5uOsEIBjSRz2coaW8bSHC09Ct3HEqmExCSjRQV62so6lpSLRoCeUcQAvD_BwE&amp;gclsrc=aw.ds\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Functional Medicine<\/a> and have access to an astonishing array of tests unavailable from the so-called \u2018major\u2019 medical centers. <a href=\"https:\/\/www.rupahealth.com\/reference-guide\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Click here for a sampling<\/a>.<\/p>\n\n\n\n<p>At the five <a href=\"https:\/\/wholehealthchicago.com\/locations\" target=\"_blank\" rel=\"noreferrer noopener\">WholeHealth Chicago offices<\/a> (plus our newest in Melbourne, Florida) practitioners are trained in both Functional and conventional medicine and have access to dozens and dozens of diagnostic tests.<\/p>\n\n\n\n<p>It\u2019s unfortunate for you, the patient, that the vast majority of physicians are still reluctant to accept the existence of<a href=\"https:\/\/wholehealthchicago.com\/blog\/2023\/10\/02\/common-vaginal-infections-number-1-candida\" target=\"_blank\" rel=\"noreferrer noopener\"> chronic candida<\/a> (yeast) overgrowth, <a href=\"https:\/\/wholehealthchicago.com\/blog\/2022\/01\/24\/root-causes-of-chronic-fatigue-part-12-candida-yeast-overgrowth\" target=\"_blank\" rel=\"noreferrer noopener\">chronic fatigue<\/a>, adrenal and\/or<a href=\"https:\/\/wholehealthchicago.com\/blog\/2021\/10\/31\/root-causes-of-chronic-fatigue-part-2-minimally-underactive-thyroid\" target=\"_blank\" rel=\"noreferrer noopener\"> thyroid fatigue<\/a>, <a href=\"https:\/\/wholehealthchicago.com\/blog\/2018\/06\/11\/controversial-diagnosis-6-chronic-lyme-disease\" target=\"_blank\" rel=\"noreferrer noopener\">chronic Lyme disease<\/a>, <a href=\"https:\/\/wholehealthchicago.com\/blog\/2013\/07\/19\/hidden-food-sensitivities\" target=\"_blank\" rel=\"noreferrer noopener\">food sensitivities<\/a>, and heavy metal overload. With almost zero intellectual curiosity about other diagnostic possibilities, the miseries of Morgellon\u2019s syndrome is written off as \u201cdelusional\u201d.<\/p>\n\n\n\n<p>Until doctors \u201cget it\u201d and stop blaming you for your illness, you may find yourself leaving their office with a prescription for an anti-depressant and a referral to a psychiatrist. You\u2019ll either be holding back tears or shaking your head in disbelief as steam pours from your ears. But don\u2019t give up.<\/p>\n\n\n\n<p>Be well,<\/p>\n\n\n\n<p>David Edelberg, MD<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I hope you never have to hear these words from any doctor. Dismissive and ending anything useful you hoped from a consultation. You scheduled this appointment months earlier. You wanted help for longstanding and unexplained symptoms. But you\u2019re also not stupid. You actually have an idea what might be wrong. You\u2019ve read a book or [&hellip;]<\/p>\n","protected":false},"author":2087,"featured_media":31196,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28,2302,2316,209,2333,50,130,43],"tags":[520,1435,2581,2580,1059,1480,2506,2579],"class_list":["post-31193","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alternative-therapies","category-chronic-fatigue","category-featured","category-fibromyalgia-chronic-fatigue","category-functional-medicine","category-healthy-lifestyle","category-integrative-medicine","category-nutrition-nutritional-supplements-vitamins-herbal-remedies","tag-alternative-medicine","tag-chronic-illness","tag-controversial-diagnoses","tag-conventional-medicine","tag-functional-medicine","tag-healthcare","tag-medical-diagnosis","tag-patient-advocacy"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\r\n<title>Controversial Diagnosis<\/title>\r\n<meta name=\"description\" content=\"Sometimes the diagnosis termed \u201ccontroversial,\u201d although it\u2019s mainly controversial to herds of doctors who haven\u2019t bothered to learn anything about it. 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