Tuesday, January 15, 2019

A doctor is having me tested for markers of lupus. I officially now belong on an episode of House, M.D. 😂😄🙃
P.S. If you never really watched that series, it might be hard to understand what makes this so funny. I shall try to explain anyhow (be warned, I make lots of other comments too):
Part of the issue is that when you are trying to find a causal disease for symptoms, a lot of things can resemble lupus, making differential diagnosis difficult. Lupus is sort of a syndromic disease that can have a varying assortment of signs and symptoms. It is often diagnosed upon ruling out other possible diseases (So how many do you then need to rule out? The process of elimination is a daunting task and a problem faced in the diagnosis of many other conditions too. The existence of high overlap in symptomatic or marker profiles, along with a slew of variables, paints a picture in which the question of whether a particular disease even exists or several diseases are truly distinct becomes nearly impossible to answer.). Many of the patients on the show had illnesses that proved challenging to diagnose and/or treat. Many episodes for a streak included references to the possibility of lupus, so much that it became an amusing catchphrase. -- Lupus is almost always on the table diagnostically because of the range of symptoms associated with it. The flip side of that: It is also almost always off the table because it can resemble so many other diseases (or, at least, many other collections of signs and symptoms bearing diagnostic labels). -- So, most of the time on the show, the response to the suggestion of lupus was something along the lines of a sardonic "Really, are you kidding me?" And then in one case the final diagnosis really was lupus and the whole discussion was hilarious. The disease itself is not hilarious, but the rigmarole surrounding it and the diagnosis of many others can be.

EDIT, 23 Jan 2019. The results came back negative, of course!

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