A cautionary tale for doctors and those training to be doctors: The story of @Zoe O'Connell
About 15 years ago, Zoe was in the army reserves and very fit, She left, and around that time started to put on weight. The weight gain continued even as she stayed fit (and by stayed fit, I mean we were climbing actual mountains in the Alps and suchlike).
Around 10 years ago, Zoe's health started to suffer a lot. She started getting increasingly fatigued. It was sufficiently bad, that she started looking for medical advice.
Lots of tests done. None of them turned up anything conclusive. Maybe Lyme disease? maybe now? Zoe was getting to the point where she was thinking of having to stop work.
Then, around 6 years ago, a friend happened to say, "you have western Irish ancestry. Have you been tested for coeliac disease?"
She had not. Zoe asked her doctor for a coeliac blood test. It came back positive. A biopsy subsequently confirmed that Zoe ha
... Show more...A cautionary tale for doctors and those training to be doctors: The story of @Zoe O'Connell
About 15 years ago, Zoe was in the army reserves and very fit, She left, and around that time started to put on weight. The weight gain continued even as she stayed fit (and by stayed fit, I mean we were climbing actual mountains in the Alps and suchlike).
Around 10 years ago, Zoe's health started to suffer a lot. She started getting increasingly fatigued. It was sufficiently bad, that she started looking for medical advice.
Lots of tests done. None of them turned up anything conclusive. Maybe Lyme disease? maybe now? Zoe was getting to the point where she was thinking of having to stop work.
Then, around 6 years ago, a friend happened to say, "you have western Irish ancestry. Have you been tested for coeliac disease?"
She had not. Zoe asked her doctor for a coeliac blood test. It came back positive. A biopsy subsequently confirmed that Zoe had coeliac disease.
"Ah-ha!", said the doctors. "We now understand why your health has been deteriorating! You have coeliac disease! Adopt a strict gluten free diet and all will be well":
This was 2019. Zoe adopted a strict gluten free diet. There was some small improvement, but overall her health continued to deteriorate.
Zoe started paying for private blood tests to find out WHY. The coeliac was under control. her gut was recovered. Her numbers were good. But she was getting more and more unwell.
Finally the tests started to show something. Her prolactin was off.
The NHS sent her to an endocrinologist. He confirmed her prolactin was off, but decided it was not worth treating.
Frustrated, Zoe paid to see a private endocrinologist. An MRI subsequently confirmed that Zoe has a 14mm wide benign tumour in her pituitary: a prolactinoma.
Based on the size, it probably started growing around the time her health started to deteriorate.
Zoe has been on drugs to shrink the tumour for a month now. She is seeing the most rapid health improvement in years (she doesn't think so, but to an external observer the improvement is very very obvious).
Doctors: beware of diagnostic overshadowing. Yes, she had coeliac disease, but that was not why her health was so utterly screwed.
Adam
in reply to Sarah Brown • • •Alexandra Lanes
in reply to Adam • •Adam
in reply to Alexandra Lanes • • •Alexandra Lanes
in reply to Adam • •kæt
in reply to Adam • • •@pseudomonas I do like our old microwave: it has two proper dials on it: how much and how long. It has fortunately been saved the ravages of progress.
Our old one at work used to have all kinds of things: buttons marked chicken which if you pressed twice said "turkey" and three times "goose"; buttons which seemed to accumulate seconds p-adic-ly; a terrifying north-south-east-west yew-hedge maze of heating settings; and all of it discouraging experimentation by each press loudly, gratingly beeping like a church bell being fitfully dragged along a concrete floor.
Quite why we need to set flaps ten, turn packs off, arm autothrottle, and keep N1 below the red line, all for a machine which exists to rotate food while heat is applied -- a task previously given to small, dim-witted children ensconced in inglenooks -- is quite beyond me.
Kincaid
in reply to Sarah Brown • • •LGsMom
in reply to Sarah Brown • • •Sarah Brown likes this.
Doire
Unknown parent • • •I thought I was a fan of clockwork timers until one got stuck reheating a whole Christmas pudding.
It had six neat, charred holes drilled through it, which were begining to smoke when it was noticed.
kæt
Unknown parent • • •@sparrowsion @pseudomonas Timers are great: I need to get another for our kitchen. At the moment I look at the kitchen clock and do maths, which is often disastrous, especially when there's multiple things to time.
Defrosting I'm more sceptical about. I have a metal stick which I prod ours with, and if it goes in crunchy, put it in for a bit more. Results seem variable enough that I'm not sure I'd dare delegate. But it would simplify things a bit if it's reliable.
Kim Spence-Jones 🇬🇧😷
in reply to Sarah Brown • • •