Wednesday, June 6, 2012

One-Diagnosis-Fits-All rehabilitation

Here's the scene: You go to the physician dragging your patooty behind you.

Your body got fat, but your hair got thin. Overwhelmed by a whole new definition of tired, you find yourself doing beached whale impressions while life goes to pot. Well, who could cope anyway? For all you know, your brain left town. And is it general to wear an overcoat to bed to keep warm?

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The physician nods sagely and announces his on-the-spot, one-size-fits-all diagnosis: Depression.

One-Diagnosis-Fits-All rehabilitation

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As he grabs for his prescription pad, you demur. Just a little. After all, he's the doctor. But you elaborate that you're happy with your life. The qoute is not enough vigor to enjoy it more.

Ever see a physician change his pronouncements? Me either. You get a prescription for an antidepressant.

It doesn't work, of course, Your qoute isn't depression; it's a thyroid gland that can't get its act together.

Most, if not all, thyroid patients perceive this scenario. Maybe multiple times.

Or possibly you go to the physician with somewhat separate symptoms. Still tired. In fact, with a fatigue beyond your darkest nightmare. A pea-soup London fog took over your brain some time back. And you're spending a big chunk of your time in the bathroom, dealing with diarrhea and bleeding.

This time the antidepressant prescription comes with a advice to get a less stressful job. Don't bother protesting how much you love your job; the physician has spoken.

Again, the antidepressant doesn't lay a glove on what's going on with your body. How can it? A gluten intolerance is about avoiding grains, not balancing your brain's serotonin.

And so it goes. If you have celiac disease or non-celiac gluten intolerance, you probably also have a file folder crammed with antidepressant prescriptions.

Doctors go on about practicing scientific, evidence-based medicine, but most medicine arises from opinions and past practices, any way misguided. 70% of medicine-or more-lacks any provable, scientific basis.

Maybe that's why doctors love the depression determination so. Depression is real, of course, but the determination of depression, ah, now that's a wide-open door. No tests. No fixed criteria. Whatever goes. A best guess sort of thing, don't you know. Best of all, it herds patients straight through quickly, all paying as they leave.

And have you heard the latest? Based on zero evidence of a problem, doctors want legislation to wish all pregnant women to feel a test for depression. In the theory, apparently, that fertilization can't possibly be a happy state. The planned "test" seems to be no more than the doctor's opinion. Still no proven, factual tests or criteria. Even worse, no studies on what antidepressant medications will do to the baby.

Will they get their way? Well, a lot of habitancy go for the Gardasil scam even though we're maiming and killing young girls for a very dubious, at best, benefit. And a whole bunch more are on the statin bandwagon, despite the fact the cholesterol-causes-heart-disease train left the center long since, and damage estimates continue to mount. Not to mention the yearly flu shot foolishness; flu shots have zilch follow on the flu, but they set habitancy over 50 up for dementia big time. I could go on. Examples abound.

Sad to say, nobody expresses any concern about what condition disaster could follow from this most recent brainstorm, pregnancy-equals-depression legislation. This one could outdo autism.

Sure will push a lot of pills, though.

One-Diagnosis-Fits-All rehabilitation

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