Snow Leopard
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This case is a classic example of under-treatment. The patient is just as ill as they were before they met the doctor, yet the doctor thinks they've done a good job. 
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annoying case history on Medscape diagnosing CFS
- Thread starter daisybell
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daisybell
Senior Member
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Under-diagnosed, over-judged and inappropriately treated I think has to be the take home message. The fact that such a poor case history is acceptable as a learning tool on Medscape is the worst part for me.
Asa
Senior Member
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- 179
Late two cents: I worker as a "server", among other positions, at a successful and thus busy restaurant during my early 20s, and though I was in great physical condition and even hiked a good deal, being a server kicked my a** on a regular basis.
So, the likelihood of a 35-year-old woman with "CFS" working as a server seems near absurd to me. Consider too the finance-related stressors of working as a server, as well as other common life experiences by that point in one's life - marriage/divorce, kids/step-kids/pets, rent/mortgage, insurance/taxes/bills... So a person with CFS is going to manage/balance all that plus work a physically-demanding job? :/
And within the restaurant industry in the US at least and for many years, the term "server" has been used, rather than waiter/waitress. Does the author, Medscape editors, or the author's audience have experience with the restaurant industry? ("Write about what you know.")
Additionally, the author (cardiologist) received his (I believe) medical degree from a university in Pakistan. Obviously, people often have differing opinions than what their university advocates, but out of curiosity, does anyone (reading this) know anything about CFS' standing in Pakistan?
I only found a Gideon - Infectious Diseases of Pakistan book (2015) which includes a (short?) mention of ME. (Edit: Prevalence is listed, but a note then states that prevalence numbers were taken from Pakastani "subjects" (??) living in England.)
https://books.google.se/books?id=XvR9BwAAQBAJ&pg=PA259&lpg=PA259&dq=chronic fatigue syndrome pakistan&source=bl&ots=zvlHwVybnZ&sig=pLo6ZuZre-8zNgKWolhtjUzehOQ&hl=sv&sa=X&ei=mytDVYyBH4GasAHgpYCQAg&ved=0CGkQ6AEwCA#v=onepage&q=chronic fatigue syndrome pakistan&f=false
So, the likelihood of a 35-year-old woman with "CFS" working as a server seems near absurd to me. Consider too the finance-related stressors of working as a server, as well as other common life experiences by that point in one's life - marriage/divorce, kids/step-kids/pets, rent/mortgage, insurance/taxes/bills... So a person with CFS is going to manage/balance all that plus work a physically-demanding job? :/
And within the restaurant industry in the US at least and for many years, the term "server" has been used, rather than waiter/waitress. Does the author, Medscape editors, or the author's audience have experience with the restaurant industry? ("Write about what you know.")
Additionally, the author (cardiologist) received his (I believe) medical degree from a university in Pakistan. Obviously, people often have differing opinions than what their university advocates, but out of curiosity, does anyone (reading this) know anything about CFS' standing in Pakistan?
I only found a Gideon - Infectious Diseases of Pakistan book (2015) which includes a (short?) mention of ME. (Edit: Prevalence is listed, but a note then states that prevalence numbers were taken from Pakastani "subjects" (??) living in England.)
https://books.google.se/books?id=XvR9BwAAQBAJ&pg=PA259&lpg=PA259&dq=chronic fatigue syndrome pakistan&source=bl&ots=zvlHwVybnZ&sig=pLo6ZuZre-8zNgKWolhtjUzehOQ&hl=sv&sa=X&ei=mytDVYyBH4GasAHgpYCQAg&ved=0CGkQ6AEwCA#v=onepage&q=chronic fatigue syndrome pakistan&f=false
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