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Re:What Does a Coder Do If They Can't Type? by tarsinge on Saturday August 10, 2019 @11:50AM (#20662712)
Psychosomatic diseases are a real thing though. You can have real physical symptoms. Last year my muscles started to « shake », with lots of skipped heartbeats (extrasystoles). After all the checks the doctors said the classic « it’s stress ». Well then I took a real break and embarked on multi month road trip on another continent. The symptoms disappeared nearly overnight. I think I experienced a burnout but it manifested through physical symptoms.

Edit: needless to say the medical response was very frustrating and hard to believe. In the end they were right that it was not a physical cause, but apart from that it really felt like they had no idea. Also it could be a multi-level cause like gut flora causing anxiety causing be physical symptoms but it’s beyond what a doctor can diagnose I think.

Re:What Does a Coder Do If They Can't Type? by 0xcde4c3db on Saturday August 10, 2019 @12:02PM (#20662777)
They're real, but doctors often do a half-assed (if not downright negligent) job of ruling out other possibilities before settling on somatoform disorders (or any other psychiatric diagnosis, for that matter). Especially when it comes to women presenting with chronic or recurring pain or fatigue as their primary symptoms.
Re:What Does a Coder Do If They Can't Type? by scottlamb on Saturday August 10, 2019 @03:41PM (#20664096)
> Psychosomatic diseases are a real thing though. You can have real physical symptoms.

+1. Several people at work have reported that "The Mindbody Prescription: Healing the Body, Healing the Pain" helped their wrist pain go away.

YMMV. But just as doctors shouldn't dismiss the idea symptoms are due to a "real" (read: physical) condition, folks suffering shouldn't dismiss the idea they can be cured (or greatly improved) through non-physical means, even if there is some physical origin.

I haven't tried this book myself. I've had wrist/forearm/hand problems (weakness, tingling/numbness, pain, loss of flexibility, diagnosed as carpal tunnel and tendonitis), but they largely went away before I'd heard of the book. I think a bunch of things helped me, including wrist exercises suggested by a physical therapist, TENS (administered by the physical therapist), time, Qi Gong, meditation/relaxation techniques (I'd always had a lot of muscle tension, including tension headaches), and (later on) resuming rock climbing and weight lifting. So some combination of physical and mental changes.

Re:What Does a Coder Do If They Can't Type? by curioussavage on Sunday August 11, 2019 @12:50AM (#20666302)
Unfortunately for most people taking a break like that is impossible. I’m sure stress is a major factor in many of my health problems but the biggest break I can take is an hour or two to myself once a week.
Re:What Does a Coder Do If They Can't Type? by armada651 on Saturday August 10, 2019 @12:04PM (#20662799)
Regardless of whether you think the advice from the GP is sound or not, the best way to get a doctor to listen to you is to listen to (and follow) their advice first.

Cursing at them out of frustration only makes your situation worse.

Re:What Does a Coder Do If They Can't Type? by marcinzm on Saturday August 10, 2019 @01:37PM (#20663419)
>Regardless of whether you think the advice from the GP is sound or not, the best way to get a doctor to listen to you is to listen to (and follow) their advice first.

It's been shown that it's very hard to prove that you're not mentally ill if you're labeled as such. Getting treatment just means you'll be put on essentially random psychiatric medications (which have their own side-effects) or have to spend years in useless therapy (while your actual disease may progress).

If a doctor isn't willing to do the proper testing or evaluation the first time then they won't do it a second time either but just claim you haven't gotten the right psychiatric treatment yet.

Re:What Does a Coder Do If They Can't Type? by armada651 on Saturday August 10, 2019 @02:12PM (#20663635)
> It's been shown that it's very hard to prove that you're not mentally ill if you're labeled as such.

But what if you do have a condition that requires therapy? You're unlikely to recognize it yourself. Would you always refuse treatment and just go with painkillers instead?

> Getting treatment just means you'll be put on essentially random psychiatric medications (which have their own side-effects) or have to spend years in useless therapy (while your actual disease may progress).

The patient in this case would not see a psychiatrist since he's not depressed or mentally ill.

Instead he would be sent to a psychologist who can only recommend further therapy. Ofcourse if the symptoms become worse you should immediately see the GP and not wait for therapy.

> If a doctor isn't willing to do the proper testing or evaluation the first time then they won't do it a second time either

If your symptoms become worse the doctor will definitely recommend testing. Therapy is something to do as part of diagnosing your ailment.

Re:What Does a Coder Do If They Can't Type? by marcinzm on Saturday August 10, 2019 @02:21PM (#20663690)
>The patient in this case would not see a psychiatrist since he's not depressed or mentally ill.

Severe pain due to psychosomatic causes sounds like mental illness to me.

>Instead he would be sent to a psychologist who can only recommend further therapy.

No, they can also strongly recommend that they see a psychiatrist for potential medications.

>The patient in this case would not see a psychiatrist since he's not depressed or mentally ill.

Every health system I've dealt with funnels to medication pretty strongly. Therapy is a slow process and medication allows a patient to not be in distress during the years it can take.

>Therapy is something to do as part of diagnosing your ailment.

Therapy is a slow process that in the best of cases can take years to work and longer in other cases. It is a shitty approach to diagnosis.

Re:What Does a Coder Do If They Can't Type? by armada651 on Saturday August 10, 2019 @02:56PM (#20663872)
> Severe pain due to psychosomatic causes sounds like mental illness to me.

In that case you're assuming both the psychiatrist and the GP overreact.

> Every health system I've dealt with funnels to medication pretty strongly.

Because patients often insist on medication because they do not accept that the ailment can't immediately be diagnosed.

Re:What Does a Coder Do If They Can't Type? by marcinzm on Saturday August 10, 2019 @03:19PM (#20663989)
>Because patients often insist on medication because they do not accept that the ailment can't immediately be diagnosed.

Not my experience both personally and with those I know regarding mental illness. Doctors are quick to diagnose mental illnesses (correctly or not) and prescribe medications for them (even if the patient is hesitant). Some health systems even make it nearly impossible to get a therapist (we can see you once a month starting in two months...) but not a psychiatrist.

Re:What Does a Coder Do If They Can't Type? by Igelau on Saturday August 10, 2019 @01:37PM (#20663415)
The GP didn't give 'advice' so much as they said "your medical records? ha, right... you're crazy." And then proceeded to shut down all avenues to further care and pain management.

Honestly it sounds like the GP is so cynical about the hot garbage they perceive UK healthcare to be that they basically said "please go away so that our utter inability to help you doesn't weigh on my conscience any further... oh thank god you invoked the loophole that lets me kick you out now and pretend it's all really your fault"

Re:What Does a Coder Do If They Can't Type? by armada651 on Saturday August 10, 2019 @01:59PM (#20663558)
> The GP didn't give 'advice' so much as they said "your medical records? ha, right... you're crazy." And then proceeded to shut down all avenues to further care and pain management.

That's a patient's perspective, but how about a doctor's perspective? You've got a patient refusing treatment for what could very well be a psychosomatic condition and instead demanding opiods that are very likely to result in addiction.

There is a large stigma around mental health, but there's no such thing as a person who's completely sane. Just because a doctor is saying you might have a psychosomatic condition is not the same as him saying you're deranged.

Re:What Does a Coder Do If They Can't Type? by licebmi__at__ on Saturday August 10, 2019 @07:55PM (#20665282)
I support your point, but there's also one more thing to consider. Some MDs share the social stigma around mental health, and won't waste the opportunity to make the patient feel like it's their fault because they don't want to get better, and that they should make space for patients who have real conditions.
Re:What Does a Coder Do If They Can't Type? by einpoklum on Saturday August 10, 2019 @03:25PM (#20664030)
> the best way to get a doctor to listen to you is to listen to (and follow) their advice first.

No. Because sometimes their advice is "nothing can be done, you'll need to manage." Or - "Wait for a few more weeks and if it doesn't go away, we'll rethink things".

Re:What Does a Coder Do If They Can't Type? by foldr on Sunday August 11, 2019 @10:51AM (#20668414)
>"Wait for a few more weeks and if it doesn't go away, we'll rethink things"

To be fair, this is often excellent advice.

Re:What Does a Coder Do If They Can't Type? by einpoklum on Sunday August 11, 2019 @07:14PM (#20671149)
Not unless you're totally clueless about your own body and about medicine.
Re:What Does a Coder Do If They Can't Type? by foldr on Monday August 12, 2019 @06:51AM (#20674239)
Hmm? Lots of ailments do just get better if you leave them alone. That's probably the case for the majority of things that people go to the doctor for. If your knee hurts, you may as well wait a few weeks to see if it gets better before you start running a bunch of tests.
Re:What Does a Coder Do If They Can't Type? by einpoklum on Tuesday August 13, 2019 @03:07AM (#20683462)
Thanks for caring so much that you would let me spend weeks in pain. I think I'll look for a doctor who actually wants to treat his/her patients' conditions.
Re:What Does a Coder Do If They Can't Type? by foldr on Tuesday August 13, 2019 @06:06AM (#20684180)
I'm not a doctor. Of course one could prescribe medication for the pain. But many ailments are difficult to diagnose and fix themselves after a few weeks, so it makes no sense to rush into things.

More broadly, it's a mistake to measure how much your doctor "cares" by how eager they are to throw lots of tests and treatments at you. Modern medicine isn't magic, and there isn't always that much that a responsible doctor can do for you.

Re:What Does a Coder Do If They Can't Type? by TheSpiceIsLife on Saturday August 10, 2019 @01:29PM (#20663360)
That has the possibility of working out disastrously if the doctors first recommendation is surgery, when physical therapy (rest + strengthening) ought to have been the first prescription.
Re:What Does a Coder Do If They Can't Type? by armada651 on Saturday August 10, 2019 @01:57PM (#20663543)
There are exceptions of course, don't go for a treatment you aren't comfortable with. But the recommendation here was therapy.