Dr. Bex

So someone who presents with right lower quadrant pain, that's the lower right side of the abdomen, and they have fibromyalgia or chronic fatigue or any of those things, if they have point tenderness in the right lower quadrant with associated symptoms, you should be looking for appendicitis, right? It doesn't matter what the backstory is.

I think what becomes hard is exactly what we've been saying all along, is it's the patient with those diagnoses, with a whole list of those diagnoses, but there's not a timeline or a good story for how those diagnoses came to be. And then that all the actual testing, all the things that came along the way pointed in another direction, but those things are still considered to be the diagnosis.

I think what becomes hard is exactly what we've been saying all along, is it's the patient with those diagnoses, with a whole list of those diagnoses, but there's not a timeline or a good story for how those diagnoses came to be. And then that all the actual testing, all the things that came along the way pointed in another direction, but those things are still considered to be the diagnosis.

I think what becomes hard is exactly what we've been saying all along, is it's the patient with those diagnoses, with a whole list of those diagnoses, but there's not a timeline or a good story for how those diagnoses came to be. And then that all the actual testing, all the things that came along the way pointed in another direction, but those things are still considered to be the diagnosis.

Or they didn't take any of the recommendations to go into one of the pain programs that have been extremely successful in in helping patients with some of these conditions. And they said, no, I'm not interested in that. I'm not interested in that.

Or they didn't take any of the recommendations to go into one of the pain programs that have been extremely successful in in helping patients with some of these conditions. And they said, no, I'm not interested in that. I'm not interested in that.

Or they didn't take any of the recommendations to go into one of the pain programs that have been extremely successful in in helping patients with some of these conditions. And they said, no, I'm not interested in that. I'm not interested in that.

But they're interested in the most extreme treatment options or that it's the case that is the only one ever that didn't respond to X, Y, and Z. I mean, as we saw with CRPS,

But they're interested in the most extreme treatment options or that it's the case that is the only one ever that didn't respond to X, Y, and Z. I mean, as we saw with CRPS,

But they're interested in the most extreme treatment options or that it's the case that is the only one ever that didn't respond to X, Y, and Z. I mean, as we saw with CRPS,

The most common treatment is physical therapy, occupational therapy, psychotherapy, under the care of a pain medicine doctor to maybe use medications as you're going through those processes that might be painful for you versus you go to the biggest gun pain medicines before you've stepped up. you know, on all those other options along the way. So I don't think it's just the diagnosis.

The most common treatment is physical therapy, occupational therapy, psychotherapy, under the care of a pain medicine doctor to maybe use medications as you're going through those processes that might be painful for you versus you go to the biggest gun pain medicines before you've stepped up. you know, on all those other options along the way. So I don't think it's just the diagnosis.

The most common treatment is physical therapy, occupational therapy, psychotherapy, under the care of a pain medicine doctor to maybe use medications as you're going through those processes that might be painful for you versus you go to the biggest gun pain medicines before you've stepped up. you know, on all those other options along the way. So I don't think it's just the diagnosis.

I think it's the backstory and the whole story. But as a physician, it is really hard, and I've said this, to look into every patient's backstory. And I mean, I'm in pediatrics, so that means only to age 18. What about you get a 70-year-old with this list of diagnoses? How could you ever go through? And when they were younger, there weren't even electronic medical records, right?

I think it's the backstory and the whole story. But as a physician, it is really hard, and I've said this, to look into every patient's backstory. And I mean, I'm in pediatrics, so that means only to age 18. What about you get a 70-year-old with this list of diagnoses? How could you ever go through? And when they were younger, there weren't even electronic medical records, right?

I think it's the backstory and the whole story. But as a physician, it is really hard, and I've said this, to look into every patient's backstory. And I mean, I'm in pediatrics, so that means only to age 18. What about you get a 70-year-old with this list of diagnoses? How could you ever go through? And when they were younger, there weren't even electronic medical records, right?

So I'm at least in a little bit of a better place where a lot of what people have now is in the electronic medical record. But it's still difficult to go back and find where did all these come from. So I think my antenna or my kind of concerns start to go up when it is so many of these. And yet along the way, certain options haven't been pursued.

So I'm at least in a little bit of a better place where a lot of what people have now is in the electronic medical record. But it's still difficult to go back and find where did all these come from. So I think my antenna or my kind of concerns start to go up when it is so many of these. And yet along the way, certain options haven't been pursued.

So I'm at least in a little bit of a better place where a lot of what people have now is in the electronic medical record. But it's still difficult to go back and find where did all these come from. So I think my antenna or my kind of concerns start to go up when it is so many of these. And yet along the way, certain options haven't been pursued.

And then along the way, when other diagnoses were suggested, they were kind of denied by the family. And then that you can't even kind of follow that path to find how this all came to be. And that's when I start to not necessarily get worried about medical child abuse, but I start to kind of want to know more or at least want to dig more in those scenarios.