The doctors are always changing their opinions. They always have some new fad.
1st Earl Lloyd-George of Dwyfor
In medical school, it's quite possible to get taught that you can diagnose everybody and treat everything. But then you get out in the real world and find that for most patients walking through your door, you have no idea what's causing their symptoms.
Even the best psychiatrist is like a blindfolded auto mechanic poking around under your hood with a giant foam "We're #1" finger.
To be diagnosed was the hardest thing because I didn't know what they were talking about... And the doctor said, Don't worry, in three months you'll know. So I went about my business and then, one day, it jumped me. I couldn't get up... Your muscles trick you; they did me.
Among other things, autoimmune disorders are an induction into a world of unstable information and no reliable expertise.
The dilemma of modern medicine, and the underlying central flaw in medical education and, most of all, in the training of interns, is the irresistible drive to do something, anything. It is expected by patients and too often agreed to by their doctors, in the face of ignorance.
I think, when it comes to psychiatry, that a lot of people are overmedicated. I think when it comes to ECT a lot of people go through too much. I think there's a lot of guesswork in psychiatry.
When I asked Robert Spitzer about the possibility that he'd inadvertently created a world in which ordinary behaviours were being labelled mental disorders, he fell silent. I waited for him to answer. But the silence lasted three minutes. Finally he said, 'I don't know.
You can't really accurately diagnose someone, I think. Or I've been told that.
There is no disease more conducive to clinical humility than aneurysm of the aorta.
As I write, there is a craze for what is called psychoanalysis, or the cure of diseases by explaining to the patient what is the matter with him: an excellent plan if you happen to know what is the matter with him, especially when the explanation is that there is nothing the matter with him.
These diagnostic profiles like depression, ADHD, autism, dyslexia, it's half science and the other half is a committee of doctors bickering over what it should be, and it has changed. It's not precise like a diagnosis of tuberculosis would be very precise.
He was a patient with a diagnosis that he couldn't understand.
My heart goes out to any parents who are being led to believe their kids have a disorder or are disabled.
If you don't have confidence in the diagnosis, you won't have confidence in the prescription.
The problem with motor neurone disease is they don't know when it starts. People go into hospital having fallen but get wrapped up and sent away, unless they're seen by an incredibly astute doctor. It is only when several things begin to go wrong that it'll be diagnosed.