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Seeking a Diagnosis
It may take some time for a patient to be
definitively diagnosed with lupus. During
this time, patients may be confused or
frustrated by the seeming inability of the
doctors they visit to confirm the diagnosis.
They may ask, "Why don't the doctors
know!" Part of the difficulty, both for the
patient and the doctor, rests in the fact that
the diagnosis may seem to be hiding in a
forest of confusing, vague, or changeable
symptoms.
A patient may express some of
the following sentiments or frustrations:
"My symptoms are bizarre - they're here today
and gone tomorrow."
"I can't put a handle on my symptoms. I'll have
one today and a totally new one tomorrow."
"No one seems to believe me. My family thinks
it is all in my head and they want me to see a
psychiatrist. I am beginning to wonder if it is all
in my head."
Before a diagnosis is made, many of a
patient's primary needs are emotional.
A
lupus patient will, in all likelihood, be on
intimate terms with her or his symptoms long
before their cause is known. Realistically, she
or he is the best authority on these symptoms.
A patient may feel frustrated if, after describing
symptoms, others do not respect her or
his knowledge or do not share the conviction
that something is wrong.
If the doctor, family,
or friends are unsupportive, the patient's fear,
anger, and sense of isolation will only
increase. These feelings add stress, which in
tum can exacerbate the disease.
Health professionals can help ease these
feelings by showing empathy during this
difficult time and by reassuring the patient
that the symptoms are real and merit serious
attention.
In addition, treating the patient
as a whole person, and not just as a subject
with a disease, can be immensely valuable
in establishing a trusting relationship with
the patient.
Such a relationship will help
the patient speak freely about symptoms or
concerns that she or he may have been
unwilling to discuss previously.
Source: National Institutes of Health, U.S.Dept of Health and Human Services
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