KevinMD April 28, 2024
As physicians, we are trained to dissect symptoms and to hunt for a diagnosis. But my own journey with Sjogren’s, like my patients’, wasn’t a textbook case. It was a puzzle with pieces scattered over decades, ignored or dismissed at each turn, including by myself.
There’s the college student, fearing the agony a simple meal might bring, never dreaming of asking why. The med student, convinced of an impending heart attack, was told by her mother (and, by extension, the medical mindset she was steeped in) that it’s “all in your head.” The overworked intern masked her back pain with ibuprofen, never getting a proper workup.
It wasn’t until a concerned dental hygienist mentioned my dry mouth that the pieces...
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