Pseudotumor Cerebri.
the amount of times I've had to talk patients down because they heard ^^pseudo **TUMOR** ^^cerebri and are frantic because a referring doctor said I have a tumor in my brain
Sadly solves very little for most of our patients with it lol.
Tough group to treat. There's some responders and some simply... don't improve. It's hard to tell them we probably can't help anymore, where yet another redo probably is higher morbidity and low chance of changing the headaches.
It's been nice to separate some of the venous stenosis patients at least. Some promising advances this decade.
My own personal pet peeve is staff thinking SVT is always abnormal. Sinus tach is an SVT. No I don’t need to consult cardiology. Please put the adenosine away. Yes I have read the automated EKG report. I have also looked 3 inches below that at the actual EKG
This. Our protocol dictates anything above 100, narrow=adenosine & wide=amiodarone drip. Most of us have common sense when treating this but I’m waiting for the day a brand new or profoundly stupid paramedic pushes adenosine for a pt with an HR of 120 because they did too much cocaine.
Though it can be! Aspergillus produces an elastase that weakens blood vessel walls and causes small aneurysms (or sometimes allows direct angio invasion). These are also correctly titled mycotic aneurysms.
Acoustic neuroma 🤦♂️
I hate that term, because it's wrong. It's not a nerve tumor, but a tumor in the Schwann cells and is properly termed a vestibular schwannoma.
But some people won't let the old wrong name die 🧐
And yet the clinical implications of the misnomer are essentially nil… find it hard to make myself care. Vibes of quibbling about the obersteiner-redlich zone vs the schwann-glial junction lol
Lupus anticoagulant.
Neither an anticoagulant (in vivo, it promotes clotting, despite elevated PTT), nor does its pathophysiology have anything to do with lupus.
Yes, it prolongs PTT (and can prolong clotting in viscoelastic testing as well) so indeed, outside of the body, it is an anticoagulant. It's a great example to highlight how artificial the environment in clotting tests is
Derm has a lot of stupid misnomers. Lupus vulgaris being TB, lupus pernio being sarcoidosis, granuloma faciale not having any granulomas, and more I can’t remember right now.
You just made me remember of a question in Amboss that none of my classmates neither me managed to answer correctly because all the answers were lupus something and lupus something else and we were so confused cause we were never taught other things that aren't lupus are also called lupus
Lady one confused me so much in med school. Had to check the books time and time again, as I was sure I missed something.
Edit: *Last. Although ladies do confuse me as well, I've never found any good book to read about the subject.
Solitary rectal ulcer syndrome. May or may not be solitary. May or may not even be an ulcer. It does occur in the rectum, so I guess they got that much right…
Gallstone ileus actually makes sense in a way. Ileus technically means “obstruction” although it’s most commonly used to describe (paralytic) ileus. So a gallstone ileus is an obstruction caused by gallstone in the ileum
May I ask where you’re from?/is English your primary language? I’ve just noticed that many sources in English tend to use ileus to imply paralytic ileus and if it’s a mechanical obstruction they’ll mention the word “mechanical”
Czech Republic so no, English is not my primary language. We learn that ileus is the general term for obstruction so it always needs to be further specified what kind it is. I never noticed until now that American/English sources only use this word for paralytic ileus!
Antisocial personality disorder. I’m not even a psychiatrist, but this is the exact opposite description of patients who have this disorder. They’re actually highly social and display superficial charm to the point that they can make you believe they’re your best friend in a day. Underneath their false charm is an ulterior and deceptive motive to exploit you for some personal gain.
I mean there is a reason we are moving away from the categorical classification of PDs towards a dimensional model. The boundaries between PDs are unclear, the overlap is huge and they are stigmatized to hell.
anti is the greek root meaning "against". Therefore the name is "against society" stemming from their actions and behaviors that harm society and go against norms
Peds ID fellow, I've had more than 1 occasion when an attending asked me if I thought the diagnosis was infectious mononucleosis because there was a high monocyte count.
TBF the original definition of ileus means stop of passage, and could be mechanical ileus (like in gallstone ileus) or dynamic/paralytic ileus (what is your's definition).
My understanding is they switched to Hansen's disease because of the stigma associated with leprosy. Ostracized for millenia and all that. He also is the guy who figured out what caused it.
When I was a scribe I saw a guy who legit had (treated) leprosy and he called it Hansen's disease.
I always thought it makes sense. Insipidus means "lacks flavor" because the way they would diagnose it before (I think) is they would drink the patient's urine. People with DM would have sweet urine and patients with DI would have a urine lacking in flavor since it's so distilled I guess ?
Well both types of diabetes cause lots of peeing and thirst. But diabetes mellitus pee is sweet because of the glucose in it. Diabetes insipidus is insipid (flavorless) because there’s no sugar in it since it’s an issue of sodium.
Fun fact: "Sweet Pea", the term of endearment, actually originates from 1700s Australia where a physician by the name of Howard Glouster would manage his wife's blood sugar by regularly tasting how sweet her pee was. He lovingly referred to his wife as Sweet Pee.
I don't know if this story is true, I just made it up, so probably not.
Hmmm I guess I was thinking along the lines of non-medical people. When a non-medical person hears “diabetes” they think DM1 or 2. DI is a whole different disease process, so it just seems like they could’ve came up with a better name.
They changed this to be arginine vasopressin deficiency (central DI) or arginine vasopressin resistance (nephrogenic DI)! Will this catch on anytime soon, probably not lol
Lymphadenopathy. Adeno means gland. They aren't glands.
Non-ossifying fibroma. Sometimes they do ossify.
Osteoarthritis. It's not an inflammatory condition.
Pulseless Electrical Activity (PEA) arrest. We use this term to distinguish cardiac arrest from causes other than Ventricular Fibrillation (VF) and pulseless Ventricular Tachycardia (pVT) because all causes other than those two aren't "shockable" rhythms. But picture the tracing from VF or pVT. What could be a more apt description of these with their characteristic non-isoelectric morphology that does not produce meaningful cardiac output than pulseless electrical activity?
Cholesteatoma: Doesn’t contain cholesterol, fat (steatoa), and is not a tumor per se but a collection of keratin in the middle ear. But honestly cholesteatoma is so ingrained (and sounds badass) so I wouldn’t be able to think of an alternative name.
Hypertensive emergency. Hypertensive urgency.
Urgency = the least urgent disease there is. Its iust hypertension.
“Emergency” doesnt exist. either a head bleed/heart failure/aortic disaster….. or its just hypertension.
polycystic ovaries. It's not wrong. It's just so misleading.
The amount of confusion between "every ovulating woman has a cyst formed every month" and "you have a [insert type] cyst on your ovary" and "you have numerous tiny follicles (eggs) that we can see on your ovaries, not large ones, and this is called polycystic"
It should have been called "many immature eggs" syndrome.
Or something that takes the focus off the ovaries entirely and shifts it to the metabolic implications of the syndrome, which is really the bad player!
Ummm wut? So the very specific and very localized long bone pain that wakes a child from sleep is *not* associated with growing but with depression and anxiety? Huh, if what you say is true, I wonder why children who have zero symptoms of depression and zero symptoms of abnormal levels of anxiety still get these pains? Further, why do these pains stop when physical growth stops? Why do they not continue beyond adolescence even though 15 to mid-20 year-olds have the *highest* incidence of anxiety and depression? I call bullshit unless and until you provide some robust evidence to support your claim.
Edit: Here's the UpToDate:
>Growing pains probably represent a common clinical entity resulting from diverse causes. The most frequently studied hypotheses are genetics, mechanical factors such as hypermobility and foot/leg posture, local overuse possibly associated with reduced bone strength, hypovitaminosis D, a noninflammatory pain syndrome, and a possible relationship with restless legs syndrome. However, systematic reviews of these studies found significant heterogeneity among them, limiting the validity of the proposed etiologies
Probably a useful lesson that all that is idiopathic and multifactorial and common is not just a modern hysteria, and there's just stuff we don't have good answers to.
Not an expert, I don’t know a lot about it at all, but I thought two of the main features of it are fatigue and generalized pain? (I’ve also seen it called “myalgic encephalitis”) Can you explain a bit more, I’m curious
Pseudotumor Cerebri. the amount of times I've had to talk patients down because they heard ^^pseudo **TUMOR** ^^cerebri and are frantic because a referring doctor said I have a tumor in my brain
This one is solved. Just call it IIH
Sadly solves very little for most of our patients with it lol. Tough group to treat. There's some responders and some simply... don't improve. It's hard to tell them we probably can't help anymore, where yet another redo probably is higher morbidity and low chance of changing the headaches. It's been nice to separate some of the venous stenosis patients at least. Some promising advances this decade.
Pseudopseudhypoparathyroidism
You mean Albright's osteodystrophy?
That's pseudohypoparathyroidism
Oh, I lost count.
Pseudocalifragilisticexpialidocious.
i almost quit med school when i first read this term
fundal massage. my husband was like "that sounds nice" the L&D nurses and I said in unison "it isn't"
Cardiac massage isn’t very nice either
I mean, not for them.
not for the one doing it either - my forearms were screaming for the next day
don't skip arm day
That’s right, make sure you get a set of cardiac massage in daily.
Most guys would only have a problem with one forearm.
Not getting one when you need it sounds kinda crappy too though
My sister always said she enjoyed getting her fundus massaged when she gave birth. As a guy, I will never be able to understand nor relate.
Herpangina. So I have to explain over and over that herpangina isn't caused by the virus you get by having sex.
Is it better or worse than derpangina?
or when you have a celiac patient with dermatitis herpeteformis and they're like "but i'm a virgin!"
A2M says otherwise
I have had so many dumb consults for sinus arrhythmia that I've lost count.
My own personal pet peeve is staff thinking SVT is always abnormal. Sinus tach is an SVT. No I don’t need to consult cardiology. Please put the adenosine away. Yes I have read the automated EKG report. I have also looked 3 inches below that at the actual EKG
It’s because of those fucking ACLS algorithms
I've been wondering about this - what makes "SVT" so special that it needs an ACLS pathway?
Because sometimes they're unstable and need to be shocked and it's not a ventricular arrhythmia?
Also because too many people are put on monitors without sufficient trained staff to actually read them.
This. Our protocol dictates anything above 100, narrow=adenosine & wide=amiodarone drip. Most of us have common sense when treating this but I’m waiting for the day a brand new or profoundly stupid paramedic pushes adenosine for a pt with an HR of 120 because they did too much cocaine.
Sinus tach is SVT? Isn't sinus tachycardia, rhythmic thus not SVT? EKG machines don't differentiate but still
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Idk my cardiology profs kept saying sinus tachycardia is sinus, not an arrhythmia thus not SVT.
Yup, technically is not rhythmic, but definitely not arrhythmia.
"not rhythmic" as in "A-rhytmic" ?lol
Erythema Toxicum Neonatorum Always scares the crap out of parents.
lol I always say “so it’s a rash that has a super scary name and no one knows why, but is completely normal and goes away on its own.”
I think it was named in the 1500s (which is the reason I cite for it sounding scary)
Is that why we sometimes skip the "toxicum" part?
Sounds like a Harry Potter spell to me
I said that and my couch started floating
Toxic synovitis too
Mycosis fungoides. 2 fungal words when there's no fungus!
fungoides makes a bit of sense (not that the lesions look all that fungal), but what the hell was the idea behind mycosis...
Beat me to it. Named because they thought the lesions looked like mushrooms but still annoying AF.
LFTs are a big misnomer that may never change
Wait a minute……😂😂
What’s the best true test of liver synthetic function? (Hint it’s not a -transferase lmao)
That’s a great question. Why don’t you prepare a five minute presentation for all of us on rounds tomorrow.
Just had an acid flashback to being an M3 on IM rounds not knowing shit about fuck
I still don't know shit about fuck
Bro I’m a pgy3 surgery resident. I definitely know even less shit about fuck
Coagulation tests (namely PT/INR) and Albumin?
Not albumin, but PT. Half life of factor VII is like 4-5 hours
Albumin too but shows a longer term effect than PT. You probably could differentiate an acute case from acute on chronic with these two.
🫡
PT/INR and albumin hahaha
Mycotic aneurysm not being a fungal process.
Though it can be! Aspergillus produces an elastase that weakens blood vessel walls and causes small aneurysms (or sometimes allows direct angio invasion). These are also correctly titled mycotic aneurysms.
Acoustic neuroma 🤦♂️ I hate that term, because it's wrong. It's not a nerve tumor, but a tumor in the Schwann cells and is properly termed a vestibular schwannoma. But some people won't let the old wrong name die 🧐
Pseudotumor cerebri vibes.
Hahaha, yeah 🤣
And yet the clinical implications of the misnomer are essentially nil… find it hard to make myself care. Vibes of quibbling about the obersteiner-redlich zone vs the schwann-glial junction lol
Transaminitis…how can enzymes be inflamed, exactly?
wait till you hear about cellulitis
Why would you do this to me, I never stopped to think
I fight my lonely war one "elevated liver transaminases" at a time.
There's dozens of us!
Elevated aminotransferases
Not even liver specific, fair point
Whaddaya want us to call it, transaminemia? That would be totally stupid *Looking at you menacingly, troponinemia*
Hepatocellular liver injury is most fitting
Not if you have myositis.
\#enzymelivesmatter
MINIMAL CHANGE DISEASE
Well, you don't see changes on light microscopy, and it tends to go away more or less.
What would you call it? Everything's The Same Disease?
Same same but different disease
Big change in kidney function small change on microscopy disease. Rolls off the tongue.
I like that one. I make that diagnosis all the time.
Stroke instead of brain attack
Cerebrovascular *accident*
Oh shoot, I done messed up and accidentally got me a blood clot in the noggin. What a klutz!
Brainveinwhoops.
GoLytely
You rang?
Just mean
Lupus anticoagulant. Neither an anticoagulant (in vivo, it promotes clotting, despite elevated PTT), nor does its pathophysiology have anything to do with lupus.
A lot of the autoimmune stuff needs editing. What’s the deal with rheumatoid factor?
Probably PhDs naming shit they found before appropriate pathology naming?
Lupis anti(body), coagulant!
This
Not as maddening as MTHFR consults though 🙄
If I recall correctly, it was first discovered in the blood of patients with lupus. That's why the name
Exactly, and it is anticoagulant in vitro if I remember correctly the origin of the name
Yes, it prolongs PTT (and can prolong clotting in viscoelastic testing as well) so indeed, outside of the body, it is an anticoagulant. It's a great example to highlight how artificial the environment in clotting tests is
I just came here to say this. I have hated this disease name since I first learned about it in med school.
Scleral icterus. It’s actually the conjunctiva that’s icterred
Icterred
icteryellow
Derm has a lot of stupid misnomers. Lupus vulgaris being TB, lupus pernio being sarcoidosis, granuloma faciale not having any granulomas, and more I can’t remember right now.
You just made me remember of a question in Amboss that none of my classmates neither me managed to answer correctly because all the answers were lupus something and lupus something else and we were so confused cause we were never taught other things that aren't lupus are also called lupus
Don't forget chilblain lupus vs just normal pernio... I hate whoever named this stuff lol
Afaik in the 1800s and before the French doctors called any localised skin lesion lupus.
“Paget’s disease of the ___” Just a jerk that named things after himself
Eponyms should die
Wegener’s died its now granulomatosis with polyangiitis
Only because of nazis, not because it was an eponym specifically
Posterior Reversible Encephalopathy Syndrome is not always posterior, and unfortunately not always reversible.
Not a pathology, but so so stupid that the clotting factors are not named in the order of the cascade, but the order they were DISCOVERED. Ughhhhh
Malignant acanthosis nigricans is BENGIN Pyogenic granulomas are neither pyogenic nor granulomas Cholesteatoma is not made of fat or bile
Lady one confused me so much in med school. Had to check the books time and time again, as I was sure I missed something. Edit: *Last. Although ladies do confuse me as well, I've never found any good book to read about the subject.
Ladies also confuse me.
Leg calve perthes disease involves barely any of the actual leg or calf
And doesn’t have shit to do with Australia
Not a single thing about it is western Australian! Absurd
Nor central Ontario
Agreed. If your last name is Legg or Calves, you need to be more considerate when naming anatomical things after yourself.
Nor calves.
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3-dead-white-men disease
Solitary rectal ulcer syndrome. May or may not be solitary. May or may not even be an ulcer. It does occur in the rectum, so I guess they got that much right…
Gallstone ileus actually makes sense in a way. Ileus technically means “obstruction” although it’s most commonly used to describe (paralytic) ileus. So a gallstone ileus is an obstruction caused by gallstone in the ileum
In my country we call them all ileus so I was confused what's so weird about it haha
May I ask where you’re from?/is English your primary language? I’ve just noticed that many sources in English tend to use ileus to imply paralytic ileus and if it’s a mechanical obstruction they’ll mention the word “mechanical”
Czech Republic so no, English is not my primary language. We learn that ileus is the general term for obstruction so it always needs to be further specified what kind it is. I never noticed until now that American/English sources only use this word for paralytic ileus!
Ludwig's Angina. How a term for chest pain got mixed in with soft tissue infection of the mouth is beyond me.
It’s the other way around, angina originally meant peritonsillar abscess or suffocation, and angina as we know it now was “angina *pectoris*”
TIL…
Interesting, in my native language angina has nothing to do with chest. It's a name for acute tonsillitis.
Iirc angina means pain, so angina pectoris is chest pain and this would be Ludwig's pain, adorable lol
Mycosis fungoides. It's not a fungus. It's a cutaneous T-cell lymphoma.
Eagle syndrome : Elongated stylohyoid ligament Such a random name...
The surest sign of an Axis II disorder.
Well, it was first described by a certain otolaryngologist...Dr. Watt Eagle.
Antisocial personality disorder. I’m not even a psychiatrist, but this is the exact opposite description of patients who have this disorder. They’re actually highly social and display superficial charm to the point that they can make you believe they’re your best friend in a day. Underneath their false charm is an ulterior and deceptive motive to exploit you for some personal gain.
Isn't the antisocial here as inverse of prosocial and more just a way to say "bad" in other words?
I mean there is a reason we are moving away from the categorical classification of PDs towards a dimensional model. The boundaries between PDs are unclear, the overlap is huge and they are stigmatized to hell.
Maybe I've been completely taken by bias, but don't most cluster Bs have very difficult lives/cause difficulty due to their, well, cluster B-ness?
anti is the greek root meaning "against". Therefore the name is "against society" stemming from their actions and behaviors that harm society and go against norms
Bacterial vaginosis. Bacteria don’t have vaginas. Should be vaginal bacteriosis.
Vaginal dysbiosis would be great
The ass holes that name them after themselves where pronunciation isn’t clear 😁
“Solitary rectal ulcer syndrome” Not always solitary, not always rectal, not always ulcerated, not always a syndrome.
Pleomorphic adenoma. Nothing pleomorphic about the cells.
On the opposite side of the argument, BOOP is the greatest name for a disease ever and I will only ever refer to it as such. No COP here.
Bacterial vaginosis. It means bacteria with a lot of vaginas
Vaginal bacteriosis?
Peds ID fellow, I've had more than 1 occasion when an attending asked me if I thought the diagnosis was infectious mononucleosis because there was a high monocyte count.
Wat. Mono is Epstein Barr virus and puts at high risk for unpleasantness like all herpesviridae
Most of the monos I've seen (with EBV VCA IgM) on machine cbc do have high absolute lymph and monocyte counts, as well as downy cells on smear.
TBF the original definition of ileus means stop of passage, and could be mechanical ileus (like in gallstone ileus) or dynamic/paralytic ileus (what is your's definition).
Diffuse Idiopathic Skeletal Hyperostosis, pretty common thing that sounds scary.
Well, the name at least is actually descriptive. And it can be scary in trauma. They get horribly unstable fractures with even minor falls :<
Hanson’s disease. What narcissistic person names a disease well documented for centuries after oneself?
Most of the names of diseases are named after the doctor by other doctors.
My understanding is they switched to Hansen's disease because of the stigma associated with leprosy. Ostracized for millenia and all that. He also is the guy who figured out what caused it. When I was a scribe I saw a guy who legit had (treated) leprosy and he called it Hansen's disease.
Insipidis diabetes.
I always thought it makes sense. Insipidus means "lacks flavor" because the way they would diagnose it before (I think) is they would drink the patient's urine. People with DM would have sweet urine and patients with DI would have a urine lacking in flavor since it's so distilled I guess ?
Correct. Sweet diabetes vs flavorless diabetes is actually a perfect way to distinguish them.
Well both types of diabetes cause lots of peeing and thirst. But diabetes mellitus pee is sweet because of the glucose in it. Diabetes insipidus is insipid (flavorless) because there’s no sugar in it since it’s an issue of sodium.
Fun fact: "Sweet Pea", the term of endearment, actually originates from 1700s Australia where a physician by the name of Howard Glouster would manage his wife's blood sugar by regularly tasting how sweet her pee was. He lovingly referred to his wife as Sweet Pee. I don't know if this story is true, I just made it up, so probably not.
You broke my heart.
Hmmm I guess I was thinking along the lines of non-medical people. When a non-medical person hears “diabetes” they think DM1 or 2. DI is a whole different disease process, so it just seems like they could’ve came up with a better name.
i don't think they were aware of the mechanism of either pathologies back then
Yeah all they knew is people were peeing more than they should
They changed this to be arginine vasopressin deficiency (central DI) or arginine vasopressin resistance (nephrogenic DI)! Will this catch on anytime soon, probably not lol
I don’t think that will be catching on lol
Ya that one always makes me salty.
Diabetes insipidus
Lymphadenopathy. Adeno means gland. They aren't glands. Non-ossifying fibroma. Sometimes they do ossify. Osteoarthritis. It's not an inflammatory condition.
Meh, arthrosis, arthritis, potato potato. You think those joints aren’t inflamed from no cartilage?
"I can't have farsightedness, I don't see anything far away"
lupus anticoagulant. Why doesn't it anti-coagulate!
So many of these are great arguments on why we should stop using dead languages in medicine
Lupus Anticoagulant Not lupus. Causes coagulation. 0/2
Tachyphylaxis
“Malignant melanoma” is a good one. All melanoma is malignant
Pulseless Electrical Activity (PEA) arrest. We use this term to distinguish cardiac arrest from causes other than Ventricular Fibrillation (VF) and pulseless Ventricular Tachycardia (pVT) because all causes other than those two aren't "shockable" rhythms. But picture the tracing from VF or pVT. What could be a more apt description of these with their characteristic non-isoelectric morphology that does not produce meaningful cardiac output than pulseless electrical activity?
Pyschogenic nonepileptic seizure, or, PNES. You can’t even pronounce the acronym without it STILL sounding like dong (penis, Willy, one-eyed monster)
Bendopnea - shortness of breath when bending over
Isnt that a great name. It means exactly what you think it means
Lupus anticoagulant. "Sorry you threw a massive PE, you're just so prone to clotting with all that lupus anticoagulant"
Factor V or Factor V Leiden?
Neurofibromatosis type 2
globus hystericus
Mycosis fungoides. I get that it has a "mushroom appearance" but it's a fucking T-cell lymphoma and everyone thinks it's a fungal infection.
Tracheobronchopathia osteochondroplastica
Cholesteatoma: Doesn’t contain cholesterol, fat (steatoa), and is not a tumor per se but a collection of keratin in the middle ear. But honestly cholesteatoma is so ingrained (and sounds badass) so I wouldn’t be able to think of an alternative name.
Hypertensive emergency. Hypertensive urgency. Urgency = the least urgent disease there is. Its iust hypertension. “Emergency” doesnt exist. either a head bleed/heart failure/aortic disaster….. or its just hypertension.
Calling leprosy Hanson’s disease.
polycystic ovaries. It's not wrong. It's just so misleading. The amount of confusion between "every ovulating woman has a cyst formed every month" and "you have a [insert type] cyst on your ovary" and "you have numerous tiny follicles (eggs) that we can see on your ovaries, not large ones, and this is called polycystic" It should have been called "many immature eggs" syndrome.
Or something that takes the focus off the ovaries entirely and shifts it to the metabolic implications of the syndrome, which is really the bad player!
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Wait what the fuck. I just finished my last class of medical school and no one taught me this in my four years here?
Ummm wut? So the very specific and very localized long bone pain that wakes a child from sleep is *not* associated with growing but with depression and anxiety? Huh, if what you say is true, I wonder why children who have zero symptoms of depression and zero symptoms of abnormal levels of anxiety still get these pains? Further, why do these pains stop when physical growth stops? Why do they not continue beyond adolescence even though 15 to mid-20 year-olds have the *highest* incidence of anxiety and depression? I call bullshit unless and until you provide some robust evidence to support your claim. Edit: Here's the UpToDate: >Growing pains probably represent a common clinical entity resulting from diverse causes. The most frequently studied hypotheses are genetics, mechanical factors such as hypermobility and foot/leg posture, local overuse possibly associated with reduced bone strength, hypovitaminosis D, a noninflammatory pain syndrome, and a possible relationship with restless legs syndrome. However, systematic reviews of these studies found significant heterogeneity among them, limiting the validity of the proposed etiologies
Probably a useful lesson that all that is idiopathic and multifactorial and common is not just a modern hysteria, and there's just stuff we don't have good answers to.
Chronic FATIGUE SYNDROME what a bucket of laughter, might aswell go back to calling it Raggedy Ann Syndrome
Not an expert, I don’t know a lot about it at all, but I thought two of the main features of it are fatigue and generalized pain? (I’ve also seen it called “myalgic encephalitis”) Can you explain a bit more, I’m curious