wittyreference
Joined 6 years ago
Joined 6 years ago
I have much more faith in a company staying true to the latter. Not 100% faith, because their assessment of what business model to pursue can change, but it’s certainly not comparable in flakiness to corporate idealism.
As a physician, I wish more folks appreciated that “disability” is a property of the relationship between a person and their environment, and can emerge (or disappear) based on changes in that persons capability as well as changes in their environment.
For an obvious example: a patient with reversible heart failure can’t walk without severe shortness of breath today, but they can in three months. Today they need disabled parking; three months from now they do not.
Their heart is stopped - they are dead. You can’t kill them any more dead, you can /only/ bring them back to life. So what’s to be nervous about?
Don’t pick it apart. It’s not hard to pick apart. But thinking about it that way really does help take some of the pressure off and let you focus on doing the deed.
That is true. The groupings persist because they are useful in facilitating communication regarding potential complications, prognosis, and patterns of response to treatments.
People seem intent on throwing away the above utility with a backhanded “but that’s not the Real Diagnosis.” It’s not, but within the limitations of our current understanding of neurology, it’s the best we have come up with so far (allowing for some limitations due to the pace of spread of innovations, politicking, etc.)
My understanding of the med lit is that bipolar and epilepsy aren’t particularly associated, and pure BD in particular is a rarity - when epileptic patients were assessed for BD symptoms, they were mostly only found in the confusional states pre- and post-seizure, which isn’t BD at all.
At least in my hospital, the most common way we get BD patients hospitalized is either during a severe depressive episode, or when their mania results in violence or law-breaking. We do sometimes have patients land on our floor whose first presentation was seizure, but that’s after they’re assessed by neuro and found that it was pseudoseizure (factitious seizure).