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insight related to a patient problem or dilemma; the ability to analyze and understand a patient situation.

Patient discussion about discernment

Q. Now they are suspecting it to be a fibromyalgia.Will anyone identify what I am having and what I shall do? Before four years I had a very severe anemia which made me to get hospitalized. In a month I recovered from anemia. Almost a year later I again had a very severe anemia. This lead to the state of severe fatigue and it continued till 2 years. All diagnosis later came to a conclusion that it is Chronic Fatigue syndrome. But they were not able to cure me. Now they are suspecting it to be a fibromyalgia. This is making me irritated. Will anyone identify what I am having and what I shall do?

A. it's not easy to diagnose those illnesses. there are many differential diagnosis that should be checked.
here is a list-
i know it's frustrating but it's not an easy task and it'll take you a while. be patient.

Q. what is the most accurate pathological test to identify the primary source of a cystic mass in the neck? the mass was removed. Pathologist was unable to identify the source and diagnosed the mass as a branchilogic carcinmoa (which is extremely rare, if exists at all). Therefore, I am looking for the most updated test and examinations that can be applied to blocks of the mass and determine their origin (primary source)

A. Pathologic examinaions under a microscope are the most accurate ones there are, and sometimes even they don't help to identify the cell types. I do not have any other ideas on other tests you can do, and I believe you should follow the treatment your doctors will advise you based on this diagnosis they have made.

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