20. When One Diagnosis Ends Up Being Something Else
As much as we don’t want to admit it, doctors are only human beings who can make mistakes. The problem is that their patients end up getting the brunt of things when a mistake is made. So when it comes to making a diagnosis, it can take a doctor a long time to get to one because they don’t want to make a mistake. That can sometimes lead to the patient enduring some pain during that time. For lixo_humano_97, they really wanted to make sure they got the diagnosis right.
“When I was in my pediatric internship, there was this baby with hepatomegaly (big liver). In my region, the first thing that you have to think about in this case is a disease called Kala-Azar (also known as black fever or visceral leishmaniosis). But the catch was that she kept having those episodes of hypoactivity and sleepiness, and sometimes even faintings that would then get better after she was being breastfed. Her lab was normal, and she had no other clinical signs that would remind her of kala-azar besides the hepatomegaly. The patient had Hers Disease, a genetic disorder that makes you produce less Glycogen due to an enzyme defect.”