Jonathan Emmesedi<p>🧵 1/2</p><p>I've just finished "The Age of Diagnosis" by Suzanne O'Sullivan.</p><p>The author, an Irish neurologist, claims that we are becoming the victims of overdiagnosis and overmedicalization.</p><p>Overdiagnosis - a term with which I was not not hitherto familiar - "refers to a diagnosis that is correct but which does not benefit the patient and may arguably do harm. Overdiagnosis occurs when a medical problem is detected at a stage when medical treatment is not really required".</p><p>Overmedicalisation "occurs when ordinary human differences, behaviour and life stages are given medical labels..."</p><p>I found this book thought provoking, in particular with regard to the author's challenge to commonly held assumptions about the benefits of screening and pre-emptive testing. I also thought her warnings about the dangers of thinking of diagnosis as a technical procedure rather than a physician's attempt to explain symptoms should be heeded.</p><p> Links to a couple of reviews can be found here: <a href="https://floss.social/@rdnielsen/114478603556078827" rel="nofollow noopener" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">floss.social/@rdnielsen/114478</span><span class="invisible">603556078827</span></a></p><p>Some will disagree in the strongest of terms with her arguments about diagnosis creep with regard to autism, ADHD, and Lyme disease. This critical review accuses O'Sullivan of a poorly informed paternalism: <a href="https://mastodon.ie/@Tupp_ed/114609317582047709" rel="nofollow noopener" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">mastodon.ie/@Tupp_ed/114609317</span><span class="invisible">582047709</span></a></p><p>Although I am not going to discuss those specific issues, I do worry that....</p><p><a href="https://c.im/tags/TheAgeOfDiagnosis" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>TheAgeOfDiagnosis</span></a> <a href="https://c.im/tags/SuzanneOSullivan" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>SuzanneOSullivan</span></a> <a href="https://c.im/tags/Health" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>Health</span></a> <a href="https://c.im/tags/Medicine" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>Medicine</span></a> <br><a href="https://c.im/tags/Overdiagnosis" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>Overdiagnosis</span></a> <a href="https://c.im/tags/Overmedicalization" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>Overmedicalization</span></a> <a href="https://c.im/tags/Overmedicalisation" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>Overmedicalisation</span></a> <a href="https://c.im/tags/Medicalization" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>Medicalization</span></a></p>