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The Descent

The Descent Opinion ON MY MIND The glum 16-year-old girl sat disconsolately looking at Two years of increasing incapacitation despite a nor- Neil L. Schechter, MD her shoes, while her mother unfurled their story. Two mal physical examination and laboratory results, with- Division of Pain Medicine, Department years ago, seemingly out of the blue, her daughter drawal from school and friends, hypersensitivity to ev- of Anesthesiology, reported that her abdomen hurt. She could not identify erything, the closed-captioned television, sleeping with Perioperative, and Pain an antecedent event that triggered her pain nor could her parents, the relentless search for new physicians, the Medicine, Boston Children’s Hospital, she discern a pattern to the variation in its intensity. ketchup bottle—I could predict what many clinicians Boston, Massachusetts, Yet, her daughter’s pain was unremitting and disabling. might say if this case was presented to them: “This mom and Department of Over time, the abdominal pain was further complicated and daughter have major psychological issues.” Yet, dur- Anesthesiology, by the development of a crushing headache, profound ing our interview, the mother struck me as caring and Harvard Medical School, Boston, dizziness, and overwhelming fatigue. She became concerned, without obvious mental illness, and no dif- Massachusetts. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Pediatrics American Medical Association

The Descent

Schechter, Neil L.
JAMA Pediatrics , Volume 168 (6) – Jun 1, 2014
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References (1)

Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6203
eISSN
2168-6211
DOI
10.1001/jamapediatrics.2013.5327
pmid
24710607
Publisher site
See Article on Publisher Site

Abstract

Opinion ON MY MIND The glum 16-year-old girl sat disconsolately looking at Two years of increasing incapacitation despite a nor- Neil L. Schechter, MD her shoes, while her mother unfurled their story. Two mal physical examination and laboratory results, with- Division of Pain Medicine, Department years ago, seemingly out of the blue, her daughter drawal from school and friends, hypersensitivity to ev- of Anesthesiology, reported that her abdomen hurt. She could not identify erything, the closed-captioned television, sleeping with Perioperative, and Pain an antecedent event that triggered her pain nor could her parents, the relentless search for new physicians, the Medicine, Boston Children’s Hospital, she discern a pattern to the variation in its intensity. ketchup bottle—I could predict what many clinicians Boston, Massachusetts, Yet, her daughter’s pain was unremitting and disabling. might say if this case was presented to them: “This mom and Department of Over time, the abdominal pain was further complicated and daughter have major psychological issues.” Yet, dur- Anesthesiology, by the development of a crushing headache, profound ing our interview, the mother struck me as caring and Harvard Medical School, Boston, dizziness, and overwhelming fatigue. She became concerned, without obvious mental illness, and no dif- Massachusetts.

Journal

JAMA Pediatrics – American Medical Association

Published: Jun 1, 2014

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