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In my research I study how doctors in the 18th and 19th century focused on nosology to the detriment of care based practices. Suddenly, medical conditions that didn't meet known nosological criteria came under scrutiny as fake. 1/5 https://twitter.com/AdhdAngsty/status/1351408852864954371
Doctors set up an entire acute based medical system on the premise that a diagnosis mattered. With specialization in the medical field rising in the 20th c, diagnosis became even more important as it defined where individuals might seek and secure care amongst specialists. 2/5
Patients aren't "diagnosis hunting" they're playing by the rules that physicians designed to regulate and control access to medical care. And those rules have come to regulate far more than just access to therapeutics. 3/5
They regulate the welfare state as well. Without a dx you can't secure school accommodations or workplace accommodations. These dx regulate SSDI as well. They regulate what "counts" as a disability or not. 4/5
So when physicians complain that patients are eager for a dx rather than symptom based care, they're complaining about a system that their profession was responsible for. 5/5 #MedHist #MedTwitter #DisabilityTwitter
