I am doing the dirty chuckle because i know that when they see a patient with Fibromyalgia, it is going to be an uphill struggle for both the patient and the doctor. They see us as malingering, most doctors hate the diagnosis because there is no way to actually diagnose the problem other than we give up, you have fibro as the answer. And whats worse, is that most doctors also see this as an opportunity to lash out at patients (fibro is ALL YOUR FAULT!), that we all are drug seekers and that they dont want to work with us, because usually there is no success to be found.
As an emergency physician my thoughts are completely different from what they were when I did primary care. In the latter position, it was just another problem to be dealt with, and even better, it allowed an approach from a lot of different angles to make fibro-my-ass-ya.” There’s not even a remote theoretical reason of the slightest validity for fibromyalgia to lead to an emergency department visit, and these people tend to be very demanding of inappropriate treatments. There seems to be a big difference in the patients with fibromyalgia who show up in the office vs. the ones who show up in the emergency department.emergency medicine, especially when I’m working a weekend night in a small rural hospital with very limited resources, my general thought is “