#Differential Diagnosi

[greghatecrimes]

hematology tomorrow... please god let them say yes to iron infusions PLEASE

[atomicradiogirl]

listening to a house md podcast (the only house md podcast i.e. differential diagnosis) where these guys recap and give commentary on house episodes (they only got up to mid s2) and i’m at s2e6 spin and i was so excited to see their thoughts on The Scene “you’d be surprised what you can live with” and they took that scene as wilson confirming that he’s cheated and like yeah. OBVIOUSLY. but on Who is the better question. he didn’t just say i met people who made me feel funny.. he said i met SOMEONE who made me feel funny. there is one person in particular. and this isn’t just me projecting hilson somewhere where it isn’t relevant. there is no one else that wilson could have been talking about at this time. unless the “someone” is just a stand-in for everyone he’s had affairs with, but since the episode is written by sara hess (a lesbian) who’s written other top hilson eps, i Highly doubt that.

[aw-tysm]

Social anxiety vs autism.

A lot of people could label many autistics with "social anxiety" but we really need to look at whether it is in fact "social anxiety" or whether it is due to autism and/or introversion.

Social anxiety often comes with fears and worries about being judged or embarrassed in social situations.

But do all autistics have that? No.

Sometimes social situations involve meeting new people or being in new environments. Change is something that autistics find difficult in many, if not, all situations. New people and new environments are change. Making the anxiety autism based rather than "social anxiety" based.

There may also be anxiety towards the expectance of sensory issues at social events. Or even stress about what topics could be brought up for conversation and what one should say or which scripts to use. New conversations or topics for conversation is also change.

Then there is also part of the criteria that states "lack of interest in peers". Not wanting to be around people may be due to just not being interested in others or what they're doing. Introversion may be similar in just wanting to be at home and being comfortable by oneself.

Not all autistics have worries about what other people think of them. They don't all have worries about being an embarrassing.

[desire-mona]

house in 2024: instead of chase cameron and foreman being "the ducklings" they are a collective "jarvis"

[saranitysstuff]

i've been thinking about how the current hypothesis around schizophrenia is that it is a latent neurodevelopmental disorder (that is, you are born with schizophrenia, or at least born with a predisposition to developing schizophrenia, but symptoms of schizophrenia don't manifest until late teen/early adult years) and i think that could change a lot about how we view cluster a personality disorders, which are based on positive (schizotypal and paranoid) or negative (schizoid) symptoms of schizophrenia.

because if schizophrenia is neurodevelopmental, would it be possible for these cluster a personality disorders to be neurodevelopmental? i think maybe there is a subgroup of people with cluster a personality disorders who are born with these disorders (following the hypothesis that schizophrenia is neurodevelopmental) and another subgroup that develops these personality disorders through psychosocial means - two different etiologies that lead to people having the same diagnosis, but different causes.

so two people who are both schizoid, but one was born schizoid due to being born with developmental differences in their neurology, similar to the development of schizophrenia, while the other schizoid "acquired" szpd through environmental means (epigenetics, abusive or neglectful parenting styles that fundamentally change how their neurology works). this idea is sorta similar to millon's subtypes in a way and could explain why different people with szpd have different traits and patterns of behavior (yet both are still schizoid)

we do already have some evidence that there are abnormalities in neurological functions and development in cluster a personality disorders that cannot be explained by environmental means alone. maybe what we are dealing with are not just personality disorders, but manifestations of a neurodevelopmental disorder?

edit for links to studies:

"The neurodevelopmental model of schizophrenia, which posits that the illness is the end state of abnormal neurodevelopmental processes that started years before the illness onset, is widely accepted, and has long been dominant for childhood-onset neuropsychiatric disorders. Individuals who later develop schizophrenia have lower cognitive and motor performance in childhood. Developmental delays may interact with other factors such as obstetrical complications, and even low Apgar scores, to provide as much as a fivefold risk of schizophrenia (however, early disorders of cognition, language and motor performance are both general risks for adult psychopathology and too common to be effective in predicting schizophrenia)."

"Psychotic symptoms were familial and heritable; associated with adverse upbringing and impaired cognitive functioning; and related to urban residence and lower birth weight."

"Prenatal exposure to rubella, toxoplasma and herpes simplex virus type 2 are known causes of developmental disorders, including mental retardation, learning disabilities and sensorineural dysfunction. Studies most consistently find association between Toxoplasma gondii infection and schizophrenia; mothers with the highest immunoglobulin G level had a relative risk of 1.73."

-Neurodevelopmental model of schizophrenia: update 2012

"In a sample of teenagers who experienced childhood verbal abuse, researchers believed they had increased SZPD symptom levels during puberty and early adulthood."

"Some evidence indicates that cluster A personality disorders have common risk factors, especially genetically, where the prevalence of SZPD is elevated among relatives of patients with schizospectrum disorders. Additionally, the direct heritability of SZPD is estimated at about 50-59%."

"In general, prenatal caloric malnutrition, premature birth, and low birth weight (and related neurodevelopmental adversity) may increase the risk of mental disorders and may develop into SZPD."

"It is suggested that areas of the frontal lobe (which is in charge of sufficient social function), the limbic system (which participates in emotional processing and perception), and parietal lobe lesions are related to persistent socio-emotional inability, problems with social interaction, loneliness, and subsequent developmental of SZPD."

-An overview of schizoid personality disorder

"Low parental affection or nurturing was associated with elevated risk for offspring schizoid. In a sample (793 mother and offspring from New York follow-up 18 years from age 5-22) of youths who experienced childhood verbal abuse had elevated SPD symptom levels during adolescence and early adulthood after the covariates were accounted for. The author suggests that physical, social and verbal abuse may provoke in the already vulnerable and shy child strong feelings of being unlovable, inferiority, shame (and linked self-hate) and frustration. This might bring about attachment and associated social interactional problems which, in turn, could contribute to loneliness and SPD etiology."

-Schizoid personality disorder linked to unbearable and inescapable loneliness

[tumblesdownhill]

You know I would totally watch a workplace comedy about the mechanic equivalent of House doing both types of differential diagnostics on cars.

[lifewithaview]

Sela Ward and Hugh Laurie in House (2004) The Mistake

S2E8

Chaos ensues after Chase's negligence leads to the death of a female patient. Now, after an inquiry from the hospital board, and a subpoena from the patient's brother, it's up to Stacey to protect Chase's career, as well as House's.

*At the beginning of the episode, Kayla's daughters tell her that Sally Ayersman has been teasing them, to which Kayla responds, "If Sally's mean to you again, I'm just gonna have to key her daddy's new convertible." However, later in the episode, House blackmails a surgeon into doing Kayla's liver transplant. The surgeon is a Dr. Ayersman, whose wife, getting an "anonymous" tip about her husband's cheating, decides to key his new convertible. In House's words, "Enough irony for us all."

[pebiejeebies]

Talking to yourself is fun, but what I do with that is a bit odd..

I like to talk to myself, role play with myself, daydream while whispering/talking to myself

I’m a very creepy person… is what I would say if I actually listened to “these” kind of neurotypicals

I know im not 100% autistic / or have adhd,, but I am DEFINITELY NOT neurotypical… (and everything about my social interaction irl will explain everything :,] )

But there are just times I randomly talk.. you know?

Talk to nothing, like just talk and talk as if someone is listening to me

Talk with my cat, if he’s being annoying or too cute for me to shut up

Talk to my iPad, when I get angry that something isn’t working right on it

Talk to my.. tics..? Like when I get a tic and tell my self afterwards “it’s alright” or “calm down” as if it does something..

It’s kinda fun when I analyze myself, because now I’ve learned that I’ve become so lonely to the point I’m making up things for myself to talk to

it’s sad but I can’t help myself, I know something is wrong with me and the only thing I can do is just research and research until someone stops me and says what’s wrong with me

I know there’s something wrong, and it’s not physically, it’s mentally

I just wish I could go to some mental health professional so they can figure it out

or maybe I’m just fine

[greghatecrimes]

Since starting iron infusions I have been taking (iv) dexamethasone to premedicate for them, and now I have a new appreciation for how much shit Thirteen deals with in Last Resort. Dexamethasone (the third drug she takes that also shuts down her kidneys) is fucking INTENSE. that shit is POTENT

[hoziersong]

everyone likes to call house an insane man but what about literally EVERYONE ELSE on that show. wilson is a serial cheater. chase has daddy issues and weird takes on stuff (highly cancelable might i say). cuddy is house's enabler. his ex-wife is obsessed with him. don't even get me started on cameron. probably the only one remotely close to being sane is foreman. malpractice md hatecrimes md what about madhouse md. get those guys some good therapy

[rosewind2007]

Watching Dr Odyssey and can I just say that the LOLS potential for getting Hugh Laurie to do a cameo as a cantankerous retired doctor on a cruise is just sitting there like a MASSIVE Chekhov's differential diagnosis

[deadpogasm]

i’m wondering if i should just act like i have an adhd diagnosis

[sillimancer]

sometimes I think the only way I'm ever going to get some decent fucking healthcare around here is if I track down a doctor on fetlife with some extremely specific fetishes

[emmebearpaw]

Welcome back to the game, “is the malaise because I need to go to bed or is there something wrong with me 🎉”

[lovecatsys]

ngl i really hate. Everything about the current systems used to diagnose and describe dissociative disorders at least in the US. i guess i hope it'll get better in the future when there's a better understanding.

[marc--chilton]

Big sister thirteeeeen. I was thinking of that video of a baby wolf sleeping on her big sister the entire time I drew this :3

aaaaAAAAAAA BIG SISTER THIRTEEEEENNN

SISTERS....... in bed kicking my feet and twirling my hair just staring at this. oh my goddd thank you 😭