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Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 AMA+J+Ethics 2021 ; 23 (7): E590-595 Nephropedia Template TP
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The Importance of Listening in Treating Invisible Illness and Long-Haul COVID-19 #MMPMID34351274
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AMA J Ethics 2021[Jul]; 23 (7): E590-595 PMID34351274show ga
Primary and specialty care clinicians strive to base diagnoses and treatment on specific, measurable abnormalities. Yet those with invisible, controversial illnesses such as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) often have symptoms not explained by standard laboratory values. For instance, one of the cardinal features of ME/CFS is postexertional malaise, the exacerbation of symptoms-fatigue, pain, cognitive dysfunction-following exertion, which contradicts studies showing the health benefits of exercise. In these cases, overly physicalist approaches to caring for patients are not likely to be helpful, and a clinician's willingness to listen to a patient's experience of illness becomes essential.