• Sibbo@sopuli.xyz
    link
    fedilink
    arrow-up
    113
    ·
    18 days ago

    Why censor the last S in diagnosis? Is this some new trick to grab my attention that I just fell for?

  • Hazor@lemmy.world
    link
    fedilink
    arrow-up
    78
    ·
    18 days ago

    In the mental health field in particular, it’s not unusual to list various not-a-diagnosis problems, stress factors, life circumstances type things, in the diagnosis list (see also: social determinants of health). E.g., a lot of my patients are homeless, and I also work with a lot of forensic patients, so their diagnosis lists often includes “homeless” or “legal problem”. Which, obviously, aren’t actual diagnoses, but it’s often the best way to communicate to other members of the care team or future caregivers what the major factors are influencing a patient’s health. For many people, “low income” is a major source of stress which drives or exacerbates their mental health problems, so it does make sense to include if the therapist thinks it’s a factor.

    Now, why it’s the only item listed is another question entirely. It could be a quirk of whatever system they use for patients to view their records; with the electronic medical record system my employer uses, on some screens it only shows the first item in the diagnosis list, so if I put in “homeless” first then that’s all I would see on some pages. The system isn’t smart enough to know what’s an actual diagnosis or not, so it relies on humans to put in the data correctly.

    • dylanmorgan@slrpnk.net
      link
      fedilink
      arrow-up
      17
      ·
      18 days ago

      A couple years back I saw a tweet from a therapist saying that something like 90% of their patients would not need therapy if they made more money.

      • Hazor@lemmy.world
        link
        fedilink
        arrow-up
        7
        ·
        18 days ago

        I could see that. I work at a psych hospital so it’s a somewhat different patient population, but I’d bet that easily 10-20% of my patients would never end up here if they just … had enough money. And most of the rest wouldn’t be here as often.

      • Uriel238 [all pronouns]@lemmy.blahaj.zone
        link
        fedilink
        English
        arrow-up
        3
        ·
        edit-2
        16 days ago

        Precarity does that. And yeah, the number of households in precarity (worried about rent, housing, health, food, etc.) is between 66% and 88% in the US.

        Also there’s intergenerational dysfunction ever since the industrial age and the rise of the nuclear family.

        We’re all mad here. 🐇🎩🫖

  • spider@lemmy.blahaj.zone
    link
    fedilink
    English
    arrow-up
    12
    arrow-down
    1
    ·
    18 days ago

    Unfortunately health care is a privilege and not a right in this so-called “greatest country in the world”.

  • Asafum@feddit.nl
    link
    fedilink
    arrow-up
    10
    ·
    18 days ago

    It’s “funny” that I kinda do the same thing. I’m on the health and safety team in the factory I work at and pretty much every month for our meeting I bring up wages as a mental health issue as a “joke.” Kidding not kidding kind of thing.

    • TheRtRevKaiser@sh.itjust.works
      link
      fedilink
      arrow-up
      11
      ·
      18 days ago

      It’s a SDoH (Social Determinants of Health) code (almost certainly Z59.6 - Persons with potential health hazards related to socioeconomic and psychosocial circumstances - Problems Relating to Housing and Economic Circumstances - Low Income).

      Probably not intended to be a primary diagnosis. Somebody else mentioned that a lot of EHR software will grab whatever the first diagnosis code is and display it as the primary.

  • justme@lemmy.dbzer0.com
    link
    fedilink
    arrow-up
    3
    arrow-down
    1
    ·
    18 days ago

    How is a diagnosis discriminating? Like is it discriminating to a person to tell him his problems stem from having cancer? I mean… yeah the diagnosis is bullshit, probably made up by the op, but still… Discriminating? Oo