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mudling.bsky.social
@mudling.bsky.social
28 followers 110 following 33 posts
she/her ♠ Ace/Aro 💜 Autistic 🧂 POTSie 🏴‍☠️ Black Sails fan 🔪 Hannibal fan
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mudling.bsky.social
What's extra annoying is that Discord was exempt, but it seems they've enacted restrictions voluntarily.
December 11, 2025 at 10:43 AM
mudling.bsky.social
A very fluffy white ragdoll cat curled up asleep on a blanket
July 15, 2025 at 9:59 AM
mudling.bsky.social
I'm picking it up though 😁
Darmok meme with text: Hey bestie. Cass is lowkey girlboss gatekeep something? Slay!
June 23, 2025 at 12:06 PM
mudling.bsky.social
May the 4th be with you

#StarWarsDay #MayThe4thBeWithYou
Image of K-2SO from Rogue one with bold text in orange that says "May the Fourth be With you." Smaller white text below says "Cassian told me I had to say that."
May 4, 2025 at 12:24 PM
mudling.bsky.social
They're not PERCEIVING it as dismissive.
It IS dismissive!

Drs: We gaslight you & tell you it's just all in your head.
Why don't you feel "reassured" by this??

If they can't find a cause, instead of assuming its psychosomatic, they could just admit they don't know yet.
It is also important to acknowledge that what the patient perceives the clinician to believe (or often more importantly, to disbelieve) during a clinical interaction may be at odds with the clinician’s intent. Clinicians were often unaware that offering “reassurance”, although well-intentioned, may be perceived as dismissive. This highlights the importance of improved clinician-patient communication, and better management of uncertainty and initially unexplained symptoms. Health services ensuring greater access to psychologists and talking therapy for patients reporting previous psychosomatic or psychiatric misdiagnoses could reduce the identified long-term adverse repercussions to health, healthcare behaviours, and medical relationships. Misdiagnoses may be reduced by education encouraging clinicians to consider systemic autoimmunity when patients present with multiple, seemingly unconnected, physical and mental health symptoms. This is essential to enable more awareness and support for those experiencing the repercussions of these misdiagnoses, and to reduce the previously reported propensity of some clinicians, to assume a psychosomatic or psychiatric cause for the multiple symptoms that SARDs patients may present with.
March 4, 2025 at 4:22 AM
mudling.bsky.social
I kinda wish the Conclusion had included:

Believe your patients & stop misdiagnosing.

Psych reasons shouldn't be a clinician's FIRST assumption.
(Referencing 'cognitive error' as a reason for this type of misdiagnosis since they 'believe' psych reasons are more common)
Conclusion: Patient-reported psychosomatic and psychiatric (mis)diagnoses are associated with persisting adverse impacts in multiple domains including mental health, medical relationships, self-worth, and some healthcare behaviours. Health services and clinicians should consider these potential adverse impacts on patients and offer support to reduce any persisting negative impacts Key messages: 1. Psychosomatic and psychiatric misdiagnoses are associated with persisting adverse impacts in multiple domains, including patient wellbeing. 2. The persisting impacts of psychosomatic and psychiatric misdiagnoses need recognition, clinician-patient discussion, and support. 3. Psychosomatic and psychiatric misdiagnoses may be an iatrogenic cause of mental health symptoms.
March 4, 2025 at 4:21 AM
mudling.bsky.social
Interviewed drs believed most patients complaining of a myriad of unexplained symptoms don't have a REAL underlying condition, & that psych reasons are "much more common". 😡

It mentions 3 types of diagnostic errors that can occur.
I'd suggest 'cognitive error' is the main factor here!
Several clinicians stated that earlier referrals for more patients for the most common presenting complaints of join pain, rashes and fatigue would not be appropriate or financially feasible due to the relative rarity of rheumatic diseases. "For every 100 patients with these types of initial vague symptoms, a very small number have an underlying pathology". (GP, England) GP participants also discussed how quicker and more thorough initial investigations would unnecessarily distress the patients with a genuine psychosomatic and/or psychiatric condition, which were reported by clinicians as being much more common than rheumatic diseases. When the clinician participants were informed of the common feeling of symptoms being disbelieved and patients using "in your head" and "disbelieved" type terminology, they felt it was likely misunderstandings, miscommunication, and lack of available treatments rather than the clinicians' intent. Graber et al describe three categories of diagnostic errors in medicine: “no-fault errors” which include atypical presentations or diseases initially presenting as something more common, “system errors” where these errors are driven by issues in the healthcare system such as limited resources to un tests, and “cognitive errors” which are to do with “faulty data collection/interpretation, flawed reasoning, or limited knowledge”. There will always be a margin of error when it comes to making clinical diagnoses, especially in systemic autoimmune disease where all these types of errors are prevalent, and systemic autoimmunity was reported as being “the autoimmune needle in the psychosomatic and psychiatric haystack”.
March 4, 2025 at 4:19 AM
mudling.bsky.social
Apparently misdiagnosing real systemic autoimmune conditions as psychosomatic can affect patients negatively. 🙄

91% of participants were women, unsurprisingly.

Summary articles:
theconversation.com/all-in-your-...

www.eurekalert.org/news-release...

PDF:
academic.oup.com/rheumatology...
"I still can't forget those words". Mixed methods study of the persisting impact on patients reporting psychosomatic and psychiatric misdiagnoses.
March 4, 2025 at 4:16 AM
mudling.bsky.social
Just announced, australian Greens are pushing for autism and adhd assessments to be added to Medicare.
YES access to diagnosis should be for EVERYONE, not just those who can afford it!
greens.org.au/news/media-r...
ADHD and autism diagnosis into Medicare. Graphic of an animated heart lying on the floor crying while it holds up a telephone. A speech bubble says "Can I have an appointment please?" THE GREENS WILL: Universally subsidise ADHD and autism diagnosis through Medicare by adding a new MBS item. Expand who can diagnose ADHD and autism to include GPs, nurse practitioners, psychologists, psychiatrists & paediatricians Reduce wait times, financial barriers and make clearer pathways to ADHD and autism diagnosis. Equalise access to ADHD and autism diagnosis for people of every age.
February 26, 2025 at 1:56 AM
mudling.bsky.social
On a side note, where it mentioned Navid Negahban, it indicated he had been in Legion.
OMG I just realised he played a major character in Legion and I hadn't even remotely recognised him! (I won't say who for spoiler reasons.)
December 5, 2024 at 1:16 AM
mudling.bsky.social
Yes this.

And if you're autistic who only eats a few Samefoods? It has to be a specific brand, and Aldi doesn't sell ANY of mine.

I also require specific brands for non-food items, like tissues or toilet paper. Aldi doesn't sell those brands either.
Nor are other dietary restrictions and sensory overwhelm, all supermarkets are hell in their own ways, but if you know you can get food you'll eat in a layout you know, your autistic brain will not leave you staring at a wall for the rest of the day because you attempted to do half your shop at Aldi to save $10.
December 5, 2024 at 12:57 AM
mudling.bsky.social
My favourite qpr headcanon
💜
Crowley & Aziraphale
Aziraphale & Crowley sitting together in the bookshop in the scene where they furst meet Muriel.
November 27, 2024 at 2:13 AM
mudling.bsky.social
November 23, 2024 at 2:34 AM
mudling.bsky.social
Definitely this.
I loved it so much it hangs on my wall.
November 23, 2024 at 2:34 AM
mudling.bsky.social
'Medical gaslighting as a mechanism for medical trauma: case studies and analysis'

Highlights the need to properly define 'medical gaslighting' and have it formally recognised as a form of medical trauma that can cause PTSD.

link.springer.com/article/10.1...
4 screenshots from the above linked article on medical gaslighting
November 23, 2024 at 1:30 AM