Why do many colleagues say that Fibromyalgia does not exist?
The human being always has a tendency to ignore what he does not understand. And it is easier to ignore what to take on the work of understanding. But also, as Karl Popper says “True ignorance is not the absence of knowledge, but the fact of refusing to acquire them”
Fibromyalgia is a disease that is over 150 years old , with other names and since 1990 it was recognized by the American College of Rheumatology, which also established the first diagnostic criteria. How can this be ignored?
In 1992 the World Health Organization also recognized and classified it, as in 1994 the International Association for the Study of Pain (IASP). How can this be ignored? How can a doctor ignore a disease that was recognized by WHO?
The disadvantage of fibromyalgia, for unbelieving colleagues, is that it does not have a visible lesion, so they say it does not exist and also all studies are normal. The diagnosis is purely clinical.
If we used this “logic” of colleagues with mental blindness, then there would be none of the psychiatric diseases such as depression, schizophrenia, etc. because so far they don’t have a visible injury either.
Nor would the atom, electricity, etc. exist. because we don’t see them. Fibromyalgia has a world day, May 12, established by WHO. So neither should every world day exist of all the diseases that have it.
Why do not you understand?
Because to understand it, new paradigms are unknown, such as Chaos Theory, Complexity Theory, Stress Theory, Psychoneuroimmunoendocrinology, etc. And none of this is taught in the Faculty of Medicine. We must start from the basis that the human being is a complex unit not only physical, but also psychological, social, cultural, ecological and spiritual. This is to have an integral, holistic vision of the human being and is not taught in the Faculty of Medicine. On the one hand there is the mind and on the other the body. This is to have a very small, bounded, linear, simple concept of the human being. That is why Medicine fails to resolve all chronic diseases, which are increasingly known about them, but there are more and more patients. Why?
That reductionism means that there are more and more specialties, those that divide the physical human body, and each one sees that organ or apparatus that is the sustenance of their specialty. What happens is that they see the human being through the hole of a lock, losing sight of the overall, integral vision, as it should be. And when, they see a physical patient, who is anxious or discouraged, etc. there they remember the mind and then the inevitable happens: “go to psychiatrist”.
I do not deny Psychiatry, which is an important specialty like all, but every doctor should have an integrative vision between the mind and the body. But in addition many psychiatrists think or assert that Fibromyalgia is a depression. Only about 30% of fibromyalgia patients have psychiatric problems. Who is not going to get depressed having a suffering like that of Fibromyalgia, with chronic pain without diagnosis, permanent fatigue, inability to sleep properly, etc.? Any chronic disease can cause depression.
Above all, it is not understood because it is unknown Psychoneuroimmunoendocrinology, which is a new paradigm that integrates the mind and body, adopts the theory of stress, chaos, complexity, etc. And Fibromyalgia is a psychoneuroimmunoendocrinological disease. And this is ignored by the School of Public Medicine. The CLAEH School of Medicine teaches PNIE, and Fibromyalgia is taught, from which I teach fourth-year students. If my only tool is a hammer, I will treat all of them as if they were a nail.