Back in my first year of blogging, I wrote a post, titled “A Day Without a Diagnosis,” about the way we now spend most of our time “managing” chronic diseases, some of which weren’t even considered diseases when I went to medical school.
That’s not how all my days go nowadays: A week ago I had a day of some very real doctoring.
My first patient of the day was a woman in her mid-thirties. She told me she had been suffering from hives almost every day for two years. She was taking a once a day antihistamine, loratadine, faithfully and sometimes also some diphenhydramine when the itching got too bad. She had seen a dermatologist and an allergist early on with no resolution.
She also had problem with chronic abdominal cramps and diarrhea. That had also started about two years ago. She had already tries lactose and gluten free diets without relief.
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