The Forums › Forums › Ask The Community › Dr. Jain, please explain why you disputed another Dr.'s diagnosis of ADHD › Re: Dr. Jain, please explain why you disputed another Dr.'s diagnosis of ADHD
This sums it up for me:
Dr. Jain wanted clarity. He was initially distressed that Dr. Blouin appeared to be refusing to produce testing that would have provided more clarity, until he found out that it was Mr. Lyle’s lawyer who had called a halt to the additional testing – not Dr. Blouin…Dr. Jain’s concern is that an early diagnosis has merely been carried forward to adulthood, without the proper adult evaluation having been made.
I disagree that Dr J is fighting against someone with ADHD. Instead, he’s fighting against a situation that could be causing harm to a person with some symptoms of a problem that haven’t been looked into properly because a lawyer has stepped in to prevent further testing taking place.
Number 35 was also important:
None of those treating or diagnosing Mr. Lyle followed the DSM 4 categories of diagnosis recognized as being authoritative. Everyone just assumed that an earlier A.D.H.D. diagnosis was correct. They assumed that because of his conduct, he must have A.D.H.D. …To definitively diagnose A.D.H.D. one must apply the DSM 4 criteria. Dr. Blouin did not do this. As a result, there could be any number of other diagnoses that are more appropriate.
The original adult diagnosis was not really a diagnosis. It sounds like it was assumption based due to conduct. What if there’s another issue going on that is not being resolved because he’s being treated for the wrong thing?
And if there are incorrect assumptions being made, I want doctors to be able to stand up and question them. I know from personal experience how damaging incorrect diagnoses can be and how medical staff can close ranks and refuse to allow patients to challenge problems. (For example, crucial records ‘disappearing’ that drag out medical negligence cases.) So I’m heartened by this example of sensible questions being asked by another doctor to ensure that appropriate care is given to patients and to ensure that lawyers don’t get to make medical decisions.
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