Clinical Reasoning
Posts exploring how clinicians interpret symptoms, evidence, uncertainty, and patient narratives when forming, questioning, or revising a diagnosis.
When the Presentation Becomes the Disease
FND Nope
Moderator
Dropsy was once treated as a disease until medicine discovered that it was merely a shared presentation of many underlying conditions. This article asks whether IBS and FND may represent similar umbrella categories that future medical advances will eventually divide into more precise diagnoses.
When Nursing Education Reinforces a Diagnosis
Quackademic
Does this nursing guide teach observation, or does it teach reinforcement of a diagnosis? A critical examination of how skepticism, alternative diagnoses, and diagnostic uncertainty are presented to nursing staff.
The Common Phenotypes Hypothesis
Christoff
Spousal caregiver
An exploration of FND, positive rule-in signs, comorbidity, predictive processing, diagnostic closure, and whether functional symptoms may reflect common phenotypes arising from multiple underlying conditions.
What Makes a Doctor a Good Doctor?
Christoff
Spousal caregiver
A reflection on what makes a good doctor in the context of complex chronic illness, focusing on collaboration, systems thinking, and clinical humility.
When Diagnosis Becomes Doctrine: Questioning FND and Clinical Authority
Christoff
Spousal caregiver
When I started this website in July 2025, I received a lot of pushback from FND proponents. Some felt that the website was highly offensive and disrespectful, and urged me to please take the website down, which I obviously did not do.
Advice from an FND Sceptic for Those Newly Diagnosed
Christoff
Spousal caregiver
What advice would I give to anyone newly diagnosed with this disorder? Advice that I wish I had received back then?
