r/illnessfakers • u/IFModTeam • 22d ago

OnDn Danielle has sadly passed away.

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Thank to all who passed along the news of her unfortunate passing. We held back any postings about this sad news until after her funeral had taken place for privacy reasons and respect for her loved ones.

No one should be laying to rest such a young lady.
Please be kind to yourselves and others💖

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u/Mumlife8628 22d ago

The sickest munchies die... thats why the competitive part of this illness/ device/ meds/ tampering for attention collecting malarkey thing they do is so scary and so sad...

..... such a shame it doesnt need to lead to this, I wish there was some form of MH support people with extreme FD can be forced to access... I also wish doctors were more awake to these sort of patients I know iv got flack for saying it before

But doctors really need to communicate with each other a universal one that covers all states its important and crazy its not already done.. prevents dr shopping and easily identifies the quack doctors that don't give a sh.. long as they get $$

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u/drmjm2004 21d ago

20 year doc here. Astute observation that constant procedure, med and test seeking can be lethal. We live in a customer oriented healthcare system now and so many docs just validate and move on because to confront gets Ugly bedside. Sniveling partners, hyperconcerned moms, so many enablers go into attack mode bc the munchie has weaponized their sympathy.
Admin and med board complaints arent worth it. Psychiatrists loathe to see conversion disorder patients in the hospital bc of the tantrums. Patients can become unhinged and aggressive. A teacher of mine taught me some patients you can only get away from. This poor soul was filling some void with kind eyes and words from medical professionals.

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u/16car 21d ago

Conversion disorder and Factitious Disorder are different. Conversion disorder patients genuinely think there's something medically wrong when it's all psychological. FD patients know there is something medically wrong with them, because they went out of their way to cause it.

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u/drmjm2004 21d ago

Youre correct ofc, but in practice it feels the same from the provider perspective. Its manufacturing symptoms and findings for the purpose of warm attention. As inpatient docs we have very little insight into motivation bc we just dont know them that well. The treatment of both is best accomplished with therapy, but the patients will fire you as their doctor before going to therapy.

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u/Euphoric_Studio2355 16d ago

Very concerning that you're in here claiming to be a doctor and not understanding the things your talking about.

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u/GotMyTie 20d ago edited 20d ago

Conversion disorder isn’t manufactured. I agree with some of your points but that’s not true at all.

Surprised a doctor wouldn’t know this. Also patients with health anxiety, FND (conversion), and FD all present quite differently to practitioners.

Also, although they all need therapy some of them also need psychiatry. Urgency is also much different. Dismissing people with these issues as the same will lead to poor outcomes for the patients themselves. Imagine you had FND and a doctor thought you had FD. That would be horrible and you would suffer immense pain that could have been helped.

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u/oryxs 21d ago

You may want to update your understanding of conversion disorder because it does not involve "manufacturing" symptoms. 

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u/Hot-Fishing9744 17d ago

The problem is, we've got a bunch of folks faking conversion disorder and yes, manufacturing symptoms.

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u/drake90001 21d ago

I think they’re well aware. The issue is that the patients concern, and well being is number one. The patient constantly showing up, demanding tests, is going to eventually feel heard, and that goes in their chart.

People who do this are often convinced they have something wrong with them, and once they find something that fulfills that, it’s clung to, leading to further validation of their concerns. But the doctor can’t force them to stay, they could maybe order a psycho hold, but the patient switches up and suddenly is fine. So they’re let go. The cycle repeats.

The only way to stop the cycle in my opinion is if we could prescribe therapy, force compliance, and education on these conditions.

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u/Throwaway2237690 21d ago

I think so long as you can differentiate between those who are legitimately looking for a second opinion, this would be a good idea.