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I have long despaired at the focus on the ‘consultation’ and the psychological approach to patients whose symptoms have not yet acquired a diagnostic label.1 Since learning the latest about the linked conditions of mast cell activation syndrome, postural orthostatic tachycardia syndrome, dysautonomia, and the hypermobility syndromes (including Ehlers–Danlos), I have yet to find anyone with ‘MUS’. I just find patients who have been failed by a lack of medical knowledge among their caring clinicians. Stop feeling that heartsink and stop giving patients the message that it’s all in their head. Instead, educate yourself about the manifold presentations of these newly recognised conditions and give your patients the validation they deserve.
- © British Journal of General Practice 2017