{"id":15183,"date":"2020-09-15T00:42:00","date_gmt":"2020-09-15T04:42:00","guid":{"rendered":"https:\/\/www.shortform.com\/blog\/?p=15183"},"modified":"2020-10-01T12:25:43","modified_gmt":"2020-10-01T16:25:43","slug":"medical-misdiagnosis-brain-on-fire","status":"publish","type":"post","link":"https:\/\/www.shortform.com\/blog\/medical-misdiagnosis-brain-on-fire\/","title":{"rendered":"Medical Misdiagnosis: Susannah’s Path to Treatment"},"content":{"rendered":"\n

What is a medical misdiagnosis? How many conditions did doctors suspect Susannah Cahalan had before correctly diagnosing her in Brain on Fire<\/em>?<\/p>\n\n\n\n

Medical misdiagnosis is a risk when someone has a rare disease. There were many conditions doctors considered, and Susannah was misdiagnosed more than once. <\/p>\n\n\n\n

Read more about the issue of medical misdiagnosis. <\/p>\n\n\n\n\n\n\n\n

Medical Misdiagnosis Begins<\/h2>\n\n\n\n

At the age of 24, New York Post <\/em>reporter Susannah Cahalan is stricken with a terrible disease. In a matter of weeks, it morphs from paranoia into hallucinations, seizures, and psychosis. It resists diagnosis even by the most prestigious doctors in the US. Cahalan\u2019s harrowing portrait shows how frail disease makes us, ready to accept any diagnosis, even when we know it\u2019s wrong.<\/p>\n\n\n\n

People in medical distress are often happier to get a dire diagnosis than to not get one at all. Susannah waiting a long time for an accurate diagnosis, facing one medical misdiagnosis after another.<\/p>\n\n\n\n

After being overcome with nausea at work, she has to be walked home by her coworker Angela. Angela makes Susannah call her doctor. Dr. Rothstein tells her the results of the MRI are normal, then suggests that Susannah has a virus, possibly mono.<\/strong> She\u2019s relieved to finally have a diagnosis.<\/strong><\/p>\n\n\n\n

Based on Susannah\u2019s symptoms, the psychiatrist has suggested that Susannah has bipolar disorder and is having a manic episode<\/strong>. Once again, Susannah is thrilled to get a diagnosis, however dire it is. <\/strong>Many famous people, like Beethoven, Mark Twain, and Winston Churchill, suffered from bipolar disorder, so Susannah feels like she\u2019s in good company. <\/p>\n\n\n\n

Dr. Arslan is a psychopharmacologist, who suggests that Susannah might be suffering from \u201cschizoaffective disorder,\u201d a condition in which mood disorders overlap with thought disorders. He does not tell Susannah\u2019s parents about his suggestion, believing the severity of the diagnosis would upset them.<\/p>\n\n\n\n

Though Bailey is still convinced Susannah just drinks too much, he secures her a room at NYU Langone\u2019s Advanced Monitoring Unit, with 24-hour EEG monitoring. As soon as they arrive at the hospital, Susannah has a seizure. Susannah is moved to a new room in the epilepsy ward. It\u2019s peaceful and quiet.<\/p>\n\n\n\n

Susannah\u2019s behavior prompts<\/a> Dr. Russo to change her diagnosis from \u201cseizures\u201d to \u201cpsychosis.\u201d Without telling Susannah\u2019s parents, she recommends transferring Susannah to a psych ward if warranted.<\/p>\n\n\n\n

Getting to the Right Answer<\/h3>\n\n\n\n

But then the results of Susannah\u2019s second spinal tap come in. Her white blood cell count has gone from 20 to 80, indicating that her brain is probably inflamed. This indicates that Susannah\u2019s illness is physiological rather than emotional in nature. The news finally gives Susannah\u2019s mom a clue she can wrap her head around. She spends the rest of the evening Googling medical terms like \u201cmeningitis\u201d and \u201cmultiple sclerosis.\u201d Dr. Russo changes the diagnosis from psychosis to inflammation from an unknown cause.<\/p>\n\n\n\n

Only when Susannah becomes catatonic, staring death in the face, do two brilliant neurologists discover the problem: Susannah is suffering from an autoimmune disease<\/a> that\u2019s causing her antibodies to attack her own brain.<\/p>\n","protected":false},"excerpt":{"rendered":"

What is a medical misdiagnosis? How many conditions did doctors suspect Susannah Cahalan had before correctly diagnosing her in Brain on Fire? Medical misdiagnosis is a risk when someone has a rare disease. There were many conditions doctors considered, and Susannah was misdiagnosed more than once. Read more about the issue of medical misdiagnosis.<\/p>\n","protected":false},"author":6,"featured_media":15297,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[20,16],"tags":[130],"class_list":["post-15183","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ethics","category-health","tag-brain-on-fire","","tg-column-two"],"yoast_head":"\nMedical Misdiagnosis: Susannah's Path to Treatment - Shortform Books<\/title>\n<meta name=\"description\" content=\"Susannah's doctors consider everything from alcoholism to epilepsy to bipolar disorder. 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