Should we be afraid of vascular dystonia

Dystonia, or abbreviated IRR - is special diagnosis that doctors love the old quenching and do not like the doctor who read modern literature and know what evidence medicine.

And all because of this diagnosis is not: it is not in the International Classification of DiseasesInternational Classification of Diseases 10th revision (ICD-10). Meanwhile, in the cards he paints constantly, there are whole groups, forums and websites devoted to HDR treatment.

Where does dystonia

The autonomic nervous system - this is the part of the nerve cells, which is responsible for the functioning of internal organs. Simply put, that is the part of the system on which the activities we have no influence. The autonomic nervous system controls the heart rate, digestion, blood pressure. Dystonia, in theory, means that in this system, something went wrong.

Patients worried about a specific, albeit very different symptoms. Someone complains about the rapid pulse and trembling hands. Someone connected dizziness, chest pain. Patients tormented by fatigue or insomnia, and sometimes all together. Sometimes flowers are added to the pain in the abdomen, and much more. In this case, no abnormalities do not see any cardiologists or gastroenterologists, and neurologists also did not see. And there is the IRR.

Patients do not pretend they are actually the problem. Once all of these symptoms, either together or separately, do not arise because of vascular dystonia, but because of other diseases, which remain undiagnosed. Often, they should be treated not by a neurologist, and in psychotherapist - a neurosis, panic attacks and anxiety disorders.

What to do when diagnosed with VSD

Write about vascular dystonia with the evidence - a thankless task, because, as you might guess, again such diagnosis is not present, and research that would meet the requirements of evidence-based medicine, this subject is not conducted.

Now, if any The Lancet published an article about how a non-existent diagnosis affects the health of the population in Russia! But so far this has not happened, we questioned neurologist Nikita Zhukov, what to do if your diagnosis - vegetative dystonia.

- Nikita, I am of those patients in whom the card sported the words IRR. I do not even know for what I have put such diagnosis. Why is this possible?

- Because this is the main diagnostic dustbin All Russian medicine: VSD can be set to any patient in almost any complaints. It is not surprising that you do not even know what it was given to you, it's a common thing. Most likely, the doctor himself does not know. There is an unwritten rule that you do not know what the diagnosis is put, HDR Expose.

- I come to the doctor with complaints, he says that I have ESP. I know that this can not be. What should I do? By the way physicians but the neurologist is necessary to address?

- Well, there are two options.

1. Aggressive: try to get a doctor to feel like an idiot and learn something. It needs a good podkovannost in question, journalistic arrogance and desire to change the world for the better (as you can see, nor about the healing of the word).
2. Find a neurologist, who does not put the IRR, in 2017 these already. We chat and PR: "No IRR, homeopathy and physiotherapy!" You can try to go once a therapist, but they are still worse than with neurologists.

- Is there movement toward evidence-based medicine? Roughly speaking, if I say, "Doctor, I do not believe in ESP, I can not write nootropics"Whether the physician will be able to understand such a position? What is this a chance?

- Of course, not all so hopeless! There OSDM.org, a bunch of popular writers (like myself, cake), opens in Kazan branch of the Cochrane, large private clinics have begun to realize that the evidence-based medicine - it's good, yes, even the Ministry of Health made a science-based guides (There is, of course, there umifenovir, better known as "Arbidol", but there are a lot of reason).

- I come to the hospital, leaving a lot of money for the survey, my time, and then the doctor says that I have ESP. What questions to ask at the beginning of reception that this was not?

- The key word here - questions. You should ask questions about all the actions of the doctor, and the competent authority should clearly answer them. Just have to! Similarly, if you need a survey? Can I do without it, and what will happen then? That the doctor wants to see it? And if you do not see?

- What should I do now to those people who for many years treated VSD? Could be that because of this disease progresses more?

- In theory, yes, but I did not faced with and I think that this is unlikely: Trained patients with VSD are all possible several times survey, which virtually eliminates the possibility of missing some serious state.

- the duty of man being treated for a VSD, and helps him. This is only a placebo effect?

- Yes, if it is typical "treatment IRR" because it basically involves therapy fuflomitsinamiIn which one effect - the placebo.

No, if the doctor prescribes any sane drugs (in such cases is usually antidepressants), but does not change diagnosis for any reason, because the patients themselves often love to the IRR, cherish those three letters and never have them refuse.

- For example, instead of a neurologist VVD writes SVD (somatoform autonomic dysfunction, F45.3), and treat effectively. What purpose show that the time to change doctors?

- The diagnosis F45.3 - is one of the fit, modern and convenient to replace the IRR. But here we must pay attention to bukovku F: is a psychiatric diagnosis. Accordingly, if with it you do not give anti-depressants or anti, either fool the doctor or one of the two.

- The only way - to look for another doctor? The patient has no other ways to influence the situation?

- You'll never prove the doctor that he is not right, if you're not a doctor, which, however, is typical for any other specialty. I think there should go the other way and enjoy the benefits of the information age: to collect and post reviews on physicians to seek word of mouth and some registers of "Doctors without ESP." It comes to me many patients who have or claim from the doorway: "I have come to you because I was ten years put VSD, but about you are saying that you do not do."

---

If you need to learn more about the diagnosis, which is not, and learn to distinguish between proven medicine from shamanism, we recommend the book by Nikita Zhukov of the most enduring medical misconceptions and myths.

Buy "Moditsina"Buy "Moditsina². Apology "