fibromyalgia was listed in her H+P. I'm not the only who has noticed an association with fibromyalgia and extensive drug allergies. These patients are difficult to treat perioperatively, mainly because their symptoms are so elusive. There is nonspecific body aches, GI symptoms, and psychological issues. Many are on chronic pain meds to control their disease.
Because of their vagueness, doctors have a hard time coming to terms with fibromyalgia. It doesn't fit neatly into any of our well defined physiologic or infectious causes of disease. What kind of disease has listed treatments that include, "Deal with negative thoughts" or "Seek out enjoyable activities". That sounds like a mantra repeated at some luxury spa in Palm Springs. It's hard for us to take this seriously.
But they are out there. There are millions of people in America diagnosed with fibromyalgia which means you'll most likely be treating one sooner rather than later. In fact you may even have to fill out their application for a handicapped parking permit despite your misgivings about the legitimacy of their illness. So put on your best Marcus Welby bedside manner when a patient like this arrives at your office. You'll be glad you have your Pain Medicine doctor on speed dial as you prepare to kick the world's longest punt.