Short excerpt from a conversation on recognizing autoimmune contributors to patient symptoms. The speaker emphasizes a holistic diagnostic approach—considering the patient’s narrative (the story), physiological context (the soup), and actionable capabilities (the skill)—because common symptoms (joint pain, fatigue, brain fog) are nonspecific and may overlap with hormonal or other inflammatory conditions.
Chapters
So when you have these people who show up, what are the top, like, five symptoms that they're experiencing that cue you in that there's an autoimmune component going on here?
I tend not to lead with all these are the symptoms that means this. I'm usually looking at it through the lens of here are all the signs, symptoms, and diagnoses. They could be joint pain, fatigue, brain fog, so many different things that could also be conflated with hormone issues, menopause, perimenopause, other inflammatory issues that aren't autoimmune. Like, there's so many things that can be going on. So I'm taking that opportunity to think about the entire picture. My version of what we call the matrix. I call it the story, the soup, and the skill. And so when we're talking about symptoms and isolation, they exist in the soup of the body, what's happening physiologically. But I also want to understand the skill. Where are you now? What are you doing? Are there easy changes that we can make? But the story for me is a huge missing piece that has a foundation in the expression of those signs, symptoms, and diagnoses.