Re. the diagnosis I'm encouraging her to see a new internist for a definite diagnosis. _____ Not to scare you, but simply to relate a tragic event that happened to a friend. He complained of increasing levels of back pain and was shunted around the medical system with inadequate diagnoses. One doctor even suggested that he was faking complaints to get pain medicine. Another thought it was a slipped disc in the neck and he received a clear MRI of the neck. Pain kept increasing and after screaming on a chiropractor's table, he finally went to the emergency room. Turned out to be lymphoma of the spine. They had to operate immediately, remove vertebrae, put in titanium replacement rods. Nobody was looking for lymphoma because it was so rare. Yet when I visited him in the Pennsylvania hospital, the head nurse privately confirmed the existence of a cluster of such cases in the hospital. (To me that suggests some local toxicity, like benzene in the water supply.) Now this man, with whom I had hiked hundreds of miles on the Appalachian Trail, a man who could identify almost every plant or animal in the forest, can now barely hobble six suburban blocks a day and is in constant pain from the effects of spinal compression caused by the lymphoma. All this because diagnoses are more statistical than thorough. The multiply negative lesson: Doctors can't see what they're not looking for, and don't always look for what shouldn't be there, especially when insurance won't pay for looking for things that should not be there. Eric ------------------------------------------------------------------ To change your Lit-Ideas settings (subscribe/unsub, vacation on/off, digest on/off), visit www.andreas.com/faq-lit-ideas.html