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Woman accused of faking symptoms of debilitating illness dies aged 33

Aston sought medical help after her symptoms—which included severe migraines, abdominal pain, joint dislocations, easy bruising, iron deficiency, fainting, tachycardia, and multiple injuries—began in 2015, per the New Zealand Herald. She was referred to Auckland Hospital, where a doctor accused her of causing her own illness. Because of his accusations, Aston was placed on psychiatric watch. 

Research suggests women are often much more likely to be misdiagnosed than men. A 2009 study of patients with heart disease symptoms found 31.3 per cent of middle-aged women “received a mental health condition as the most certain diagnosis”, compared to just 15.6 per cent of their male counterparts. Additionally, a 2020 study found that as many as 75.2 per cent of patients with endometriosis—a painful disorder that affects the tissue of the uterus—had been misdiagnosed after they started experiencing endometriosis symptoms. Among those women, nearly 50 per cent were told they had a “mental health problem”.

81 comments
  • I had a very misogynistic allergist try to tell me my reaction to a skin prick test was all in my head. He berated me during a tolerance test telling me I was making it all up even though my back was one big welt and I was getting dizzy/confused. I had a previously documented anaphylaxis reaction of severe hypotension that almost killed me prior to seeing this asshole. If I had been in my right mind at the time I would have punched him in his smug face.

  • I've been on that journey myself being a chronically ill (from a young age which doesn't help with the patronising and assumptions made, and apparently autistic, which I only found out as an adult because "autism is a boy's condition") woman.

    I still, decades in, get the doubt and the "it's all in your head" and the "just emotional" and all that nonsense. I've stopped going to the doctor because it's just too distressing to try and break through that judgment and get any actual care. I won't even call an ambulance at this point (in the UK, so not to do with cost) because I've been treated so poorly on several past occasions I've had to.

    And yet I'm one of the lucky ones because eventually after years of fighting I was diagnosed with the illness I have and I've not been locked up on a psych ward for it (yet, though of course I was prescribed psych meds as first second and third resort to my pain complaint).

    This is one in so so many ways that the patriarchy quietly keeps us down, and it's so fucked up that when you try telling those who aren't impacted by it about it, even if they don't mean to, the easiest thing for them is to gaslight you because they've never experienced or witnessed this kind of treatment, and doctors are seen as infallible, so you must be imagining it, making it up, exaggerating - that's all easier than accepting the reality of just how fucked up and oppressive such deeply respected institutions like that of medicine actually are (not just misogyny of course, but ableism, racism, queerphobias and so on). The people in these jobs are still just people, they are socialised in the same oppressive world the rest of us are, and carry the same biases as the rest of the population (if not often worse due to disproportionate privilege in the field).

    I hate that this is just going to keep happening, and in many places get worse.

  • Endometriosis misdiagnosis is common because it requires surgery to even get the diagnosis, and if you don't have insurance it's $25 000

    As a man, I personally don't believe male doctors should be in charge of these types of medical conditions anyway, we lack the required organs to even begin to understand where the pain comes from, so we have no frame of reference when women talk about their internal issues. I told my girlfriend 5 years ago she had symptoms of endometriosis, and the male doctor at the woman's pavilion dismissed it. The female doctor at the woman's pavilion the town over that she switched to immediately, within minutes, on the first meeting said she was experiencing symptoms of endometriosis and that it's something they will monitor and consider.

    It also seems like the cysts caused by endometriosis can be treated the same as regular ovarian cysts, so they see the symptom of it dissappear and just assume they got the diagnosis right the first time.

    It's honestly kind of fucked up with just how common it is that it's dismissed so easily.

    • I've actually had the opposite happen: my endo was diagnosed by a male doctor and he was great, but I've since gone through several consultants of both genders who just don't give a flying fuck. I wonder if it's the case that if your female doctor experiences their period as minor discomfort, then they might actually be more dismissive? So it's basically the luck of the draw in my experience, and it's so exhausting having to keep trying to get someone to care.

      Side note, the amount of times getting pregnant has been suggested is incredible. I don't want kids, but even if I did, using them as a 'cure' is a terrible reason to bring a person into the world.

    • As a man, I personally don't believe male doctors should be in charge of these types of medical conditions anyway, we lack the required organs to even begin to understand where the pain comes from, so we have no frame of reference when women talk about their internal issues

      I was thinking about this sentence for a while before commenting and I ended up deciding that I disagree.

      For me, the issue isn't that the doctor is male. Even women that have been through regular GYN visits and even births wouldn't be able to describe their body parts and functions beyond just the outside parts - if they weren't educated about this. And most doctors are probably healthy people that do not have those kinds of symptoms so they would be able to reference it.

      So when we educate both male and female doctors about the human body of both genders, I tend to believe the knowledge is equal.

      But if that's the case, then it could mean a few things. First, it would mean that women are being misdiagnosed often by both genders. I've read many threads in TwoX in reddit before, and it seems to be the case - there are a lot of stories of female doctors who also dismiss women's symptoms. There are also stories of male doctors who did not dismiss them as well, so it's not really based on their gender.

      And secondly, it means the problems comes from elsewhere. It could be lack of research on female patients, or generally a lack of full understanding of women's bodies that contribute to it - I'm not educated enough to make a factually correct statement here. But this is my opinion: this happens because of our culture. Doctors are not immune to it, and in many cultures in the US and Europe, women are often viewed as dramatic, removed, vengeful, drama queens, exaggerating, and flat out attention seekers to the point of lying.

      This view is ingrained into many people from childhood. It is very hard for a person to even notice that the culture is skewing their point fo view on women. You can see it everywhere in media.

      Since that affects doctors (of both genders), I think they tend to use this skewed view of women when they diagnose them. I'm sure it happens subconsciously and they don't mean it, but that's what hapoens. And if you just assume the person complaining about stuff is lying or exaggerating and is just a drama queen, you tend to downplay their complaints, which usually ends up in a dismissal. Case in point - the girl in the article.

      So how do we fix this? We need to make sure more doctors are aware of this. Increase awareness of women specific illnesses, even rare ones. Find more ways to test women for possible causes for the symptoms they complain about. Increase difficulty for doctors to dismiss a woman's complaints (e.g. a doctor must refer to a second opinion first, for instance). Take women's complaints to the board (like Aston did in the article) much, much more seriously and make sure the responsible doctor is discouraged from repeating this behavior, and so on.

  • I started having severe and debilitating chest pain when I was 19. I would have episodes for 10-45 mins, just in the fetal position and not understanding what the issue was. I have always been a competitive athlete and even now, as a 31 year old I am super active. I understand why they didn't assume it was my heart, but no one cared to actually look into this for me.

    I was told by numerous doctors that it was my anxiety that was causing the chest pain. I even had the principal at the school where I used to teach (even after telling her I was seeing a cardiologist) assume that the chest pain was due to anxiety. It wasn't until I was 25 when I was finally diagnosed with printzmetal angina.

    Thankfully it's not life threatening and I have medication to prevent it (daily) and nitroglycerin if I have an attack. It's only really severe pain more than anything else, but wow, I was starting to think it was all in my head. What kills me about all of this is that my mother was diagnosed with the same condition only a few years earlier and I would tell doctors that and they still denied that I may have been suffering from the same condition.

  • I have endometriosis and it took me a long time to actually seek help. I was always told to suck it up. When I did get help, the first doctor did a laparoscopy and didn't remove any of the endometriosis. She wouldn't give me an answer when I asked why she didn't take it out. I went to her a year later for a very large and debilitating ovarian cyst. She told me to take Motrin, did a very rough exam, then left. That's when I found a different doctor.

    This new doctor noticed my pelvic floor dysfunction and wanted to try physical therapy to see if it helped with the pain. She wanted to know how much was muscular and how much was the endo. Physical therapy worked well and my pain was manageable for about a year. Then it came back despite me doing my therapy exercises daily. The doctor did a laparoscopy and removed an ass ton of endometriosis. Apparently some had encased my left ureter and she had to do a separate type of procedure to free it. She even printed me out before and after pics of some of my guts.

    The endo pain is gone now, but I have had some more ovarian cysts. I just started a different type of birth control to see if this one stops menstruation and ovulation. My last one didn't stop ovulation, which is why I got cysts.

    Anyway, being taken seriously as a woman for health issues, even by women doctors, is so hard. I got lucky and live close to one of the best endometriosis specialists in the US. If I didn't live where I do, I might not have found a doctor who takes me seriously. I have a friend who is permanently disabled because a doctor treated her endometriosis with a medication that is known to absolutely wreck people. My friend wasn't informed of the risks and trusted the doctor. It took her 4 more doctors before she was able to get her endometriosis treated properly.

    It's a shame women aren't taken seriously.

  • I got covid March 2020 and it was basically just a bad cough when I was positive, but like two days after my cough went away I developed some issues with feeling dizzy and weak, but sometimes those feelings were a lot stronger than other times. When it was really bad it would feel like I was about to pass out soon. The fact that my symptoms weren't visible to others and that the tests showed I should be healthy made it easy for doctors to dismiss, and it was absolutely miserable. On my better days I would feel like a crazy person and ask myself if I'd been imagining the whole thing.

    I've almost entirely recovered from the long covid, but mentally I'm still messed up from that experience. I feel pretty confident that I was not a hypochondriac in February 2020, but now I freak out over every stupid thing. If I feel some sort of pain and the cause isn't outwardly visible, I go through an extensive mental dialogue over whether I'm imagining it. At one point I had a reaction to a new medicine and I waited months to tell the doctor because I couldn't tell if it was in my head, while I was freaking out a little every time I thought about it. I really believe that I didn't used to be like this.

    Being treated like this can add a lot on top of already existing misery. I know doctors are people too, and they don't have to believe me, but I wish they would have had the respect to pretend that they do.

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