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Yes, physical diagnosis skills are disappearing. Seven years ago I developed severe pain in my lower legs and feet. My internist drew blood and ruled out some things from that. I asked to see an orthopedist to see if it was due to overtraining of some sort. I saw one who didn't *touch* me and concluded I was having neuropathies of some sort. Back to the internist, he referred me to a neurologist who did a test for heavy metals and nerve conduction (to rule out ALS and scare me to death). He referred me to a rheumatologist for autoimmune disease testing. Negative.

Back home and hurting, barely able to walk, and thousands of dollars poorer, I made an appointment with a massage therapist to see if it would relax me. When she put her hands on my calves she jumped. She said my Achilles tendons were severely swollen...

Off I went for two long sessions of physical therapy and came out fine.

Moral? If you want a sound diagnosis ... see a woman.

Jim