Re:Bad medicine: time to look in the mirror, perhaps?
While I would disagree with Dr Spence on a number of points, nobody
really uses American College of Rheumatology criteria or validated
questoionaires to make a diagnosis of rheumatoid arthritis. I would agree
with the general thrust of his argument, rheumatoid arthritis is getting
milder and less common, there is a push to over diagnose and over treat,
driven by NICE etc and as rheumatologists we frequently can't distinguish
RA from fibromyalgia.
Dr Spence's views will not endear him to the rheumatology establishment
but I do commend him for expressing them.
Competing interests: No competing interests