When you hear hoofbeats its’ time to take pause,
Remember your training it’s not a Zebra but a Horse,
Go on throw diagnostic criteria’s out the door,
Something much simpler is bound to be the cause.
Patient not quite fitting those tick boxes on the chart?
Have you ensured you’ve torn their mental health apart?
Depression, trauma, maybe be a life stressor or two,
Cancel their painkillers and make sure to push through,
A psychiatrist referral to review them a new.
Yet your patient sits there and loudly declares,
“I’m a Zebra, I’m striped and Lord knows I’m rare,
I’m dislocated, spasming, and bruised black and blue,
Please don’t be yet another Dr that lets me fall through”.
You can stop my medication and hang me out to dry,
Or perhaps just this once you could choose not to turn a blind eye,
My connective tissue is failing and my body’s been wrung through,
My brain sends faulty signals, and I don’t know what to do,
Dystonia, EDS, CRPS, I all but shout,
Should your really ignore the fact my joints are hanging out?
Or what about the psych assessment that states beyond a doubt,
‘Her issues are organic you should promptly check them out’.
It’s become clear that your training needs a change of course
Try “When you hear hoofbeats it could be a Zebra or a Horse”.
Authored by R. McDowall, 2018.