153. We’re Not Getting Sicker — We’re Overdiagnosed
People I (Mostly) Admire
Freakonomics Radio + Stitcher
4.6 • 2K Ratings
🗓️ 15 March 2025
⏱️ 64 minutes
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| 0:00.0 | Can you have too much of a good thing? |
| 0:06.9 | Medical care is a good thing, but my guest today, Susanne O'Sullivan, says that our medical |
| 0:12.4 | system is over testing, over-diagnosing, and over-treating patients. |
| 0:17.9 | That's the case she makes in her newest book, The Age of Diagnosis. How our |
| 0:22.4 | obsession with medical labels is making us sicker. Suzanne is a neurologist who focuses on the |
| 0:27.9 | treatment of epilepsy, and she's written four books about her experiences as a physician. |
| 0:33.1 | Many of my patients are in their 20s or 30s. I see people with long lists of medical labels at that age, |
| 0:40.8 | and it shocks me because I didn't see it 30 years ago. |
| 0:43.8 | And I can't believe that we've got sicker, you know, to that degree. |
| 0:47.8 | Something is going wrong, and I appreciate that some of the subjects in this book |
| 0:52.4 | will be difficult for people, but I also think that something needs to be said about these issues. |
| 1:03.4 | Welcome to people I mostly admire with Steve Levitt. |
| 1:09.1 | Suzanne not only thinks that the medical system is working on overdrive, she believes that |
| 1:14.1 | many patients are misdiagnosed. Her first book tackles the complexities of psychosomatic |
| 1:19.9 | disorders. As a neurologist, she commonly sees patients who experience paralysis, headaches, |
| 1:25.6 | dizziness, and seizures. However, she estimates that for 20% of her patients, |
| 1:31.1 | the cause of their sometimes debilitating symptoms is not neurological, |
| 1:35.8 | it's psychosomatic. |
| 1:37.3 | We start our conversation with Matthew, |
| 1:39.8 | one of the patients she describes in her first book, |
| 1:42.0 | It's All In Your Head, True Stories of Imaginary Illness. |
| 1:50.0 | So Matthew had noticed, I think he had a combination of back pain and tingling in his legs in the first instance. |
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