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By Dr. Frank He
On March 6th, a 13-year-old girl was brought in by her mother for right knee pain and “anxiety.” Her knee pain began last November and had progressed to daily episodes of instability—“popping out,” especially while horseback riding. She had already been evaluated by her pediatrician and an orthopedic specialist, both of whom reassured the family that her knee was “fine,” attributing her symptoms to growing pains. Based on a thorough physical examination, I suspected structural injury involving the meniscus and ligaments. Treatment was initiated with acupuncture and a fitted knee support. At the same time, I ordered an MRI to confirm the diagnosis. Today, the MRI results came back—confirming exactly what was suspected. Fortunately, surgery does not appear necessary at this time. However, she will require a protective brace, continued acupuncture care, and structured physical therapy. What struck me even more was another layer of this case. When I gently asked her about her “anxiety,” she looked confused and asked, “What is anxiety?” I paused and redirected the conversation. Later, in speaking with her mother, it became clear: this young patient had been quietly discouraged after her concerns were dismissed. Her silence was misinterpreted, and a label of anxiety was introduced—followed by recommendations for medication and counseling. A real, physical problem was overlooked. A psychological diagnosis was assumed. This is not just a diagnostic miss—it’s a reminder. When we stop listening, we risk treating the wrong problem. When care becomes dismissive, it can become harmful. When mainstream medicine breaks down, HeCares breaks through. Thanks to Sunnyvale MRI Imaging for the seamless teamwork
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