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Our ability to adapt seems to have something to do with our ability to tolerate stress. This capacity seems to be diminished in women who experience chronic pain. PTSD, particularly intrusive thoughts and arousal, is more prevalent in women diagnosed with FMS Ciccione, Elliot, Chandler, Nayak, and Raphael, 2005. It might also be possible that somatization of FMS emerges as a result of a patient repressing a painful memory while seeking validation for her suffering Rubin, 2005. Rubin 2005 writes, The patient may be highly focused upon a few symptoms or a multitude of symptoms. Symptoms include a variety of musculoskeletal disorders such as fibromyalgia syndrome, tension headaches, chronic neck or back pain.


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Well, they know I am just a medical student or junior resident trying to learn. Besides, I avoided challenging patients. But this is not the case in real life medical encounters. I haven't enough time to have a relaxed interview pace or even to recheck with the patient. When I was preparing for our Clinical Skills Assessment Medical OSCE Exam, I, just like you, had spent weeks looking for that Clinical Skills Assessment Medical OSCE Exam magic approach that could allow us to finally master a thorough and yet time efficient clinical and communication skills approach. I virtually attended all available expensive Clinical Skills preparation courses, bought and studied almost all available preparation books. I listened to every Clinical Skills Assessment Medical OSCE Exam Expert who offered advice. I spent so much time practicing. But NOTHING WORKED as I hoped!That is to be thorough, organized, and time efficient at the same time and off course good communicators!Then, four years ago, on a brilliantly sunny day in October, while studying at the central library, I came across few Medical OSCE examiners. They were getting ready for an OSCE exam. I chatted with them and discovered the COLD HARD TRUTH about why I couldnt reach any significant level of confidence in how thorough and quick is my Clinical Skills Assessment Medical OSCE Exam Clinical Skills approach!Most probably, you are now in a similar stressful situation.

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