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Golden Girls and Chronic Fatigue Syndrome: Lessons from Dorothy's Journey

Dr. Michael Lenz, a pediatrician, internist, clinical lipidologist, and lifestyle medicine physician, explores the depiction of chronic fatigue syndrome and fibromyalgia through the character Dorothy from the Golden Girls. Reflecting on specific scenes from the 1989 episodes, Dr. Lenz highlights how experiences with these conditions are often dismissed by the medical community, yet remain profoundly debilitating for patients. The episode illustrates the importance of compassionate, holistic care and validates the real suffering behind such invisible illnesses. Dr. Lenz also shares the backstory of how these episodes were inspired by the show creator Susan Harris' real-life experience.

00:00 Introduction to Chronic Pain Syndromes
00:15 Dorothy's Struggle Begins
01:59 Understanding Chronic Fatigue Syndrome
03:09 Medical Dismissal and Patient Frustration
04:24 The Impact of Personal Stress
06:15 The Role of Psychiatry in Chronic Illness
09:31 Family Support and Validation
11:47 The Medical Maze and Specialist Referrals
22:57 A Compassionate Diagnosis
28:31 The Backstory of the Golden Girls Episodes
29:29 Conclusion and Final Thoughts

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Support the show

When I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD.

Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.*

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Opioids and Fibromyalgia: Understanding the Risks and Alternatives

In this episode of the Conquering Your Fibromyalgia podcast, the host delves into the complex and often controversial topic of using opioids for treating fibromyalgia. The discussion is anchored around a comprehensive review from the Mayo Proceedings and explores why opioids, despite being widely prescribed, are not effective for fibromyalgia patients and may even be harmful. The podcast also covers the mechanisms of fibromyalgia, how it differs from other pain disorders, and why alternative treatments such as FDA-approved medications, exercise, sleep management, and cognitive behavioral therapy are more effective. Listeners are encouraged to seek professional medical advice before making any changes to their treatment plans.

00:00 Introduction to Opioids and Fibromyalgia
01:23 Understanding Fibromyalgia and Opioid Use
03:18 Medical Guidelines and Opioid Efficacy
05:39 Neuroimaging Insights and Opioid Hyperalgesia
07:28 Expert Opinions and Alternative Treatments
08:28 Reasons for Continued Opioid Prescriptions
09:27 Psychological and Social Factors
10:26 Moving Forward: Multidisciplinary Care
12:14 Guidance for Current Opioid Users
16:24 Final Thoughts and Encouragement

Support the show

When I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD.

Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.*

Text Dr. Lenz any feedback or questions

Building Trust and Effective Communication in Chronic Pain Care with Michelle Makos

In part two of this enlightening conversation, Michelle Makos shares practical strategies for building trust and effective communication between patients and clinicians, emphasizing the importance of validating patients' experiences. Michelle discusses the innovative peer method that is helping transform pain care, reflecting on the complexities in the patient-provider relationship. She offers valuable insights into understanding patients' values and addresses the essential role of self-efficacy and motivation in managing chronic pain. Through her work with Moving Through Chronic Pain and the pain management commission in Oregon, Michelle is dedicated to improving care and education for both patients and providers. This episode is a must-watch for anyone dealing with or treating chronic pain.

00:00 Introduction and Recap of Part One
00:21 Building Trust and Effective Communication
03:14 Understanding Patient Values and Experiences
08:56 The Role of Peer Support in Chronic Pain Management
19:56 Functional Assessment and Validation
29:47 Conclusion and How to Get Connected

Click here for the YouTube channel

Support the show

When I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD.

Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.*