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This week on Calling in Sick, I'm sitting down with Dr. Kara Wada: quadruple board-certified allergist, immunologist, and lifestyle and functional medicine physician, founder of The Crunchy Allergist, host of the Becoming Immune Confident podcast, and a Sjögren's patient herself. We're getting into the full 411 on one of the most underdiagnosed and MOST common autoimmune diseases out there.
We're diving into:
🔬 What Sjögren's disease actually is, and why it's so much more than dry eyes and dry mouth
🧩 How it's diagnosed, why testing can miss it (including seronegative Sjögren's)
🩺 Dr. Wada's own diagnostic marathon, and what she learned from the patient's side of the table
🌫️ The "grey zone" of autoimmune diagnosis: what happens to patients who don't fit neatly into a diagnostic box
💊 Sjögren's treatments on the horizon
Come back Wednesday… we’re diving behind the scenes on what it’s ACTUALLY like to practice medicine in today’s system.
xx, Alex
💬 Comment: How long was YOUR diagnostic journey?!
TIMESTAMPS:
Intro:
00:00:00 Welcome back to Calling in Sick!
00:00:47 Meet our guest, Dr. Kara Wada - patient and physician
The 411 on Sjögren's Disease:
00:03:53 What is Sjögren's disease
00:09:55 Why is Sjögren's so hard to diagnose?
00:16:08 Normal-looking bloodwork & the overlap with MS, lupus, fibromyalgia, RA & MCTD
00:20:50 Biopsies, ultrasounds & why where you test matters
00:24:59 The "activation point": when mono, strep or COVID flips the switch
Misdiagnosis & the "Grey Zone":
00:27:04 Christina Applegate & changing diagnoses… how common is this?
00:29:25 The "laundry list": 2 diagnoses vs. 20 and what it does to your identity
00:34:15 When a diagnosis feels like good news: "it's not all in your head"
00:38:37 Medicine is an art and a science: why the patient's story matters
The Diagnosis Odyssey, Functional Medicine & Hope:
00:41:24 Storytelling, the hero's journey & the grief curve of chronic illness
00:44:13 Conventional vs. functional: why patients may pick just one world
00:48:25 Food, supplements & natural vs. pharmaceutical "medicine"
00:54:08 The new Sjögren's medication: is there hope?
Conclusion:
01:02:15 One Brain Cell Show: The Diplomat (Netflix) & Ted Lasso (Apple TV+)
01:04:44 Thank you for listening: come back Wednesday!
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Stay connected and follow us on socials for more!
• Instagram - https://www.instagram.com/callinginsickpod/
• TikTok - https://www.tiktok.com/@callinginsickpod
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Connect with our guest, Dr. Kara Wada:
• Instagram - https://www.instagram.com/immuneconfidentmd/?hl=en
• TikTok - https://www.tiktok.com/@immuneconfidentmd
• Website - https://www.drkarawada.com/
• Podcast - https://www.youtube.com/@drkarawada
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Produced by: Alexandra Wildeson — https://www.instagram.com/alexandrawildeson/
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