So let the ashes fall wherever they land

(Who You Are-Unspoken)

So yeah, I was watching a video on youtube about this yesterday, and I have therefore been thinking about labeling again. This is a topic that I really don’t understand why it has become so polarized. Some people seem to get their panties in a wad over parts of speech, and I don’t understand why it is such a big debate topic…

Because the video used autism as an example that is what I will use here…No, I am not autism, but it is possible that I might be autistic, which would mean that I would have autism. Some people seem to find it extremely negative to use the adjective form of diseases. I do not understand that. If you prefer using the noun form then go for it, but don’t force anyone else to…What I have seen is that people who actually have a particular disease or are really close to someone who does have it tend to use the adjective form, but people who are outside that group tend to use the noun form…

The “noun-ers” reasoning is that we do not call a person diabetes or hypertension…which is true, but we also do not call people autism. We can call a person diabetic or hypertensive and in the same we it is perfectly acceptable in my opinion to call a person autistic. It isn’t negative; it is just the way that particular person is. They may be able to manage it to make it less noticeable and have less of an impact on their life, but that doesn’t mean that it is not a part of who they are while the symptoms are present.

I have also heard that in the hospital we don’t usually refer to people as the diabetic in room 203 or the asthmatic in room 401, but I have two major objections to that argument. Firstly, when we do not refer to them in that way it is most definitely not because we are calling them the patient with diabetes or the patient with asthma in those rooms, rather it is because we are using their names, and when we use their names the diagnosis whether in adjective or noun form is a non-issue. Secondly, it is not true. Sometimes we do use that terminology. For example, a group of people may not have memorized every patient’s name can quickly get everyone on the same page about what they are talking about by explaining they are talking about the diabetic in room 203, because this quickly lets everyone involved know exactly whom they are talking about and gives a refresher on the disease state they are working with.

Sometimes it gets very awkward and cumbersome to use the noun form, and using the words as a noun instead doesn’t change the meaning of the word. A diabetic and someone with diabetes are both someone who without treatment have a fasting plasma glucose of greater than 126mg/dL, an OGTT greater than 200mg/dL or an A1c greater than 6.5% on two occasions or one of those things on one occasion with a previous diagnosis of pre-diabetes, or a random plasma glucose of greater than 200mg/dL with classic hyperglycemia symptoms. Making it a noun did not change the diagnostic criteria nor did it change the treatment strategy for the patient meeting the criteria. Also, I just feel like the noun form is just awkward sounding a lot of the time…To take it out of the realm of illness, are you happy or do you have happiness? Are you excited or do you have excitement? Are you sad or do you have sadness? Are you angry or do you have anger? Most of the time we use the adjective forms of the words because it is more concise and conveys the same message. There is an occasional time or place that the noun form may be used, but in general there is nothing wrong with using the adjective forms of the word…

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