Unexplainable
Unexplainable

When doctors don't know what's wrong

July 15, 2026

AI Summary

5 min read

In 1980, 25-year-old Louise Proctor was walking up a hill during her lunch break in rural Kentucky when she felt an excruciating pain and a bizarre sensation—her legs felt like they were turning to stone, freezing in place so she couldn't take another step. That moment launched a decades-long medical mystery that would eventually reveal deep problems with how the healthcare system handles diagnosis, and point toward possible solutions.

Louise's doctors initially told her she needed more exercise or had early arthritis. Prescribed medications had no effect. The pain grew worse, and the distance she could walk without agony shrank. For decades, she felt nobody believed her. She otherwise appeared healthy, and when she needed accommodations—a wheelchair at the airport—people looked at her like she was exaggerating. Meanwhile, her infant daughter Suzanne was diagnosed with cystic fibrosis, a fatal disease with few treatment options at the time. When Suzanne died as a young teenager, the tragedy came with a stark contrast: the diagnosis gave her community a framework for understanding and support. Louise had no such framework for her own suffering.

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What you'll learn

  • 1 Main Outline
  • 2 (01:25) **Introducing the Diagnosis Crisis** - Journalist Alexandra Sifferlin describes how reader emails about diagnostic struggles led her to investigate systemic problems in medical diagnosis
  • 3 (04:12) **Louise Proctor's First Symptoms** - At age 25 in 1980, Louise experiences excruciating leg pain while walking up a hill, describing it as her legs "turning to stone"
  • 4 (05:53) **Decades Without Answers** - The lack of diagnosis stretches on for years, with Louise facing skepticism and struggling to get accommodations
  • 5 (06:39) **The Contrast of a Diagnosis** - Louise's infant daughter Suzanne is diagnosed with cystic fibrosis in 1984, a fatal disease with no treatment options at the time
  • 6 (08:11) **The Breaking Point and Discovery** - After Suzanne's death, Louise has a breakdown in her doctor's office, demanding answers about her inability to do basic tasks like laundry
  • 7 (10:36) **A Family Mystery Emerges** - Louise's siblings begin experiencing similar symptoms, suggesting a genetic condition with implications for their children

+ Full timestamped outline available in the app

Show Notes

A 2015 review found that most people in the US will experience a diagnostic error in their lifetime. Some of those errors are less devastating than others, but how can we help people get better answers about their health? One family's search for answers with a mystifying illness highlights a different approach to diagnosis.
Guest: Alexandra Sifferlin, author of The Elusive Body: Patients, Doctors, and the Diagnosis Crisis and deputy science editor at the New York Times
For show transcripts, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vox.com/unxtranscripts⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
For more, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vox.com/unexplainable⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
And please email us! ⁠⁠⁠[email protected]⁠⁠⁠
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