(relating to or denoting any disease or condition which arises spontaneously or for which the cause is unknown- from Oxford Dictionary)

The term that as a physician most disconcerting I find
Is “idiopathic”- to confess that something is unexplained, in my mind
Seems like a poor excuse, science has advanced a lot
In understanding mechanisms behind diseases, it does not
Feel appropriate to give a pseudoscientific euphemism to me
To something that is understood incompletely
*
I am heartened to state that in my field of specialization
We now have actual diagnoses for several “idiopathic” conditions
There is nothing that I love more than replacing the term
With a more accurate description, it does affirm
My faith in the spirit of scientific inquiry that does not take
Unknown for an explanation, that is a philosophy archaic
I drop the word “idiopathic” where the mechanism is truly unclear
With plans to add the right term as an explanation appears
*
The word idiopathic was probably coined to appeal
To the egos of scientists and physicians who were reluctant to reveal
Their ignorance- to phrase it in a scientific sounding way
Was the best they could probably come up with, back in the day
But the true spirit of science lies in being able to acknowledge
The extent and limitations of current knowledge
While striving to find answers to the human body’s mysteries
In that spirit, the term idiopathic from my medical vocabulary I release

Having retired from the workers comp field, that was always a question for the doctor: idiopathic or work related?
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