PT - JOURNAL ARTICLE AU - Tamara Keith TI - ‘I can assure you, there is nothing wrong with your kidney’ AID - 10.7861/clinmed.2020-0990 DP - 2021 Jan 01 TA - Clinical Medicine PG - 4--7 VI - 21 IP - 1 4099 - http://www.rcpjournals.org/content/21/1/4.short 4100 - http://www.rcpjournals.org/content/21/1/4.full SO - Clin Med2021 Jan 01; 21 AB - Normal baseline investigation results in a patient with common symptoms is often labelled as being due to a functional disorder, with all the pejorative connotations that go along with that term. When given the opportunity to see a patient for a second opinion, it is important to retain an open mind rather than assuming previous assessments are correct. Such an attitude helps with both attaining the definitive diagnosis but is also crucial to helping give hope to the patient. Understanding the patient's concerns about the meaning of their symptoms is critical in finding the balance between advanced investigation to identify a putative cause versus a decision to proceed with symptomatic control.