Diagnosis Problems are Universal

[Guest guest]

While we're talking about the many ways in which we can diagnose a patient,

Harvard Medical School's Dr. Jerome Groopman discusses many of the same

issues visited upon biomedical medical students and doctors who get their

diaghosis wrong.

 

*http://tinyurl.com/2mp6od

 

*--

 

Pain is inevitable, suffering is optional.

 

 

 

[Guest guest]

in the same vein, by the same doctor- Jerold Groopman is an article

called " A Knife in the Back " . It was in the New Yorker some years

ago. A great article about back surgery: the lack of diagnostic

criteria, the very poor outcomes, the money driven rationale. I keep

a copy in my waiting room.

 

It is a must read for anyone considering a spinal fusion, etc.

http://www.jeromegroopman.com/knife.html

 

Phil Cusick

 

 

[Guest guest]

I was reading a little today about the (mis)diagnosis of PCOS and it

dawned on me that the problem we have in the consistency of TCM

diagnosis is not one of poorly trained practitioners - it is the lack

of consistent criteria to make diagnosis. You see it is WM all the

time - the less clear the diagnostic criteria for a certain disease,

the more the variation, even amongst well trained physicians. If we

complain that diagnosis is poor amongst TCM practitioners, it is most

likely not a matter of poor education. It is a matter of clarification

of diagnostic parameters.

 

Just wanted to share the epiphany.

-Steve

 

 

On May 18, 2007, at 3:12 PM, Philip Cusick wrote:

 

> in the same vein, by the same doctor- Jerold Groopman is an article

> called " A Knife in the Back " . It was in the New Yorker some years

> ago. A great article about back surgery: the lack of diagnostic

> criteria, the very poor outcomes, the money driven rationale. I keep

> a copy in my waiting room.

>

> It is a must read for anyone considering a spinal fusion, etc.

> http://www.jeromegroopman.com/knife.html

>

> Phil Cusick

>

>

[Guest guest]

Very good point. And a great example because PCOS is, of course, a

Western disease. As I tell my students, if you are confused about a

diagnosis, look to see that you are not using a Western diagnosis as a

start. This just heightens the confusion often.

Doug

 

, Stephen Bonzak

<stephenbonzak wrote:

>

> I was reading a little today about the (mis)diagnosis of PCOS and it

> dawned on me that the problem we have in the consistency of TCM

> diagnosis is not one of poorly trained practitioners - it is the lack

> of consistent criteria to make diagnosis. You see it is WM all the

> time - the less clear the diagnostic criteria for a certain disease,

> the more the variation, even amongst well trained physicians. If we

> complain that diagnosis is poor amongst TCM practitioners, it is most

> likely not a matter of poor education. It is a matter of clarification

> of diagnostic parameters.

>

> Just wanted to share the epiphany.

> -Steve

>

>