Art, Evidence and Osler

robert bell rmsbell at ESEDONA.NET
Fri Aug 23 22:12:55 UTC 2013


Great Amy,

The perhaps percentages have changed a little over the 100 years.

What is the percentage of mis-diagnoses today?

I know in the ICU it used to be pretty high when compared to postmortem reports.

Amazing how the Zeitgeist of yesteryear is often so wrong.

Rob



On Aug 23, 2013, at 11:32 AM, Amy Reinert wrote:

> Osler also said, "Variability is the law of life, and as no two faces are the same, so no two bodies are alike, and no two individuals react and behave alike under the abnormal conditions which we know as disease."
>                     --"On the Educational Value of the Medical Society"Yale Medical Journal, Vol. IX, No. 10 (April 1903)
>  
> He came under fire for saying, "My second fixed idea is the uselessness of men above sixty years of age, and the incalculable benefit it would be in commercial, political, and in professional life, if as a matter of course, men stopped work at this age. (Vol. I, Ch. 24 : "The Fixed Period").  He would likely come under fire now for having said "there are three classes of human beings: men, women and women physicians." (Women in Medicine, 1968).
>  
> All wise and gifted individuals who make great contributions to their fields are also both informed and limited by the zeitgeist in which he or she is living. Indeed, Osler also said "the philosophies of one age have become the absurdities of the next, and the foolishness of yesterday has become the wisdom of to-morrow." (The Montreal Medical Journal Vol. XXXI (1902))
>  
> Among my favorite quotes of his, however, is this: "There is no discredit, though there is at times much discomfort, in this everlasting perhaps with which we have to preface so much connected with the practice of our art. It is, as I said, inherent in the subject." (On the Educational Value of the Medical Society" in Yale Medical Journal, Vol. IX, No. 10)  
>  
> Best to all.
>  
> --Amy
>  
> Amelia Ruzicka, Ph.D.
>  
>                                                                                -
> 
> 
> On Fri, Aug 23, 2013 at 12:10 PM, Lorri Zipperer <Lorri at zpm1.com> wrote:
> Forwarded by moderator ...
> 
>  
> 
> From: Alan Morris [mailto:Alan.Morris at imail.org] 
> Sent: Friday, August 23, 2013 9:48 AM
> To: Society to Improve Diagnosis in Medicine; Jason Maude
> Subject: Re: [IMPROVEDX] Can intuition be taught? YES
> 
>  
> 
> Yes – Osler, as usual, provides wise advice.  Can you send the complete reference?
> 
>  
> 
> The art of medicine, if it is to be an ethical activity, must rest on a foundation of credible scientific evidence.  The "Art," devoid of a scientific basis frequently becomes opinion/speculation and unlikely to be of benefit.  When scientific evidence is absent we may have only the Art – and then the best we can do is rely on a clinician's judgment.  When scientific evidence exists it should consistently be the decision-making foundation – here is where we need tools to enable replicable decisions based on credible scientific evidence.
> 
> Have  a nice day.
> 
>  
> 
> Alan 
> 
>  
> 
> From: Jason Maude <Jason.Maude at ISABELHEALTHCARE.COM>
> Reply-To: Society to Improve Diagnosis in Medicine <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, Jason Maude <Jason.Maude at ISABELHEALTHCARE.COM>
> Date: Friday, August 23, 2013 8:55 AM
> To: "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG" <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
> Subject: Re: [IMPROVEDX] Can intuition be taught? YES
> 
>  
> 
> I am just reading the history of William Osler by Michael Bliss and came across this quote:
> 
>  
> 
> "Osler's medical art was informed and controlled by all the assistance science could give. He did not discuss diagnosis as a matter of intuition. Every scientific aid was welcome" P270
> 
>  
> 
>  
> 
> Jason Maude
> 
> Founder and CEO Isabel Healthcare
> 
> Tel: +44 1428 644886
> Tel: +1 703 879 1890
> www.isabelhealthcare.com
> 
> 
> 
> 
> To unsubscribe from IMPROVEDX: click the following link:
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1 or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
> 
> Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX 
> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society for Improving Diagnosis in Medicine
> 
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/ 
> Save the date: Diagnostic Error in Medicine 2013. September 22-25, 2013 in Chicago, IL. 
> http://www.dem2013.org
> 
> 
> 
> 
> To unsubscribe from IMPROVEDX: click the following link:
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
> 
> or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
> 
> Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX
> 
> 
> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society for Improving Diagnosis in Medicine
> 
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/
> 
> 
> Save the date: Diagnostic Error in Medicine 2013. September 22-25, 2013 in Chicago, IL. 
> http://www.dem2013.org
> 









HTML Version:
URL: <../attachments/20130823/3c031d4b/attachment.html>


More information about the Test mailing list