Diagnosis and Medication

Teresa Graedon terry.graedon at GMAIL.COM
Tue Nov 26 17:26:13 UTC 2013


One very specific example that we hear about time after time on our website is the patient with a chronic cough who undergoes many tests and even several trials of antibiotics, asthma inhalers or reflux prescriptions, to no avail. Then at some point some provider (usually not the prescriber) says, but isn't this due to the ACE inhibitor you are taking? Diagnostic problem solved...but why did it take so long?


Terry Graedon, PhD 
The People's Pharmacy  


On Nov 26, 2013, at 12:15 PM, "Hamm, Robert M. (HSC)" <Robert-Hamm at OUHSC.EDU> wrote:

> Suggestion: though we academics can appreciate a general idea such as that medication use can affect diagnosis, to be useful for communicating with patients, and even for changing physicians' vigilance, it should be specific examples that are communicated about. 
> 
> Rob
> 
> Robert M. Hamm, PhD
> Clinical Decision Making Program
> Department of Family and Preventive Medicine
> University of Oklahoma Health Sciences Center
> 900 NE 10th Street
> Oklahoma City OK 73104
> 405 271 5362 ext 32306       Fax 405 271 2784
> robert-hamm at ouhsc.edu
> ________________________________________
> From: Wu, Albert [awu at JHSPH.EDU]
> Sent: Tuesday, November 26, 2013 10:43 AM
> To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> Subject: Re: [IMPROVEDX] Diagnosis and Medication
> 
> A very obvious starting point is that almost any set of symptoms could be caused by medication, with either appropriate or inappropriate use
> 
> So knowing about medication use can be very important
> 
> Albert W. Wu, MD, MPH, FACP
> Professor and Director
> Center for Health Services & Outcomes Research
> Johns Hopkins Bloomberg School of Public Health
> Baltimore MD 21230
> (410) 955-6567 / fax (410) 955-0470
> Mobile (410) 978-1539
> 
> 
> From: "PULSE516 at AOL.COM<mailto:PULSE516 at AOL.COM>" <PULSE516 at AOL.COM<mailto:PULSE516 at AOL.COM>>
> Reply-To: Society to Improve Diagnosis in Medicine <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>, "PULSE516 at AOL.COM<mailto:PULSE516 at AOL.COM>" <PULSE516 at AOL.COM<mailto:PULSE516 at AOL.COM>>
> Date: Tuesday, November 26, 2013 11:20 AM
> To: "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>" <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>
> Subject: [IMPROVEDX] Diagnosis and Medication
> 
> Can you share with me your thoughts on how medication use might affect a diagnosis?
> 
> Thanks
> 
> ilene
> 
> Ilene Corina, President
> PULSE of NY
> www.pulseofny.org<https://urldefense.proofpoint.com/v1/url?u=http://www.pulseofny.org/&k=7DHVT22D9IhC0F3WohFMBA%3D%3D%0A&r=L8ZYphVQlmksl4oGwc6Y0W9W%2Bk6y7%2BwB48qv3ANRRbw%3D%0A&m=mpGv6TV77gy%2F1CHFQONHU7f%2BBajI51ikfqQyc0hlxhw%3D%0A&s=d67a7699d980f72e7eadcfeb3788a4851e0c77f6b0476b83eb755fa839d9346d>
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