Signs and symptoms
peggyzuckerman at GMAIL.COM
Fri Sep 12 05:37:43 UTC 2014
How about starting with a review of what is considered to be "classical
symptoms" and determining the percentage of diagnosed patients with the
associated disease truly have those symptoms? Too often patients are told
that the failure to have the symptoms historically found with the disease
precludes the patient from having that disease.
Not being in the risk group, too old, too young, wrong ethnicity,wrong
gender, lack of response to some medication, lack of some symptom, failure
to report the same..the list goes on.
On Thu, Sep 11, 2014 at 1:56 PM, robert bell <rmsbell at esedona.net> wrote:
> More regarding the Probabilities discussion.
> As mentioned there are the treatment issues as they pertain to diagnosis.
> But there are also the problems of symptomatology and signs.
> What are the effects of of our genes on ”standard” signs and symptoms?
> What is the range that one can expect? Is there any extensive work in this
> area? I have often wondered for example if certain patients have less or
> more pain receptor density in various parts of their bodies - is that known.
> Also, what are the effects of other diagnoses (known or unknown) on signs
> and symptoms.
> Just think of a 65 year old women who is wheezing and has an unknown
> Factor V Leidin deficiency, and also an unknown Lady Windermere syndrome.
> Both of these conditions are not too uncommon and are often initially
> missed with sometimes dire consequences.
> Don’t we need far more database trolling to uncover the breadth of signs
> and symptoms expression for different conditions/diseases?
> As I have said before, let’s get back to the basics - and first evaluate
> the accuracy of the stethoscope in different hands!
> If we are to make significant progress in the diagnostic area, in a
> reasonable time frame, we need a national and coordinated strategy run by
> the government or recognized national body.
> Rob Bell, M.D.
> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society
> for Improving Diagnosis in Medicine
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