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Friday, October 15, 2010

Jum'ah Journal--Lost art of physicians

  There has been a major coverage of miners and of course each of the 33 ones will have a minor to major story--the one conflict of a GF (who was embraced by the miner on emerging from the capsule) and wife has laready started and so the life goes on
 Along with such news one news caught my attension
Physician revives the dying art"
So I was curious. It turned out to be just PE (physical Examination)
 Yes indeed I stand witness to this dying Art which our physician pictured in the 'news' clearly shows as he was trained in India where the emphasis is still on the exam (and also in Pakistan). The teachers especially at the bed side make sure your observation remains better than Sherlock Holms.
 When a patient walks in you must have some idea of the problem he/she is going to present and half the diagnosis should be ready before the patient opens the mouth. Because you have seen his/her gait, the face, other movements, how he/she is dressed, etc. etc. a host of things to observe.  Clinical acumen is sharpened by frequent questioning of students by the teacher as this physician (Professor) is doing.
 As a neurology resident, my teacher told me you should be able to make a diagnosis of sphenoid ridge meningioma from looking at the skull films of the patient.. and you are not supposed to miss; at the appropriate place on the inner table of the skull there will be vascular marking of the blood vessel feeding that tumor. (That was before the CT and MRI days and before doing cerebral angiogram. That was some teaching. I have many stories like that

Please visit my Urdu blog at http://saugoreebsc.blogspot.com/ and my Hindi blog at http://wahajuana.blogspot.com/

3 comments:

Anonymous said...

And what about adding some more images? I’m not trying to offend anyone, page is really great. But as I’ve heard visitors acquire information much more effective if there are some helpful pics.

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mystic said...

PE is a dying art. Sthetoscopes are hard to see nowadays! Its sad, sad, sad, sad.

Anonymous said...

It was certainly interesting for me to read the blog. Thanks for it. I like such themes and everything that is connected to them. I definitely want to read more on that blog soon.


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