Inorganic Synthesis, Vol. 8 by Holtzclaw H.F. (ed.)

By Holtzclaw H.F. (ed.)

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But this leaves room for considerable biological variation. Within this range definitions of ‘normal’ are arbitrary. 4). But as we will see, labelling of ‘dis-ease’ is culturally determined. It is an arbitrary, movable line. For some people the anxiety levels are right for their environment; for others it is too high, and others again too low. Attempts to ‘explain’ such diseases using the simple cause-and-effect model are littered with blind alleys. Was the whole of neurotic psycho-analysis (initiated by Freud) based on such misconceptions?

Medico-legal worries One of the great concerns to doctors is the thought of being sued by a patient. This is becoming very common. It may lead to ‘defensive medicine’ (which usually means testing for unlikely diagnoses more often, and perhaps also offering expensive treatment – especially if of doubtful value – more often). But there are surprises. It seems that just plain bad clinical outcomes are a rare cause of being sued. In fact, examining the clinical records among those from whom some have initiated medico-legal actions shows that it is not possible to pick those at risk.

When I listened to his chest, however, the breath sounds were normal. Now I was worried – the situation ‘did not seem right’. My knowledge base was not good enough, however, to know what might be the cause of this boy’s symptoms. I thought about getting a chest X-ray at the local radiologist, but I was worried that I might not get the result until Monday. I decided to send the boy and his mother to the local children’s hospital, despite the long wait that this might involve. At the end of my session I rang the hospital to ask how the boy was.

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