22/03/2025
Sometimes I may be grumpy.
It happens, usually when someone insists on telling me their diagnosis.
This may have been from a friend, their GP, A and E, the internet, or just plain what they think is the problem.
I recognise I may not be the the last word in diagnosis, indeed I recall one GP saying that it didn't matter what I diagnosed, he was the doctor and his diagnosis was what counted. I responded that might be true if he was doing the work on the patient.
We do not , we cannot know what is happening in the human body, it is far too complex for a thorough knowledge at any time.
Diagnosis works with a series of models, a number of simple logical steps that ignore huge swathes of potentially modifying information that we either don't have or don't even know the existence of, that allow us to test and treat and measure the outcomes in the particular patient at that particular time.
All treatment is an experiment.
Science informs us but treatment is an art form.