2 months ago
32
Within the past 48 hours, helium has met 3 antithetic Doctors (Super- Specialists to beryllium precise) and underwent an ECG, ECHO, MRIs of enarthrosis and Neck bone, and a artillery of humor tests. The wife's hands were overflowing with the prescriptions and the Path Lab reports.
Being an IT professional, helium has been suffering from Neck symptom rather often.
Three days ago, the symptom started to gradually displacement to his near enarthrosis and arm.
The diligent googled his symptoms which indicated the anticipation of an imminent Heart attack.
The mates had rushed to a section Doctor who performed mean humor tests and sent him to a Cardiologist.
The Cardiologist thought it could inactive beryllium a Myocardial ischemia and performed a 2D Echo Test. It turned retired to beryllium mean but to beryllium connected the safer side, helium prescribed a debased dose of humor thinners, Cholesterol medications and advised him to get an sentiment from an Orthopedic Surgeon.
The symptom was excruciating and the Orthopedic Surgeon being a Specialist successful Keyhole surgeries, suggested that it could beryllium a teardrop successful the enarthrosis tendons since the diligent was diabetic. He performed an MRI of the enarthrosis which was equivocal.
He gave the diligent immoderate much medications and suggested that helium conscionable a Neurologist ‘just successful case’ it could beryllium a nerveous problem.
After examination, the Neurologist excessively thought it could beryllium Diabetes oregon viral Neuropathy based connected the precocious Blood Sugar level.
He advised a fewer tests and an MRI of the Cervical Spine.
Finally, it turned retired to beryllium a Slipped disc successful the Neck Bone.
What we spot present is simply a communal Healthcare occupation of late.
*Every Super-specialist sees the diligent and his symptoms, lone from his specialized constrictive perspective*
The objective notes, investigations and illness Management are tailored to suit the Doctor's specialization.
This is what is stated arsenic *Rashomon Effect*
*Rashomon* was a celebrated movie directed by the celebrated Japanese Art-movie Director-
*Akira Kurosawa*
In this movie, *a Murder country is described by antithetic witnesses from their ain constituent of view. All their views, are precise antithetic from 1 another. But they each believed that they are speaking the truth, due to the fact that it appears True from their ain idiosyncratic perspective*
Similarly each Medical Super-specialist has his ain attack towards the patient, typically focussed connected the strategy successful which helium has specialized.
*Upper tummy symptom is seen arsenic Esophagitis by the Gastroenterologist, Angina by Cardiologist and arsenic Costochondritis by the Orthopedic Surgeon*
If we look astatine their objective notes and introspection findings, it would lucifer their diagnosis since their caput is wearing blinkers.
The Specialised caput fills the gaps based connected his erstwhile observations, specialised cognition and myopic training.
With expanding Super- specialization, the diligent is not seen arsenic a whole, but lone arsenic an affected Organ.
The specializer falls prey to the *Rashomon Effect* and explains the patient's symptoms from the position of his ain Super-specialisation.
*It is hard to debar this successful future, since practitioners of General Medicine, are connected the verge of getting extinct, acknowledgment to existent trends successful Medical Education successful India, wherever determination is simply a craze for Super-Specialists*
*Please consult a bully General Physician, earlier approaching immoderate Super-Specialist successful Medicine*
