The history of the Pied Piper of Hamelin is well known. The king hired the services of a flautist to eliminate all the mice in the village, but when the piper finished his work, he did not receive his payment, because the king had kept a mouse in a cage. Continue reading The diagnostic process and Hamelin
I met my patient, a 65-years-old man with a diagnosis of colon cancer without residual tumor, and diabetes type 2. He was on his third day in the hospital after a diagnosis of pneumonia. I said to him:you are going home tomorrow, but he said to me : doctor I don´t feel well… Continue reading Diagnostic process: Doctor, I don´t feel well
Hospital and primary care are the place where the diagnostic process is predominant. Both environment share common aspects of the process if we consider a period of time of variable duration and the presence of decision algorithms selected based on the clinical expertise.
Aunque las situaciones para plantear un diagnóstico son diferentes entre los niveles de asistencia, llámese atención primaria u hospitalaria, en muchas ocasiones se requiere un proceso de duración variable en el que la petición de pruebas y algoritmos de decisión, están siempre presentes en la mente del profesional médico.