Optimal strategies in somatic clinic for real doctors
Yabluchansky NI
In the author's edition
Do not take for granted heard only because
what you hear.
Do not follow the traditions just because
that many have followed them to you.
Do not follow your teachers out of respect
to their prestige and age.
Only all studied only self-learning
that your good deed will serve others -
then accept it and live for it.
Buddha
Table of Contents:
The incentives
The principle of optimality of the disease in applications to clinical practice
The principle of symmetry in applications to clinical practice
On the biological and astronomical clock
Risk factors and principle of optimality of the disease
Mechanisms of somatic diseases in the light of the principles
Clinic somatic diseases in the light of the principle of optimality
The clinical diagnosis of somatic patients
Methodology for the treatment of somatic patients
Urgings motives
This book, I set out to raise the issue of optimal strategies, primarily in the somatic hospital.
Topic is important because the doctor's estate does not always feel satisfaction with the results of their work.
Manpower and resources, financial, first of all, no matter the state or the patient, in our world today is primarily a patient is not uncommon to spend a lot, and achieved modest results.
Dramatically increased in the past decade, the quality of diagnosis, which has its foundations in the equipment working place ultramodern equipment and technologies are not always supported as a major breakthrough in the approach to the treatment of patients.
No, of course, new drugs, as well as technology, the market appears more and more, but the investment in their development is less compensated for the real impact of practical use.
Pharmacy supplies and more new drugs to facilitate treatment. But here is the approach to treatment remains the same. As a result, there is not that the talk in town out of it.
The reasons are many, but the very first, I dare say, in the misguided philosophy of modern somatic clinics, when the norms of a healthy person without having reason are accepted as the norm for the patient, simply fetishized.
This philosophy has no place human nature. It certainly is postulated that it (his nature) is not perfect. Prove otherwise, if the original hypothesis of modern philosophy somatic clinics reduced, ultimately, to the fact that the evolution of selected disease mechanisms (mechanisms of recovery!) Imperfect.
The idea that the disease, as well as health, too, can be normal, it is extremely rare, and if expressed, why is certainly lost, drowning in the system established dogma.
Diagnosis of sick usually means and prescribe treatment.
Our scientific, methodological, educational and non-fiction can not break out of the shackles of the pathogenetic as if the nature of man is so arranged disease that she disease, continuous violations, deviations, errors that need to frenzy to fight or who as vices, must be eradicated.
If so built our literature, just as we teach our teachers, once these ideas feed off each other, which is to do, how not to fight a disease generated by the nature of man, even at the cost of this very life.
Paints thickened, but in each fraction paint paint.
This book has already forgotten rethinking and myself the old Optimal management of patients with somatic (general approach), published at the end of the last century (1995).
Rethinking, rewriting, I dare say, for myself first of all that in the philosophy of clinical medicine things are there.
We have a strong entered the third millennium, but bequeathed by the founders of the philosophy of medicine wisdom of nature and has not learned to finish.
This philosophy is in its most general form is formulated as a principle of optimality of the disease, and with it you can find in the book of the same name, available online at http://www.medicusamicus.com/index.php?action=bksh-normdisease.
The strong point of the book in the philosophy of the subject, and the weak - in its journalistic nature, when there is no proposal approaches its practical use.
The principle of optimality of the disease is part of the principle of optimality of Nature. According to him, there are optimal ways of the disease, providing in the most severe cases, high-quality and full recovery, and determine the most favorable course in chronic cases, evasion, and that there are those in violation of its flow, its those forms that require intervention, provided the provided to minimize the loss intervention. These interventions are determined, and the optimization of reduced or, in other words, the return (if applicable) of the disease in its track uncomplicated.
A measure of the degree of optimality in the course of the disease in each case there is a charge for the patient's disease. The most optimal variant of the disease - when the payment for it the least. We will not dissemble and not pulling away as the nature of the mechanism of the disease is not healing mechanisms.
Thus, the optimal strategy in the somatic hospital, another attempt reports principle of optimality of the disease to the medical class. This principle is not the discovery of the author, but the application of the Principle of optimality in Nature clinical practice with the integration built on the foundation of his book, great ideas MJ Mudrova, SP Botkin, VH Vasilenko, MI Voyno-Yasenetsky, IV Davydov, N. Rashevsky, R. Rosen, H. Selye, and many other scientists.
I would particularly like to acknowledge the work of N. Rashevsky who formulated the principle of optimal design, and R. Rosen, postulated the principle of optimality in biology, as well as I. Davydov, who constructed a general theory of pathological processes.
