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Medical Reasoning - The Nature and Use of Medical Knowledge (Hardcover)
Loot Price: R2,247
Discovery Miles 22 470
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Medical Reasoning - The Nature and Use of Medical Knowledge (Hardcover)
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Modern medicine is one of humankind's greatest achievements.Yet
today, frequent medical errors and irreproducibility in biomedical
research suggest that tremendous challenges beset it. Understanding
these challenges and trying to remedy them have driven considerable
and thoughtful critical analyses, but the apparent intransigence of
these problems suggests a different perspective is needed. Now more
than ever, when we see options and opportunities for healthcare
expanding while resources are diminishing, it is extremely
important that healthcare professionals practice medicine wisely.
In Medical Reasoning, neurologist Erwin B. Montgomery, Jr. offers a
new and vital perspective. He begins with the idea that the need
for certainty in medical decision-making has been the primary
driving force in medical reasoning. Doctors must routinely confront
countless manifestations of symptoms, diseases, or behaviors in
their patients. Therefore, either there are as many different
"diseases" as there are patients or some economical set of
principles and facts can be combined to explain each patient's
disease. The response to this epistemic conundrum has driven
medicine throughout history: the challenge is to discover
principles and facts and then to develop means to apply them to
each unique patient in a manner that provides certainty. This book
studies the nature of medical decision making systematically and
rigorously in both an analytic and historical context, addressing
medicine's unique need for certainty in the face of the enormous
variety of diseases and in the manifestations of the same disease
in different patients. The book also examines how the social,
legal, and economic circumstances in which medical decision-making
occurs greatly influence the nature of medical reasoning. Medical
Reasoning is essential for those at the intersection of healthcare
and philosophy.
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