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Prognosis in the Rheumatic Diseases (Paperback, Softcover reprint of the original 1st ed. 1991)
Loot Price: R1,666
Discovery Miles 16 660
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Prognosis in the Rheumatic Diseases (Paperback, Softcover reprint of the original 1st ed. 1991)
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Seer, forecaster, prophet, geomancer, or tout - all predict future
events as physicians must. The medical activity is prognosis from
the Greek pro (forward) and gnosis (special knowledgeL thus
foreknowledge, and the practitioner is the prognosticator, a
sobriquet which falls unhappily upon the ear. Like it or not, there
is nothing more critical in the management of chronic rheumatic
conditions than a reasonably clear picture of what time and disease
will bring. The knowledge is so much a part of ordinary medical
thinking that we rarely grace it with the label prognosis. But,
like so much of "ordinary medical thinking" (an oxymoron, perhaps),
quantitative data are very thin and the chestnuts of personal
observation and authority figure assertion loom large. Unlike
several books I have seen or written, this one on prognosis needs
no justification. The entirety of a person's life contributes to
and confounds what the future holds. The ingredients include
education levet income, support structures such as family, housing,
occupation, availability of medical services, diagnosis, treatment,
rate of disease progression, age, gender, race, marital status, and
others too numerous to mention or too arcane to be recognized. One
would think the task of estimating prognosis impossible. And yet
there is light on the horizon -we do know a few things such as the
effect of high rheumatoid factor titers on the prognosis of RA or
the likely outcome of certain kidney lesions in SLE.
General
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