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Why 40%-80% of Chronic Pain Patients Are Misdiagnosed & How to Correct That (Hardcover)
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Why 40%-80% of Chronic Pain Patients Are Misdiagnosed & How to Correct That (Hardcover)
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This book is authored by a former faculty member of Johns Hopkins
University School of Medicine and the past president of the
American Academy of Pain Management, and the Reflex Sympathetic
Dystrophy Association of America. He previously has authored three
books, 33 medical textbook chapters, and 59 articles. The book
addresses conceptual methods of problem solving as they are applied
to medicine. This book is designed to be the freakanomics for
medicine. Many research reports document that 40%-80% (or more, for
certain disorders) of chronic pain patients are misdiagnosed. The
leading cause of this failure is inadequate history taking and the
use of the wrong medical tests. Part of this problem is the failure
to recognise the specificity and sensitivity, as well as the false
negative and false positive rates, of medical tests in use today.
As an example, there are many articles in the literature which
document that the MRI, an anatomical test, missed the detection of
a damaged vertebral disc up to 78% of the time. The book explores
the use of physiological tests, such as facet blocks, root blocks,
peripheral nerve blocks, and provocative discograms to supplement
anatomical testing. Compiled into a step-wise fashion, this book
addresses the issues and provides methods to correct these
problems. The techniques of history taking and the application of
the correct medical tests have been proven effective, based on
dramatic improvement in patients documented by outcome studies,
which are validated by third parties, (not just self-reported).
This book offers information based on evidence based medicine, not
opinion. It provides information on how to think, not what to
think.
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