Diagnosis

Lessons That Last a Lifetime: Saying Goodbye to Dr. A.P. Jain

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Physicians vary greatly: some prioritize art, others science; some are humble, others overconfident; some are bold, others cautious; some trust intuition, others data. Where did Dr. A.P. Jain fit among them? Nowhere and everywhere. He was art and science, instinct and intellect. He revered the power of physical signs but never dismissed modern technology. He … Read more

On Missing Malaria

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Parsimonious. My teachers taught me this principle at the bedside during my residency. A single diagnosis should explain all symptoms and signs whenever possible. That was in 1980. Physicians relied on their brains and stethoscopes. They took detailed histories, examined patients thoroughly, ordered few tests, discussed differentials, and took pride in getting the diagnosis right. … Read more