Diagnosis

Clinical diagnosis delineates a mathematical exercise with a relational database.  For reference consult “Clinical Pathology” Robbins and Cotrans or Harrisons, clinical basis of internal medicine.  These ideas are not those of the author and derive from personal instruction from titans in the art and science of medicine in the twentieth century, no names avowed.

Disease is not a normal condition of life.  Disease happens as man meanders throughout life in search of fame, fortune and well being.  The sorrow of reality in an earthly existence derives from the following utterance:

“Ninety percent of disease is iatrogenic”

With this mathematical paradigm in mind, let this author begin…………

Disease is a result one of three different things:

An infection

Intoxication

A physical trauma

Infections result from invasion or colonization by bacteria, parasites or fungi.  Intoxications are poisonings with substances interfering with cellular metabolism. These substances run from common household cleaners, detergents and disinfectants to raw organic chemicals encountered in the workplace.   Chronic disease happens secondary to chronic exposure to metals and toxins that permeate the foodstuff or appear in personal hygiene products… Physical traumas ruin or destroy organs and tissues and deplete the body’s reserve of replacement function.   An unattended gunshot wound eventually causes disability or infection or a foreign body reaction.  Repeated jarring to the brain case causes bleeding within the cranial vault, with focal coagulation and loss of neurons, ultimately lowering intelligence. 

The best and cheapest way to preserve food and spare spoiling due to bacterial action is to infuse the food with heavy or transition metal ions.  All food processors and corporations are party to this effect. Canning costs a lot of money because high temperatures and fuel costs drive up prices.  Salting food leaves the food salty and it needs to be boiled to drive out the salt.  Refrigeration is the cheapest alternative currently, but some bacteria still grow in the cold and frozen food eventually becomes unpalatable.  Heavy metals like lead and transition metals like iron and nickel accumulate in the kidney and brain primarily.  This is why all old people have decreased renal function and concurrent memory loss or senile dementia. Other organs like the heart and brain are affected but to a lesser degree.   It seems having a healthy population with a shortened lifespan is better than periodic epidemics of food poisoning and loss of revenue due to spoilage.  This is what the money says.

Each profession has its associated morbidity.   Office workers suffer from diabetes and heart attacks.  Chemical workers eventually contract liver failure or primary cancer.  Petroleum workers have an increased incidence of brain cancer and colon cancer.  Radiation workers have higher incidences of leukemia and lymphoma.  Agricultural workers suffer from zoonotic infections of bacteria or parasites and endocrine failure due to exposure to high levels of insecticides. The common variable to all occupational illnesses is that the toxin or poison is absorbed to a greater degree through the alimentary tract.  This means when at work don’t eat any food near chemicals, ores, or ionizing radiation sources. 

What is meant by 90 percent of disease is iatrogenic is the revelation that human beings are always associated with disease and in their absence acquired illness occurs in low frequency.

Age epochs and disease

Children

If a child enters a clinic, probabilities indicate the child has an infection. If a human being has reddening, temperature rise or swelling, he or she has an acute infection and must be treated with antibiotics.  This is the calor, rubor, tumor rule.    If infection rules out, the child is intoxicated and a toxicology screen mandates. A physician then treats the intoxication by removing the agent from the home or treating the symptoms appropriately.

Adults

If an adult enters a clinic, they probably have intoxication due after along lifetime accumulation of processed food.  Hypertension ensues from decreasing kidney function secondary to metal poisoning, Diabetes happens from exposure to insecticides or ingestion of common household chemicals.  Heart disease occurs mainly in the well to do and follows from a lifetime of excess.  Rib eye steaks, cream puffs pastries and pies saluted with alcoholic beverages after spending the day in an office chair.   Rationality mandates a toxicology panel and a mass spectrometry assay from a tissue sample.  If the panel yields no positive results, then the adult has an occult infection masked by an overlying condition. Statistically, the highest level of health occurs in childhood. Most children are not murdered or poisoned.   Adults and men particularly, experience morbidity and mortality due to violence of an obvious nature.  Surgery becomes the method of choice to alleviate bodily trauma.

Maturity and the elderly

Older people tend to experience chronic disease due to the inability of the body to detoxify poisons and the accumulation of metal ions.  Organ failure, cancer, arthritis and dementia start to appear at an alarming rate and increase proportionally in mathematical direct relation to age.  Strategy aims at removing heavy metals from the body with chelating therapy and purging of lipo-soluble toxins by dieresis or dialysis

These are some things spoken by the best physicians of the twentieth century:

“If a patient has a disease and you cannot figure out what it is, they have rabies.”   Dr. X

“Multiple sclerosis happens due to prolonged anti-cholinesterase   intoxication.”  Dr. X

“A medical education is wasted on a woman because they would rather have babies.”  Dr. X

“Common things tend to occur commonly.”    Dr. Y

“Before you deliver your patient to a surgeon, exhaust all treatment modes and modalities.  Dr. Q

“What people say and what people do are two different things.’   The master of the game.

“In human existence, black and white do not exist.  The human condition occurs in shades of grey.” Dr. Z

Conclusion

Medical diagnosis is a mathematical relation with an equal sign.  There is no subjective component to medical diagnosis and with current advances in technology and laboratory medicine, physicians might be relegated to archive at acute care settings.  Medicine is said to be an art and a science but this author leans more to the science side.  With economic reality, human interaction becomes more and more subjective to mask the power of the good old American buck.  It is impossible to delay or prevent the power of the ruling majority of the people in any way.  Sometimes a machine is a better alternative to a wait and see or boycotting behavior in the clinic.  As my father used to say, “when you get old, your will eventually return to the church”   God is the only one who can help us.