However, the mode of disease diagnosis (Nosological diagnosis) is common for several systems. It's an undeniable fact that the close association between disease diagnosis and remedial diagnosis prevailed in Modern medicine may not be seen in other holistic systems, however, diagnosis is featuring its own importance even yet in other systems. The mode of treatment may be either holistic treatment, specific treatment, symptomatic treatment and general life support to the patient. Modern medicine gives more importance to the specific treatment, whereas, systems like Ayurveda, Homoeopathy, Siddha, Unani, Chinese medicine, Naturopathy etc. give more importance to the holistic idea of treatment, i. e. remedy section by taking into consideration the physical, mental and emotional characters and life situation of the sick individual.
However, in these systems also, disease diagnosis is equally important, because, under certain situations, the functioning of the affected organ or the system of the body needs to be backed up. The in-patient also may require some specific type of support, for that the organ remedies should be deployed. After that, disease diagnosis is essential for planning the disease control measures, prognosis, special precautions, to understand the life threatening situations, prevention of spreading of disease to others. Diagnosis is extremely needed for statistics, research and and to fulfill the academic interests. Most importantly, due with a medico-legal reasons, the physician ought to know the detailed health status of his patient. Due to any or all these reasons, disease diagnosis is crucial, aside from the machine of treatment given to the patient.
Disease diagnosis and remedial diagnosis can be considered as the two sides of exactly the same coin, hence, both are having equal importance. Disease diagnosis is performed by correlating the signs and outward indications of the patients (clinical features) with the information written by the bystanders and the lab investigation reports. On certain situations, there may be some difficulty in creating a diagnosis, because, a number of diseases are receiving almost similar clinical features. Moreover, rarely occurring diseases or a recently emerged disease may not be identified easily, especially with a general practitioner. Under such circumstances, a specialist's opinion may be needed. Very rarely, a team of doctors are involved in the act of diagnosis.
It is extremely hard to call each and every disease we come across inside our daily practice. As per the International Classification of Diseases (ICD-10), a distinctive percentage of diseases can't be named. Such cases, a diagnosis is achievable regardless of having several health related symptoms in the patient. Since the in-patient is suffering, he must be treated symptomatically. Some symptoms or conditions are wrongly understood as diseases by the laymen. As an example, clinical manifestations like jaundice, fever, vomiting, headache, malaise etc are not diseases; but clinical manifestations of some diseases. The naming of diseases is performed on several basis. The majority of the diseases are named after the person who invented that one disease (Buerger's disease, Alzheimer's disease, Weil's disease), some diseases on the foundation of area where in fact the disease is common or identified for the first time (African sleeping sickness, Madhura foot, Japanese encephalitis), on the foundation of some peculiarity of the observable symptoms (Chikungunya), or on the cornerstone of the organism responsible for the infection (Falsiparum malaria, Amoebic dysentery, Bacillary dysentery), or on the foundation of the affected organ (Myocarditis, Nephritis, Appendicitis), on the cornerstone of cause(Alcoholic hepatitis, Wool-sorter's disease), on the basis of age (Juvenile rheumatoid arthritis, Senile dementia), on the basis of pathology(Mixed connective tissue disease, Mucopolyscaccharidosis)etc.
If a group of specific signs and symptoms are present in an individual, it is named syndrome (Edward syndrome, Down syndrome, Laurence-moon syndrome). Nowadays, we hardly stumbled upon a patient having just one disease, whereas most of patients are experiencing a set of diseases such as for example cardiovascular disease, diabetes, idiopathic hypertension, acid peptic disease, senile dementia, degenerative joint disease etc. Many diseases are classified under certain number of disorders. Like: Degenerative joint disorders, Inflammatory bowel disorders, Psychosomatic diseases, Lifestyle disorders etc. Here, each group includes several diseases, but are grouped together due with a common features such as for example pathological or etiological features.
Whenever a person concerns the doctor for the first time, immediate disease diagnosis may possibly not be possible as a result of various reasons. However, considering the presenting clinical features and history distributed by the in-patient, the doctor can come to a provisional disease diagnosis. After doing the laboratory investigations, the ultimate diagnosis is done by correlating the clinical findings with investigation reports. However the treatment isn't kept in pending till the ultimate diagnosis, especially in case of life threatening diseases such as diphtheria, wherein the procedure needs to be started immediately once the disease is suspected, because, when we watch for the lab reports ahead, the in-patient may be critical. Some recent laboratory tests help in early diagnosis, but unavailability of sophisticated labs doing such tests is a major deficiency faced by many countries.
The development of science and technology has made a revolution in medical science. Now the idea of disease diagnosis done only on the foundation of clinical examination is outdated. It is now under the custody of some sophisticated machines and laboratory techniques, a few out of them pose more risk to the health. But, the noteworthy point is, under all lab reports, a disclaimer is written as "correlate with clinical findings", which emphasizes the significance of case taking and clinical examination done by the doctor. In this era, wherein doctor-patient relationship is disrupted, we run into many patients saying that the physician has abruptly prescribed the medicine or referred for lab test without asking much questions and doing any sort of clinical examination.
The recent studies conducted at Mc Master university on the disease diagnosis is remarkable. They discovered that the name of the illness creates more panic one of the patients. For example, an individual having sour eructation may not feel bad when a doctor says that he has acidity, on the other hand, he may get embarrassed if a doctor tells him he has Gastro-esophageal reflex disease, that is the medical terminology for recurrent burning eructations. The same happens in the majority of the cancer patients; once the condition is diagnosed as cancer, the patients mental and emotional status starts deteriorating. But, the physician cant hide the illness from the in-patient due to several medical and legal issues. The better alternative is to secretly tell the diagnosis to the bystanders of the patient.
For an accurate disease diagnosis, the cooperation from the in-patient and his family unit members is very essential. Each and every problem felt by the individual ought to be told to the doctor. Some silly matter for the individual may be a vital point for a diagnosis and treatment. Similarly, apparent symptoms of long duration might be ignored by some patients. Purposeful hiding of symptoms may be dangerous. Some patients do not tell the doctor about the procedure he had taken previously. Frequent change of doctor (doctor shopping) can also cause difficulties. During consultation, patients habits, life situations, characters, food and bowel habits, relationship with others etc should really be told. The reports of previous treatment and investigations must be told, which may save the full time necessary for a diagnosis. Hence always ask for a discharge summary while getting discharged from any hospitals. While consulting a doctor, always take anyone who knows about the patient. The individual can also note down his symptoms before going for a consultation, so he won't forget to share with his symptoms completely. In this busy life, there's a pattern that instead of patient likely to the doctor, he sends somebody to the doctor for a "consultation ".Also there is a growth of people preferring over-the-counter purchase of drugs with no prescription.
When a patient dies or becomes serious during the span of treatment, the next step would be to file a suit against the doctor or by attacking the doctors and hospitals, consequently of a mental outbreak and a preconceived proven fact that it absolutely was due to medical negligence. Nowadays this is a common story in the majority of the news papers. By promoting the doctor-patient relation ship (which is deteriorating nowadays), and also by going back once again to the "outdated" family doctor concept, we could solve most of the health related issues.