Introduction to Clinical Thinking
Since antiquity the clinical method is fundamentally hypothetical-deductive.The doctor dialogues with the patient, interrogates him about his ailments, examines him and, according to the findings plus theoretical knowledge and based on his experience, elaborates hypotheses about the pathologies that the patient may have, while performing a deductive process, to arrive at the diagnosis.
The evolution of science and technology continuously presents us with new diagnostic and treatment tools and, it is correct to go to them from a clinical perspective, that is to say from the patient in question, requesting those studies and examinations that are necessary.
The doctor who requests an inexhaustible battery of studies often reveals not knowing what the patient is suffering and in his disorientation looks for some study to come up with the diagnosis that he failed to suspect.
By professor Roberto M. Cataldi Amatriain
Original text in Spanish
Charity in medicine or undercover business?
Charity in medical care is based primarily on assistance to patients who do not have the financial resources to cover the costs of their care. Two worrying phenomena: 1) vulnerable and already vulnerable populations in need of medical care and left to their own devices; 2) the market for technology applied to diagnosis and treatment, scientific research, and medicines produced by the pharmaceutical industry. The “health-care business” used to exist at all epoque, but today it is alarming. It describes different acts of the health market that go through charitable acts and are in fact covert businesses.
(Original text in Spanish)
Professor Roberto M. Cataldi Amatriain
WORLD CONFERENCE OF
“The Internal Medicine to the service of the Humanity”
International College of Internal Medicine – ICIM (2004)
Fundación Internacional Cataldi Amatriain (1996)
Internal Medicine cannot miss the train of Technology
Internal Medicine is currently engrossed in the pinnacle of new Communication and Information Technologies. The new millennium has been called the era of information, or the society of information. However, development of IT hardware (equipment) and software (structured language programs) should focus on the user rather than the computer. Anthropotechnics must not take the place of anthropology. Medical IT, thanks to Internet, as well as Telecommunications, and audiovisual Technology, has exceeded geographic boundaries, creating new educational and working environments. By means of IT, internists attempt to analyze the conflicts of present day health care, evaluating all the information received, while attempting to search for new technological alternatives in order to arrive at better solutions. Clinical practice guides and protocols on the Internet, surfing the web in remote data bases, the creation of an IT system for sanitation in catastrophe areas. Telemedicine wich monitors medical images used by specialists in diagnostic images located throughout the world, videoconferences among internists worldwide, the introduction of IT health care teaching and educational environments, as well as the strong collaboration between health care facilities and research groups all constitute a positive outlook today in this area of expertise and will surely continue to progress in the years to come. The Telefonia Movil 5G will allow new advances in the healthcare system according to the Mobile World Congress 2019 of Barcelona.