Guest guest Posted October 26, 2003 Report Share Posted October 26, 2003 - : A very famous professor addressing this point told me that CM is used mostly in patients that WM does not conceder to be sick (although certainly in Taiwan you can see very ill patients treated as well). He points out that CM has a very important place in functional like cases that often are not considered sickness in WM. He was also making the case that often CM is not as predictably effective in condition when WM conceders the patient to be sick.Alon Alon and all, by " considered to be sick " i assume the famous professor meant that these patients do not exhibit pathologies that can be detected by modern " biomarkers " . I'm curious, are these the patients that present with what we may consider " serious complaints " and yet " all the tests are negative " ?. Or are they the patients that we might say have " minor complaints " Or are they both? And is there an institutional system of triage to determine which are the " sick " patients that get the WM and which are the not sick that get the CM. If anyone knows how this is done in Taiwan i'd like to hear about it. More curious I am as to how we find this is done here and how we know. There is clearly a self-selecting process. Patients in this country almost exclusively choose CM of there accord. So my questions to all of you are; who are your patients? Do you or they know if they are sick by biomedical standards. What percentage of our patients have biomarkers that indicate serious pathologies and are being treated by CM exclusively? Has Taiwan concluded that CM is good medicine for the " not sick " and has that been demonstrated ipso facto here as well? Does it matter who the patients are when we talk about what the medicine is and what is the relative importance of efficacy studies?. Is a phrase like " CM has a very important place in functional like cases that often are not considered sickness in WM " the slamming of the cage door is it exactly where we want to be? okay enuf. My apologies for the awkward inquires. Many of you are quite talented in this medium, a fact both inspiring and intimidating. much appreciation, sinc, Dean Quote Link to comment Share on other sites More sharing options...
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