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CHOICE: On things not being what they seem BMJ 2002; 324: 0h [Full text]

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Beyond scepticism: Biophysical-Semeiotic Constitutions.

Sergio Stagnaro   (24 May 2002)

Beyond scepticism: Biophysical-Semeiotic Constitutions. 24 May 2002
Sergio Stagnaro, Specialist in Blood, Gastrointestinal and Metabolic Diseaeses. Researcher in Biophysical Semeiotics. Via Erasmo Piaggio N. 23/8. 16037 Riva Trigoso (Genoa) Italy. Send response to journal: Re: Beyond scepticism: Biophysical-Semeiotic Constitutions.	Sirs, I agree, of course, with the person who states that a reader "must not pass judgement on the whole truth of it [the article, he is reading] unless you have first observed for yourself the things that I have described" but on condition that the reader possesses the necessary tools which allow him to put his fingers in the wounds he doesn't believe. Certainly all doctors around the world, not only readers of the BMJ, are trained to be sceptical, and know correctly that all our truths are provisional, according to Claude Bernard and the nature of science. However, doctor ,e.g., at the bed-side, can’t nowadays utilize the unavoidable clinical tools in order to corroborate or falsify the conclusions of authors, who state “that those with high stress were more likely to have angina and hospital admission for some causes”. In fact, I am sorry to find out that neither such authors nor their readers know the “arteriosclerotic constituion”, in these cases particularly localized in coronary microvessels (perhaps, they ignore even both function and structure of biological systems microcirculatory bed: See the site HONCode ID. N. 233736, http://digilander.iol.it/semeioticabiofisica, Biophysical- Semeiotics Constitutions). In other words, I think, in disagreement with “all” authors over the world, that stresses give heart disease “exclusively” to individuals involved by genetically altered coronary Endoarterial Bloking Devises, first and second station, although it is valid the well-known Kant’s statement: “Ab posse ad esse non licet illatio”. Interestingly, another example, useful in illustrating my “theory”, i.e. the primary role played by “biophysical-semeiotic constitutions” in the war against the most serious human diseases, is the relation from tobacco smoking and lung cancer: not all smokers have pulmonary cancer, which, on the contrary, is diagnosed often in non- smokers. Oncological Terrain, i.e., “oncological constitution” (See above- cited site "Oncological Terrain" and Bibliography) accounts for the reason of such “apparently” surprising events, that urge “ad hoc” hypotheses, in contrast with Science. I have a dream: in the future, physicians over the world will speak about Oncological Terrain, diabetic constitution, a.s.o., performing screening for cancer, diabetes mellitus, arterial hypertension, dyslipidemia, arteriosclerosis, osteoporosis, glaucoma, a.s.o., exclusively in individuals properly choosen and not thoughtlessly in all people, as happens nowadays. Scientific progress is really going on slowly, but it goes on and on, thanks to BMJ Rapid Responses and www.katamed.it, in particular.