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If all practioners closest to the patient, such as the asthma nurse,
shared Anna Chappell's perspective, respiratory physicians would feel
healthily re-assured in the knowledge that their paediatric patients were
in good hands. Anna's approach shows a healthy balanced scepticism for
the relationship between early childhood wheeze and what may or may not
turn out to be "true" asthma (whatever that is) in older childhood and
adulthood. This is important in reducing erroneus diagnostic labelling of
"asthma" in early childhood while at the same time does not deprive
patients with ongoing symptoms (such as Chantelle) of good preparation and
education for the road ahead. Well done Anna!
No competing interests
04 September 2009
Barry S Clements
Paediatric Respiratory Physician
Princess Margaret Hospital, Perth, WA6009 Australia