Intended for healthcare professionals

Practice Uncertainties

How should we manage adults with persistent unexplained physical symptoms?

BMJ 2017; 356 doi: https://doi.org/10.1136/bmj.j268 (Published 08 February 2017) Cite this as: BMJ 2017;356:j268

Diagnosis: Fact or Fiction


Diagnosis is the sine qua non of healthcare. Without a diagnosis, doctors don't know how to help patients. But there are many patients who can't be diagnosed or helped. So let's enhance diagnostics and therapeutics with commonsense holistics by avoiding all toxins and addictions, because both are common, covert causes of multimorbidity and mortality. Intellectual but ineffectual, and oblivious to the obvious, diagnostics and therapeutics are contrived and divisive, but logical holistics are realistic and pragmatic, and should be automatic.

Competing interests: No competing interests

08 February 2017
Hugh Mann
Physician
Retired
New York, NY, USA