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By Karen Brichoux

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The internist in question, an associate of Mr. Woods, claimed to keep up with medical matters by confining his reading to a maximum of three titles, freeing him to spend more time on the necessary administration of his practice. Yet the number of journals in publication is constantly increasing, while all other printed medical matter is doubling every three years. The internist's trash bin must indeed be a stout object. Outside the closeted habitat of the medical profession, the rest of the planet is wiring itself into computers and communication technologies in a way that promises to transform education, working habits, and culture irrevocably.

Following on from such a realization comes the belief that this failing is exactly why change is needed. Despite a common enthusiasm for the best available healthcare, most of us can recite stories, largely recalled from media 26 21 st-CENTURY MIRACLE MEDICINE reports, about other people's unhappy and distressing encounters with the world of medicine. Doctors dispense an accidental overdose of chemotherapy, patients wake up to find the wrong limb amputated, and women stricken with cervical cancer are awarded the all-clear.

An error of clinical judgment, including misdiagnosis or the wrong drugs being administered, can land a hospitalized person with some additional complications. Just in the case of drugs, nearly 3 percent of patients who enter hospitals will experience severe or life-threatening reactions, many of which could be avoided through the use of effective pharmaceutical surveillance. Superfluous diagnostic tests are sometimes conducted as well, leading to unnecessary suffering. But by far the most definitive verdict on modern medicine is supplied through a close analysis of health statistics-an altogether less emotional vantage point from which to grab a look at technology.

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