Manuel Varela, MD
To the Editors: As Dr. Reiser has pointed out (1), "the clinical case record freezes in time that episode in life called illness." However, not only the case record but the entire categorical system on which our clinical practice stands is based on the concept of illness as an entity. We study, diagnose, and try to cure diseases, and we can hardly imagine our practice without this intellectual tool. At least since Sydenhamm, we have tended to conceive of disease as an entity with real existence, an entity that affects patients and produces a qualitative change that transforms the basal
Varela M. Case Records and the Classification of Disease. Ann Intern Med. ;115:500. doi: 10.7326/0003-4819-115-6-500_1
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Published: Ann Intern Med. 1991;115(6):500.
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