摘要
It was not so long ago that an attending physician accused me of the following:‘you’re advocating for the elimination of the physical exam from medicine!’We were on rounds and debating the objectivity and merit of a single observer non-blinded prestudy/poststudy,the Bush-Francis Catatonia Scale,as a means of measuring clinical status after an Ativan challenge.‘The kind of improvement you all are expecting is so obvious that the scale becomes obsolete’,I argued,‘And furthermore,in the gray area,improvements based on the scoring system don’t seem to approximate improvements in patient symptoms’.
