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- Clinical Professor of Neurosurgery, Anesthesiology, Neurocritical Care and Pain, University of Illinois at Chicago, Chicago, and Ghaly Neurosurgical Associates, Aurora, Illinois, USA.
Correspondence Address:
Ramsis F. Ghaly, MD, Clinical Professor of Neurosurgery, Anesthesiology, Neurocritical Care and Pain, University of Illinois at Chicago, Chicago, and Ghaly Neurosurgical Associates, Aurora, Illinois, USA.
DOI:10.25259/SNI_481_2023
Copyright: © 2023 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.How to cite this article: Ghaly RF. The art of good medicine still relies on making the correct diagnosis. Surg Neurol Int 23-Jun-2023;14:221
How to cite this URL: Ghaly RF. The art of good medicine still relies on making the correct diagnosis. Surg Neurol Int 23-Jun-2023;14:221. Available from: https://surgicalneurologyint.com/surgicalint-articles/12371/
Date of Submission
05-Jun-2023
Date of Acceptance
06-Jun-2023
Date of Web Publication
23-Jun-2023
Good Medicine Threatened by Chat, Artificial intelligence (AI)
Good Medicine is being increasingly threatened by Chat AI, robotic medicine, and computerized programs delivery that the delivery of medical care is increasingly relegated to a business model of “One size might fit many if not all.” Physicians still need to establish the correct diagnoses and correctly direct appropriate treatment. However, making the correct diagnosis is an art and requires listening to the patient, obtaining the full history, performing a thorough neurological exam, and then applying one’s skill, expertise, intelligence, and commitment! Chat AI, or treating a patient as simply a number within the given 10–15 min “slot,” is just not appropriate and not what quality medicine should be!!
How can a computer program and chat AI replace an expert medical practitioner!!! After 50 years of practicing medicine, I am still learning from patients every day.
Patients deserve to have their physicians take the time to look for the correct diagnosis beyond sifting through various differential possibilities. They need to understand that their problems are not being ignored, and that their symptoms/signs are not simply being “blown off.”
Establishing the correct diagnosis often requires an exhaustive work up, a challenge to the present medical trends for the following reasons:
It is expensive to perform potentially multiple tests in establish the correct diagnosis! Each patient’s problem must be clearly documented. Obtaining a complete history still warrants speaking to the patient and actually listening to their responses.
When I recently asked some of my patients why they took so long to come to a neurosurgeon for their various problems they responded: “Doctors and hospitals and insurances did nothing and said nothing.” The typical end result was nothing was or would be done until we “drop dead.”
Failing to spend the money to make the correct diagnosis remains unacceptable to most physicians! Ultimately, quality care is essential, to the patient, their families, and to their many physicians who continue to care. This is how we as medical professionals can return as many patients as possible to healthy productive lives.
Ramsis F. Ghaly, MD
Clinical Professor of Neurosurgery, Anesthesiology, Neurocritical Care and Pain Management
Phone 630-978-7500
Cell 630-816-9011
Fax 630-978-7540
Ghaly Neurosurgical Associates Established since 1995
4260 Westbrook Dr. Suite 127
Auroral, Illinois 60504
Disclaimer
The views and opinions expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Journal or its management. The information contained in this article should not be considered to be medical advice; patients should consult their own physicians for advice as to their specific medical needs.
Char G.
Posted June 25, 2023, 6:15 pm
I have to agree with Dr Ghaly . Most doctors don’t want to spend time with a patient and listen to what the patient is saying. They send the patient away without any help.