Let me just finish for a few minutes and then I will be happy to yield. I want to walk through several of these concepts. As a physician what is it similar to? I mention somebody coming through that door to see, not Senator Frist, Dr. Frist; they come in and have these vague complaints. If I don't do tests--I can take a pretty careful history. But until I do the physical exam, until I do some tests--noninvasive tests, very simple tests--EKG, a scan called a MUGA scan, fairly simple tests today--I am not going to be able to specifically know whether the problem is with the lungs or with the heart or whether that the problem is due to lack of conditioning or if it is due to general fatigue. So if I have the seventh grade girl there, not only should we have made the diagnosis earlier, but we need a test that can sufficiently make the diagnosis: Is it mathematics? Is it reading? Is it lack of resources? Is it lack of an ability to use a computer or type on a keyboard? We have to make the assessment. Then once, with that patient coming in, I identify the heart, I know how to intervene. I have taken the blood pressure, I find it is high blood pressure, there is something I can do to intervene. But if it is just fatigue, until I know their blood pressure is up, how can I give a pill to bring the blood pressure down?
Editor's note · Context
Discussing the importance of assessment and diagnosis in education and healthcare.
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