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The Nature of Clinical MedicineThe Return of the Clinician$
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Eric Cassell

Print publication date: 2014

Print ISBN-13: 9780199974863

Published to Oxford Scholarship Online: November 2014

DOI: 10.1093/acprof:oso/9780199974863.001.0001

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The Case of Myra Manner

The Case of Myra Manner

(p.107) Chapter 5 The Case of Myra Manner
The Nature of Clinical Medicine

Eric J. Cassell

Oxford University Press

This chapter presents and discusses the case of a young woman with lymphoma that was discovered after a year of cough and pruritus. Why was the diagnosis delayed? Does the story stop once the diagnosis is made? That is the usual way in medicine. The reasons for this pattern are presented. The disease becomes more important than the patient. Many details of the patient and her life are explored. Alternatives are discussed that keep us focused on the patient, her purposes and goals, and what will be needed for her to achieve them if she lives or if she dies (in this case she lived).

Keywords:   lymphoma, diagnostic delay, goals, purposes, patient, disease

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