Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor
In Reply.—Dr Theodoropoulos and Dr Manian
apparently both subscribe to what might be termed the patient-centered sentiments in my article, but are less comfortable with the utility
of the chaos metaphor.
I suppose that I could have made clearer that chaos was used as a metaphor
to provide a different way of looking at the problems of modern medicine.
Modern medicine does have many problems. I have found that if I do not wrap
any discussion of these problems around stories or metaphors, my tone becomes
too shrill, too negative, too whining.1- 4
Although I love the practice of medicine and I love scientific investigation,
I worry very much when one masquerades as the other.
Goodwin JS. Modern Medicine and Chaos Theory—Reply. JAMA. 1998;279(11):835-836. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-11-jac80001