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September 19, 2001

A Patient Dissatisfied With Her Care

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor

JAMA. 2001;286(11):1311-1315. doi:10.1001/jama.286.11.1311

To the Editor: In a Clinical Crossroads article,1 Dr Daley reviews a case of a woman dissatisfied with her care and argues that the patient would have been satisfied had 3 specific problems either not happened or been addressed immediately.

Physicians are trained to look at the entire patient when diagnosing a medical problem. To try to diagnose just one organ or system of the body without taking into consideration the entire medical history and physical examination does a disservice to the patient as well as to the practice of medicine and certainly does little to improve future patient care.