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Invited Commentary
Jan 23, 2012

Diagnosis of Neuropathy: Comment on “Tests and Expenditures in the Initial Evaluation of Peripheral Neuropathy”

Author Affiliations

Author Affiliations: Departments of Neurology and Pathology, University of Utah School of Medicine, Salt Lake City.

Arch Intern Med. 2012;172(2):132-133. doi:10.1001/archinternmed.2011.1718

Observe, record, tabulate, communicate. Use your five senses. Learn to see, learn to hear, learn to feel, learn to smell, and know that by practice alone you can become expert.—Sir William Osler

Well, if you don't look, you don't see, and what you don't see can be very hard to find!—Ms Frizzle—The Magic School Bus, “Ups and Downs”

Physicians take pride in their history and examination. We teach students that the patient always tells us what is wrong, and we marvel at the examination's elegance. We are quick to criticize the speed with which others revert to shotgun testing rather than applying core clinical skills. However, we often fail to critically evaluate our own performance. In this issue of the Archives, Callaghan et al1 provide a sobering reminder of the value of such introspection.