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Sir.—In the June issue of the Journal, you included two marginal comments about computer-assisted diagnosis (127:791 and 793, 1974). In general, I am in complete agreement with both of them. However, I would like to comment on one paragraph of Dr. Glaser's comment that I believe is important to much of pediatrics. This is the paragraph that refers to concentrating on the management of the patient's condition.
Dr. Glaser is absolutely right when he says that I am dismayed that the conditions of 14% of medical center patients and 37% of community hospital patients were undiagnosed on discharge.
Even though we might be required to be content with managing the patient's condition, this does not mean that we should be satisfied with managing an undiagnosed condition. I do not see that trying to make a diagnosis and managing a patient's condition are mutually exclusive efforts.
It is true that
BARNESS LA. Computer Diagnosis. Am J Dis Child. 1974;128(5):743–744. doi:10.1001/archpedi.1974.02110300153026