"TEMPO" - "SEQUENCE"
-OLD WINE IN A NEW BOTTLE
In olden days history taking
was given a lot of importance. Our teachers taught us the importance of "O.D.P".
In history taking, this word was used for "onset", "duration"
and "progress" of a complaint or the symptom which the patient presented
In recent years, the doctors are trying to skip history taking and depend more
on tests. According to Dr. Ramamoorthy, a senior leading Physician and a private
practitioner of Mumbai, 75-80% of all the illnesses can be diagnosed by history
taking. My statistics are more or less the same. The statistics
of hospital based physicians may be different.
But the problem is, over the years the language has changed! Thus, in the past,
I wrote about the value of "Tempo" in private practice[2-4]
which was nothing else but "onset" of a complaint.
In this issue, I have written an article on the value of "Sequence"
of the complaint in history taking. Really speaking it is
nothing, but progress of a complaint or a symptom for which the patient has
come to you.
1. Dr. Rammoorthy : personal communication.
2. OP Kapoor. Tempo in the diagnosis of sudden anterior chest pain. BH Journal
2001; 43 (3) : 403.
3. OP Kapoor. Tempo at which the symptoms appear, helps to diagnose the cause
or common fevers. BH Journal 2001; 43 (3) : 402.
4. OP Kapoor. Tempo in the differential diagnosis ra thunder headache. BH Journal
2000; 43 (4) : 608.
5. OP Kapoor. Value of Sequence in history taking. BH Journal 2002; 44 : 2.