Cost Effectiveness /Yeild /Medical Economics

IT IS TIME THAT THE PATHOLOGISTS STOP REPORTING CYST OF E-HISTOLYTICA IN THE STOOLS

O P Kapoor
Ex. Hon. Visiting Physician, Jaslok Hospital and Bombay Hospital, Mumbai,
Ex. Hon. Prof. of Medicine, Grant Medical College and JJ Hospital, Mumbai 400 008.


By now I have seen thousands of patients in my practice who have developed “amoebiasis neurosis”. They go from doctor to doctor showing the report of stool test where inspite of repeated courses a new stool report done with another pathologist still shows cysts of E-Histolytica.

In majority of such patients, these are cysts of Entamoeba dispar and are non-pathogenic. My suggestion is:

1. That the pathologists should not report these cysts any more. They should only report if they find vegetative forms of E-histolytica in the stool sample.

2. As such it is so difficult to treat the above patients who have irritable colon and not amoebiasis. We are trying to teach them to learn to live with the irritable colon and avoid certain foods and drinks which upset them. Superadded amoebiasis neurosis makes it very difficult to treat such patients.



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