Once a patient has been.....
labelled with a diagnosis it becomes increasingly difficult to review his siuation. New Symptoms tend to be attributed to the diagnostic label, espacially where the disease is chronic.
Example
A 53 years old woman who was a "known" Crohn's disease sufferer has had multiple right groin and right iliac fossa sinuses for the past 10 years. Her treatment includes Salazopyrin and low-dose steriods.
Her case notes are encyclopaedic. When a new registrar arrives at the hospital he is quite firmly informed by the patient that "Nothing further can be done.
I just have to live with it.
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wow, wonderful
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