Dear Dr. Moser,
You and I are revealing our age by commentaries such as your editorial in the August 2005 issue of The Journal of Clinical Hypertension 1 Yes, I have sent numerous patients with primary hyperaldosteronism or pheochromocytoma for successful (curative) adrenalectomy without the benefit of a CT. Clinical judgement is of paramount importance in medicine, while technology may aid in the diagnosis and therapy in some patients. Sadly, technology is often misused on the grounds of “improving” health care, although I have not seen any concrete data. The real value of technology in medicine is always subjective. Yes, I use the imaging technology, but only coupled with clinical judgement. There is no way to control technology (and we shouldn't), but we can always control the best computer ever created—the human brain! Marvin, my friend, carry on! With kind regards,
C. Venkata S. Ram, MD Texas Blood Pressure Institute, Dallas, TX
References
- 1. Moser M. Comments on progress, medical care, and the overuse of technology [editorial]. J Clin Hypertens.(Greenwich).2005;7:442–444. [DOI] [PMC free article] [PubMed] [Google Scholar]